This document provides an overview of dental impression materials, including their definition, classification, history, mixing systems, properties, and techniques. It discusses the main types of materials - polysulfide, condensation silicone, addition silicone, and polyether. For each, it outlines their composition, advantages, disadvantages, and properties like tear strength and dimensional stability. The document also reviews factors that affect impressions like temperature, viscosity, and storage conditions. It provides recommendations to control dimensional changes and concludes with a literature review on improving the accuracy of elastomeric impression materials.
3. Definition
Classification
History
Mixing System
Impression materials
Properties
Material incompatibilities
Recent advances
Impression techniques
Removal of impression & preparation of
stone dies
Review of Literature
Conclusion
References
4. A group of flexible chemical polymers, which are either
chemically or physically cross-linked. Generally they can
be easily stretched and rapidly recover their original
dimensions when applied stresses are released.
GPT
5. 1. ADA Specification no.19
Based on selected elastic properties & dimensional
changes after setting.
6. 2. According to consistency
ISO Standard for Dental Elastomeric Impression Materials (ISO
4823)
TYPE DESCRIPTION
0
1
2
3
Very high consistency
( Putty like)
High consistency
(Heavy bodied)
Medium consistency
(Regular body)
Low consistency
(Light body)
10. Light/Medium body
Equal lengths of base paste and catalyst paste on mixing pad
or glass slab
Catalyst paste collected first with stainless steel spatula and
then spread over the base paste
12. Putty systems
Scoops supplied by the manufacturer.
Kneaded with the fingers until uniform color.
13. If one of the components is in liquid form, such as the catalyst for
condensation silicones, a length of the base is dispensed from the
tube onto a graduated mixing pad and drops of the liquid catalyst
corresponding to the length of the base are added.
14. This technique transforms two paste materials into a
homogeneous mixture without mechanical mixing.
Gun used for compressing materials in a two-cylinder
cartridge, which contains the base and catalyst .
15. The mixer elements are a series of alternating right- and left-turn
180° helixes . The streams that flow in either side of the helix
will make a 180°.The rotational circulation causes a radial
mixing of the materials.
16. The mixed impression material is injected directly into the
adhesive-coated tray and onto the prepared teeth.
Advantages
Greater uniformity in proportioning and mixing.
Fewer voids in the mix.
Reduces the mixing time.
Fewer possibilities for contamination of the material.
17. Catalyst and base are supplied in large plastic bags in a
cartridge which is inserted into the top of the mixing
machine.
Plastic tip is placed in front of the machine.
When button is depressed, parallel
plungers pushed against the collapsible
plastic bags thereby opening the bags
and forcing material.
Uses a motor to drive parallel plungers.
18.
19. Also known as Thiokol rubber or Mercaptan or rubber
base.
Available as
Light body
Medium body
Heavy body
20. BASE PASTE
1. Polysulfide polymer- 80-85%
Terminal and pendent thiol (-SH group)
Polymerize and crosslink to form rubber
2. Filler- 12-50%
Lithopone or Titanium dioxide, chalk, zinc sulfide, zinc
oxide, silica.
Gives body and controls viscosity
22. CATALYST PASTE
1. Lead dioxide- 30%
Catalyses the condensation reaction.
Gives the characteristic brown colour.
Other oxidizing agents, which can be used are Mn or Zn
dioxides, hydro peroxides, cupric hydroxide.
23. 2. Inert Oil- 17%
Paraffinic type.
Form a paste with lead dioxide and sulphur.
3. Sulphur- 1-4%
Involved in the setting reaction
4. Oleic acid or stearic acid
Retarder
24.
25. ADVANTAGES
• High tear strength
• High flexibility for easy
removal around
undercuts
• Long working time
• Economic
• Extensive shelf life
• Has good flow before
setting
DISADVANTAGES
• Dimensionally unstable
• Unacceptable odour
• Stains clothing
• Long setting time
• Least elastic recovery
• Must be poured
immediately
• Potential for significant
distortion
26.
27. Available in
Low viscosity
Medium viscosity
Very high ( Putty) viscosity
28. BASE PASTE
1. Hydroxyl-terminated polydimethyl siloxane
Liquid silicone
Undergoes cross-linking to form rubber.
2. Inert filler
Silica, copper carbonate
Controls the viscosity and modifies the physical properties.
Paste contains 30-40 % where as putty will contain 75% of the
filler.
34. BASE PASTE
1.Polymethyl hydrogen siloxane or other siloxane
prepolymers
Undergo polymerization to form rubber
2. Inert filler
Silica, metal oxides etc.
Give body, control the viscosity and modify the physical
properties of the material
35. CATALYST PASTE
1. Di vinyl polydimethyl siloxane or other siloxane
prepolymers.
2. Platinum salt/chloroplatinic acid.
Reaction catalyst.
3. Palladium – hydrogen absorber
4. Inert fillers
Silica, metal oxides etc
36.
37. ADVANTAGES
• Excellent dimensional
stability
• Low curing shrinkage
• Low permanent
deformation
• Pleasant color and odor
• Good tear strength
DISADVANTAGES
• Expensive
• Hydrophobic
• Sulfur contamination by
latex gloves
43. -
ADVANTAGES
• Adequate tear strength.
• Less hydrophobic- better
wetting.
• Less distortion on
removal.
• Good dimensional
stability.
• Good reproduction of
detail and easily poured
in stone
DISADVANTAGES
• Imbibition
• Hypersensitivity in some
patients.
• Extremely stiff
• Stiffness requires blocking
undercuts.
• Slightly more expensive.
45. Disinfectant should be sprayed on impression until
saturated.
Then wrapped in a disinfectant soaked paper towel and
placed in a sealed plastic bag for 10 min.
After removal of paper towel impression should be rinsed,
dried and poured immediately with cast material.
45
49. A review of modern impression materials. Aust Dent J
23:178, 1978.
50. Effects of temperature
Increase in temperature - decreases both working and
setting time by accelerating the curing rate.
Decrease in temperature – increases working time, can be
accomplished by refrigerating the materials or mixing on a
chilled dry glass slab.
Effect of viscosity
Increase in viscosity - decreases working time and setting
time.
Altering base / catalyst ratio can alter the working and setting
time - but adversely affects the mechanical properties.
52. Five major CAUSES of dimensional changes.
Polymerization shrinkage.
Loss of by product (water or alcohol) during condensation
reaction.
Thermal contraction from oral temperature to room
temperature.
Imbibition when exposed to water, disinfectant or high
humidity environment over a period of time.
Incomplete recovery of deformation because of
viscoelastic behaviour.
55. Tear strength measure the resistance to fracture of an
elastomeric material subjected to a tensile force acting
perpendicular to a surface.
Depends on chemical composition, consistency and
manner of removal of material from mouth.
57. Ability of a material to return to its original dimension
without significant distortion upon removal from the
mouth.
For all impression material greater the depth of undercut,
the greater its permanent distortion.
59. Cell cytotoxicity - Polysulfide results in lowest cell death
count and set polyether highest.
Hyper sensitivity to polyethers has been reported due to
the presence of alkylbenzene suplhonate in the catalyst.
60.
61. Metal salts in many astringents & retraction cords
(adrenaline & ferric sulfate) inhibit setting of PVS &
polyether
61
62. Polymerization of PVS can be inhibited by
direct contact with latex gloves or
indirectly by hands that had previously
been wearing gloves.
62
63.
64. Enhanced with the incorporation of nonionic surfactants.
Contains a hydrophilic part and a silicone-compatible
hydrophobic part.
These surfactants act through a diffusion transfer of
surfactant molecules from the polyvinyl siloxane into the
aqueous phase.
The surface tension of the liquid is changed, and
wettability increases.
65. Hybrid polymer of polyether and siloxane
(addition silicone) group
With Polyether group, a hydrophilic material is
produced
With siloxane , a dimensionally stable material is
produced
Good wetting property
Low tear strength
66. It is a polyether urethane dimethacrylate photoinitiated
elastomeric impression material
Long working time, short setting time, dimensional
stability, accuracy, high tear strength
Good wettability
Two viscosities: Light and heavy
67. Can be steam autoclaved at 134°C
without adverse effects to the
dimensional stability & tear strength.
To be used with autoclavable
impression trays
and a special tray adhesive.
68.
69. Medium viscosity polyether and addition silicones used in
a custom tray.
Only one mix is made, part of the material placed in the
tray and another portion placed in the syringe for injection
in the cavity preparation or on prepared teeth
70. Advantages
Reduced wastage of the material.
Less time consumption.
Disadvantages
Relatively high viscosity and reduced flow of the
monophase materials, makes their injection onto the
preparation more difficult to control.
Increased incidence of surface voids.
71.
72. Advantages
Over comes the polymerization shrinkage of the light
body material
Margins duplicated in light body.
Disadvantages
An assistant required for mixing the material - tray/syringe
simultaneously.
Margins duplicated in putty in case of excess pressure.
74. Developed for condensation silicone to minimize effect of
polymerization shrinkage.
Care to be taken to provide enough vents for wash
material to escape through the putty material.
75. 2 mm thick wax is adapted on a diagnostic cast, occlusal
stops are provided on non-functional cusps.
A putty impression is made with a stock tray resulting in a
putty custom tray with 2mm space for the wash material
Putty custom tray is then washed with light body material.
76.
77. Advantages
Wash stage carried out after the putty has set and
contracted.
Controlled wash bulk compensates for this contraction
with minimal dimensional change.
Disadvantages
Extra chair side time.
Extra material.
78. Used as means for carrying impression and also
for gingival retraction.
Copper band is selected and placed over the tooth
and the buccal surface and the gingival contours
are marked.
79.
80. Impression material is loaded into into the copper band
and seated on the tooth and impression is made with
the tray material.
81. Advantages
The gingival tissue retraction is maximal and superior to
indirect retraction methods.
The band impression made under pressure will have no air
bubbles or voids
Disadvantages
Can cause damage to the attachment apparatus
Time consuming
82. First break the physical adhesion between the tissue
and the impression.
All elastomeric impression materials are viscoelastic,
and it is necessary to use a quick snap to minimize
plastic deformation of the impression during the removal
process.
Teasing or rocking movement should not be used.
83. The hydrophobic characteristics of silicone impression
materials make them suitable for pouring of epoxy resin
to produce dies but makes pouring with gypsum
products challenging.
Surfactant sprays, improve the surface wettability of the
silicone impression material for the stone slurry.
84. Pouring of a stone cast in a polyether does not require
surfactant.
The excellent dimensional stability of addition silicone
impression materials makes it possible to construct two or
three casts or dies from these materials.
85.
86. F.S. Goncalves, D.A.V. Popoff, C.D.L Castro, G.C. Silva, and A.N. Moreira
review the literature concerning the dimensional stability of dental
elastomeric impression materials and to propose clinical
recommendations for the control of variables that influence the
accuracy of these materials.
Conclusion
This review supports the following recommendations to control the
dimensional stability of elastomeric impression materials
87. Impressions should be stored in an environment with temperatures
of 21 ± 2º C
There was no consensus regarding the optimal storage medium for
elastomers, except for the polyether, which should be stored in an
environment with a relative humidity of less than 50%.
Polysulfide and condensation silicone impressions should be poured
up to 30 minutes.
Polyether impressions can be poured between 30 minutes and 24
hours.
PVS impressions can be poured between 30 minutes and 4 weeks.
Eur. J. Prosthodont. Rest. Dent(2017):Vol.19;1-4
88. Pratheek Shetty, Shobha Rodrigues
The accuracy of elastomeric impression materials on
repeated pours is reviewed in this article.
conclusion
addition silicones and polyethers to a certain extent were
least affected with delay in pouring the impression.
89. since condensation silicones and polysulphide materials are
not dimensionally stable, the time interval between pours
should not be greater than 30 min and repouring would result
in significant loss of accuracy.
The Journal of Indian Prosthodontic Society | June 2006 | Vol 6 | Issue 2
90. Accuracy of three polyvinyl siloxane putty-wash impression
techniques.
Nissan J, Laufer BZ, Brosh T, Assif D.
This study assessed the accuracy of 3 putty-wash impression techniques
using the same impression material (polyvinyl siloxane) in a laboratory
mode
The 3 putty-wash impression techniques used were
(1) 1-step impression technique
(2) 2-step with 2-mm relief
(3) 2-step technique with a polyethylene
91. Rina singh, Jagit singh, Sonia Nanda
To determine the effect of different retraction cord aluminium
chloride (5%), ferric sulphate (13.3%) and epinephrine (0.1%)
medicaments on surface detail reproduction of polyvinyl
siloxane impression materials(Dentsply and 3M ESPE)
J Clin Exp Dent. 2013 Jul; 5(3): e138–e143.
Surface detail reproduction of the polyvinyl siloxane impression
materials is adversely affected by the retraction cord medicaments.
92. Impressions are very critical to the success of dental
restorations. An understanding of their chemical nature,
physical property and limitation of each material is
necessary for their successful use in clinical dentistry.
93. CRAIG’S restorative dental materials, 12th edition
PHILLIP’S science of dental materials, 11th edition
Markus Balkenhol, Paul Ferger, Bernd Wostmann -In vitro
study dimensional accuracy of 2- stage putty wash
impression : influence of impression tray & viscosity.
ijp,2007, 20, 573-575
Markus Balkenhol, Sylvia Haunschild, Christina Erbemm and
Bernd WöstmannIn vitro study dimensional accuracy of 2-
stage putty wash impression : influence of impression tray &
viscosity J Prosthet Dent 2010;103:288-294
94. Heeje Lee, Joseph , J.L. Hochstedler and Carlo Ercoli-
purpose to examine the clinical factors affecting implant
impression accuracy J Prosthet Dent 2008;100:285-291
Thomas Stober, Glen H. Johnson and Marc Schmitter - Study
to assess the accuracy of disinfected vinyl siloxne ether
impressions & compare the accuracy to vinyl polysiloxane &
polyether impression system J Prosthet Dent 2010;103:228
239
Editor's Notes
Elastomeric impression materials were developed from synthetic rubber which was mainly for industrial applications but their potential in medicine and dentistry was quickly realized and they are now widely used as impression materials. They were quick to gain acceptance in dentistry because they offered potential solutions to the two main problems associated with hydrocolloids – poor tear resistance and poor dimensional stability.
These are lage polymers with weak interaction between them. They are tied at certain points to form a three dimensional network. On stretching the chains uncoil and on removal of stress they snap back to their relaxed entangled state.
This is measured by pressing 0.5 ml of mixed material between two flat plates using a force of 1.5 N. The consistency, defined by the average diameter of the resulting disc of the material
C silicones wer developed few years later. The polyether was the first impression material originally designed for dental use by German manufacturer ,ESPE, in 1965.
initially the spatula should be vertical slightly and mixed in circular motion in a small area. After the initial mix , the spatula is held horizontally and the mixed material is now spread over a large area and mixed with long even strokes back-and-forth. Helps in eliminating air bubbles
Design of a static mixing tip.
One precaution that should be taken in using these automixing devices is to make sure that the openings of the tubes that dispense the pastes remain unclogged
Linear polysulfide polymer with linear and pendent thiol group.Lead dioxide is the oxidising agent. Initiates polymerisation through Chain lengthening by terminal Sh groups and crosslinking through pendent SH groups. Water is the byproduct
Poured in 1 hour
This was earlier of two silicones . It is also reffered as conventional silicones.
Silicones have inherent low cohesive energy level and hence a weaker intermolecular interaction. Hence the filler particles has to be pretreated.The putty is highly filled so that there are fewer polymers present, hence less polymerization shrinkage. Because the mixture has a large concentration of filler particles, the properties of the impression material are influenced by properties of the filler. This phenomenon is known as the law of mixtures. Hence, the overall thermal expansion of the material is less than that of the polymer, because the filler particles have smaller coefficient of thermal expansion. . Smaller particles aggregate and contribute reinforcement. Surface treated particles provide better compatibility with the silicon rubber and also contribute to reinforcement.
Hydroxyl terminated polydimethyl siloxane. Contains reactive terminal hydroxyl grous. Conmines with tri or tetraethyl alkyl silicate to form crosslinked polymer release alcohol as byproduct
Overcomes some of the disadvantages of polysulfide being Odourless. But it has low tear strength and dimensional stability compared to polysulfide
Also known as polyvinyl siloxane, currently they are very poplar perhaps most widely used elastomeric impression material world wide.
Lead dioxide is the oxidising agent. Initiates polymerisation through Chain lengthening by terminal Sh groups and crosslinking through pendent SH groups. Water is the byproduct
Hydrogen atom of vinyl silicone chain move to the vinyl group during addition polymerization.
Hydrogen gas - Technically not a reaction by product
it is introduced in Germany in 1960s
The molecular weight of the difunctional imino molecule is about.Gives body, controls the viscosity and physical properties of the material.
The initiator aromatic sulfonate ester dissociate and forms alkyl cation
This alkyl cation goes and binds to the nitrogen atom of aziridine ring prepolymer
This results in opening of aziridine ring and now reacted prepolymer has two charged ethylene imine terminals and that reacts with adjacent nitrogen atom of adjacent prepolymer and the reaction continues results in larger molecule.
Polyether shows clearly defined working time with a sharp transition into setting phase – SNAP-SET.
Polyether shows dimensional changes on disinfection with glutaraldehyde.are also susceptible to dimensional changes if immersed for >10min Long immersion time of hydrophilic vinylpolysiloxane may leach out surfactant and render impression less hydrophilic.
Assessed by measuring the advancing contact angle of water on the surface of the set impression material.All elastomers have contact angle more than 45 degres
Polyether- polar oxygen atoms have affinity for water.
Wtthe time elapsed from the start of mix until the material is loaded on to the tray / syringe.St- the transitional time at which plastic properties which permit molding and impression taking are lost and elastic properties permitting removal of the imp mat are acquired.
Inc filler content in the materials increases wt & st.Normally, having more base materials in the mixture tends to increase the wt &st.not economical.since the acc paste contains a retarder as well as a reactor, increasing the b/a ratio may not produce a predictable change in the polmrstnn rate.
Addition silicone - most stable - casts produced between 24 hours and 1 week as accurate as a cast made in first hour.Polyether can absorb water from the atmosphere as hydrophilic.stored in cool, dry envrmnt.C silicone and Polysulfides- loss of by product
polyether most stiff material. Polyethers are not recommended in cases presenting long, thin preparations of periodontally involved teeth. So theyu cannot be used in severe undercut area.
Maximum flexibility measure of the extent to which a material to be strained or deformed while remaining in its elastic region. Polysulfide most flexible. Flexibility of impression material allows easy removal from the undercut areas and from mouth with minimum of stress
Important property when dealing with impression material used in interproximal and sub gingival area.rapid rate of removal increases tear strength
Lead dioxide is the oxidising agent. Initiates polymerisation through Chain lengthening by terminal Sh groups and crosslinking through pendent SH groups. Water is the byproduct
The silicone dioxide filler had a refractive index close to that of the resin to provide the translucency necessary for maximum depth of cure.
success depends on the pseudoplastic (shear thinning) properties of the materials. When a medium-viscosity material is forced through the syringe tip, the viscosity is reduced to allow the material to adapt well to the preparation. Meanwhile, the material in the tray retains its medium viscosity, and, when seated, it can force the syringe material to flow past critical areas of the tooth preparation
syringe is loaded by holding the barrel vertically and pushing it through the mix and then angling and sliding it sideways over the mixing pad. Simultaneously, the tray material is mixed and loaded into the tray
Thick putty material is placed in stock tray and preliminary impression is made. Space for light body wash material is provided either by cutting some of tray putty or by using a thin polyethylene sheet as spacer between putty and the prepared teeth.
This procedure results in what is essentially an intraoral custom-made tray formed by the putty.
occlusal stops are provided on non-functional cusps.A putty impression is made with a stock tray resulting in a putty custom tray with 2mm space for the wash material.Putty custom tray is then washed with light body material.
Impression should not be removed until it has been set completely. During the removal the force should be along the long axis of the teeth. To avoid the distortion.
as it increases the potential of forming voids in gypsum dies and casts.Only a thin layer of surfactant should be applied to the impression surface. A dilute solution of soap is also an effective surfactant