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Week 11 - Temporary
restoration
CDHO Guidelines
Overview
All registrants may perform restorative procedures of a temporary
nature as part of their scope of practice, in any setting
The performance of restorations of a temporary nature is dependent on
the competence of the DH and the needs of the clients
A DH must always inform the client that the restoration is temporary &
must refer the client to a dentist for further examination & treatment
May be placed in either primary or permanent teeth when
Access to a permanent restoration is not immediate or practical
Reasonable risks of further damage to the tooth structure
The pulp is not exposed
The client is discomfort or is experiencing difficulty in eating
The discomfort is due to recent trauma, fracture or lost dental
restoration
The client has not received any medical/dental advice that would
contra-indicate placing a temporary restoration
The client consents to the treatment and is in the client's best interest
to proceed
There are no medical contraindications to the restorative material
Documentation
Tooth restored
Material used
Week 11 - Temporary restoration 1
, Notification to the client that the restoration is temporary
Referral to a dentist
Direct restorative material
Overview
Are applied to teeth while the material is pliable & can still adapted,
carved, & finished
Materials
Amalgam
Composite resins
Glass ionomers
Temporary restorative materials
Purpose
Maintain or restore function & keep the patient comfortable for a limited
time
IST - materials
IRM - Intermediate restorative material
GIC - Glass ionomer cement
Indications
Reduce sensitivity & discomfort to determine a diagnosis
Maintain the function and aesthetics until a permanent restoration can
be placed
Protects the margins of a prepared tooth that will receive a permanent
casting at a later time
Prevent shifting of adjacent or opposing teeth because of open space
Idea requirements
High mechanical strength
Chemical stability in the oral environment
Reliable marginal integrity
Week 11 - Temporary restoration 2
Week 11 - Temporary
restoration
CDHO Guidelines
Overview
All registrants may perform restorative procedures of a temporary
nature as part of their scope of practice, in any setting
The performance of restorations of a temporary nature is dependent on
the competence of the DH and the needs of the clients
A DH must always inform the client that the restoration is temporary &
must refer the client to a dentist for further examination & treatment
May be placed in either primary or permanent teeth when
Access to a permanent restoration is not immediate or practical
Reasonable risks of further damage to the tooth structure
The pulp is not exposed
The client is discomfort or is experiencing difficulty in eating
The discomfort is due to recent trauma, fracture or lost dental
restoration
The client has not received any medical/dental advice that would
contra-indicate placing a temporary restoration
The client consents to the treatment and is in the client's best interest
to proceed
There are no medical contraindications to the restorative material
Documentation
Tooth restored
Material used
Week 11 - Temporary restoration 1
, Notification to the client that the restoration is temporary
Referral to a dentist
Direct restorative material
Overview
Are applied to teeth while the material is pliable & can still adapted,
carved, & finished
Materials
Amalgam
Composite resins
Glass ionomers
Temporary restorative materials
Purpose
Maintain or restore function & keep the patient comfortable for a limited
time
IST - materials
IRM - Intermediate restorative material
GIC - Glass ionomer cement
Indications
Reduce sensitivity & discomfort to determine a diagnosis
Maintain the function and aesthetics until a permanent restoration can
be placed
Protects the margins of a prepared tooth that will receive a permanent
casting at a later time
Prevent shifting of adjacent or opposing teeth because of open space
Idea requirements
High mechanical strength
Chemical stability in the oral environment
Reliable marginal integrity
Week 11 - Temporary restoration 2
