Journal - Review

The ocular impression: Review of literature and

presentation of an alternate technique.










INDIAN DENTAL ACADEMY

Leader in continuing dental education
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Impressions in ocular
prosthesis
The direct impression / External Impression
Impression with stock ocular tray
Stock ocular tray modifications
Impression with custom ocular tray
Impression using stock ocular prosthesis
Ocular prosthesis modification
Wax scleral blank technique
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Direct impression /external impression
Low viscosity alginate or reversible hydrocolloid
injected directly in to the socket.

A rigid stock tray is used.

Stone mold is made from the impression and
wax is poured in to this mold.
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Impression with stock ocular tray
Most common
technique
Proposed by Allen and
Webster
It has a hollow stem
perforated
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Stock ocular tray modifications
Maloney modified by placing 3 channels on the
superior edge

Engelmeier suggested Ticonium stock trays

Sykes, Essop, and Veres advocated the use of
modeling plastic impression compound
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Stock ocular prosthesis
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Impression with custom ocular tray
Suggested by Miller

Preparation of a custom ocular tray using exising
prosthesis or wax shell
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Ocular prosthesis modification
Suggested by Chalian
Smith suggested relining of the stock prosthesis
with korrecta wax No.4
Ow and Amrith advocated use of a tissue
conditioner as a reline material


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Wax scleral blank technique
McKinstry suggested compression impression
technique- preparation of wax pattern based on
the examination of the site.

Schneider suggested obtaining wax blank by
duplicating the patients conformer.


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PVS cope and indexed cast with existing
prosthesis in place
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Mold filled with chemical cure polymethyl
methacrylate
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Perforated acrylic resin tray

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Shortened 5ml syringe
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Custom tray fitted with syringe tip
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Tray with screwed syringe barrel
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The resulting impression
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Impression suspended in a cup
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The wax scleral pattern is removed from
the alginate mold
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Discussion
Advantages- improved fit, mobility, and
esthetics

Disadvantages increased fabrication time, and
cost.
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Conclusion
Numerous impression and fitting methods exist.
Effectiveness and desirability often depend on
the patients presentation, operator experience,
and materials and equipment available.
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Cross references
Maxillofacial Prosthetics multidisciplinary
practice by Varoujan A.Chalian, pg 294 297.
Custom made ocular prosthesis Sykes LM, jpd
1996, 75;1-3
Ow RK, Amrith S; Ocular prosthetics: Use of a
tissue conditioner material to modify a stock
ocular prosthesis. JPD 1997, 78, 218-222.
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Thank you

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