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Pearls and Pitfalls: Clinical Tips for Working with Temporary Cements

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providing tangible Patient and Practitioner benefits: NEXTEMP TEMPORARY CEMENT 

As discussed in our previous article, selecting the right temporary cement is essential to the success of any provisional restoration.

When choosing your cement, consideration should be given to the type and location of the provisional in addition to how long it will be in function. Other properties to account for include cement solubility, needed retention, maintaining an intact marginal seal, ease-of-removal, and esthetics. Weighing all of these factors helps ensure the functionality of the provisional restoration, tooth and issue health, bacterial and thermal resistance and, ultimately, final restoration success.

NexTemp Temporary Cement After you’ve decided on a temporary cement and the provisional restoration has been fabricated, finished, and polished, it’s time for placement. It is important to remember that if all excess cement is not removed this can lead to periodontal inflammation, and, in the worst cases, bone loss. A few approaches, such as using petroleum jelly before placement, can simplify clean-up and promote an ideal outcome. Using a disposable microbrush, apply a light layer of jelly to the cervical margins of the provisional restoration to facilitate excess cement removal. When performing a bridge restoration, apply a thicker layer of petroleum jelly to the tissue surface and gingival sides of the bridge pontic and connector. This prevents cement from entering these difficult-to-reach areas and keeps clean-up simple.

When applying the temporary cement to the provisional restoration, proper technique is also critical. If the cement requires mixing, it can be done on a pad before being applied with a disposable microbrush. While automix cements can be dispensed directly into the provisional via the mixing tip, some experts suggest applying the material with a microbrush for more precise placement. Regardless of the type of cement used, it’s important to apply a thin even coat all inner surfaces of the restoration and avoid overfilling. This ensures the provisional seats properly and will minimize excess.

With the right material and technique, removing excess temporary cement should be straightforward and easily accomplished.

A common challenge, however, occurs when extracting residual cement from the gingival embrasure below the contact area. In such cases, dental floss knotted two or three times can be used in the embrasure space to dislodge the excess.

Premier Dental’s NexTemp® is an advanced resin-based temporary cement that features convenient handling, easy clean-up, and strong retention. NexTemp’s unique eugenol-free formula contains potassium nitrate, chlorhexidine, and fluoride that work to reduce the chances for post-operative sensitivity. The strong bond generated by NexTemp’s resin formula provides necessary retention and excellent marginal seal, while mitigating both microleakage and washout. This translates to temporary restorations that should feel great to the patient and stay put until it’s time for removal and cementation of the definitive restoration. Putting it all together, NexTemp Temporary Cement provides tangible benefits for the practitioner and patient alike. 

To learn more about NexTemp and order the product for your practice, visit Premier’s website.

Source: https://www.aegisdentalnetwork.com/ida/2012/08/provisional-temporary-cements

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