Dawson Quick Tips: Immediate Non-Occlusal Load Temporaries

So my quick tip is about immediate non-occlusal load temporaries for implant restorations.

I love doing INOL temporaries.

I just think it’s a great value for patients, but what I found was that there’s a lot of chair time involved in doing these. I’ve done many of them in my office and the patient would come over from the surgeon’s office, implant was placed that morning. They come to me. I have my stent ready. I fabricate the INOL temporary and it looked great, but it took me an hour or an hour and a half to do it. And there’s a lot of bleeding involved, and tissue involvement that just becomes very frustrating to work with when you are trying to deal with a temporary material.

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And so what I’ve done just lately, that I’ve found has worked really well, is at the surgeon’s office, my surgeon will take an impression with a closed tray impression coping of the implant placed and will send it to my lab. My lab will already have the shade because I will have taken photos for them already. They’ll have the shade and everything that they need to make a temporary INOL temporary for them. They’ll make it out of a PMMA material and they’ll send it to my office the next day.

The patient will have the implant placed on one morning and the next morning they come to my office.

The tissues have healed so much more, there’s hardly any bleeding, and they’re starting to settle down. And then all I have to do is remove the healing cap that the surgeon placed, and put on the INOL temporary, torque it down, place my composite in the access hole and we’re done. So much more easy than having to try and fabricate it that same day.

The downside, though, is that they do have to go the day without a temporary on the front of their smile, but most people are fine with that. They know that they have to have some healing time. And I’ve just found it so much more chair-time efficient and effective for me.

I’ve done a few of them this way and I’m just really loving it. What do you do for your INOLs?