Professional Documents
Culture Documents
Impression materials
Index
1. Introduction 2.Types if impressions 3.Impression trays 4.Ideal requirements 5. Classification 6.Alginate 7. Agar 8.Polysulfide 9.Condensation silicone 10.Addition silicone 11.Polyether
12. 13. 14.
2
12.Viscoelastic property 13.Manipulation 14.Impression technique 15.Removal of impression 16.Preparation of stone cast and die 17.Dimensional stability 18.Elasticity 19.Tear strength 20.Biocompatibility 21.Common causes of failures 22.Comparison of properties 23.
introduction
3
of the hard and soft oral tissues. The area involved may vary from a single tooth to the whole dentition, or an impression may be made of an edentulous mouth. The impression stage is the first of many stages involved in the production of dentures, crowns, bridges, orthodontic appliances etc. The impression gives a negative reproduction of the tissues, and by filling the impression with dental stone or other model material, a positive cast is made.
Preliminary impression
1. 2. 3. 4. 5.
diagnostic models custom trays provisional coverage orthodontic appliances pretreatment and posttreatm ent records
Final impression
most accurate reproduction of the teeth and surrounding tissues.
Bite registration
reproduction of the occlusal relationship between the maxillary and mandibular teeth.
Provide an accurate registration of the patients centric relationship between the maxillary and mandibular arches.
Impression trays
7
Characteristics
1.
Quadrant tray
Covers one half of the arch. Section tray Covers the anterior portion of the arch. Full arch tray Covers the entire arch. Perforated tray Holes in the tray create a mechanical lock to hold the material in place. Smooth tray Interior of the tray is painted or sprayed with an adhesive to hold the impression material.
Quadrant tray
Section tray
10
Feel comfortable to the patient. Extends slightly beyond the facial surfaces of the
teeth. Extends approximately 2 to 3 mm beyond the third molar, retromolar, or tuberosity area of the arch. Sufficiently deep to allow 2 to 3 mm of material between the tray and incisal or occlusal edges of the teeth.
12
silicone impressions is not critical since these materials are stiffer and have less polymerization shrinkage than the polysulfide material. When severe undercuts are present, the use of a custom tray should be avoided. Disposable stock trays are also used to support the putty when the putty-wash technique is used for making impressions.
Tray adhesives
13
VPS adhesives (blue) For polyvinyl siloxane and polyether impression materials. butyl rubber or styrene acrylonitrile
silicate
14
Impression materials
15
Ideal requirements
16
1. A pleasant odor, taste, and esthetic color 2. Absence of toxic or irritant constituents 3. Adequate shelf life for requirements of storage and distribution 4. Economically commensurate with the results obtained 5. Easy to use with the minimum of equipment 6. Setting characteristics that meet clinical requirements 7. Satisfactory consistency and texture 8. Readily wets oral tissues 9. Elastic properties with freedom from permanent deformation after strain
Ideal requirements
17
10. Adequate strength so it will not break or tear on removal from the mouth 11. Dimensional stability over temperature and humidity ranges normally found in clinical and laboratory procedures for a period long enough to permit the production of a cast or die 12. Compatibility with cast and die materials 13. Accuracy in clinical use 14. Readily disinfected without loss of accuracy 15. No release of gas during the setting of the impression or cast and die materials
Wax Thermoplastic compounds Plaster Zinc oxide eugenol paste Reversible hydrocolloids Irreversible hydrocolloids
Alginate
19
impression material, was developed as a substitute for the agar impression material when its supply became scarce during World War II. This material is based on a natural substance extracted from certain brown seaweed. The substance is called anhydro-P-d-mannuronic acid or alginic acid.
20
Gelation process
21
the formation of an insoluble calcium alginate gel. Structurally, calcium ions replace the sodium or potassium ions of two adjacent molecules to produce a cross-linked complex or polymer network.
Role of retarder
22
Setting time
23
Fast setting alginate 1.5 to 3 minutes Normal setting alginate 3 to 4.5 minutes This is regulated by the manufacturer by the amount
of retarder added The clinician can alter the setting time by the temperature of water added. NOT BY THE AMOUNT OF ADDED WATER. A 1 min reduction in setting time occurs for each 10 C of temperature increase.
24
Temperature (C)
Manipulation
26
that has already been poured into a clean rubber bowl. The powder is incorporated into the water by carefully mixing with a metal or plastic spatula that is sufficiently flexible to adapt well to the wall of the mixing bowl. A vigorous figure-8 motion is best, with the mix being swiped or stropped against the sides of the rubbermixing bowl with intermittent rotations (180) of the spatula to press out air bubbles. All of the powder must be dissolved. Mixing time - 45 sec to 1 min
MECHANICAL MIXER
27
The result should be a smooth, creamy mixture that does not readily drip off the spatula when it is raised from the bowl.
28
Perforated tray is generally used. Plastic tray or metal rim lock tray alginate tray
adhesive Thickness at least 3 mm Impression should not be removed from the mouth at least for 3 minutes after gelation. (compressive strength doubles in the first 4 mins after gelation) Not left in the mouth for longer than 6 7 mins.
Permanent deformation
30
from deformation be more than 95% when the material is compressed 20% for 5 seconds at the time it would normally be removed from the mouth. Lower permanent deformation (higher accuracy) occurs (1) when the percent compression is lower (adequate bulk of
the material)
(2) when the impression is under compression a shorter time (snap removal) (3) when the recovery time is longer, up to about 8
Flexibility
31
20% at a stress of 1000 g/cm2, and most alginates have a typical value of 14%.
Strength
32
Compressive strengths range from 5000 to 9000 g/cm2. (Acc. to ADA should be at least 3750 g/cm2) Tear strengths vary from 380 to 700 g/cm The tear strength is a measure of the force/thickness
syneresis
imbibition
disinfectant can be sprayed liberally on the exposed surface. The impression is then wrapped immediately in a disinfectant-soaked paper towel and placed in a sealed plastic bag for 10 min. Alternate method is immersion in the disinfectant solution (not more than 10 mins)
gypsum at the surface. The gelation process of alginate impression produces not only insoluble calcium alginate but also sodium sulfate. Sodium sulfate low conc. accelerator high conc. retarder In alginate impression, the amount is high enough to act as retarder.
36
should start from one end of the arch. somewhat superior stone surfaces may be obtained if the impression is placed in a humidor while the stone hardens. The filled impression should never be immersed in water while the stone sets. The stone cast or die should be kept in contact with the impression for a minimum of 30 min, preferably for 60 min.
Shelf life
37
1. Storage temperature 2.Moisture contamination Available in individually sealed pouches or in bulk form in cans. It is best not to stock more than 1 year's supply in the dental office. The material should be stored in a cool, dry environment.
39
gelation, is a solidification process that involves phase changes from sol to gel states. This changes is brought about by temperature change. The gel-to-sol and sol-to-gel transformations are dependent on time and temperature. The liquefaction and gelation temperatures are different (the latter being lower), and the effect is called hysteresis. A typical value of the gelation temperature is 43C (109F).
41
Composition
42
43
Tray material Packaged in plastic tubes. Used with water-cooled tray. Syringe material Packaged in plastic or glass cartridges that fit a syringe.
Manipulation
44
material must be held at this temperature for a minimum of 10 mins. After it has been liquefied, it may be stored in the sol condition at 65C until it is needed for injection into the cavity preparation or for filling a tray. a gauze pad is placed over the top of the tray material, and the tray is placed in the water-filled tempering container (45 C) of the conditioning unit. The syringe material, on the other hand, is never tempered.
Conditioning unit
45
65 C
46
The
ANSI/ADA Specification requires that the recovery from deformation be greater than 96.5% after the material is compressed 20% for 1 second. (99%) The ANSI/ADA Specification requirement for flexibility allows a range of 4% to 15%
Strength
48
hydrocolloid impression material is 8000 g/cm2. The tear strength of agar hydrocolloid impression materials is about 800 to 900 g/cm, which is higher than the ANSI/ADA Specification requirement of 765 g/cm
50
impression not poured immediately Movement of tray during gelation Premature removal from mouth Improper removal from mouth Use of ice water during initial stages of gelation
Laminate technique
51
Advantages
ing equipment the bond between the agar and the alginate is not always sound ter-cooled impression trays the higher viscosity of the alginate material displaces the agar hydro n of the procedure the dimensional inaccuracy of the alginate hydrocolloid limits its us more compatible with gypsum model materials than alginates
Disadvantages
either chemically or physically cross-linked. Generally they can be easily stretched and rapidly recover their original dimensions when applied stress are released.
Condensation polymerization Addition polymerization
Polysulfide
53
denture application, due to their high accuracy and relatively low cost. These materials are useful for multiple impressions when extra time is needed.
Composition
Base paste:
54
Reactor paste:
mercaptan or polysulfide polymer (80 to 85%) lithopone and titanium dioxide (16 to 18%) dibutyl phthalate
lead dioxide (reactor) (60-68%) lithophone or titanium dioxide (filler) Dibutyl phthlalate (plasticizer) (30-35%) Sulfur (3% ) (accelerator) oliec acid or stearic acid (retarder)
Polysulfide Reaction
55 Chain lengthening
--SH O
HS---------------------SH O S H O = Pb = O H S Pb O
HS--
-S-S---------------S-S-
exothermic
Pb
S + 3PbO + HH2 2O O S
Cross linking
Manipulation
56
Available in light, medium, heavy viscosities. Same matched tubes to be used Pseudoplasticity Setting time 5-8 min
Properties
57
elastomeric impression materials. Very good tear resistance; can withstand about 700% tensile strain before tearing. Least stiff material most easily removed from undercut areas. They are considered as viscoelastic and recover only slowly and not completely after being compressed or stretched. Dimensional changes are mainly due to 2 reasons Continued setting reaction By-product
Biocompatibility
58
has been questioned because of the known toxic effects of lead. There have been some limited reports of allergic responses to these materials, from people with an allergy to latex products.
Advantages
59
Lower cost compared to silicones and polyethers Long working time High tear strength High flexibility Good detail reproduction Less hydrophobic Long shelf life.
water by-product pour within one hour single pour, second pour less accurate.
Custom trays Messy bad odor (thiol group in base paste) may stain clothing (lead dioxide in catalyst paste) Long setting time.
Condensation silicone
60
materials are used mainly for fixed partial denture impressions. They are ideal for single-unit inlays.
composition
61
Base paste
terminal hydroxy groups (dibutyl tin dilaurateor OH), stannous octoate orthoalkylsilicate Oily diluent Filler- 37%to 75%colloidal Organic dyes or pigments silica or microsized metal(added to form paste)or copper carbonate.
CH3
HO Si O Si - O - H CH3 CH3
C2H5O
OC2H5
stannous octoate
OC2H5 n Si
exother mic
+
OC2H5
2C2H5OH
ETHANOL
HO Si O Si - O CH3 CH3 n
Manipulation
63
64
high shrinkage
polymerization evaporation of ethanol
putty-wash
pour immediately
within 30 minutes
Addition silicone
65
polysiloxane or polyvinyl siloxane impression materials. They represent an advance in accuracy over condensation silicone. Due to their high accuracy, these materials are suitable for fixed and removable partial denture impressions.
Composition
Base paste Polymethyl hydrogen siloxane Other siloxane prepolymers Fillers Hybrid silicone
66
Catalyst paste Divinyl polydimethyl siloxane Platinum salt(catalyst) Retarders Fillers. Platinum or palladium to absorb the hydrogen.
67
68
hydrides of the base polymer can lead to the development of hydrogen gas.
tinum or palladium added to the formulation acting as H2 scavengers Waiting for an hour or more before pouring a cast
Manipulation
69
Available in light, medium, heavy and putty consistency. 2 paste system Monophase system Putty in 2 jars Putty-wash
A silicone is most sensitive to temperature changes. Custom tray is required except for putty- wash technique.
Major disadvantages
HYDROPHOBIC Causes distortion or loss of details at the margin due to undetected moisture. Also prevents gypsum products from accurate reproduction of details. Prevention adding nonionic surfactant to the paste renders the surface hydrophillic.
70
SULFUR CONTAMINATION Natural latex gloves Some vinyl gloves containing sulfur stabilizers. Prevention recording the impression without touching the oral structures with gloves.
Advantages
71
Disadvantages
Stock or custom trays Shorter setting time Less distortion on removal Adequate tear strength. Multiple casts Easy to mix Highly accurate Pleasant odor
Expensive Sulfur inhibits set latex gloves Ferric and Alsulfate retraction solution Short working time Lower tear strength Possible hydrogen gas
release
bubbles on die palladium added to absorb hydrophilic material also still needs to be carefully handled for a very dry field.
Polyether
72
of a few prepared teeth without severe undercuts. Their high stiffness and short working time restricts their use to impressions of a few teeth.
composition
Base paste: Polyether polymer Colloidal silica-filler Glycolether or phthalate73
plasticizer
Manipulation
74
Monophase Automatic mixing devices Thinner added Less sensitive to temperature changes.
75
kept dry
76
General properties
Viscoelastic properties
77
78
an elastomeric impression material should be clinically negligible, provided that: (1) the material has adequately gelled (2) negligible pressure is applied to the tray during polymerization (3) the impression has been removed rapidly along the path of tray insertion (4) the undercuts present in the cavity preparation are minimal
Manipulation
79
base paste and catalyst system paste and liquid catalyst system base
2 putty system
80
82
83
84
Should not be removed until it has adequately gelled The borders of the tray should be pried loose parallel
to the path of insertion until air leaks into the tray. Then the tray can be removed rapidly with minimal rotation or twisting.
poured because of their excellent dimensional stability Polyvinyl siloxane hydrophobic nature epoxy resin To pour casts in gypsum a surfactant needs to be applied to the surface of the impression. Soap slurry can be used. Hydrophilic addition silicone exhibit a contact angle of 30 - 35 with water. Pouring stone cast in polyether is easier than silicone impressions.
Dimensional stability
87
(1) polymerization shrinkage (2) loss of a by-product (water or alcohol) during the condensation reaction, (3) thermal contraction from oral temperature to room temperature (4) imbibition when exposed to water; disinfectant or a high humidity environment over a period of time (5) incomplete recovery of deformation because of viscoelastic behavior.
Elasticity
88
strain in compression increases in the following order : 1. addition silicone 2.condensation silicone 3.polyether 4.Polysulfide The stiffness increases in following order: 1. Polysulfide 2.Condensation silicone 3.addition silicone 4.polyether
Tear strength
89
1. Hydrocolloids (agar and alginate) 2.silicones (addition and condensation) 3.Polyether 4.polysulfide. Tear strength is also influenced by the consistency and the manner of removal of the materials.
Biocompatibility
90
polyether: highest cell death count Most likely biocompatibility problem segment of impression material lodged in a patients gingival sulcus
91
1. Incomplete polymerization caused by premature removal from the mouth, Improper ratio or mixing of components, or presence of oil or other organic material on the teeth(for A silicone, agents that contaminate the material and inhibit polymerization) 2.Too rapid polymerization from high humidity or temperature 3.Excessively high accelerator/base ratio
Bubbles
93
1. Too rapid polymerization, preventing flow 2.Air incorporated during mixing Irregularly shaped voids 1. Moisture or debris on the surface Rough chaulky stone cast 1. Inadequate cleaning of impression 2.Excess water left on surface of the impression 3.Excess wetting agent left on impression 4.Premature removal of cast 5. Improper manipulation of stone 6.Failure to delay pour of addition silic0ne at least 20 mins
Causes of distortion
1. Resin tray not aged sufficiently 2. Lack of adhesion of rubber to the tray caused by not applying enough coats of adhesive, filling the tray with material too soon after applying adhesive or using wrong adhesive 3. lack of mechanical retention for those materials where adhesive is ineffective 4. Development of elastic properties in the material before tray is sealed 5. Excessive bulk of material 6. Insufficient relief for the reline material (if such technique is used) 7. Continued pressure against impression material that has developed elastic properties 8. Movement of tray during polymerization 9. Premature removal from mouth 10.Improper removal from mouth 11.Delayed pouring of the polysulfide 0r condensation silicone impression
94
Comparison of Properties
95
Working time
longest
Setting time
shortest
Comparison of Properties
96
Stiffness most to least polyether > addition silicone > condensation silicone > polysulfides
Tear strength greatest to least polysulfide > addition silicone > polyether = condensation silicone.
Comparison of Properties
97
Cost lowest to highest polysulfide <condensation silicone < addition silicone < polyether
Dimensional stability best to worst addition silicone 0.15%> polyether 0.2%> polysulfide 0.4%> condensation silicone0.6%
Phillips 1996
References
98
Anusavice
K. J. : Phillips science of dental materials, 11th edition. Powers J. M., Sakaguchi R. L. : Craigs restorative dental materials, 12th edition OBrien W. J. : Dental materials and their selection, 4th edition McCabe J. F., Walls A.W.G. : Applied dental materials, 9th edition
99
Thankyou