jeremy amzalag - (9/21/2012 7:04 AM)

Another very nice presentation Dr Garber,congratulation! I have got 1 comment and 2 questions for you: 1. I understand the importance of the 3rd generation guide compared to the 1st one as described in your other presentation but I believe you still need to check the tooth structure by using the layers created by the silicone guide(2nd generation). Do not you think so? 2. As you etch and bond the try smile before the preparation is it not challenging to remove the bond between the teeth while you are preparing? 3. I do not understand what for use is the yellow brush over the teeth surface before placing the silicone index for the temporary restorations.

Ronald Goldstein - (9/17/2012 6:36 PM)

Ahmed, I don't think you had your question answered. We leave the temps on about 3 weeks on average until the finals are constructed. This allows the tissue to heal nicely but if we set up the lab to have them sooner and there is no tissue envolvement then no problem. For our out of state patients we do bond the temps on more securely with a 1-2mm etch and locking the material in between the teeth. If using a Siltek matrix the material usually locks nicely in between the teeth. However,if I leave the temps on for longer times I will use a bonding agent in selected parts of the tooth and a flowable composite to bond the premade or matrix temp to the teeth. Hope this answers your question.

Sam Busich - (9/16/2012 11:07 AM)

Savitha; you must be a Premium Member and the video takes a little time buffering but then plays very well. It is an excellent video and explains in great detail how to perform the procedure yourself. Try again with a good Internet connection. Good luck Sam

Savitha Doss - (9/16/2012 1:28 AM)

Dear Dr Garber,I am not able to view this particular vedio for some reason-am waiting eagerly to see the same.Is there any other vedio that will give me the same information?with warm regards from india savitha

ahmed sherif - (5/30/2012 12:07 PM)

good one but i have a question ... what is your estimated time for the patient to use the temporary restoration?? and what if the pt insisted on making the temp more retentive as he/she fears it will slip.....thank you so much

sharon goodwin - (12/8/2010 5:56 PM)

Dear Dr Garber.I just wanted to ask you what type of unfilled resin you use when you ate doing the trial smile? Can you do this trial smile to allow the patient to wear it for 2 weeks or so to see how they adapt to a change in anterior guidance/length? If so,is it easy to remove the provisional material?Lets say they change their mind and they want the provisiosal remived completely?
Thank you very much;
Sharon

José Gouveia - (2/7/2010 3:14 PM)

Question answered! Thank you very much Dr. Garber.

David Garber - (2/7/2010 9:35 AM)

Dear Jose , Thanks as your question is invariably someone else needs to know . .
- - generally for the TEMPORARY particularly with multiple units there is no need to etch and at final cementation the temp comes off easily - - if it is a single unit I spot etch and photograph or record diagramaticaly the exact spot so I can roughen bur or an with a bur or air abrasion at seating . .
if the trial smile is being used as a preparation guide I would spot etch areas to ensure it stays on while fascilitating the very conservative preparations, , ,
doe this answer your question otherwise follow up and I'll see if I can help
D

José Gouveia - (2/7/2010 6:56 AM)

Congratulations Dr garber for the information presented. In the end of it i just got a little doubt i hope you could respond. I dind't quit get if we have to etch and bond the Trial smile/provisional restoration or just place it directly, because in the 3rd video you say "not to etch" before placing the provisional, but in the 1st part you did etch before placing the trial smile. Thank you very much, José!