hello and welcome to chair side lies I'm your host Megan strong I'm so glad you're tuning in
today register gentle assistant will Schmidt is back with another edition of across the chair
it's a jam-packed show will demonstrating his bio attempts delivery technique that
he's been busy developing he's using the plastic fasted technique and delving into details about
this process with examples of patients with different tumors ation needs everything from
simple and straightforward to a little more complicated let's get to it will Saul yours
thank you so much Megan for this episode I want to revisit a bio timpz placement technique that
I have been casually presenting in recent episodes in order to nail down an expedite my own bio temp
realign and seeding procedure I have requested bio temps to accompany every single case that my
doctor is preparing in the operatory no matter the difficulty level so that we can develop a way to
streamline the process from beginning to end let's face it for a prefabricated provisional to do its
job and be worth the effort it absolutely must be more simple to construct and more aesthetic and
appearance than a chairside fabricated temporary that is based upon a preliminary impression today
I would like to officially present our fastest iStent placement steps or as I like to call it
the bio temp guide well technique to show how versatile this placement technique can be I'm
going to walk you through four unique patient treatments at the provisional stage my first
example involves a young man with three endodontic we treated anterior teeth before any temporary is
realigned i swab the preparations with a smear of Vaseline to prevent acrylic adhesion the bio temp
has been nested into the plastic fast tent and the acrylic realign can now be extruded I place
a small drop of acrylic on my glove so that I can monitor the curing process without disturbing the
realign when using the fast tent as a seating guide I am less worried about overflow acrylic
finding its way back out the stent guides the excess up and away from the bio temp and leaves
a thin layer between the margin and the gingiva making the removal and cleanup process less
involved I am also able to put firm pressure on the bio temp as the realign sets while not
worrying about the temporary tipping or turning the fast stent comes off gently and doesn't ever
stick to realign acrylic upon removal is apparent that the realign is a success and
the excess to trim is very minimal I open the embrasures of splited temporaries with a long
thin diamond flame bur to allow the recently retracted tissue a chance to rebound properly
minimal touch-up has to be done to the station of the bio temp and it can be seated just as
straightforward as the realign process moving right along to a slightly less straightforward
case this patient has deep interproximal sulcus and areas distal to the lateral incisors that
could cause realign material to flow and lock the temporary into place during instances such
as this I like to take an additional step and place flowable block out resin to the areas that
may cause unnecessary hang-ups a quick light cure smear layer placement and the fast dent
nested bio temps can be placed for the relying care process once set the block out resin can
be gently punched out of the interproximal areas to clear the path of initial removal
additional block out resin that sticks to the bio tamp can be easily removed with a spoon excavator
or handpiece once again minimal flash removal and reshaping is necessary before final seats of the
four unit crown veneer bio tamp combo in these combination cases temp unclear is my cement of
choice to adhere veneer units and prevent opaque of matte shaded temporary cements I think one
of the more difficult placement situations for any temporary is a posterior three-unit bridge
we are always limited with occlusal space and biting forces are more of a factor the fast tent
placement guide ensures that the temporary is suspended in perfect inclusion while the
real anchors a quick pop is all it takes to remove the stent and the bridge bio temp can
be adjusted by first removing the excess flash acrylic modifying the Pontic to train the tissue
for the final restoration opening the embrasures and then fine-tuning the shape of the individual
units before trying it back in the mouth I'll check the bite however no occlusal adjustment
was necessary and I attribute this to the accuracy of the use of a guided fast stent embrasures are
clear enough to allow an instrument to pass through and seeding is completed with a floss
trip Paree threaded underneath the Pontic area for quick cleanup the fast dent process is not just
for occlusal assurance and path of insertion but also to guide the acrylic realign in a direction
that allows embrasures and ponic areas to remain open and hygienic well here is another interesting
biotin placement and one that I don't see very often this had number 24 and 25 endodontic we
treated necessitating crowns to restore them in cramped areas such as a mandibular anterior
the fast gent comes in handy to hold the very small and very thin bio temp shells in place
most lower anterior preparations need a small amount of blockout and I will apply this along
with a smear layer of Vaseline and light cure before final reliant is administered the stent
is removed easily enough that pressure from a bendable micro brush does the trick the ultra
thin flash that was trained by the stent can be removed to expose the blockout resin that is just
as easily discarded light pressure to unseat the bio temp and any remaining block out can be flaked
away from the margins while adjusting the margins and flash I want to make the point once again and
show how well the excess acrylic was trained to flow into the bio temp shell and away from
the adjacent teeth and embrace your areas I will always go back to the thin flame diamond bur and
continue to open interproximal areas of splinted units being careful not to over trim the margins
dry seeding and checking occlusion even after the stent placement is beneficial considering
this temporary needed a spot adjustment the application of temp bond clear cement was a
good choice in this situation due to the thin shells and light overall shade of the arch when
splinted embrasures are open to satisfaction the practitioner and patient should both be able
to insert a floss threader with ease the final product is a success and the fastin is available
to fabricate a backup chairside temporary in the improbable instance that a catastrophic failure
of the bio temp were to occur in the meantime I want doctors auxiliaries and of course your
patients to benefit from the techniques that I have presented here every step along the
way from the preparation of the temporary to the realign and eventual seeding relies on a
predictable process and ease of application that can be utilized in any situation to get started
simply include instructions to the technician on your bio temps lab slip 2 at a fast end for
any case involving a diagnostic wax model to be fabricated make sure to instruct your technician
to mimic the bio temps off of that diagnostic wax model and then of course add the fastin thank you
for that will for more information on bio x check out our website at wwlp.com well that
about wraps it up for this episode of cheer sidelines so on behalf of everyone here at
global laboratories thank you for watching and I'll meet you right back here next time
you