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Chairside® Magazine – BioTemps® Tips and Tricks for Successful Seating – Case of the Week: Episode 66

BioTemps® Tips and Tricks for Successful Seating - Dental CE Course
Launch Course

Course Objectives (2 CE Credits)

Michael C. DiTolla, DDS, FAGD

Functional and esthetic success in the temporary phase of a restorative case is often as important to a patient’s overall satisfaction as the final restoration. BioTemps® Provisionals (Glidewell Laboratories) are a powerful tool to achieve this sought-after form and function swiftly and seamlessly, provided the clinician is prepared to manage difficulties that may arise from disparities between predicted and actual tooth reductions. In this Case of the Week highlighted in Chairside® magazine, Dr. Michael DiTolla discusses reasons and remedies for improperly seating BioTemps in large restorative situations. Participants who view this presentation will acquire useful tips and techniques for troubleshooting issues that can arise when seating these indirect temporary restorations, including:

  • Advantages to BioTemps temporization
  • Steps involved in the BioTemps prefabrication process
  • Causes of improperly seating BioTemps
  • Reduction intentions: technical vs. clinicial
  • Preventive solutions to improper seating
  • Using prep guides
  • BioTemps adjustments with the highest chances of success
  • Fallback options for unsalvageable cases


Because of the predictive nature of BioTemps Provisionals fabrication, differences may arise in large cases between the expected reductions made by a dental technician and the actual reductions made by the clinician. While the resultant improper seating of the BioTemps may be frustrating, a checklist of simple chairside adjustments can be followed to circumvent the problem. In this presentation, Dr. Michael DiTolla uses a case example from Episode 66 of Chairside Live to highlight ways in which the dentist can take control of an unfavorable situation and reclaim the elevated esthetics and function afforded by this unique indirect temporary restoration.

CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.


  1. Fondriest JF. Using provisional restorations to improve results in complex aesthetic restorative cases. Pract Proced Aesthet Dent. 2006 May;18(4):217-23.
  2. Zwetchkenbaum S, Weiner S, Dastane A, Vaidyanathan TK. Effects of relining on long-term marginal stability of provisional crowns. J Prosthet Dent. 1995 Jun;73(6):525-9.
  3. Bevilacqua L, Biasotto M, Cadenaro M, Di Lenarda R, Dorigo E. Reaction exothermia of 2 relining resins for temporary crowns. Minerva Stomatol. 2005 Jan-Feb;54(1-2):35-41.
  4. Roe P, Patel RD. Fabrication of a modified repositioning key for relining provisional restorations. J Prosthet Dent. 2010 Dec;104(6):401-2.
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