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Dr. ABHILASH.A
DEPARTMENT OF PROSTHODONTICS
Bangalore
ANNEXURE-II
2. andName
to deliver impression
of the material to theK.V.G.DENTAL
Institution subgingival partsCOLLEGE
to be impressed .2 Also
& HOSPITAL,
Monophase [single mix technique] and Dual phase [Heavy body-light body combination]
KURUNJIBAG-SULLIA(DK)
impression techniques are routinely practiced techniques in fixed prosthodontics .3
KARNATAKA,INDIA-574
Polyvinyl siloxane impression materials 327 excellent
have been shown to have
properties as impression materials: however, they are sensitive to manipulative variables.4
3. Course
FPDofrequires
study and subject impression
an accurate MASTER OF DENTAL
that records locationSURGERY
of the finish line of
the prepared tooth and a portion of the apical tooth structure. Therefore,
PROSTHODONTICS ,CROWNit& is BRIDGE
necessary to effectively displace the free gingival margin.5
The aim of this in vivo study is to find out ,with which impression technique
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will we be able to better record the gingival sulcus depth when used along with use
of retraction cord and aluminium chloride paste retraction system[Expasyl] .
The authors investigated the length of time medicated displacement cord should
remain in the gingival crevice prior to impression making. A silk cord was placed into
the sulcus and was not removed during the study. Medicated cords were placed into
the gingival sulcus for 2,4,6 and 8 minutes. Following cord removal, closure of the
sulcus was recorded at intervals using a miniature video camera. Crevicular widths
were measured at the midbuccal and transitional line angle areas. At both the
midbuccal and transitional line angle areas, gingival crevices displaced for 2 minutes
were significantly smaller at 20 seconds than crevices following displacement for
4,6,and 8 minutes. No significant difference in crevicular width was found at any time
period after cord removal for crevices displaced for 4,6 and and 8 minutes. At the
transitional line angle, crevicular widths were significantly smaller than at the
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midbuccal at 20 seconds for all times and remained so up to 180 seconds. To achieve a
crevicular width of 0.2 mm, cord should remain in the gingival crevice for an optimum
time of 4 minutes prior to impression making when using the materials evaluated in
this study. 5
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A review of contemporary impression materials and techniques have been
described here. Impression materials vary considerably in properties like
accuracy, elastic recovery, dimensional stability, flow, flexibility, workability,
hydrophilicity, a long shelf life, patient comfort and economics. These differences
provide a basis for the selection of specific materials in specific clinical conditions.
Polyvinyl impression materials, its advantage and its interactions with latex gloves
have been highlightened. Brief note on different impression techniques in fixed
prosthodontics is also mentioned .1
Monophase [single mix technique] and Dual phase [Heavy body-light body
combination] impression techniques are routinely practiced techniques infixed
prosthodontics. The complete description of each step to be followed while making
the impression are described. 3
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6.3 OBJECTIVES OF THE STUDY :
To Compare Gingival sulcus depth record with polyvinyl siloxane impression material
using ‘Matrix impression system technique’, ‘Monophase’ & ‘Dual phase impression
technique’ in conjunction with gingival retraction cord.
To Compare Gingival sulcus depth record with polyvinyl siloxane impression material
using ‘Matrix impression system technique’, ‘Monophase’ & ‘Dual phase impression
technique’ in conjunction with aluminium chloride paste retraction system [ Expasyl ] .
INCLUSION CRITERIA:
1. Patients aged 14 to 30 years.
2. Healthy periodontium.
3. Subject willingness.
EXCLUSION CRITERIA:
1. Patients below 14 & above 30 years.
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2. Patients with sulcus depth more than 2mm.
3. Inflamed and swollen gingiva.
7.2 METHODOLOGY :
Tooth Preparation will be done with equigingival finish line on both right and left
maxillary first or the second premolars.
Full arch maxillary Impressions will be made on these prepared premolars with three
different impression techniques MATRIX IMPRESSION SYSTEM TECHNIQUE,
MONOPHASE & DUAL PHASE IMPRESSION TECHNIQUE with gingival retraction
cord on the one prepared premolar of a quadrant and aluminium chloride paste retraction
system [EXPASYL] on the other prepared premolar of other quadrant. A gap of 7 days will
be kept between each impression. During this time interval, after making the impression the
tooth will be temporized to avoid patient discomfort.
Materials:
1. Polyvinyl siloxane impression material
2. Medicated Gingival retraction cord.
3. Aluminum chloride paste retraction system [EXPASYL].
4. Tray adhesive
5. Tray acrylic
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Equipments:
1. Traveling Microscope.
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The Traveling Microscope consists of eye piece through which the specimen can be
viewed on vertical and horizontal scales, through which the specimens can be measured.
These scales are divided in two parts, one main scale and other vernier scale reading.
The main scale readings has divisions at a distance of 0.5mm and the vernier scale has
50 divisions for each division of the main scale.
The specimen will be kept on the stand in front of the eye piece and the eye piece
will be adjusted for the proper view of the concerned area. The Eye piece has got a ‘+’
mark in the centre. This mark will be overlapped with the finish line on the specimen.
Doing this the inclination of each specimen in both the planes will be made constant. The
reading at this point will be noted on the vertical scale. After noting this reading, the eye
piece will be moved straight down towards the penetration of elastomer in the gingival
sulcus. After reaching the deepest extension in the straight, reading will be noted from
the vertical scale. The difference between these two readings will give the exact distance
of the extension of elastomer in gingival sulcus from the finish line which served as a
reference point.
Statistical Analysis
The study will be analyzed through Two Way ANOVA test and Post hoe test.
Yes
7.4 Has the ethical clearance been obtained from your institution in case of 7.3?
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c. List of references
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