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CLINICAL STEPS IN IMPRESSION MAKING
USING ZINC OXIDE EUGENOL
{MAXILLARY ARCH}
BY: SHRUTI ANANYA
1879077
3RD YEAR BDS
ZINC OXIDE EUGENOL IMPRESSION PASTE
ā€¢ IMPRESSION PASTE USED FOR FULLY EDENTULOUS ARCH WITH OR
WITHOUT MINOR UNDERCUT
A. IMPRESSION
MATERIAL FOR
EDENTULOUS PATIENTS
bite registration paste
USES OF ZOE
IMPRESSION PASTE
BIOCOMPATIBLE
GOOD ADHERENCE
TO TISSUES
GOOD SURFACE
DETAILS
GOOD DIMENSIONAL
STABILITY
PROPERTIES
COMPOSITION
BASE PASTE REACTOR PASTE
ā€¢ ZINC OXIDE (87%)
ā€¢ VEGETABLE OIL (13%) - PLASTICIZER
ā€¢ EUGENOL OR OIL OF CLOVES (12%) -
REDUCES THE BURNING SENSATION
ā€¢ POLYMERIZED ROSIN (50%) - SPEEDS
THE REACTION
ā€¢ SILICA FILLER (20%)
ā€¢ LANOLIN (3%)
ā€¢ RESINOUS BALSAM - IMPROVES FLOW
ā€¢ CALCIUM CHLORIDE AND COLOR
SETTING REACTION
ACID-BASE REACTION
MIXING TIME AND SETTING
TIME
ā€¢ MIXING TIME = 45-60s
ā€¢ SETTING TIME = 3-5mins
ADVANTAGES AND DISADVANTAGES
ADVANTAGES DISADVANTAGES
ā€¢ CAN BE CHECKED REPEATEDLY
WITHOUT DEFORMING
ā€¢ REGISTERS ACCURATE SURFACE
DETAILS
ā€¢ DIMENSIONALLY STABLE
ā€¢ DOESNT REQUIRE A SEPARATING
MEDIUM
ā€¢ MINOR DEFECTS CAN BE CORRECTED
WITHOUT DISCARDING THE ENTIRE
IMPRESSION
ā€¢ REQUIRES A SPECIAL TRAY
ā€¢ STICKY IN NATURE
ā€¢ EUGENOL CAN CAUSE A BURNING
SENSATION AND TISSUE IRRITATION
ā€¢ CANT BE USED FOR DENTULOUS
PATIENTS
ā€¢ CANT BE USED IN THE AREAS WHERE
THERE ARE SEVERE UNDERCUTS
MANIPULATION OF ZOE
MATERIALS REQUIRED FOR PREPARING THE
IMPRESSION PASTE
1. GLASS PLATE
2. OIL SHEETS
3. REACTOR AND BASE PASTES
4. CEMENT SPATULA
5. CUSTOMIZED TRAYS OF THE PATIENT
EQUAL LENGTHS OF BOTH
REACTOR AND BASE PASTE
ON THE GLASS PLATE OR
OIL IMPERVIOUS PAPER
CEMENT SPATULA IS USED TO
MIX BOTH THE PASTES IN A
CIRCULAR MOTION
HOMOGENOUS MIX
WITH UNIFORM
COLOR THROUGHOUT
STEPS FROM PRIMARY IMPRESSION TAKING TILL
SECONDARY IMPRESSION TAKING{ZOE}
PRIMARY IMPRESSION USING
IMPRESSION COMPOUND
BEADING OF PRIMARY IMPRESSION
BOXING OF PRIMARY IMPRESSION
PLASTER POURING
PRIMARY CAST
SPACER MARKING
SPACER ON WAX
FABRICATION OF CUSTOM TRAY
WITH HANDLE
BORDER MOULDING
ZOE IMPRESSION ON CUSTOM TRAY
FABRICATION OF MASTER CAST
PRIMARY IMPRESSION OF THE MAXILLARY CAST
ANATOMICAL LANDMARKS OF MAXILLARY
CAST
RELIEF AREAS LIMITING
STRUCTURES
SUPPORTING
STRUCTURES-
PRIMARY STRESS
BEARING AREAS
SUPPORTING
STRUCTURES-
SECONDARY
STRESS BEARING
AREAS
The portion of the
denture-bearing area
over which the
denture base is
altered to reduce
functional pressure.
Limiting structures
are sites that will
guide us in having an
optimum extension
of denture so as to
engage maximum
surface area without
encroaching upon
the muscle action.
The trabecular pattern in
the bone is perpendicular
to the direction of force,
making it capable of
withstanding any amount
of force without marked
resorption. The primary
stress-bearing areas
generally have thicker
mucosa and /or
underlying bone that is
less subject to resorption
because it is cortical
bone.
The residual ridge is
generally a secondary
stress-bearing area
as it is made up of
cancellous bone.
SPACER MADE ON MAXILLARY CAST
ā€¢ UNIFORM SPACER OF 2MM IS MADE USING BASEPLATE WAX
ā€¢ THE PERIPHERAL EXTENSION OF SPACER= 2MM SHORT OF THE CUSTOM TRAY
ā€¢ FUNCTION= ALLOWS THE TRAY TO BE PROPERLY POSTIONED BEFORE BORDER MOULDING + ALLOW THE
IMPRESSION TO HAVE EVEN THICKNESS OF IMPRESSION MATERIAL
TISSUE STOPS
ā€¢ TISSUE STOPS ARE RECTANGULAR OR SQUARE AREAS WHERE THE SPACER IS REMOVED. CUSTOM TRAY IS
DIRECTLY IN CONTACT WITH THE RIDGE IN THESE AREAS. THEY FUNCTION TO CORRECTLY ORIENT AND STABILIZE
THE TRAY DURING IMPRESSION MAKING AND ENSURE UNIFORM THICKNESS OF THE IMPRESSION MATERIAL.
ā€¢ THEY ARE 2MM IN DIMENSION
ā€¢ TWO IN CANINE REGION AND TWO IN MOLAR REGION, ON THE CREST OF THE RIDGE.
CHAIR POSITIONING FOR MAXILLARY ARCH
IMPRESSION
1. PATIENT IS MADE TO SIT IN AN UPRIGHT POSITION
2. OCCLUSAL PLANE OF THE PATIENT IS PARALLEL TO THE FLOOR
3. THE DENTAL SURGEON IS AT 11 Oā€™CLOCK POSITION FOR MAXILLARY IMPRESSION
4. ADJUST THE LIGHT
ā€¢ Boucher`s Prosthodontic treatment for edentulous patients -
9th edition
ā€¢ Textbook of Prosthodontics - V. Rangarajan
ā€¢ Lyman S, Boucher LJ.-Radiographic examination of
edentulous mouths. J Prosthet Dent. 1990 Aug;64(2):180-
182.
ā€¢ House M.M.-The relationship of oral examination to dental
diagnosis. J Prosthet Dent. 1958 Mar;8(2):208-219.
REFERENCES

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Clinical steps in impression making using ZOE {maxillary cast}

  • 1. CLINICAL STEPS IN IMPRESSION MAKING USING ZINC OXIDE EUGENOL {MAXILLARY ARCH} BY: SHRUTI ANANYA 1879077 3RD YEAR BDS
  • 2. ZINC OXIDE EUGENOL IMPRESSION PASTE ā€¢ IMPRESSION PASTE USED FOR FULLY EDENTULOUS ARCH WITH OR WITHOUT MINOR UNDERCUT
  • 3. A. IMPRESSION MATERIAL FOR EDENTULOUS PATIENTS bite registration paste USES OF ZOE IMPRESSION PASTE
  • 4. BIOCOMPATIBLE GOOD ADHERENCE TO TISSUES GOOD SURFACE DETAILS GOOD DIMENSIONAL STABILITY PROPERTIES
  • 5. COMPOSITION BASE PASTE REACTOR PASTE ā€¢ ZINC OXIDE (87%) ā€¢ VEGETABLE OIL (13%) - PLASTICIZER ā€¢ EUGENOL OR OIL OF CLOVES (12%) - REDUCES THE BURNING SENSATION ā€¢ POLYMERIZED ROSIN (50%) - SPEEDS THE REACTION ā€¢ SILICA FILLER (20%) ā€¢ LANOLIN (3%) ā€¢ RESINOUS BALSAM - IMPROVES FLOW ā€¢ CALCIUM CHLORIDE AND COLOR
  • 7. MIXING TIME AND SETTING TIME ā€¢ MIXING TIME = 45-60s ā€¢ SETTING TIME = 3-5mins
  • 8. ADVANTAGES AND DISADVANTAGES ADVANTAGES DISADVANTAGES ā€¢ CAN BE CHECKED REPEATEDLY WITHOUT DEFORMING ā€¢ REGISTERS ACCURATE SURFACE DETAILS ā€¢ DIMENSIONALLY STABLE ā€¢ DOESNT REQUIRE A SEPARATING MEDIUM ā€¢ MINOR DEFECTS CAN BE CORRECTED WITHOUT DISCARDING THE ENTIRE IMPRESSION ā€¢ REQUIRES A SPECIAL TRAY ā€¢ STICKY IN NATURE ā€¢ EUGENOL CAN CAUSE A BURNING SENSATION AND TISSUE IRRITATION ā€¢ CANT BE USED FOR DENTULOUS PATIENTS ā€¢ CANT BE USED IN THE AREAS WHERE THERE ARE SEVERE UNDERCUTS
  • 10. MATERIALS REQUIRED FOR PREPARING THE IMPRESSION PASTE 1. GLASS PLATE 2. OIL SHEETS 3. REACTOR AND BASE PASTES 4. CEMENT SPATULA 5. CUSTOMIZED TRAYS OF THE PATIENT
  • 11. EQUAL LENGTHS OF BOTH REACTOR AND BASE PASTE ON THE GLASS PLATE OR OIL IMPERVIOUS PAPER CEMENT SPATULA IS USED TO MIX BOTH THE PASTES IN A CIRCULAR MOTION HOMOGENOUS MIX WITH UNIFORM COLOR THROUGHOUT
  • 12. STEPS FROM PRIMARY IMPRESSION TAKING TILL SECONDARY IMPRESSION TAKING{ZOE} PRIMARY IMPRESSION USING IMPRESSION COMPOUND BEADING OF PRIMARY IMPRESSION BOXING OF PRIMARY IMPRESSION PLASTER POURING PRIMARY CAST SPACER MARKING
  • 13. SPACER ON WAX FABRICATION OF CUSTOM TRAY WITH HANDLE BORDER MOULDING ZOE IMPRESSION ON CUSTOM TRAY FABRICATION OF MASTER CAST
  • 14. PRIMARY IMPRESSION OF THE MAXILLARY CAST
  • 15. ANATOMICAL LANDMARKS OF MAXILLARY CAST
  • 16.
  • 17. RELIEF AREAS LIMITING STRUCTURES SUPPORTING STRUCTURES- PRIMARY STRESS BEARING AREAS SUPPORTING STRUCTURES- SECONDARY STRESS BEARING AREAS The portion of the denture-bearing area over which the denture base is altered to reduce functional pressure. Limiting structures are sites that will guide us in having an optimum extension of denture so as to engage maximum surface area without encroaching upon the muscle action. The trabecular pattern in the bone is perpendicular to the direction of force, making it capable of withstanding any amount of force without marked resorption. The primary stress-bearing areas generally have thicker mucosa and /or underlying bone that is less subject to resorption because it is cortical bone. The residual ridge is generally a secondary stress-bearing area as it is made up of cancellous bone.
  • 18. SPACER MADE ON MAXILLARY CAST ā€¢ UNIFORM SPACER OF 2MM IS MADE USING BASEPLATE WAX ā€¢ THE PERIPHERAL EXTENSION OF SPACER= 2MM SHORT OF THE CUSTOM TRAY ā€¢ FUNCTION= ALLOWS THE TRAY TO BE PROPERLY POSTIONED BEFORE BORDER MOULDING + ALLOW THE IMPRESSION TO HAVE EVEN THICKNESS OF IMPRESSION MATERIAL TISSUE STOPS ā€¢ TISSUE STOPS ARE RECTANGULAR OR SQUARE AREAS WHERE THE SPACER IS REMOVED. CUSTOM TRAY IS DIRECTLY IN CONTACT WITH THE RIDGE IN THESE AREAS. THEY FUNCTION TO CORRECTLY ORIENT AND STABILIZE THE TRAY DURING IMPRESSION MAKING AND ENSURE UNIFORM THICKNESS OF THE IMPRESSION MATERIAL. ā€¢ THEY ARE 2MM IN DIMENSION ā€¢ TWO IN CANINE REGION AND TWO IN MOLAR REGION, ON THE CREST OF THE RIDGE.
  • 19. CHAIR POSITIONING FOR MAXILLARY ARCH IMPRESSION 1. PATIENT IS MADE TO SIT IN AN UPRIGHT POSITION 2. OCCLUSAL PLANE OF THE PATIENT IS PARALLEL TO THE FLOOR 3. THE DENTAL SURGEON IS AT 11 Oā€™CLOCK POSITION FOR MAXILLARY IMPRESSION 4. ADJUST THE LIGHT
  • 20. ā€¢ Boucher`s Prosthodontic treatment for edentulous patients - 9th edition ā€¢ Textbook of Prosthodontics - V. Rangarajan ā€¢ Lyman S, Boucher LJ.-Radiographic examination of edentulous mouths. J Prosthet Dent. 1990 Aug;64(2):180- 182. ā€¢ House M.M.-The relationship of oral examination to dental diagnosis. J Prosthet Dent. 1958 Mar;8(2):208-219. REFERENCES