Professional Documents
Culture Documents
A h is to r ic a l r e v ie w o f c o m p le te d e n tu re
im p r e s s io n m a te r ia ls
E d g a r N. S ta rc k e , Jr., DDS, Houston the prosthesis was achieved.1 Beeswax was ap
parently the material first used in making impres
sions in the mouth. In 1756, Phillip Pfaff, of Ber
lin, made sectional wax impressions of half of an
arch at a tim e.2 William Rae, in 1782, said that he
“ got the measurement of the jaw s in a piece of
Significant improvements in complete denture wax pushed into the gums, afterward making a
impression techniques have almost invariably cast o fit with plaster of Paris.” 1 In 1840, Charles
been associated with the development of im de Loude, of London, made one of the earliest
proved impression materials. Undoubtedly, references to impression trays when he wrote,
some methods were developed solely for the “ For impressions, I use wax in tin cups or
promotion of a specific material. However, most shapes, the whole size of the upper and lower
materials were developed in an effort to obviate jaw s, or right or left, half jaw s and fronts.” 3
the deficits found in older products. About this same time (1847), Desirabode4 re
This search for materials and methods has ferred to an impression tray in the following
been a fruitful one, and it is the purpose of this manner; “ We place the wax in a box, a kind of
paper to review these developments chronolog semi-elliptical gutter of tin or silver, upon the an
ically. terior part of which is a shaft which forms a han
dle. The walls of this receptacle, offering some
resistance, oppose the deformation of the w ax.”
R e v ie w However, Desirabode later advised abandoning
the technique because he believed that it caused
Before the middle of the 18th century, no method pain and that it produced much greater pressure
was available for producing an impression of the than the method using the fingers. Furthermore,
alveolar ridges. A widely used method at that he noted that the impressions produced were al
time was the painting of the ridges with a dye, ways too large.
and the pressing of a block of ivory or bone In 1842, Montgomery had discovered gutta
against the dyed surfaces. Areas of contact were percha. It is obtained from various sapotaceous
scraped away from the block until the best fit for trees in Malaysia. It was introduced as an im
JADA, Vol. 91, N ovem ber 1975 ■ 1037
p res sio n m a te ria l in 1848, p ro b a b ly b y e ith e r P . T . G re e n e ta u g h t th e use o f p la s te r a n d m o d e l
C o lb u r n o r B la k e . C o lb u rn 5 said th a t “ it should in g p la s tic c o m b in a tio n s , w h ic h w e re la te r so m e
be th o ro u g h ly so aked in b o ilin g w a te r , th en w h a t im p ro v e d b y H a l l an d b eca m e u n ju s tifia b ly
k n e a d e d an d m o u ld e d in th e sam e w a y as w a x k n o w n as th e “ H a ll m e th o d .” N e v e rth e le s s ,
. . . and im m e d ia te ly p la c e d in th e m o u th , and H a ll used a s p e c ia lly p re p a re d h a rd b la c k m o d e l
f ir m ly pressed to its p la c e .” B la k e 6 suggested a ing p la s tic f o r m a k in g a cu sto m tr a y in w h ic h a
s im ila r p ro c e d u re , b u t m e n tio n e d th a t a fte r m o ld v e ry th in m ix o f im p res sio n p la s te r w as p la c e d
ing o f th e h o t m a te ria l, it sh o uld be “ p ressed in to f o r th e c o r r e c tio n .12
th e fra m e , w h ic h m a y be ‘u n d e rc u t’ in o rd e r to E v e n th o u g h S c h lo s s e r,13 T e n c h ,14 P e n d le
h o ld it m o re s e c u re ly .” A lth o u g h in te re s t in th e t o n ,15 an d F o u m e t 16 m a in ta in e d th a t m o d e lin g
m a te ria l w as high f o r se ve ral y e ars a fte r its in tr o p la s tic possessed a ll o f th e n ecessary p ro p e rtie s
d u c tio n , its p o p u la rity w as s h o rtliv e d b ecau se f o r m a k in g c o m p le te d e n tu re im p re s s io n s , th e
its p ro p e rtie s (th a t is, its high w o r k in g te m p e ra p la s te r w as h te c h n iq u e b eca m e s te a d ily m o re
tu r e a n d stiffn ess) m ade it d iffic u lt to a c h ie v e p o p u la r d u rin g th e s e v e ra l years a fte r its in tr o
s a tis fa c to ry resu lts. d u c tio n , an d m a n y tec h n iq u es a p p e a re d u sing
I n a b o u t 1844, p la s te r o f p aris w a s f ir s t u sed as th e c o n c e p t, in c lu d in g th o s e b y C a m p b e ll17 an d
an im p re s s io n m a te ria l. W e s c o tt, D w i n d l e , an d m o re re c e n tly b y S w e n s e n .18
D u n n in g h a v e b een c re d ite d w ith th is d is c o v e ry ,7 A lp h o u s P o lle r ,19 o f V ie n n a , in 1925, de
b u t W e s c o tt,8 h im s e lf, g a v e th e c r e d it to D u n scrib ed his e la s tic m a te ria l as an im p ro v e d m a
n in g . H e said th a t D u n n in g in M a r c h 1844, “ trie d te ria l f o r “ m o ld in g a rtic le s o f a ll k in d s , m o re p a r
p la s te r w h e n try in g to ta k e an im p re s s io n o f fla b tic u la rly p a rts o f liv in g b o d ie s .” P o lle r w a s m o s t
b y tissu e w ith w a x and g o t o n ly v e r y d is to rte d lik e ly th e firs t to suggest th e use o f a g ar f o r d e n
im p re s s io n s .” I n 1862, F r a n k lin 9 d e s c rib e d th e ta l im p re s s io n s .7 E v e n th o u g h th is m a te ria l p r o
fir s t c o rre c te d im p re s s io n . H e u sed w a x f o r th e duces e x c e lle n t d e ta il, it is n o t id e a l f o r th e e d e n
p re lim in a ry im p res sio n fo llo w e d by a p la s te r tu lo u s im p re s s io n an d has n o t b e e n u sed to a n y
w a s h . I n 1870, W e s c o tt8 d esc rib ed a s im ila r p la s g re a t e x te n t. B o o th ,20 h o w e v e r , d e s c rib e d a
te r w as h te c h n iq u e , using o v e rs iz e d w a x tra y s c o m p le te d e n tu re im p re s s io n te c h n iq u e u sing
m a d e b y scooping o u t p rim a r y im p res sio n s . ag ar b u t fo u n d it n ecessary to b u ild c u s to m w a te r -
T w o p ro c e d u re s w id e ly u sed u n til th e e a rly c o o le d tra y s a n d to p re m e d ic a te th e p a tie n t w it h
1900s in v o lv e d th e m a kin g o f im p res sio n s w ith a d ru g to re d u c e s a liv a tio n .
e ith e r w a x o r p la s te r d ire c tly , o r w ith p la s te r in D u r in g th e la te 1920s, th e id e a b e c a m e w id e ly
an in d iv id u a l tr a y o f w a x . A lth o u g h tw o im p re s h eld th a t u n ifo rm tissu e s u p p o rt (a c h ie v e d b y th e
sio n co m p o u n d s (m o d e lin g p la s tic s ) h a d b e e n c o m p le te d e n tu re im p re s s io n ) m a y be o f v a lu e .
d e v e lo p e d a n d in tro d u c e d , o n e b y C h a rle s Stens I t w a s b e lie v e d th a t th is w o u ld m o st lik e ly b e a t
o f E n g la n d in 1857 an d th e o th e r b y S. S. W h ite ta in e d b y c o n tro lle d p la c e m e n t o f th e s o ft tis
in 1874, th e use o f these m a te ria ls d ates fr o m th e sues. D u r in g th is p e rio d , th e firs t tru e fu n c tio n a l
c o n trib u tio n s o f J. W . G r e e n e , P . T . G r e e n e , im p re s s io n w a x e s w e re d e v e lo p e d . T h e w a x e s
an d o f R u p e rt H a ll . T h e G re e n e b ro th e rs , a b o u t used b e fo re th is tim e , n a m e ly p a ra ffin a n d b ees
1900, in tro d u c e d a m o d e lin g p la s tic , a m e th o d w a x , w e re f a r fr o m id e a l b ecau se th e y w e re h a rd ,
fo r m a n ip u la tin g it , a n d a te c h n iq u e th a t is said to flo w e d to o s lo w ly , o r w e re c ru m b ly .
h a v e b e e n th e firs t to u tiliz e a ll th e su rfaces o f A n e a rly flu id w a x te c h n iq u e w a s d e s c rib e d
th e m o u th to ad v a n ta g e f o r d e n tu re re te n tio n . b y E v e r e tt21 in 1922. I t w as a c lo s e d -m o u th p r o
T h e y w e re p ro b a b ly th e firs t to te a c h th e clo sed- c e d u re in w h ic h h e u sed flu id w a x co m p o u n d s
m o u th a ll-m o d e lin g p la s tic te c h n iq u e in d e ta il.7 o f th re e co n siste n c ie s (h a rd , m e d iu m , a n d s o ft);
F u r th e r m o r e , th e y w e re th e fir s t to u s e th e te rm th is he said, “ in e v e r y w a y p ossible re p re s e n ts
“ p o s te rio r d a m ” in d esc rib in g th e p o s te rio r p a th e th re e g e n e ra l tissues o f th e m o u th on th e m a x
la ta l seal. I n a v a ria tio n o f th e m e th o d , S. G . illa r y b o n e , w h ic h a re th e p e rio s te u m , m u sc u
S u p p le e in tro d u c e d a h o t w a te r h e a te r d esig ned la r o r in te rlin in g tissues an d m u co u s m e m b ra n e . ’ ’
fo r w o rk in g w ith m o d e lin g p la s tic .10 T h e liq u id w a x e s w e re p a in te d o n in la y e rs , fr o m
R u p e r t H a ll , in 1915, p e rfe c te d th e fir s t m o d - h a rd to so ft, a n d each a llo w e d to gel u n d e r o c c lu
e ra te -h e a t m o d e lin g p la s tic f o r m a k in g in d iv id u a l sal p ressu re.
im p re s s io n tra y s a n d in tro d u c e d th e c o rre c ta b le E v e n as la te as 1942, P e n d le to n 22 suggested a
m o d e lin g p la s tic -p la s te r te c h n iq u e th a t a lm o s t liq u id w a x te c h n iq u e using an A s ia tic o r In d ia
im m e d ia te ly b e c a m e a sta n d ard m e th o d f o r m a k p a ra ffin fo r th e fin a l m a n d ib u la r im p re s s io n .
in g im p re s s io n s .7 H o w e v e r , B r e m n e r 11 said th a t H o w e v e r , to d a y , th e fu n c tio n a l o r p h y s io lo g ic
Another selection is from “Or Dan Tucker," still sung in many parts of this country.
There are two songs that have so far eluded my inquiring efforts. “The Handsome Young Dentist in Room
17" was sung many years ago by Dorothy Ross, a nightclub entertainer. I wrote to Lester S. Levy, who has a
collection of more than 30,000 pieces of sheet music—the most important collection of its kind in private own
ership—and the author of Grace Notes in American History: Popular Sheet Music from 1820 to 1900 (1967).
Levy graciously replied to my query: “I wonder if it was a parody on either the ‘Daring Young Man on the Flying
Trapeze’ or ‘The Charming Young Widow I Met on the Train.' I have never seen it In sheet music form." An
additional note by the helpful Levy started me on another thus far unfruitful search: “Have you ever seen 'I’ve
Got a Sweet Tooth Bothering Me’ by Irving Berlin, 1916?” Needless to say I shall be delighted to hear from any
reader who can send me the words of these two songs bearing titles that suggest words of promise.
Gardner P. H. Foley