Professional Documents
Culture Documents
Contents:
Introduction
Classification
Requirements
Rigid impression materials
Impression Compound
Zinc oxide-Eugenol Impression paste
Impression Plaster
Impression waxes
Hydrocolloid Impression materials
Reversible Hydrocolloid - Agar
Irreversible Hydrocolloid – Alginate
Nonaqueous Elastomeric Impression materials
Conclusion
Bibliography
Introduction
Elastic Nonelastic
Hydrocolloid Rubber
ZOE Imp. Compound
Agar Alginate
Mucocompressive materials
Impression compound
Requirements:
Rigid.
Thermoplastic.
Muco-compressive .
Composition:
Ingredients Function
Waxes Soften on heating .
(Beeswax, colophany) Brittle,Tasteless, Odorless and greasy to touch.
Thermal Contraction:
Non-crystalline solids
No definite melting temperature.
Gradually soften as the temperature is raised.
Compound added to
the water in small pieces.
Construction of Cast
Gypsum product with in one hour.
Disinfection of impression:
Rinse to remove blood, debris & saliva.
10 to 30 minutes immersion in Gluteraldehyde or
Iodophor.
Advantages
Rigid when set.
Inexpensive.
Non toxic.
Disadvantages
Due to pressure while making impression, tissues will
be compressed.
Distorts easily leading to poor dimensional stability.
Cannot be removed from undercuts.
High thermal expansion.
Does not reproduce fine surface details.
ZINC-OXIDE EUGENOL
IMPRESSION PASTE
Rigid.
Irreversible.
Composition:
Tube No. 2 Catalyst paste
Tube No. 1 Base paste
Component % Function
Eugenol/Oil of 12-15 Reactive ingredient.
Component
clove % Function
Oil of clove contains 70-85% of eugenol.
Gives body & coherence to mixed material.
Gum or
Imparts thermoplastic
Reactive property
ingredient, takes part into set impression.
setting reaction.
Polymerised
Zinc oxide 50
80-87
Facilitates
Finely speed
divided, of very
with reaction and
slight more of
amount homogenous
water.
rosin
product .
Vegetable or Inert as
13-15 Acts material to form paste with suitable
plasticizers.
Filler 16-20
mineral oil consisitency.
Masks the action of eugenol as irritant.
Resinous Increases flow and improve mixing properties.
10
balsam
Accelerator, Accelerators like zinc acetate, glacial acetic acid,
moisture 4-5 metallic salts of hydrochloric and nitric acids,
primary alcohols.
Classification
According to ADA specification no.16, Depending on
hardness
Type I or hard set.
Type II or soft set.
Autocayalytic reaction:
Water is needed to initiate the reaction and is also
the by-product of the reaction.
Zn
ZnO H2 O
(OH) 2
Dimensional Stability
Shrinks 0.1% or less at the end of 30 minutes after
mixing.
Dimensionally stable.
Impression making:
1. In custom tray with 1-1.5mm spacer.
2. Wash plaster impression in preliminary
compound impression.
3. Recording impression of undercut area in
fractured pieces which is then secured in correct
position by sticky wax or cyno-acrylate glue.
Construction of cast:
Mix of model plaster or dental stone is poured directly
into a plaster impression
Disadvantages:
Cannot be used to compress tissues.
In very wet mouth, surface of plaster tends to be
washed away spoiling the surface details.
Exothermic setting reaction.
Separating media used may obliterate some details.
Cannot be removed from undercuts without breaking.
IMPRESSION WAXES
Thermoplastic
Rigid
Reversible
Composition
Mixture of low melting paraffin wax and bees wax in
a ratio of 3:1.
Types:
Corrective wax.
Bite registration wax.
Characteristics and uses of the
Korecta Wax/ fluid–wax series
No. I Wax
Properties
Congeals rapidly with slight amount of shrinkage.
Tissue-pink in colour.
Hard with practically no flow at body
temperature.
Brittle.
Uses
Support extension of the impression wax when there
is need to carry it beyond the border of the
temporary base.
Final wax-up of porcelain or resin teeth after they
have been adjusted to the desired position.
Reposition extension partial denture before making
rebase impression. acts as a support to maintain the
correct position of the base and prevents its rotation .
No. II Wax
Yellow in colour.
Has slight flow at body temperature.
Ability to adapt very slowly to the ridge structures
makes it useful as a temporary lining of a base,
which should be worn for a short time.
Can be placed as a lining when a posterior stop of
the No. 1 wax has been used to prevent the rotation
of an unstable denture.
The No. III Wax
Red in colour.
Flow is greater than that of No. II wax but much less
than that of impression wax.
Used to correct minor areas of discrepancy (such as
that in the area of an inaccurately fitting base) before
placing the impression wax.
The No. IV Wax
Orange in colour.
Has high rate of flow at body temperature.
Must always be carried by the temporary base
when it is recording the supporting contour of the
sub-basal structures.
Used for making a correctable impression.
Corrective Impression Wax
Used as wax veneer over an original impression to
register the details of soft tissues.
Plaster hardener.
K2SO4 1.7 Counteract inhibiting effect of borax and agar on
setting of gypsum model.
Improves gel strength by intermolecular
Borax 0.2
attraction.
Alkyl Prevents growth of mold in impression material
0.1
Benzoate during storage.
Fillers
(Clay, Silica, -- Controls strength, viscosity and rigidity.
Wax)
Continuous phase in sol and 2nd continuous phase
Water 85.5
in gel.
Colour and
Trace Improve appearance and taste.
Flavours
Properties:
Viscosity of Sol
Visco-elastic material.
Viscosity:
Contained in tray.
Reproduce detail of teeth and soft tissues.
Gelation Temperature
After 8 min boiling: Fluid enough to be extruded
from container.
After tempering: Sol Homogeneous.
Set to gel between 37 to 45ºC.
Strength
Time dependent.
Greater at higher rate of loading. (Impression to be
removed with a Snap.)
Directly related to Brush heap density (Conc. of
agar)
Inversely related to temperature.
Compressive strength: 8000 gm/cm2
Tear strength: 700 gm/cm2
Dimensional stability
Type 1 Type 11
Property
Fast set Regular set
Children or
Use Routine use
problem
patients
Properties:
Strength
Time dependent.
Greater at higher rate of loading. (Impression to be
removed with a Snap)
Compressive strength: 5000 to 9000 g/cm2
Tear strength : 380 to 700 g/cm2
Viscosity
Low viscosity mucostatic impression material.
Dimensional stability
In air loss of water shrinks.
In water absorbs water swells.
Storage: in 100% relative humidity for 1 hr.
Should be poured immediately.
Shelf life
Deteriorates at elevated temp.
Compatibility with gypsum products
Australian Dental J. 1981 Vol 26(1)
Surface compatibilty of gypsum with alginate can be
improved..
If calcium sulphate reactor is replaced.
In place of sodium alginate, triethanolamine
alginate to be used..
By this exudate sodium sulphate is not formed.
Disinfection
Tobias, Browne, Wilson (1989)
Development of alginate impregnated with
antimicrobial compound..
“Didecyldimethyl ammonium chloride”
Self sterilizing impression material.
Not effective against Pseudomonas Aeruginosa.
Advantages:
More accurate surface reproduction by agar.
Agar more compatible with gypsum.
Elimination of water-cooled impression trays.
Developments:
Dustless Alginate: Coated with Glycol.
Part - II
Non-Aqueous
Elastomeric Impression
Materials
Elastic.
Irreversible.
Contents:
Introduction
History
Classification
Composition and chemistry
Properties
Advantages and disadvantages
Clinical presentation
Recent developments
Manipulation
Disinfection
Effects of mishandling
Applications
Summary
Bibliography.
Introduction:
Group of rubbery polymers.
Trade names:
Permlastic: Lead dioxide system.
Ceo-Flex.
Omni-Flex: Copper hydroxide system.
COMPOSITION:
Base paste:
Polysulphide polymer 80-85%
With terminal and pendant mercaptan group (-SH)
Filler 44%
Eg : Lithopone, Titanium dioxide, Zinc sulphate
Provides required strength.
Plasticizer 5%
Dibutyl or Dioctyl Phthalate.
Confers appropriate viscosity to paste.
Sulphur
Accelerator
Catalyst paste:
S + 3PbO + H O
=
Pb 2
Pb
S S
=
=
H
O O
O = Pb = O
H
S
Tetraethyl orthosilicate
Stannous octoate
(catalyst)
Base Catalyst
Poly(methyl hydrogen Divinyl polysiloxane
siloxane) Platinum salt (catalyst)
Other siloxane Palladium( H2 absorber)
prepolymers Platinium
Filler (colloidal Retarder
silica, metal oxide) Fillers
Chemistry:
Platinum salt
(catalyst)
Silicone Rubber
Composition
Base Catalyst
Polyether polymer Aeromated sulfonate ester
Glycolether or Phthalate (cross linking agent)
(plasticizer) Colloidal silica
Filler (colloida silica) Glycolether or Phthalate
(plasticizer)
Chemistry:
Chilling material,
Increases working time
mixing on cool slab
Altering base:catalyst Alters working time
θ = >90º θ = <90º
Hydrophilic materials: Hydrophilic addition silicones
and Polyethers Best wettable.
Hydrophobic materials: Polysulphides, Condensation
silicones and Conventional addition silicones Least
wettable.
Should be stored in
Tightly closed container/tubes.
Cool environment.
Addition silicones :
Available in these three consistencies plus an Extra low
and Putty (very high) type.
Also supplied as a single consistency product with
sufficient shear thinning so that it can be used as both a
low and a high consistency material.
Condensation silicones :
Supplied in a low and putty like consistency.
Polyethers :
Supplied as a medium consistency type plus a thinner
or as a low and a high consistency.
Mode of supply:
Two pastes in collapsible tubes: Low, Medium and
High consistencies.
In two jars: Very high consistency.
Catalyst of condensation silicones can be supplied as
a liquid or a paste.
Recent
developments
Modifications in polysulphides:
Advantages:
Dentist has complete control over working time.
Curing time is relatively short (3 minutes).
Excellent physical, mechanical and clinical properties
Disadvantages:
Need for special transparent trays.
If a delay occurs before placement, the material
should be stored in a dark place away from light.
Manipulation:
The light body material is syringed into the sulcus
around and over the preparations and portions of the
adjacent teeth.
A clear tray is loaded to the fill line with the heavy
body material.
After the tray is seated in the mouth, both viscosities
are cured simultaneously using a visible light curing
unit having an 8mm or larger diameter probe.
Bite registration materials:
1. GC Exabite:
Polyvinyl siloxane impression material with
properties adjusted for bite registration.
Adv:
Fast reliable mixing and application directly from
cartridges.
Thixotropic properties with ideal balance between
stability and fluidity.
Accurate reproduction.
2. Ramitec Penta:
Polyether impression material with automatic mixing
and dispensing unit Pentamix system.
Adv:
Automatic mixing and dispensing with Pentamix unit.
Absolutely homogenous and void free mix.
3. Dimension Bite 60 Seconds:
Extremely fast setting Addition silicone with ultimate
hardness.
Adv:
Extreme short setting time of 60 seconds.
Automatic mixing in new Garnet 2 System.
Automatic mixing device:
Features:
Light and medium body materials.
Mixing tip vary in diameter, length and size of tip
opening .
Used for Addition silicone.
Some polyethers and condensation silicone can also be
mixed and dispensed.
Advantages:
Greater uniformity in
proportioning and mixing.
Fewer bubbles in the mix.
Reduced mixing time.
Dynamic mechanical mixer:
Polyether and addition silicone available for mixing
with this system.
Adv:
Ease of use , speed and thoroughness of mixing.
High viscosity material can be mixed with ease.
Disadv:
High Cost .
Slightly more material retained in mixing tip.
Manipulation
Impression procedures:
STEPS:
1 . Preparation of material.
2 . Preparation of tray.
3 .Making an impression.
4 . Removing an impression.
5 .Preparation of stone dies and cast.
Preparation of material:
Two Paste System :
Equal length of base & catalyst paste dispensed on
mixing pad.
Mixed with stainless steel mixing spatula to get
streak free mix.
Polyether: Thinner is added to get required
viscosity.
Putty:
Addition silicone: Equal scoop of base and
acclerator kneaded with fingers (using vinyl glove).
Condensation silicone: Required no. of scoop of
base kneaded with proportionate liquid or paste
acclerator.
Preparing the tray:
Stock tray: Used with very high consistency.
Custom tray:
Optimal thickness of spacer 2 to 4mm.
Bulk should be evenly distributed.
Reduces quantity of material.
Dimensional changes is minimized .
Pictorial representation of custom tray
design
Tray Adhesives:
Bonds the impression material to the tray.
2.HEAVY BODY:
Placed in the tray to support the light body material.
3. PUTTY :
Exhibits least significant polymerization shrinkage.
Different impressions techinique:
1. Copper tube and resin coping method.
2. Multiple mix technique
3. Monophase / Single viscosity technique
4. Putty wash technique
i. Single stage procedure
ii. Two stage procedure
4. Squash technique
5. Dual arch impression technique
i. Monophase impression
ii. Multiple mix technique
6. Segmental impression technique
7. Matrix impression system
COPPER TUBE / RESIN COPING SYSTEM
Modified method of tube impression with impression
compound.
Rigid carrier of impression material becomes the part of
impression.
Initial registration of finish line is by carrier.
Retractionless procedure : Retraction cords not used.
Sulcular extension of tube or coping: Displaces gingiva
away from finish line.
Reinforced sulcular flange consisting of elastomer and
extension of copper tube or resin is generated.
MULTIPLE MIX TECNIQUE
Resin custom tray with 2-4 mm spacing.
Tray : Uniform thickness of Heavy Body material .
Syringe : Light Body material simultaneously.
Procedure:
The lighter material: Injected within and around the
tooth preparation.
Filled tray is then inserted in the mouth and seated
over the syringe material.
MONOPHASE / SINGLE VISCOSITY
TECNIQUE.
Resin custom tray with 2-4 mm spacing.
Medium viscosity of polyether and addition silicone .
Only one mix
Part of the material loaded in tray.
Another portion loaded in syringe.
Putty material
Stock tray.
Preliminary impression.
Results in intraoral custom made tray formed by
the putty.
Space for light body ‘’WASH’’ material
Cutting away some of ‘’Tray’’ putty
Thin polyethylene sheet during impression.
Light body
Placed into the putty impression.
Seated in the mouth..
Can also be used with syringe and injected with in
and onto the preparations.
SINGLE STAGE PROCEDURE
Disadvantage:
Putty may displace wash material.
Critical areas of the preparation reproduced in
putty.
Impression tray:
Individual custom trays for each segment.
1 mm of wax spacer .
Extend 3mm past gingival margin of the prepared teeth.
PMMA custom tray made 24hrs in advance.
Light body:
Loaded into a syringe and one of the segmental trays .
Impression material is injected around the preparations
and the tray is seated to place.
Excess extruded material is allowed to set.
MATRIX IMPRESSION SYSTEM
Series of impressions using three different viscosity of
impression material.
QUICK SNAP:
To minimize plastic deformation.
To increase tear resistance.
Disinfection:
Condensation silicone ,addition silicone and polysulfides:
2% GLUTARALDEHYDE is satisfactory
disinfectant.
NOTE:
Successive die will not be as accurate as the first
die constructed from the material.
Time interval between impression pours should not
be greater than 30 min.
Effects of
mishandling
ROUGH OR UNEVEN SURFACE ON IMPRESSION:
Incomplete polymerization
Premature removal from the mouth .
Improper ratio or mixing of components.
Presence of oil or other organisms on teeth.
For addition silicone ,agents that contaminate the
material and inhibit polymerization.
Too rapid polymerization.
BUBBLES:
Too rapid polymerization , preventing flow.
Air incorporated during mixing.
IRREGULAR SHAPED VOIDS:
Moisture or debris on surface of teeth.