A temporary tooth, also known as a provisional restoration, serves as a protective covering for a prepared tooth while a permanent crown, bridge, or veneer is being fabricated in a dental laboratory. Its primary function is to safeguard the underlying tooth structure from sensitivity and damage, maintain proper spacing with adjacent teeth, and provide a pleasing aesthetic during the waiting period. These restorations are not designed for extended use and are typically in place for a few days to several weeks.
Factors Affecting Lifespan
The duration a temporary tooth remains functional is influenced by several elements, including the material used in its construction. Many provisional restorations are crafted from acrylic or composite resin, materials chosen for their ease of manipulation and ability to be quickly formed at chairside. While these materials offer sufficient strength for short-term use, they are less durable than the porcelain or metal alloys used in permanent restorations.
The specific location of the temporary tooth within the mouth also impacts its longevity. Temporary restorations placed on front teeth, which experience less direct chewing force, often endure longer than those situated on molars. Posterior teeth are subjected to significant occlusal forces during chewing, increasing the likelihood of wear or dislodgment for a less robust temporary restoration.
Patient habits play a considerable role in how long a temporary tooth can last. Activities such as teeth grinding (bruxism) or clenching can exert excessive pressure, leading to cracks or fractures in the provisional material. Chewing on hard items like ice or sticky foods, such as caramel or chewing gum, can also dislodge or damage the temporary restoration. Poor oral hygiene can compromise the temporary’s seal, leading to sensitivity or dislodgment.
The intended purpose of the temporary tooth also dictates its expected lifespan and design. Its design varies based on its intended duration; a temporary for a few days may be less robust than one needed for several weeks, such as during implant healing. Furthermore, the quality of the temporary’s fabrication, ensuring it fits precisely and has smooth contours, contributes significantly to its stability and resilience. A well-fitting provisional restoration minimizes stress points and reduces the chances of premature failure.
Care and Maintenance Tips
Maintaining a temporary tooth requires specific care to help ensure its stability until the permanent restoration is ready. Dietary modifications are often recommended to prevent accidental dislodgment or damage. It is advisable to avoid eating sticky foods, such as taffy or chewy candies, which can pull the temporary off the prepared tooth. Similarly, hard foods like nuts or crusty bread should be avoided, as they can crack or fracture the provisional material. Cutting food into smaller, manageable pieces can reduce the strain on the temporary restoration during chewing. It is also beneficial to chew primarily on the opposite side of the mouth where the temporary tooth is located, minimizing direct pressure.
Gentle oral hygiene practices are essential around a temporary tooth to maintain cleanliness without dislodging it. Brushing should be done carefully with a soft-bristled toothbrush, using gentle strokes around the temporary. When flossing, instead of pulling the floss up through the contact point, it is often recommended to slide the floss out from the side to avoid lifting the temporary restoration.
Avoiding certain habits can further protect the temporary tooth from damage. Biting fingernails, chewing on pens, or habitually clenching the jaw can all place undue stress on the provisional material. While some minor sensitivity to temperature changes is normal after a tooth preparation, persistent pain or significant discomfort around the temporary should prompt a call to the dental office.
What to Do if a Temporary Tooth Fails
Should a temporary tooth become loose, break, or fall out, it is important to contact your dental office immediately. This type of restoration is not designed for long-term self-management, and professional intervention is necessary to protect the underlying tooth and maintain the treatment plan. Delaying contact can lead to complications such as tooth sensitivity, shifting of adjacent teeth, or even damage to the prepared tooth surface.
Do not attempt to re-cement the temporary tooth yourself using household adhesives or over-the-counter glues. Improper re-cementation can trap bacteria beneath the restoration, leading to infection or further damage to the tooth. Additionally, these materials are not biocompatible and can cause irritation to the gum tissues.
If the temporary tooth comes out completely, carefully retrieve it and keep it in a safe place, such as a small plastic bag or container. Your dentist may be able to re-cement the original temporary restoration, saving time and avoiding the need for a new fabrication.
While awaiting your dental appointment, managing any discomfort is important. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate mild pain or sensitivity. Avoiding hot or cold foods and beverages can also reduce sensitivity in the exposed tooth area.