What Needs to Be Done for Temporary Fixed Restorations on Implants

If conditions are suitable, fixed temporary prostheses can be made on implants within a few days after their placement. Especially in cases of complete tooth loss, the risk of bone deformation around the implants due to uneven pressure that the prosthesis can exert on the implants is minimal compared to removable temporaries. This allows patients to go through the healing process of the implants comfortably in terms of aesthetics, speech, and eating functions. In addition, when fixed temporary prostheses can be made, the gum tissue usually heals appropriately for the prosthesis, and a second surgery is often not required. Fixed temporary prostheses serve as a prototype for the final prostheses and provide both the patient and the dentist with an idea of the final result. Thanks to advancing technologies, the appearance of fixed temporary teeth has become closer to that of the final teeth, which can reduce or shorten the production stages of the actual prostheses.

What to Be Mindful of After Implant with Temporary Fixed Restorations: To properly manage your treatment process after temporary prosthetics, it is important to pay attention to the following recommendations:


Maintenance and Use of Temporary Prostheses:

While using the prosthesis known as a fixed temporary tooth, you can comfortably carry out your daily activities. However, it's important to remember that the durability of this prosthesis is limited, and it can easily break and potentially harm your teeth. The creation of a permanent prosthesis at the intervals determined by your dentist is of great importance for your oral and dental health.


Diet With Temporary Prostheses

Diet Under Anesthetic Effects: When anesthesia is used during treatment, it's important not to eat until numbness wears off, considering the risk of accidentally biting sensitive tissues like the tongue, lips, and cheeks. Similarly, you should avoid extremely hot or cold foods as they can also harm sensitive tissues.


Diet First 1.5 Months: During this period, considering that your temporary prosthesis has not fully integrated with the implants and jawbone, you should prefer only soft foods. Here are some example foods you can consume during this period:

Liquids: Fluids like water, herbal teas, milk, etc.

Soup: Soft and easily consumable soups like vegetable soups and chicken broth.

Yogurt: Yogurt with its soft texture is a good option during this period.

Eggs: Soft-boiled or scrambled eggs.

Pasta: Well-cooked, soft-textured pasta varieties.

Boiled Vegetables: You can consume vegetables like carrots and broccoli by boiling them.


Diet 1.5 Months - 3 Months: During this stage, you can gradually transition to foods of moderate hardness. However, it is best to wait for 3 months to feel completely comfortable and for your prosthesis to become even more stable. Additionally, before transitioning to hard foods, you should ensure that your prosthesis is stable enough. Here are some example foods you can consume during this stage:

Chicken: Softer types of meat, such as grilled or boiled chicken breast.

Vegetables: Vegetables cooked in water, like carrots and broccoli.

Soft Apple: Peeled, sliced, and seedless apple slices.

Thinly Sliced Meat: Grilled or boiled thinly sliced meats.

Cheese: Softer varieties of cheese.

Pasta: Pasta varieties of moderate hardness.


Oral and Dental Care:

*Brush your teeth at least twice a day and you can use mouthwash or similar products.

*Avoid using toothpicks when cleaning between your teeth, as it can dislodge the prosthesis. Instead, you can use dental floss.

If using dental floss in hard-to-reach areas is challenging, you may consider using an oral irrigator device. These devices clean between teeth using a mixture of water and air.

By following these recommendations during your treatment process after temporary prosthetics, you can maintain your oral and dental health effectively. Ensure that you follow your dentist's instructions, and if you have any concerns or questions, be sure to communicate with your doctor.


Why You Shouldn't Use Temporary Fixed Prosthesis Beyond the Recommended Time

Temporary prostheses are indeed weaker and less durable compared to standard prostheses. They are designed to provide a temporary solution during the healing period and should not be used beyond the recommended time frame. Temporary prostheses are typically intended to be used for a few months until the final prosthesis can be fabricated and placed.


It's important to understand that temporary prostheses have certain limitations. They may not offer the same level of functionality and aesthetics as the final prosthesis. They are not designed to withstand the same biting forces or perform the same functions as a permanent restoration. Therefore, it is advisable to avoid putting excessive stress or force on the temporary prosthesis, as it may lead to its breakage or damage.


While wearing a temporary prosthesis, it's important to follow your dentist's instructions regarding dietary restrictions and oral hygiene practices. Avoid chewing hard or sticky foods that could potentially damage the temporary prosthesis. Also, be diligent in maintaining good oral hygiene by brushing and flossing regularly to prevent any complications or issues.


Remember that the temporary prosthesis serves as a transitional solution until the final prosthesis can be placed. It's crucial to adhere to the recommended timeline and consult with your dentist for any concerns or issues related to your temporary prosthesis. They will guide you on the appropriate care and ensure a smooth transition to the permanent restoration for optimal oral health and function.


Possible Problems:

Breaking of the prosthesis

Since the material used for temporary crowns is generally acrylic (plastic), it is not very durable. In case of breakage, unbalanced forces will be applied to the implants, leading to their loss. In case of breakage, only soft foods such as soup, yogurt, and pudding that do not require chewing should be consumed. Other soft foods should also be avoided. You should contact your dentist as soon as possible.


Dislodgement of the prosthesis

Since temporary crowns are attached to implants using a weak adhesive, they may become dislodged on their own. If this happens, you do not need to make an appointment, but simply come to our clinic. If you can place the crown back in its place, you can have it reattached by a nearby dentist.

Discomfort caused by the prosthesis touching the tongue

It is quite normal to feel discomfort with a newly attached prosthesis for a while. Temporary crowns generally do not have as good a polish as permanent ones and may have rough areas. Every new object placed in the mouth, even a simple filling, will feel strange to the soft tissues and tongue. Your tongue will get used to the new prosthesis in about a week. If there is a rough edge or surface that can cause injury to your tongue, come to our clinic without touching that area as much as possible or inform your dentist during the trial sessions. The problem will be solved with a small abrasion and polishing.


Pressure on teeth and implants by the prosthesis

This situation usually occurs when there is a high point in the prosthesis before the other natural teeth or implants come into contact with each other. The pressure will only be felt in the relevant area as the forces in the mouth will only be applied to that area. This will cause pain in that area. Please consult your dentist as soon as possible. During this period, consume foods that fall under the soft food group as much as possible.


Pain in teeth and implant areas underneath the prosthesis

Pain may occur due to loosening of the temporary crowns. Pain can also occur if too much pressure is applied to the implants before the time has come. Consume soft foods and contact your dentist as soon as possible.


Discomfort caused by sensitivity to cold and heat

Since implants do not feel cold or hot, there should be no such problem. However, if temporary crowns are placed on your natural teeth along with the implants, such a problem may occur. Since these crowns are not attached with a strong adhesive like permanent crowns, leakage may occur, causing the teeth to ache. The gap between the prosthesis and the gum can also cause sensitivity to cold and heat. Such small aches will stop after the final prosthesis is made and attached with the proper adhesive. In cases where such sensitivity occurs, it is recommended to avoid very cold and hot foods as much as possible.


Reasons of implant failures due to fixed temporary crowns?

Implant failures can occur due to various factors, and while fixed temporary crowns may contribute to implant failure in some cases, it is not the sole cause. Here are some reasons why implant failures may occur in relation to fixed temporary crowns:

Improper fit or design: If the fixed temporary crown is not accurately fabricated or does not fit properly, it can cause undue stress on the implant, leading to complications or failure.


Excessive forces: Chewing or biting forces that exceed the capacity of the temporary crown or the underlying implant can result in implant failure. This can happen if the temporary crown is used to bite into hard or tough foods or if there is bruxism (teeth grinding) that puts excessive pressure on the implant.


Inadequate oral hygiene: Poor oral hygiene, such as inadequate brushing and flossing around the temporary crown, can contribute to bacterial accumulation and gum inflammation. This can lead to peri-implantitis, an infection of the tissues surrounding the implant, which may ultimately result in implant failure.


Occlusal problems: Issues with the alignment or contact between the temporary crown and opposing teeth can disrupt the balance of forces during biting and chewing. This imbalance can strain the implant and increase the risk of failure.


Insufficient bone integration: The process of osseointegration, where the implant fuses with the surrounding jawbone, is crucial for the long-term success of dental implants. If there are issues with the integration process, such as inadequate bone density or quality, it can compromise the stability and longevity of the implant.


It's important to note that these factors can be influenced by various patient-specific and treatment-related variables. Regular check-ups with your dentist, proper maintenance of oral hygiene, and following your dentist's instructions for care and usage of the temporary crown can help minimize the risk of implant failure.

Frequently Asked Questions

Yes, you can generally eat rice after getting temporary crowns. Temporary crowns are usually secured with a temporary cement that allows them to stay in place but can be easily removed by your dentist when it’s time for the permanent crowns to be placed. However, it’s advisable to be cautious while eating to prevent any damage to the temporary crowns. Avoid extremely hard or sticky foods that might dislodge or damage the crowns. If you’re unsure, it’s best to ask your dentist for specific guidelines on eating with temporary crowns.

Of course, you can generally eat chicken with temporary crowns. Temporary crowns are designed to withstand regular chewing forces, including those from eating foods like chicken. However, it’s a good idea to exercise caution while eating to avoid any accidental damage to the temporary crowns. Stay away from extremely hard or sticky foods that could potentially dislodge or harm the crowns. If you have any uncertainties, don’t hesitate to consult your dentist for personalized advice on eating with temporary crowns.

The best toothbrush to use for cleaning temporary tooth coverings or prosthetics is typically a toothbrush with soft bristles. Such a toothbrush helps you effectively clean temporary tooth coverings without damaging their sensitive surfaces. Additionally, soft bristles reduce the risk of irritating your gums.

You can follow these steps when cleaning temporary tooth coverings:

  1. Start by thoroughly washing your hands.

  2. Use a toothbrush with soft bristles and toothpaste.

  3. Gently brush the temporary tooth coverings, cleaning each surface.

  4. Be careful to clean the teeth underneath the coverings as well.

  5. Rinse the toothbrush and the coverings thoroughly.

  6. Reinsert the cleaned coverings into your mouth.

Remember that it's important to follow the recommendations of your dentist or dental prosthesis specialist. They may have specific advice for the care of your temporary tooth coverings, especially if they are custom-made for you. If your dentist or a dental care specialist recommends a specific toothbrush or cleaning product for you, it's important to heed their advice.

Using dental floss is generally not recommended for temporary tooth coverings or prosthetics. Temporary tooth coverings are usually attached with a temporary adhesive or bonding material to fit snugly against the gums and teeth. Therefore, dental floss cannot reach under these temporary coverings and may make cleaning them difficult.

It is more appropriate to use a toothbrush and toothpaste to clean temporary tooth coverings. Using a toothbrush with soft bristles, you can gently brush the surfaces of the coverings and ensure their cleanliness. This helps keep the coverings clean and healthy.

If you have any doubts or questions about the maintenance or cleaning of your temporary tooth coverings, it is important to contact your dentist. Your dentist can provide you with specific care instructions and recommendations, supporting the long-term health of your coverings.

Temporary tooth coverings or prosthetics are generally not used simultaneously with a night guard. Both serve different purposes and using them together can lead to certain issues.

Temporary tooth coverings or prosthetics are used to temporarily correct or protect teeth. The purpose of such coverings is to be removed and replaced temporarily when permanent tooth coverings are completed or when treatment is finalized. On the other hand, a night guard is used to prevent or treat issues like bruxism or teeth grinding and is typically worn in the mouth overnight.

When a night guard and temporary tooth coverings are used together, inserting and removing the night guard can potentially damage the temporary coverings and reduce their durability. Additionally, using multiple devices in the mouth at the same time can be uncomfortable.

If you need to use a night guard or another dental device, it's important to consult your dentist. Your dentist can create a treatment plan tailored to your specific needs and guide you on which devices should be used together. In any case, following your dentist's recommendations is important.

It is recommended to contact your dentist immediately if you experience the following issues related to temporary tooth coverings:

  1. Pain and Discomfort: Temporary tooth coverings are used to protect your teeth and provide comfort. If you experience pain or discomfort after the placement of temporary coverings, you should inform your dentist right away.

  2. Breaking or Coming Loose of Temporary Covering: Temporary tooth coverings are made of delicate materials and can accidentally break or come loose. In such cases, you should contact your dentist immediately to assess whether the covering needs repair or replacement.

  3. Gum Inflammation or Infections: If you notice symptoms such as inflammation, redness, or swelling of the gums around the temporary covering, it could be a sign of infection. Infections are a serious issue and should be treated promptly.

  4. Color Changes: If you observe a significant change in the color of the temporary covering or believe that the color of your teeth differs from the temporary covering, you should consult your dentist. This may indicate that the covering was not properly matched or needs to be replaced.

  5. Loosening or Movement of the Covering: The temporary tooth covering should fit securely in place. If the covering becomes loose or moves, you should contact your dentist to have the issue corrected.

When you experience such issues, it's important to seek immediate attention from your dentist without delay. Early diagnosis and treatment are crucial to maintain your dental health and successfully complete your treatment process.

A temporary fixed prosthesis over implant is a temporary dental restoration that is placed over dental implants immediately after implant surgery. It is used to replace missing teeth until a permanent restoration can be placed. The temporary prosthesis is designed to protect the implant site, help the patient to adjust to their new teeth, and assist in healing. It is usually made of acrylic or other lightweight materials and is designed to be removed by the dentist as necessary during follow-up appointments. Once the healing process is complete, the temporary prosthesis is replaced with a permanent prosthesis, such as a crown, bridge, or denture.

Dental Implant Treatments