A fast and efficient method for cast core provisional restoration of anterior teeth

Abstract

A broken maxillary anterior tooth is an emergency to most patients regardless of the cause. This article describes a direct method for making a cast core provisional restoration for anterior teeth or premolars and has the advantages of (1) producing an esthetic, stable, temporary restoration in less than 30 minutes and (2) a grateful patient. It has the slight disadvantage that the dentist must develop a touch for the setting time and properties of the acrylic resin. This procedure may also be used before cast core fabrication to overcome esthetic concerns of the patient. PROCEDURE Temporary restoration may be the only procedure on the initial visit. The tooth must be cleaned and prepared to its final state to avoid repetition of the process at the appointment for cast core fabrication. 1. Make a cast core preparation one half to two thirds of the length of the tooth vertically (5 mm from the apex) 1 and one third of the diameter of the root horizontally. 2 Use a warm endodontic plugger and no chemical solvents for gutta-percha removal, a (If the tooth is vital, extirpation of the pulp will be necessary before this step.)