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Temporary restoration is a temporary filling of a prepared tooth until permanent restoration is carried out. It is used to cover the prepared part of the tooth, in order to maintain the occlusal space and the contact points, and insulation of the pulpal tissues and maintenance of the periodontal relationship.
The majority of clinical studies indicate the annual failure rates (AFRs) are between 1% and 3% with tooth colored fillings on back teeth. Root canaled (endodontically) treated teeth have AFRs between 2% and 12%. The main reasons for failure are cavities that occur around the filling and fracture of the real tooth.
They can be used in direct restorations to fill in the cavities created by dental caries and trauma, minor buildup for restoring tooth wear (non-carious tooth surface loss) and filling in small gaps between teeth (labial veneer). Dental composites are also used as indirect restoration to make crowns and inlays in the laboratory.
Temporary filling-materials allow the creation of hermetic coronal-seals preventing from coronal microleakage (i.e. contamination of the root canal by bacteria); their presence over the entire time-period to fill the root canal and restore the tooth crown is mandatory, for increasing the probability of the endodontic-treatment success.
Dental cements have a wide range of dental and orthodontic applications. Common uses include temporary restoration of teeth, cavity linings to provide pulpal protection, sedation or insulation and cementing fixed prosthodontic appliances. [ 1 ]
For tooth preparation, firstly start with occlusal reduction which depending on the restorative material being used can range from 0.5mm-2mm. The best instrument to use for this is a high-speed diamond fissure bur and the reduction should follow the inclination of the cusps and grooves as this will allow the preservation of more tooth tissue.