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The Use of Injectable Polyvinylsiloxane

as Medium for Border-Molding Denture


Impressions
G. Roger Troendle, iWS, DDS" and Karen B. Troendle, DDST

This article describes a technique for making a denture impression using polyvinylsiloxane
material to border-mold a custom tray. This material is more acceptable to both dentist and patient
because it is not as messy or time-consuming as modeling compound. The disadvantage is the initial
cost of the materials.
JProsthod I : 121-123. Copyright 0 1992 by the American College of Prosthodontists.

INDEX WORDS: denture, impression

HE CONCEPT of molding the periphery of a


T complete denture prosthesis to the surrounding
musculature has been accepted and taught for about
4. Place adhesive on the labial flange of the tray.
Place the tray in the mouth, and inject Kerr Stat
B.R. (Kerr Manufacturing Company, Romulus,
75 years. The classic technique involves making an MI; Fig 3) arid mold the material to the labial
irreversible hydrocolloid impression of the ridge, musculature (Fig 4). If needed, excess material
pouring a cast, and fabricating a custom tray. The can be trimmed with a sharp #25 surgical blade
custom tray is made short of the apparent peripheral after the material sets.
extent of the final prosthesis. The tray is then 5. The maxillar). tray is molded in four segments,
sectionally border-molded using a thermoplastic im- the labial flange, right buccal flange, left buccal
pression conipound to develop the proper peripheral flange, and posterior palatal flange. Figure 5
extent. Once the tray i q border-molded, a wash show the complete border-molded impression
impression is made to complete the final impression. tra)-.
The technique to be described does not vary in 6. The remainder of the tray is painted with adhe-
concept from this classic technique. 'The primary sive, and then medium-viscosity polyvinylsiloxane
difference between this technique and the classic impression material is injected in the tray, plact-d
technique is the material used to border-mold and in the patient's mouth, and border-molded. Fig
wash the final impression.

Technique
Make a custom tray on a cast made from an
irreversible hydrocolloid impression (Fig 1).
Evaluate the custom tray in the patient's mouth
to ensure that it is short of the estimated periph-
e r y ofthe final prosthesis (Fig 2).
With a no. 8 round bur in a straight handpiece,
perforate the complete periphery of' the tray (Fig
2).

From the Unitenip ofTexas Health Srirnce Center ut San Antonio.


San Antonio. TX.
TAssociate Pmjssor. Dqartment ofliesloratiue Dentirty!.
'Clinical Assm'ate Projfrsor,Drpartmenl qfhktorative Dentisty
Address repint reqimts to Karen H.Troendle. DDS, Dept ofRestorative
Dentisty, The L'niuertip~TexnrHeallh Science Center at San Antonio,
7703Flyd Curl&, San Antonio, 7 X 782847890,
Copyjqht 01992 b))the Am~ricanCollege q/Prosthodontists
I059-Y41X/9210102-0011~5.00~ 0 Figure 1. Custom tray made on preliminary cast.

Journal ofProsthodontics, Vol 1,No 2 (December), lYY2:pp 121-12.7 121


Figure 2. The custom tray
is trimmed short of the border
and the holes are drilled in the
periphery of the tray.

Figure 3. The injectable polyvinylsiloxane materials,


Stat B.R. for border molding, and Express medium viscos-
ity for the wash. Figure 5. The impression after the border has been
molded.

Figure 4. Injecting the Stat


B.R. at the labial border of the
custom tray.
December 1992, r’(16urne I . i%imber 2 123

ure 6 shows a completed inipression using this


technique. Figure 7 shows the labial view of the
master cast ponred from this impression.

Discussion
A technique was prcsentcd for border-molding a
custom tray with a quick-set? high-viscosity polyvinyl-
siloxane material (Stat B.R.; Kerr) and making a
wash with a medium-viscosity polyvinylsiloxane im-
pression material (Express; 3M Dental Products, St
Paul, MN). The technique was described for a maxil-
lary overdenture, but is useful for complete dentures,
both upper and lower. The principle of activating thc
musculature at the periphery of the denture is the
same as when using the classic technique with
thermoplastic compound. However, the technique
using the polyvinylsiloxane material is more accept-
able to the patient and dentist.
Figure 6. Thc final impression after being washed with
medium-viscositypolyTinylsiloxane impression material.

Figure 7. Labial view of the


cast porired from the impres-
sion showing the labial flange
recorded on the master cast.

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