IMPRESSION MATERIALS AND ITS MANIPULATION

Aswathy.Brahmanandan

OUTLINE
Reversible hydrocolloid (Agar) Non-aqueous Elastomers Impression trays

custom tray fabrication Preparing a tray Preparing the patient Preparing the material Impression technique

Making an impression

Impression Trays

Impression trays can be:

1. 2.

Stock trays. Custom trays.

Stock Trays
Metal trays. Plastic trays. Perforated trays. Non perforated trays. Quadrant trays. Section trays. Full arch trays.

Custom Trays
Custom trays improve the accuracy of elastomeric impressions. Elastomeric impression materials are more accurate in uniform, thin layers of 2-3 mm. The custom tray must be rigid and should have stops on the occlusal surface. Clearance between the tray and the teeth should be 2-3 mm.

Custom Trays

Custom trays can be made up of:

1. 2. 3.

Auto polymerized acrylic resin. Thermoplastic resin. Light polymerized resin.

Custom Trays Fabrication

Armamentarium: Click to edit Master text styles Second level Diagnostic cast. Third level Base plate wax. Fourth level Aluminium or tin foil. Fifth level Spatula. Scalpel. Scissors. Auto polymerized acrylic resin.

Custom Trays Fabrication

Custom Trays Fabrication

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Making an Impression
Making impression with elastomeric impression material involves: Preparing a tray. Preparing the patient. Preparing the material. Impression technique.

Preparing a Tray
Try the custom tray in the mouth to verify its fit. An adhesive (polyvinyl or polyether) is applied evenly to the internal surface of the custom tray providing a uniform bond between the impression material, adhesive, and tray. Adhesive must dry before adding the impression material.

Preparing the Patient

Impression making requires recording the exact dimensions of the preparation, the position of the soft tissue, the architecture of the margins of the preparation, and the relationship of the prepared teeth to the surrounding dentition. Isolate the prepared teeth with cotton rolls, place saliva ejector and dry the field with air.

Preparing the Patient

Gums are retracted away from the tooth using a medicated gingival retraction cord.

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Preparing the Material

Elastomeric impression materials can be: Light body Also referred to as syringe
type, or wash type. This material is used with a syringe and placed directly on hard and soft tissues

Putty. Heavy body - referred to as tray type

materials, which support the light-body material.

Preparing the Material

Elastomeric impression materials can be provided as: Two paste system. Two putty system. Automixer and dispenser. Machine Mixing System.

Two Paste System

Dispense the same length of material onto a mixing pad or glass slab. Catalyst paste is collected on a spatula and distributed over the base.

Two Paste System

The mixture is thoroughly spatulated until the mixed paste is uniform in color with no streaks of base or catalyst appearing in the mixture. If one component is in liquid form, a length of the base paste is dispensed on a graduated mixing pad and one drop of the liquid catalyst is added for each unit length of base.

Two Putty Systems

Putty impression materials are dispensed by volume using equal number of scoops of each putty. Kneed the material with your fingers until a uniform color is obtained.

Automixer and Dispenser

When the trigger is pulled, the plunger is driven forward, so that the base and catalyst paste are forced from the cartridge into the mixing tip. The pastes pass through the bore and exit the nozzle as a uniform mixed paste.

Automixer and Dispenser

The mixing tips vary in diameter, length and size of the tip opening for specific consistency. The mixed impression material is injected directly into the adhesive-coated tray or on to the prepared teeth.

Machine Mixing System

Pentamix machine: Used for polyether impression material. Convenient and produce void-free impressions.

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