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Impression materials

Pavel Bradna

Institute of Dental Research

Purpose
To prepare accurate and true replicas of oral
structures (teeth, mucosa)

The replica is prepared in 2 steps:

Step 1. Making a negative (impression)


Step 2. Prepare a model or a cast accurate positive

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

Requirements
1. Capable of plastic to rigid body transformation
2. Acceptable for a patient
- non-toxic, non-irritant, tasteless, reasonable
setting time up to 5-7 min
3. Good handling properties easy to prepare/mix
plastic before set, but viscous enough not to flow
out of a tray (thixotropic), adequate working and
setting times
After being set:
4. Accuracy and detail reproduction (25-50m),
5. Dimensionally stable
6. Resistant to mechanical stress - elastic and rigid
7. Compatible with model materials
8. Resistant to disinfectant solutions
9. Cost effective

Important terms
Elastic/plastic deformations
Strength
Pseudoplastic/thixotropic
Hydrophilic/hydrophobic
Working time
Setting time

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

Elasticity/plasticity
elastic/plastic deformation
Describes behaviour of material under load

stress (force/m2)

Region of elastic
deformations,
Hooks law applies
Region of plastic
deformations

Maximum load at
fracture ultimate
strength

Slope Youngs modulus,


modulus of elasticity

Deformation

Proportional limit

Mechanical model of elastic behaviour


Deformation

A spring ideally elastic behaviour (Hooks law)

No load

5N
Loaded

Deformation

Unloaded

When unloaded
!fully recovers!

t1

t2

loaded unloaded

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

Mechanical model of plastic behaviour


A dashpot ideally plastic behaviour

permanent/irreversible
deformation

When unloaded
!No recovery!

Deformation

Plastic =

Permanent
deformation

t1

t2

loaded

unloaded

Recovery from deformation

combination of a spring and a dashpot a model of

viscoelasticity
Loaded for
a long time

deformation

Loaded for a
short time

Plastic/permanent
deformation
Pouring after
material
relaxation

t1

<

t2

Time

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

Deformation

The effect of recovery from deformation


on the accuracy of a model

99%

% Recovery
from
deformation

95%

Time

Plastic
deformation

Pseudoplasticity/thixotropy of fluids
Slopeviscosity

Stress

Gradually loaded

Gradually unloaded
Thixotropic (structure is
broken under shear
Gradually unloaded
Pseudoplastic

.
=

Rate of deformation

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

Hydrophilic/hydrophobic
Contact
angle

Hydrophilic material

Hydrophobic material
(>90o)
unable to wet humid
surfaces

able to wet humid surfaces

Does not copy the wet surface

Examples of clinical significance of pseudoplastic

properties, hydrophilicity and high mechanical


resistance (tear strength) of impression materials

Impression
material
Prepared
tooth

Compromised flow in small


details - too high viscosity
and hydrophobicity

Fracture and lost detail due


to low strength

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

Working time a period from the start of mixing to


the final time at which the impression can be seated
in the mouth without its distorsion

Setting time a period from the start of mixing


till the impression becomes elastic enough to
resist deformation during its withdrawal from the
mouth

Classification of impression materials


Irreversible

Reversible

Inelastic/rigid

ZnO-eugenol (ZOE) Impression comImpression plaster pounds

Elastic

Alginate
Elastomeric:
Polysulfide
Polyether
Silicone

Agar hydrocolloid

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

Inelastic/rigid impression
materials
A. Irreversible
1. Zinc-oxide eugenol impression
pastes (ZOE)
Main indications: impression of edentulous ridges,
surgical dressing

Setting reaction:

-OH and methoxy groups

chelate structure

A two-paste system composed of:


Paste A ZnO/mineral or vegetable oil as a
plasticizer
Paste B oil of cloves with app. 85 % of eugenol or
pure eugenol, resins and fillers,
accelerators
H2O, acetic acid, Zn acetate

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

Comparison of viscosity changes during ZOE setting

Silicone impression materials

Low viscosity of ZOE


impression pastes enables
mucostatic impressions

Edentulous ridges - low


viscosity is favourable to
avoid displacement of
tissues

rigidity

ZOE

Silicone

Advantages:
1. Low viscosity no compression of soft tissues
2. Dimensional stability (shrinkage less than 0.1 %)
3. Good surface detail reproduction
4. Low price

Disadvantages:
1. Cannot be used in deep undercuts
2. Eugenol allergy in some patients (o-ethoxy
benzoic acid [EBA] to replace eugenol)

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

2. Impression plaster
Main indication: impression of edentulous ridges

Setting reaction:
CaSO4.0.5H2O + 1.5H2O

CaSO4.2H2O + heat +expansion

Composition:

app. 0.1 lin %

CaSO4 . 0.5H2O -hemihydrate


Potassium sulfate to reduce expansion but accelerates
setting

Borax a retarder to prolonge setting time


Diatomaceous earth, quartz, lime - to make the plaster
more brittle

Advantages:
1. Cheap and long shelf life, easy to prepare
2. Very good surface detail reproduction
3. Excellent dimensional stability

Disadvantages:
1. Very rigid often need to be fractured when
removed from the mouth
2. Fractures if undercuts are present
3. Non-toxic but may dry soft tissues - unpleasant to
patients
Old fashioned not frequently used

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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B. Reversible
3. Impression compounds
(Kerrs, Stents impression compounds)

Thermoplastic material (softens when heated to 50oC


and hardens on cooling) for making impressions of
edentulous ridge, tooth impressions in a copper band

Composition:
1. Resins (wax, shellac, guttapercha)
2. Filler (talc)
3. Lubricants (stearic acid, stearin)

Advantages:
1. Can be reused, easy to use
2. Non-irritant and non-toxic

Disadvantages
1. Poor dimensional stability
2. Easy to distort when withdrawn from the
mouth

Old fashioned not frequently used

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Elastic impression materials


A. Hydrocolloid impression materials
B. Elastomeric impression materials
Irreversible

Hydrocolloid

Reversible
Polysulfide

Elastomeric (non-aqueous)
(irreversible)

Silicone - condensation
- addition
Polyethers

A. Hydrocolloid impression materials


Hydrocolloid a colloidal system (particle size up to
app. 0.5 m) with water as a dispersion medium
so called HYDROCOLLOID SOL that can be
tranformed to a semisolid GEL

Setting reaction
reversible/agar

sol

irreversible/alginate sol

Cooling
Heating
Coagulation

gel
gel

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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B. Irreversible hydrocolloid
Alginate impression materials

(Irreversible hydrocolloid impression material,


preliminary, orthodontic impressions etc.)
Based on natural polysaccharide Na+, K+, triethanol amine
alginate salts (isolated from brown seaweeds)

Constituent units

Alginate chains M = 30 150 000


Form viscous sols and gels after
addition of Ca+2 ions

Setting/gelation reaction:
NanAlg + CaSO4
powder

H2O

nNa2SO4 + CanAlg2
gel

Egg-box structure
Cross-linked structure of alginate gels

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Composition:
1. Na/K alginate
2. Calcium sulfate (CaSO4.2H2O, CaSO4.1/2 H2O)
3. Diatomaceous earth (amorphous SiO2)
4. Retarder phosphates prolonge working time
2Na3PO4 + 3CaSO4

3Na2SO4 + Ca3(PO4)2

5. Setting accelerator - K2TiF6 (makes also stone surface


hard)
6. Additives glycol, paraffin oils to agglomerate particles
and make material dustless
Mixing ratio powder/water app. 10 g/20 mL

Properties:
1. Set after mixing with water
2. Shrink due to loss of water by Syneresis
expression of water from the surface of
impression (if contains Na2SO4 decreased
quality of stone surface); by Evaporation of
water from the surface
3. Imbibition sorption of water causing a
dimensional change
4. Chromatic phase indicator may be incorporated to
signal the impression setting

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Store in a closed
container with a
towel saturated
with water

Dimensional changes of a cast prepared from


alginate impression stored in various environments
Phillips Science of Dental materials

Dimensional changes of a cast prepared from


various alginate materials with storage time
RH=100 %/23oC

Dimensional changes lin %

1.00 Ypeen Premium


Ypeen
Phase
0.80 Hydrogum
Elastic

Standard
types

0.60
0.40

Prolonged
pouring
time

0.20
0.00
0

10

15

20

25

Time /hours

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Dependence of pH and rigidity on time


8.5

150

Blue - violet
White

6.5

100

r ig id ity

Pink

7.5

pH

Setting

50

5.5

4.5

0
0:00

2:00

4:00

6:00

8:00
time [min]

10:00

12:00

14:00

Acid-base colour indicators (phenolftalein/thymolphtalein)

5 sec

35 sec

1 min 30 sec

2 min

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Most frequently used impression material

Advantages:
1. Very good biological tolerance
2. Easy to use and mix
3. Fast setting
4. Low price

Disadvantages:
1. Poor dimensional stability
2. Setting dependent on water temperature and water
hardness
3. Although 100 h pouring time is also recommended they
should be poured as soon as possible
4. Sometimes problems with a model stone compatibility

B. Reversible hydrocolloid
Agar impression materials

(Reversible hydrocolloid impression material)


Based on thermoreversible gelation of natural polysaccharide
agar (isolated from red algae/seaweeds)

Agarose, is a strongly
gelling, non-ionic
polysaccharide

Agaropectin, is more
complex polysaccharide
having sulfate groups

1,3- linked -D-galactopyranose and


1,4-linked 3,6-anhydro--L-galactopyranose units

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Gelation:
Agar sols form gels upon cooling of a hot solution to (30 40)C
Agar gels melt to sols upon heating to (90 95)C

Sol
random coils

Gelation II
aggregation of
helices

Gelation I
Double helices

Composition:
1. Agar
2. Borax to increase the gel strength
3. Potassium sulfate as a gypsum hardener
4. Water dispersion medium
Supplied in two forms in tubes and cartridges

Tray material

Filled tray

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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100oC

Material in syringes
applied to teeth

Advantages:

65oC

45oC

Compartments for liquefying 100oC,


storage 65oC and tempering the
material in a tray at 45oC

1. Very good biological properties


2. Excellent surface detail reproduction

Disadvantages:

1. Need special equipment (water bath) and


special technique
2. Dimensionally instable - evaporation or imbibition
3. Low strength and poor tear resistance
4. Slow setting time

Other applications of hydrocolloid


materials
Reversible hydrocolloid impression
materials are used as duplicating materials
to prepare dental cast models (gypsum or
from investment materials)

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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C. Elastomeric (non-aqueous)
impression materials
Synthetic polymers with rubber properties after setting
Polysulfide

Elastomeric (non-aqueous)
(irreversible)

Silicone - condensation
- addition
Polyethers

Main indications

impressions for partial prostheses (removable)

impressions for crowns and bridges (fixed)

impressions for implantology

Polymerization shrinkage of elastomers is


usually compensated for using a combination
of:
1. Highly filled-viscous material Putty
for preliminary impression (low polymer
content - of low shrinkage)
2. Low filled-low viscosity wash or
light impression material (high
polymer content - higher elasticity but
higher shrinkage)

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Polysulfide impression materials


(Thiokol rubbers, mercaptan rubbers)
The very first elastomeric impression material

Based on reaction between polymer with free


mercaptan (-SH) groups and oxidizing agent PbO2
which lenghtens and cross-links chains via reaction
of terminal and pendant -SH groups)

Setting reaction:
Linear polysulfide polymer
HS

SH

HS

HS

SH

HS

SH

HS
SH

HS

SH

HS

Catalyst

PbO2

-H2O

PbO + O
Water released
increases
contraction

-S S-

Cross-linked
polymer

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Composition:
Supplied in a two-paste system
Base paste:
polysulfide polymer, filler, plasticizer

Catalyst paste:
lead dioxide, sulfur, inert oil

Volume mixing ratio 1:1

Advantages:
1. Low price
2. Long working time

Disadvantages:
1.
2.
3.
4.
5.

Should be poured within 0.5 1 hour


Lead oxide may cause toxic effects
Unpleasant mercaptane smell
Long setting time app. to 10 min
Poor elastic recovery prone to plastic deformation
Old fashioned not frequently used

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Polyether impression materials


Based on cross-linking of polyether chains via
cationic polymerization of aziridine rings using a
aromatic sulfonate ester as an initiator

Initiation:
+
SO3R

R+

SO3-

Propagation:
Linear polymer

Hydrophilic part

(ethylene oxide units)

CH3-CH-CO-O-[CHR-(CH2)n O]m-O-CO-CH-CH3
Ring opening

N
CH2

CH2

N
CH2

aziridine
rings

N +
CH2

+CH

R+

CH2

N-R
CH2

CH2

Cross-linked structure

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Composition:
Supplied in a two-paste system
Base paste:

Polyether
Filler, plasticizer

Catalyst paste:

Sulphonic acid ester

Inert oil

Filler

Advantages:
1.
2.
3.
4.
5.

Naturally hydrophillic
Accurate and high dimensional stability
Good elastic recovery
Low setting contraction
Excellent surface detail reproduction

Disadvantages:
1. Rather stiff when set material (difficult to remove
from mouth)
2. Very expensive
3. May cause allergic reaction due to the sulphonic acid
ester

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Silicone impression materials


C-silicone impression materials
(condensation silicones)

Based on cross-linking polycondensation reaction of


hydroxy terminated polysiloxane prepolymer with
tetra alkoxy silanes catalyzed by dibutyl-tin
dilaurate (DBTD)

Setting reaction - polycondensation

DBTD

..O

Si O

O Si
Si

O
O Si
O

Linear polymer

Si

O
HO Si

..O

OH

..O

..O

Si

..O

+ Si(OC2H5)4

O
..O

4C2H5OH

..O

HO Si

OH

Si

O
..O

Cross-linked polymer

Alcohol releases from the reaction mixture and


contributes to contraction/shrinkage of the impression

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Composition:
Supplied as a two-component system
Base paste:

Hydroxyterminated polysiloxane polymer


Filler (cristobalite, talc, starch)

Catalyst:
Liquid catalyst:

Cross-linking agent (e.g tetraethoxy silane) +


activator (dibutyl-tin dilaurate)

Paste catalyst:

Cross-linking agent, activator, inert oil

Filler

Advantages:
1. Accurate impressions when poured soon
2. Good elastic recovery
3. Lower price

Disadvantages:
1. Hydrophobic
2. Shrinking of impression over time, pouring time till 4 h
3. Catalyst may cause allergic reaction
4. Difficult to dispense proper volumes of both
components
5. Usually hand-mix version only

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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A-silicone impression materials

(addition silicones, vinyl siloxane, poly(vinyl siloxane))

Impression material, duplicating material,


relining material, bite registration material,
root canal sealer
Based on cross-linking polyaddition reaction of vinyl
terminated polysiloxane polymer with
methylhydrogen silicone cross-linking agent in the
presence of platinium catalyst

Setting reaction - polyaddition


CH3
..O

Si CH=CH2 +
CH3

H Si

..O

CH3
CH3

O
CH3 Si
O

CH3
..O

CH3

Si CH=CH2

H Si

H +

CH3

CH3

CH3 Si
O

CH2=CH Si
CH3

CH3

CH3

Vinyl
polymer

Pt

Crosslinking agent

..O

Si CH2-CH2 Si CH3
CH3
CH2-CH2 Si
CH3

Si CH2-CH2 Si CH3
CH3

Cross-linked polymer

Pt may release H2 from water or OH


groups from the reaction mixture causing
bubbles on a gypsum model

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Composition:
Supplied as a two-component 1:1 system
Base paste:
1.
2.
3.
4.

Vinyl terminated polysiloxane polymer


Pt catalyst
Filler (cristobalite, talc)
Surfactant (hydrophilic agent)

Catalyst:
1. Vinyl terminated polysiloxane polymer
2. Cross-linking agent
3. Filler, silicone oil (adjust viscosity of
duplicating materials)

Advantages:
1. Accurate impressions, very low shrinkage
2. Very good surface detail
3. Highly elastic
4. Perfect elastic recovery
5. Dimensionally stable
6. Non-toxic and non-irritant

Disadvantages:
1. Hydrophobic necessary to add a surfactant
2. Setting inhibited by latex gloves or some
adstringents (sulfur, heavy metals)
3. Hydrogen release surface bubbles pouring time
1 h after removal from the mouth
4. High price

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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Typical properties of elastic impression materials


Property
No of components

Algi- Agar
nate
1

Polysulfide Polyether C-silicone

A-silicone

2 pastes

2 pastes

2 pastes

2 pastes

powder

Working time
[min]

1.5

4-7

2-3

2-4

2-4

Setting time
[min]

3-4

3-5

7-10

5-6

5-8

4-7

Contraction [lin %]
after 24 h

0.5

0.01

0.4-0.5

0.2-0.3

0.2-1.0

0.01-0.2

Recovery from
deformation [%]

96

98.8

94.5-96.9

98.3-99.0

97.2-99.6

99.0-99.9

Detail
reproduction [m]

50

25

25

25

25

25

Hydrogen release

Contact angle [o]

Very
low

Very
low

82

50-60

98

70*-80

Relative cost

Very
low

high

low

Very high

lower

high

*Hydrophilic types

Partly from Phillips Science of dental materials

Examples of typical packages of impression


materials

Putty

Light
Light

(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague

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