in a previous chairside live episode I detailed a posterior bio temp treatment on adjacent molars
that turned out very successful today I'd like to show you another bio temp treatment and one of my
favorite procedures to perform in dentistry as an RD a anterior multi-unit temporaries with bio
temps so to start this process I can either send a set of pretreatment study models or
impressions with bite registration and a shade to the laboratory on a dedicated Glidewell bio tips
Provisionals RX form for fabrication expect a 5 to 6 day turnaround time and schedule your patients
prep date accordingly well now that my patient is in the chair and my bio temps have arrived let's
go chair side and see the Maxon so expect your bio temps to arrive packaged similarly to any
crown or bridge case that you will receive from gladwell your bio temps will come as one splinted
unit unless you specify otherwise the lab can even include metal framework for long span bridges or
high impact areas at your request these bio temps 47 8 and 9 have been fabricated from
virtually prepped models and seat well upon try and with no rocking and minimal realign
necessary I cannot begin to stress the importance of applying Vaseline to freshly prepared teeth
before realigning the last thing I want to do is have to cut through my beautiful bio temps
because I fuse the realign to the preps when applying Luksa temp acrylic realign material
to the integrity of my bio temps I extrude a minimal amount and use the mixed tip to coat
the inner walls with the material and evacuating the air bubbles or any voids that may have gotten
trapped using a dry micro brush I remove some of the bulk excess material that may get stuck
between the embrasures I take great care in removing bio timpz or any temporary for that
matter with rubber tips crown removers to prevent scratching the facial and marring my aesthetics as
you can see my realign looks good with no voids or delamination from the bio temps moving over to my
lab bench I start with the removal of the bulk excess acrylic realigned with a coarse diamond
bur I always use a good handful chram for control over my handpiece and short swiping motions to
avoid Nick's or cuts I like the fact that most of the work is already done for me I don't need to
touch the facial or incisal of these restorations at all this is one of the major benefits for bio
temps versus a standard chairside temporary now that i have smooth and remove the acrylic flash
i'm going to get into details with a lab diamond disc get really comfortable with a good fulcrum
hand base and don't be nervous to get into those embrasures to open them up and allow the tissue
adequate healing room even more details can be carved out utilizing a mosquito diamond bur in
the same manner as my initial diamond takedown bur smooth everything up and let's try our bio tamp
back into the mouth if I have opened my embrasures enough and my margins are spot-on I should have
no trouble placing my bio temps and checking for space with a pareo probe or a similar instrument
I have cleaned all excess Vaseline saliva and contaminants from my preparations I
apply temporary cement in this case tempest m9u gional in the same coating pattern as my
initial realign and place it in the mouth in a rocking motion to allow excess material and air
to evacuate and see completely the patient can bite into place to assist seating but I like to
hold the restoration in place during the curing time with a cotton roll as a cushion for my own
fingers excess temporary cement should remove easily with an explorer and an air water rinse
my patient is still a bit numb while smiling after placement but this is a great thing our
process from final impression to dismissal took 15 minutes total plus I got the result that we
were both trying to achieve so why bio temps I've already shown their aesthetic qualities
and ease of application but I also take into consideration the price point taking less time
chair side is simply a light item shift that makes bio tense and affordable addition to your
procedures our bio temps classic utilise denture teeth set into position while bio
temps CAD are designed and build custom for every patient I enjoy the different options
they give me and the versatility of the material while decreasing the time I have to worry about
aesthetics let's be realistic our patients main goal is to look good while ours is to provide
exceptional dental treatment throughout if we can merge these two goals that is a recipe for success
you