Session Two

RESD 764

 Fabricating

the master impression and the

definitive cast for the ICD.

 Edentulous
Dentate

Two

area

area

stage
impression

 the

negative likeness made for the

purpose of fabricating a prosthesis

 1.

Remove posterior teeth6-8 wks

healing.
2. Preliminary impression.
3. Primary study cast to fabricate custom
impression tray covering edentulous area.

 4.
5.

Adjust tray to soft tissues.

Capture vestibule depth with green

stick compound.

 6.

Wash impression with Coe-Flex.

7.

Mark posterior extension of palate.

 8.

Alginate pick-up impression of custom

tray with Coe-flex wash in mouth.

9.

Box and pour in yellow stone.

replica of the tooth surfaces, residual

ridge areas, to fabricate a dental
restoration or prosthesis;

Appointment One
Exam, tx plan, preliminary
impression

Appointment Two
definitive impression

Appointment Three
Facebow, bite registration

Appointment Four
try-in posterior teeth

Appointment Five
Extraction and denture
placement

Laboratory One
pour preliminary cast; fabricate
custom tray

Laboratory Two
pour definitive impression;
fabricate record base with rim

Laboratory Three
Mount casts on articulator; set
teeth

Laboratory Four
finish setting teeth; festoon;
process; laboratory remount;
prepare clinical remount casts;
soak 24 hours; finish & polish

 Try-in

custom tray, apply adhesive to

borders.
Border mold edges with heavy body VPS
impression material.
Trim excess.

 Apply

adhesive to the intaglio surface of

the custom tray and borders.
Apply light body VPS impression material
evenly on intaglio surface and border (23mm thick).
Press into cast to capture impression.

 Mark

posterior palatal seal on impression.

Remove handle from impression tray.
Replace impression on cast.
Place small pieces of blue rope wax in
posterior portion of maxillary plastic tray.
Try maxillary plastic tray for fit.

 Make

pick-up impression with alginate

using the plastic tray.
Remove handle from the plastic tray.
Box in alginate so that the final cast will
have a land area 2-3mm high and 2-3mm
wide.

 Pour

cast in yellow stone.

After setting, wet cast and trim to ideal
dimensions:
10-15mm thicknes of base
2-3mm land area width and height

Land area