This question was submitted by a general dentist: Temporization – What is the best material for veneer temps and what are the best techniques?
The following is a “discussion-opener” response by Dr. Dorothy Marko:
After 33 years, you would have tried a lot of different things. A best practice starts with an excellent wax-up of what you want your case to look like.
The lab fabricates a clear silicone template that is well adapted to the margins and gingiva. Any self or light cure temp material will work well, if the silicone matrix is well adapted and vented. There is very little trimming that needs to be done. The temps are all one piece which adds to the retention. If there is minimal reduction and the temps are loose when you remove the silicone template, I would spot etch two or more of the preps and add a dimple of flowable. After I have trimmed and polished the temps in the mouth, I would glaze the emanel bonding agent (Scotch bond-emanel bond not One Step). Of course, all occlussal adjustments have to be made. Specific post-op instructions always help too.
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