Materials

PMMA in Implant Provisional and Transitional Restorations

2023-02-12

The healing period after implant placement is where PMMA provisionals earn their keep — soft on tissue, easy to adjust, cheap to remake.

Clinical sequence

  1. Mill a PMMA provisional on the temporary abutment profile.
  2. Seat at 2–3 weeks; keep out of occlusion to protect the site.
  3. Reline or remake as soft tissue matures — PMMA is forgiving.

Why not print it?

Printed temporary resin can work, but milled PMMA gives a closed, polished surface faster for a single unit and avoids post-cure steps chairside.

Our PMMA discs are graded for up to 6-month implant provisionals.

Screw-retained is safer here

An implant provisional should be screw-retained when possible: no cement in the sulcus, easy to remove for occlusal tuning. Cemented temps risk excess cement driving peri-implantitis.

ModeUse when
Screw-retainedAccess available, multi-unit
CementedSingle, no access

Three rules

  • Keep the temp out of occlusion in lateral excursion; the implant has no PDL to forgive.
  • Close the occlusal screw channel with a cotton plug, not composite, for easy retrieval.
  • Polish the emergence profile to guide soft tissue, not trap plaque.

References & Further Reading

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