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-By Daraksha Sheikh
 It should have pleasant taste,odor and aesthetic
 Should not contain any toxic or irritating
ingredients
 Should have good shelf life
 Should be used with minimum equipments
 Adequate strength so it will not break or tear
while removing
 It should be dimensionally stable
 it should be electroplated
 It should be viscous enough to contained in the
tray and seated in the mouth
 Mucocompressive theory
 Mucostatic theory
 Selective pressure theory
A. Based on its property-
rigid and elastic
B. Based on its setting-
reversible and irreversible
C. Based on its use-
use in dentulous and in
edentulous patient
mode of setting Rigid Elastic
Set by chemical rxn
{irreversible/
thermoset}
•Impression plaster
•ZOE
•Alginate
•Elastomers
Set by temperature
changes
{reversible/
thermoplastic}
•Impression comp
•waxes
•Agar
 It is thermoplastic impression material
 It is classified as rigid, reversible impression
material which sets by physical change.
 It is also called as modelling plastic.
Types-
Type 1-low fusing comp-(40-45 C)
 Type 2-high fusing comp-(60-65 C)
This is soften by heat
loaded on tray and
pressed against the
tissue before cooled
Also used for making
single tooth impression
called tube impression
Initially used for
taking impression
then used as tray
so we also called
it as tray
compound
It is more viscous
when soft and
more rigid when
hard.
Stick,cakes and cones
 Waxes and resins-30%
 Shellac -30%
 Stearic acid -5%
 Gutta percha -5%
 Filler -25%
 Colouring agent -trace
 Principal ingredient
that comprises of
matrix
 Improves plasticity
and workability
 Increases viscosity at
temp above the
mouth temp and
increases rigidity of
compound.
 It should solidify at or little above mouth
temp
 It should not be injurious or harmful to oral
tissue
 It should not contain irritating or toxic
ingredients
 It should not undergo permanent
deformation or fracture while withdrawing
from mouth
 Should be dimensionally stable
• For making primary
impression
• For individual tooth
preparation
• Border moulding type I
is used to duplicate
functional sulcus depth
• To check undercuts in
inlay preparation
1} Low thermal conductivity
2}Glass transition temp -39 C(loses its hardness}
3}Fusion temp-43 C(soft to manipulate)
4}Co-efficent of linear expansion high due to
presence of resin and wax-0.3%
5}flow-
type1-3% at 37 C
80-85%at 45 C
type2-2% at 37 C
70-80% at 45 C
 Small amt is softened over flame (not to be
boiled it because plasticizer are volatile)
 If large amt like cakes are used then they are
softened by keeping in temp controlled
water bath
 Comp is removed, worked with finger to
obtain uniform plasticity throughout mass
loaded in the tray and impression is taken
 After impression cast should se pour
immediately
 Overheating in water bath is not indicated as
the compound becomes brittle and grainy
because some of the low molecular wt
ingredients get leached out so the
composition might change.
Advantages
1)It can be reused for
same patient
2)It is correctable
3)Material can be
extended beyond the
tray border
Disadvantages
1)Because of high
viscosity difficult to
to record details
2)While taking
impression due to
pressure soft tissue
get compressed
3)Distortion due to
poor dimensional
stability.
 Disinfectant solution for compound is 2%
alkaline glutaraldehyde solution.
 The impression should immersed in this
solution for the required amt of time, rinsed
and the pour immediately.
Zinc oxide eugenol
impression paste.
A.D.A spec no. : 16
By Nidhi Pandya
 Type I Hard
 Type II Soft
 Base paste (white in color).
 Accelerator or reactor or catalyst paste (red in
color).
 Base paste:
Zinc oxide(87%)
Should be finely divided and should
contain slight amount of water.
Vegetable or mineral oil(13%)
Acts as plasticizer and masks the
action of eugenol as irritants
 Catalyst paste
Oil of clove or Eugenol(12%)
Reduces burning sensation.
Gum or polymerized Rosin(50%)
Speeds the reaction.
Filler(20%)
Lanolin(3%)
Canada balsam(10%)
Improves flow and mixing.
Other catalysts like zinc acetate
and glacial acetic acid
 Acid base reaction
 Chelation
 Auto catalytic reaction
 1. ZnO + H2O  Zn(OH)2
 2. Zn(OH)2 + 2HE  ZnE2 + 2H2O (water)
(Base) (Eugenol) (Zinc eugenolate)
Initial setting Final setting
 Type I 3-6mins 10mins
 Type II 3-6mins 15mins
 Particle size of ZnO powder: Small particles make the
setting time less.
 Varying the length of the two pastes.
 Longer the mixing, shorter is the setting time.
 High atmospheric temp. and humidity accelerate
setting.
 Setting delayed by cooling the mixing slab.
 Zinc acetate or drop of water or acetic acid decreases
setting time by increasing the speed of formation of
Zn(OH)2.
 Two pastes of equal lengths.
 Oil impervious paper or glass slab.
 Spatula method (uniform color with no streaks
should be formed).
 Pouring of the impression.
 Sufficient flow.
 Minimum tissue distortion.
 Ease in beading and boxing.
 Not washed out by saliva.
 Adequate dimensional stability.
 Adequate working time.
 Can be checked in mouth repeatedly.
 Does not require separating media.
 Minor defects can be corrected.
 Requires special trays.
 Sticky.
 Causes tissue irritation.
 Temperature and humidity affect setting time.
 Profuse secretion causes distortion.
 Cant be used in undercut areas.
 Brittle and require support.
 As final impression material.
 As corrective or wash impression.
 As bite registration paste.
 Used as stabilizing base plates and as temporary relining
material.
 As surgical pack.
 For temporary cementation.
 Surgical paste: Used after certain periodontal surgeries
where sutures cannot be placed. The paste is placed over the
wound for retention of medicament.
 Noneugenol impression and surgical paste: These
reduce the burning sensation and disagreeable taste caused
due to eugenol.
ZnO + 2RCOOH  (RCOO)2Zn +H2O
 Bite registration paste: These are used for recording
occlusal relationship between two occluding surfaces. These
have shorter ST to prevent distortion and more plasticizer to
prevent it from sticking.
(REVERSIBLE HYDROCOLLOID)
-By Suheb Quereshi
INTRODUCTION
 In 1925, Alphous Poller was granted a British patent for a
totally different type of impression material. Later Poller’s
Negacol was modified and introduced to the dental
profession as Dentacol in 1928
 Agar hydrocolloid was the 1st successful elastic
impression material to be used in dentistry.
 It is an organic hydrophilic colloid extracted from sea
weed.
 Agar is a sulfuric ester of a linear polymer of galactose.
CLASSIFICATION
 Type I - High consistency ( for use as tray material )
 Type II - Medium consistency ( for use as tray or syringe
material )
 Type III – Low consistency ( for use as syringe material )
USES
1. Widely used for cast duplication.
2. For full mouth impressions without undercuts.
3. As a tissue conditioner
4. It was used extensively for FPD impressions.
SUPPLIED AS
 Gel in collapsible tubes.
 As cartridges
 In bulk containers.
COMPOSITION
Ingredients
 Agar (13-17%)
 Borates (0.2-0.5%)
 Potassium sulphate (1-2%)
 Wax (0.5-1%)
 Thixotropic materials (0.3-
0.5%)
 Alkylbenzoates (0.1%)
 Coloring & flavoring agents
 Water (around 84%)
Functions
- Basic constituent
- Improves the strength
- Ensures proper setting of the
cast
- It acts as a filler
- It acts as a plasticizer
- It acts as a preservative
- For patient comfort
- Acts as the dispersion medium
GELATION OR SETTING OF AGAR
 Agar changes from the sol to the gel state & vice versa by a
physical process.
 As the agar sol cools to form fibrils called micelles.
 The fibrils branch & intermesh together to form a brush –
heap structure.
 The fibrils form weak covalent bonds which break easily at
higher temperature in causes gel turning to sol.
 The process of turning gel to sol is known as
LIQUEFACTTION (temp.. 70-100° C )
 On cooling agar reverses to the gel state, the process is called
GELATION. (occurs at or near mouth temp. to avoid injury
to oral tissues)
Materials Required for Manipulation
 Agar Hydrocolloid conditioner
 Hydro colloid material
 Water cooled rim lock trays
 Syringe material
 Duplicating mould
 Rubber hose
The Hydrocolloid Conditioner
It includes 3 sections,
 Boiling or Liquefaction section
( agar is placed in boiling water at 100° C for 10 min.)
 Storage section
( 65-68° C is ideal & can be stored in sol condition)
 Tempering section
( 46° C for 2 min. with the material loaded in tray)
 It makes the material viscous.
Impression trays
 Rim lock trays have a feature of water circulation through
the tray
 It is a beeding on the inside edge which helps to retain the
material.
 It has an inlet & outlet for connecting the water tubes
 Should allow a space of 3 mm.
 It extend distally to cover all teeth.
Working & Setting time
 WT ranges b/w 7-15 min.
 ST is about 5 min.
Properties of Agar Hydrocolloids
 Gelation temp.: the sol should revert to a gel at a temp. of
37° C but not more than 45°C
 Liquefaction temp. : it occurs at higher temp. at 70°C.
 Hysteresis : the temp. lag b/w liquefaction & gelation.
 Syneresis : the gel may lose water by evaporation from its
surface or exuding of fluid.
 Imbibition : if the material is immersed in water, it
absorbs water by this process.
 Flow : the material is sufficiently fluid to record the fine
details.
 Elasticity : they are highly elastic
 Accuracy & dimensional change : they are highly accurate
at the time of removal, but shrink when stored in air or
100% humidity and expand when stored in water.
 Gel strength : it can withstand great stresses particularly
shear stress, without flow.
 thus the impression should be removed as rapidly as
possible to avoid distortion.
Laminate Technique
 Also known as Agar-Alginate combination technique.
 Syringe material is injected on the area to be recorded.
 An impression tray containing chilled alginate is placed,
so it will bind to agar that is already positioned.
 The alginate sets by chemical reaction and agar by the
cooling effect of the alginate.
ADVANTAGES
Less air bubbles
Water cooled trays are not required
It sets faster
Wet Field Technique
 The areas to be recorded are flooded with warm water.
 Then the syringe material is introduced quickly in bulk to
cover the occlusal or incisal areas.
 While the syringe material is still liquid, the tray material
is seated.
 The hydraulic pressure of the viscous tray materials forces
the fluid syringe down into the areas to be restored.
 This displaces the syringe material, blood and debris
through out the sulcus.
Impression Disinfection
 Iodophor
 Bleach
 Glutaraldehyde
Advantages
 Accurate dies can be prepared.
 Good elastic properties help reproduce undercut areas.
 Good recovery from distortion.
 Hydrophillic
 It is economical compared to synthetic elastic materials.
 Low cost because it can be reused.
 Can be reused when used as a duplicating material..
Disadvantages
 Requires special & expensive equipment.
 Doest not flow well
 Can’t be electroplated.
 Patient may feel thermal discomfort.
 Only 1 model can be poured.
 Has to be poured immediately.
 Impossible to sterlize.
IRREVERSIBLE
HYDROCOLLOID
ALGINATE
-By Yogita Singh Rathore.
 The word alginate comes from the term
‘Algin’
 It is the peculiar mucous extract yield by
certain brown seaweed(algae).
 It is classified as elastic irreversible
material that sets by chemical rxn.
TYPES
Type 1-fast setting
Type 2-normal setting
Mode of supply
 It is supplied as a packed powder
 In bulk or in tins
 A plastic scoop is supplied for dispensing
the bulk powder and the plastic cylinder for
measuring
COMPOSITION
 Sodium or potassium
or alginate -15%
 Calcium sulphate-16%
 Zinc oxide - 4%
 Potassium titanium
fluoride -3%
 Dissolves in water
and reacts with
calcium ion
 Reactor reacts with
potassium alginate
and forms insoluble
calcium alginate
 Acts as filler
 Gypsum hardner
 Diatomaceous
earth -60%
 Sodium
phosphate -2%
 Coloring and
flavouring
agents -traces
 Acts as filler
 retarder
Setting rxn
 When alginate powder is mixed with water
a sol is formed which later sets to form
gel by chemical rxn
 The final gel i.e insoluble calcium alginate
is produce when sodium alginate reacts
with calcium sulphate
 The reaction is retarded by using retarder
sodium phosphate.
Sod. Alginate+ cal. Sulphate +
water Ca alginate(gel) +
water
Gel structure
 Gelation is the conversion of sol to gel.
 The final gel consist of a brush heap of
calcium alginate fibril network enclosing
unreacted sodium alginate sol, excess
water, filler particles and reaction by
product .
 Fibrils are held by primary bond rather
then intermolecular forces.
Control of gelation time
 By addition of retarder
 By altering the temp of water
colder water longer is the gelation
time.
warmer water shorter is the gelation
time.
 Even the mixing bowl and spatula can be
cooled to prolong the gelation time.
MANIPULATION
 For mixing, we need
a clean flexible plastic bowl.
a clean wide bladed stiff metal spatula.
METHOD
 Tumbling the container is done for the uniform
distribution of constituent before mixing.
 Top is opened carefully so that to prevent very
fine particles to being distribute around the
room.
•The recommended w:p ratio is
38ml:16gm.
•Scoop supplied by the manufacturer is
taken the powder is level and sprinkle on
water
•Mixing is done rapidly with stirring motion
to wet the powder with water
•After that rapid spatulation is done against
the side of the bowl
•A vigrous figure of 8 motion is used with
the mix being a wiped or stropped against
the side of the rubber mixing bowl and
prevent entraption of air bubbles.
Mechanical device are also available
for spatulation
Its advantages are:
1)speed
2)covenience
3)elimination of human variable
The mix should be smooth creamy with minimum
voids and dose not drip off the spatula when raised
from the bowl
Over mixing
•Reduction in final strength
as the gel fibrils are
destroyed as they form
•Reduction in working time Under mixing
•Inadequate wetting, lack of
homogeneity and reduced
strength
•The mix become grainy and
poor recording of details
MIXING TIME
 Fast set alginate-45 sec
 Normal set alginate-60sec
WORKING TIME
 Fast set alginate-1min
 Normal set alginate-2 min
IMPRESSION MAKING
Loading the tray-
 the alginate is mixed and loaded on a perforated tray so
that it can mechanically interlocked
 the adhesive such as sticky wax or methyl cellulose can be
applied to the tray
 the thickness of the gel between the tray and tissue
should be 3 mm
Seating the tray-
 before making the impression the saliva should be wiped of
to prevent the material flowing along the throat and causing
nausea to the patient.
 the impression is seated on the posterior portion first then
the anterior portion is seated.
 Since the material sets from the tissue to the peripheral any
movement during this time can cause distortion
 After removing the impression from the mouth
it should be washed to remove saliva
 Covered with damp napkin to prevent
syneresis
 Cast should be poured as soon as possible;
preferably within 15 mins after making
impression.
Impression disinfection
 The irreversible hydrocolloid may be
disinfected by 10 min immersion in or
spraying of antimicrobial agent e.g
sodium hypochlorite, glutaraldehyde
without significant dimensional changes.
PROPERTIES
1)Setting time-
for fast setting material-1 to 2 min
for normal setting material- 2 to 4.5min
2) flexibility-
14% at the stress of 1000g/cm sq
3)Elasticity-
it is elastic but less as compared to agar
4)Reproduction of details-
suface detail reproduction is less as compared to agar
5)strength-
compressive sterngth-5000 to8000 g/cm sq
tear strength vary from 350-700 g/cm sq
6)Dimensional stability-
alginate impression loses water by evaporation and
shrinks on standing air. if its placed in water it swells. so
kept in 100% humidity for least dimensional change
7)Shelf life-
it has short self life. material is stored in cool and dry
environment.
8)Biological properties-
silica particles present in dust which rises after fluffing
alginate powder is health hazardous so there are also dust
free alginate.
APPLICATION
1) Used for making
impression when
there are
undercuts
2) For making
impression for
orthodontic and
study models
3) For duplicating
models
RECENT ADVANCE
 Dust free alginate-
to avoid inhalation problem of
alginate dust some material have been
introduce in the dustless version in which
the powder is coated with glycol.
 Some products contain a chemical
disinfectant in the alginate powder for
infection control.
ADVANTAGE
 It is easy to mix and
manipulate
 Minimum
requirement of
equipment
 Flexibility of the set
impression
 Accuracy if properly
handled
 Low cost
 It is hygienic as fresh
material to be used
for each impression
DISADVANTAGES
 It is not possible to make
the metal die which have
high resistance to
abrasion
 It is not accurate enough
for crown and bride in
impression
 It cannot be used alone
for compressing the tissue
 It cannot be corrected
 Distortion may occur if
the material is not held
stationary in relation to
the tissue through out he
setting period
ELASTOMERIC IMPRESSION
MATERIAL
A.D.A SPEC NO-19
-By Sunbul Tabrez
TYPES
 Acc to chemistry:
1. Polysulfide.
2. Polysilicones-
a. Condensation silicones
b. Addition silicones.
3.Polyether.
 Acc to viscosity:
1. Light body or syringe consistency
2. Medium or regular body
3. Heavy body or light consistency.
4. Very heavy or putty consistency.
 Acc to wettability:
1. Hydrophilic
2. Hydrophobic.
USES
 Used in FPD for impression of prepared teeth.
 Impression for dentulous mouth for RPD.
 Impression for edentulous Mouth for CD.
 For bite registration.
 Polyether used for border molding of edentulous custom trays.
 Silicone duplicating material for refractory casts.
SUPPLIED AS
 Collapsible tubes
 Putty consistency supplied in jars
 Light and regular body material supplied in cartridges.
PROPERTIES
 Excellent reproduction of surface details.
 Generally hydrophobic (except polyether).
 Nearly complete elastic recovery.
 Tear strength is excellent.
 Dimensional inaccuracies may occur due to curing shrinkage,
loss of byproducts of reaction, thermal contraction, removal
before complete setting.
MANIPULATION
 Single mix technique.
 Multiple mix technique.
 Reline technique:
- Two stage putty wash technique
- One stage putty wash technique.
This is the first elastomeric impression material
introduced in 1950.
Also known as Mercaptan or Thiokol.
POLYSULFIDES
SUPPLIED AS
 Light bodied.
 Medium bodied.
 Heavy bodied.
COMPOSITION
 Liquid polysulfide polymer
(80-85%)
 Inert fillers like titanium
dioxide, zinc sulfate,
copper carbonate (16-18%)
 Lead dioxide (60-68%)
 Dibutyl Phthalate (30-
35%)
 Sulfur (3%)
 Retarders (2%)
BASE PASTE REACTOR PASTE
SETTING REACTION
Mercaptan + Lead dioxide
Polysulfide + Water
It is an exothermic reaction and loss of water causes
shrinkage.
PROPERTIES
 Unpleasant color and odor.
 Materials are extremely viscous and sticky.
 MT  45secs ST  12-16mins.
 Excellent reproduction of surface details.
 Dimensional stability (highest permanent deformation and
elastic recovery improves with time).
 High tear strength.
 Low hardness and good flexibility.
 Hydrophobic.
ELASTOMERS
SILICONE RUBBER IMPRESSION
MATERIALS
By Sahid Hassan Khan
TYPES
The silicone impression materials are of two
types based on the type of polymerization
reaction:
 Condensation silicones
 Addition silicones.
Both silicones are available in different colors
like pastel pink, purple, blue, green, orange,
etc.
CONDENSATION
SILICONES
SUPPLIED AS:
 Paste: Supplied as two pastes in unequal sized
collapsible tubes. Base paste in a large tube and
catalyst paste in a small tube.
 Putty: Supplied in a single large plastic jar. Catalyst
as paste or liquid form.
They come in variety of colors. Base and catalyst in
contrasting colors to aid in mixing.
Available in Three viscosities
 Light bodied
 Medium bodied
 Putty.
COMPOSITION
 Polydimethyl siloxane
 Colloidal silica or
microsized metal oxide
filler.
 Color pigments.
 Orthoethyl silicate
Cross linking agent.
 Stannous octoate
Catalyst.
Base Catalyst
SETTING REACTION.
 Dimethyl siloxane + Orthoethyl silicate
Stannous Octoate
Silicone rubber + Ethyl alcohol.
The ethyl alcohol formed as a by product evaporates
from the set rubber leading to shrinkage.
PROPERTIES
 Pleasant color and odour.
 ST  6-9mins MT  45secs.
 Excellent reproduction of surface details.
 Dimensional stability is less.
 Tear strength lower than polysulfides.
 Stiffer and harder than polysulfides.
 Hydrophobic.
 Self life less than polysulfides.
ADDITION
SILICONES
SUPPLIED AS:
 Tubes: Base and catalyst paste in equal sized
tubes.
 Cartridge form.
 Putty jars: Two equal sized plastic jars containing
base and catalyst.
Available in four viscosities:
 Light bodied.
 Medium bodied.
 Heavy bodied.
 Putty.
COMPOSITION
 Poly(methyl hydrogen
siloxane).
 Other siloxane
prepolymers.
 Fillers.
 Divinyl polysiloxane.
 Other siloxane
prepolymers.
 Platinum salts-catalyst.
 Palladium or hydrogen
absorber.
 Retarders.
 Fillers.
Base Catalyst
SETTING REACTION
Vinyl siloxanes + Silane siloxane
Pt salts
Silicone rubber
PROPERTIES
 Pleasant odor and color.
 May cause allergic reaction so direct skin contact to
be avoided.
 Excellent reproduction of surface details.
 ST  5-9mins MT  45secs.
 Has best dimensional stability among elastomers.
 Has good tear strength.
 Hydrophobic.
 Lower flexibility and harder than polysulfides.
 Self life ranges from 1-2yrs.
106 POLYETHER
 Good mechanical properties.
 Good Dimensional Stability.
 Base and accelerator in collapsible tubes.
 Accelerator tube is smaller.
 Available in 3 viscosities-
• Light Bodied
• Medium Bodied
• Heavy Bodied
AVAILABLE AS-
107
 Polyether Polymer
 Colloidal Silica Filler
 Glycolether or Phthalate Plasticizer
 Aromatic Sulfonate Easter Cross linking agent
 Colloidal Silica Filler
 Glycolether or Phthalate Plasticizer
BASE
ACCELERATOR PASTE
108
 It is cured by the reaction b/w aziridine rings which
are at the end of branched polyether molecule.
 The main chain is a co-polymer of ethylene oxide and
tetrahydrofuran.
 Cross linking is brought about by the aromatic
sulfonate ester via the imine end groups.
 The reaction is exothermic (4 to 5 C)
Polyether + Sulfonic ester Crosslinked rubber
109
1. Pleasant odor and taste.
2. Sulfonic ester can cause skin reactions.
3. Setting time – 6 to 8 mins.
4. Mixing time – 30 sec
5. Dimensional stability is very good.
6. It is extremely stiff (flexibility 3%)
7. Tear strength is good (3000 gm/cm).
8. It is hydrophilic.
9. It can be electroplated with silver or copper.
10. Shelf life is excellent (more than 2 years).
110
• With addition silicon – equal scoop of base and
accelerator.
• With condensation silicon - required no. of scoops of
base and recommended amount of liquid or paste
accelerator is taken.
• In both cases mixing is done by kneading b/w the
fingers.
• Unlike addition silicon the quantity of catalyst paste is
very little. The 2 pastes therefore are of unequal length
and diameter.
PUTTY
PASTE
CONTD…
• The required amount thinner may be added
to the base and accelerator depending on
the viscosity needed.
• The quantity of accelerator needed is very
little.
• The ratio is usually displayed on a mixing
pad. Mixing time 30 sec.
111
FOR POLYETHER
1. Impression can be made in custom or stock trays
2. Elastomer do not adhere well to the tray
3. An adhesive should be applied to the tray and
allowed to dry before making impressions.
4. Perforatd stock trays are used because perforations
helps to retain the putty in the tray.
5. Spacing is given b/w 2-4 mm.
6. Bulk of impression should be made with heavier
consistency
112
METHODS OF MAKING
IMPRESSIONS
113
 SINGLE MIX TECHNIQUE
Tray used – Resin custom tray with 2-4 mm spacing
Viscosity used – regular
 MULTIPLE MIX TECHNIQUE
Tray used - – Resin custom tray with 2-4 mm spacing
Viscosity used – (a) Heavy bodied
(b) Light bodied
CONTD…
 RELINE TECHNIQUE
( 2 STAGE PUTTY-WASH TECHNIQUE)
Tray used – Perforated stock tray
Viscosity used – (a) Putty
(b) Light Body
 RELINE TECHNIQUE
( 1 STAGE PUTTY-WASH TECHNIQUE)
Tray used – Perforated stock tray
Viscosity used – (a) Putty
(b) Light Body
114
AUTOMATIC DISPENSING AND
MIXING DEVICES
10/26/2015
115
• Double barrel caulking gun with mixing tip is
used.
• The tip contain spirals, forcing the base and
accelerator through these spirals result in
mixing.
CONTD…
ADVANTAGES
• More uniform mix.
• Less air bubbles incorporated in mix.
• Reduced working time.
116
117
REMOVAL OF THE
IMPRESSION
The impression is dislodged from the mouth as quickly as
possible for the following reasons –
• Elastic recovery is better.
• Tear strength is higher.
INFECTION CONTROL
 Rubber impression materials are disinfected by
immerging them in 2% glutaraldehyde for 10
mins or in chlorine di-oxide solution for 3 mins.
 In case of polyether a spray of chlorine di-oxide is
preffered.
118
Impression materials

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Impression materials

  • 2.
  • 3.  It should have pleasant taste,odor and aesthetic  Should not contain any toxic or irritating ingredients  Should have good shelf life  Should be used with minimum equipments  Adequate strength so it will not break or tear while removing  It should be dimensionally stable  it should be electroplated  It should be viscous enough to contained in the tray and seated in the mouth
  • 4.  Mucocompressive theory  Mucostatic theory  Selective pressure theory
  • 5. A. Based on its property- rigid and elastic B. Based on its setting- reversible and irreversible C. Based on its use- use in dentulous and in edentulous patient
  • 6. mode of setting Rigid Elastic Set by chemical rxn {irreversible/ thermoset} •Impression plaster •ZOE •Alginate •Elastomers Set by temperature changes {reversible/ thermoplastic} •Impression comp •waxes •Agar
  • 7.
  • 8.  It is thermoplastic impression material  It is classified as rigid, reversible impression material which sets by physical change.  It is also called as modelling plastic. Types- Type 1-low fusing comp-(40-45 C)  Type 2-high fusing comp-(60-65 C)
  • 9. This is soften by heat loaded on tray and pressed against the tissue before cooled Also used for making single tooth impression called tube impression
  • 10. Initially used for taking impression then used as tray so we also called it as tray compound It is more viscous when soft and more rigid when hard.
  • 12.  Waxes and resins-30%  Shellac -30%  Stearic acid -5%  Gutta percha -5%  Filler -25%  Colouring agent -trace  Principal ingredient that comprises of matrix  Improves plasticity and workability  Increases viscosity at temp above the mouth temp and increases rigidity of compound.
  • 13.  It should solidify at or little above mouth temp  It should not be injurious or harmful to oral tissue  It should not contain irritating or toxic ingredients  It should not undergo permanent deformation or fracture while withdrawing from mouth  Should be dimensionally stable
  • 14. • For making primary impression • For individual tooth preparation • Border moulding type I is used to duplicate functional sulcus depth • To check undercuts in inlay preparation
  • 15. 1} Low thermal conductivity 2}Glass transition temp -39 C(loses its hardness} 3}Fusion temp-43 C(soft to manipulate) 4}Co-efficent of linear expansion high due to presence of resin and wax-0.3% 5}flow- type1-3% at 37 C 80-85%at 45 C type2-2% at 37 C 70-80% at 45 C
  • 16.  Small amt is softened over flame (not to be boiled it because plasticizer are volatile)  If large amt like cakes are used then they are softened by keeping in temp controlled water bath  Comp is removed, worked with finger to obtain uniform plasticity throughout mass loaded in the tray and impression is taken  After impression cast should se pour immediately
  • 17.  Overheating in water bath is not indicated as the compound becomes brittle and grainy because some of the low molecular wt ingredients get leached out so the composition might change.
  • 18. Advantages 1)It can be reused for same patient 2)It is correctable 3)Material can be extended beyond the tray border Disadvantages 1)Because of high viscosity difficult to to record details 2)While taking impression due to pressure soft tissue get compressed 3)Distortion due to poor dimensional stability.
  • 19.  Disinfectant solution for compound is 2% alkaline glutaraldehyde solution.  The impression should immersed in this solution for the required amt of time, rinsed and the pour immediately.
  • 20.
  • 21. Zinc oxide eugenol impression paste. A.D.A spec no. : 16 By Nidhi Pandya
  • 22.
  • 23.  Type I Hard  Type II Soft
  • 24.  Base paste (white in color).  Accelerator or reactor or catalyst paste (red in color).
  • 25.  Base paste: Zinc oxide(87%) Should be finely divided and should contain slight amount of water. Vegetable or mineral oil(13%) Acts as plasticizer and masks the action of eugenol as irritants  Catalyst paste Oil of clove or Eugenol(12%) Reduces burning sensation. Gum or polymerized Rosin(50%) Speeds the reaction. Filler(20%) Lanolin(3%) Canada balsam(10%) Improves flow and mixing. Other catalysts like zinc acetate and glacial acetic acid
  • 26.  Acid base reaction  Chelation  Auto catalytic reaction  1. ZnO + H2O  Zn(OH)2  2. Zn(OH)2 + 2HE  ZnE2 + 2H2O (water) (Base) (Eugenol) (Zinc eugenolate)
  • 27. Initial setting Final setting  Type I 3-6mins 10mins  Type II 3-6mins 15mins
  • 28.  Particle size of ZnO powder: Small particles make the setting time less.  Varying the length of the two pastes.  Longer the mixing, shorter is the setting time.  High atmospheric temp. and humidity accelerate setting.  Setting delayed by cooling the mixing slab.  Zinc acetate or drop of water or acetic acid decreases setting time by increasing the speed of formation of Zn(OH)2.
  • 29.
  • 30.  Two pastes of equal lengths.  Oil impervious paper or glass slab.  Spatula method (uniform color with no streaks should be formed).  Pouring of the impression.
  • 31.  Sufficient flow.  Minimum tissue distortion.  Ease in beading and boxing.  Not washed out by saliva.  Adequate dimensional stability.  Adequate working time.  Can be checked in mouth repeatedly.  Does not require separating media.  Minor defects can be corrected.
  • 32.  Requires special trays.  Sticky.  Causes tissue irritation.  Temperature and humidity affect setting time.  Profuse secretion causes distortion.  Cant be used in undercut areas.  Brittle and require support.
  • 33.  As final impression material.  As corrective or wash impression.  As bite registration paste.  Used as stabilizing base plates and as temporary relining material.  As surgical pack.  For temporary cementation.
  • 34.  Surgical paste: Used after certain periodontal surgeries where sutures cannot be placed. The paste is placed over the wound for retention of medicament.  Noneugenol impression and surgical paste: These reduce the burning sensation and disagreeable taste caused due to eugenol. ZnO + 2RCOOH  (RCOO)2Zn +H2O  Bite registration paste: These are used for recording occlusal relationship between two occluding surfaces. These have shorter ST to prevent distortion and more plasticizer to prevent it from sticking.
  • 35.
  • 37. INTRODUCTION  In 1925, Alphous Poller was granted a British patent for a totally different type of impression material. Later Poller’s Negacol was modified and introduced to the dental profession as Dentacol in 1928  Agar hydrocolloid was the 1st successful elastic impression material to be used in dentistry.  It is an organic hydrophilic colloid extracted from sea weed.  Agar is a sulfuric ester of a linear polymer of galactose.
  • 38. CLASSIFICATION  Type I - High consistency ( for use as tray material )  Type II - Medium consistency ( for use as tray or syringe material )  Type III – Low consistency ( for use as syringe material )
  • 39. USES 1. Widely used for cast duplication. 2. For full mouth impressions without undercuts. 3. As a tissue conditioner 4. It was used extensively for FPD impressions.
  • 40. SUPPLIED AS  Gel in collapsible tubes.  As cartridges  In bulk containers.
  • 41. COMPOSITION Ingredients  Agar (13-17%)  Borates (0.2-0.5%)  Potassium sulphate (1-2%)  Wax (0.5-1%)  Thixotropic materials (0.3- 0.5%)  Alkylbenzoates (0.1%)  Coloring & flavoring agents  Water (around 84%) Functions - Basic constituent - Improves the strength - Ensures proper setting of the cast - It acts as a filler - It acts as a plasticizer - It acts as a preservative - For patient comfort - Acts as the dispersion medium
  • 42. GELATION OR SETTING OF AGAR  Agar changes from the sol to the gel state & vice versa by a physical process.  As the agar sol cools to form fibrils called micelles.  The fibrils branch & intermesh together to form a brush – heap structure.  The fibrils form weak covalent bonds which break easily at higher temperature in causes gel turning to sol.  The process of turning gel to sol is known as LIQUEFACTTION (temp.. 70-100° C )  On cooling agar reverses to the gel state, the process is called GELATION. (occurs at or near mouth temp. to avoid injury to oral tissues)
  • 43. Materials Required for Manipulation  Agar Hydrocolloid conditioner  Hydro colloid material  Water cooled rim lock trays  Syringe material  Duplicating mould  Rubber hose
  • 44. The Hydrocolloid Conditioner It includes 3 sections,  Boiling or Liquefaction section ( agar is placed in boiling water at 100° C for 10 min.)  Storage section ( 65-68° C is ideal & can be stored in sol condition)  Tempering section ( 46° C for 2 min. with the material loaded in tray)  It makes the material viscous.
  • 45. Impression trays  Rim lock trays have a feature of water circulation through the tray  It is a beeding on the inside edge which helps to retain the material.  It has an inlet & outlet for connecting the water tubes  Should allow a space of 3 mm.  It extend distally to cover all teeth.
  • 46. Working & Setting time  WT ranges b/w 7-15 min.  ST is about 5 min.
  • 47. Properties of Agar Hydrocolloids  Gelation temp.: the sol should revert to a gel at a temp. of 37° C but not more than 45°C  Liquefaction temp. : it occurs at higher temp. at 70°C.  Hysteresis : the temp. lag b/w liquefaction & gelation.  Syneresis : the gel may lose water by evaporation from its surface or exuding of fluid.  Imbibition : if the material is immersed in water, it absorbs water by this process.  Flow : the material is sufficiently fluid to record the fine details.
  • 48.  Elasticity : they are highly elastic  Accuracy & dimensional change : they are highly accurate at the time of removal, but shrink when stored in air or 100% humidity and expand when stored in water.  Gel strength : it can withstand great stresses particularly shear stress, without flow.  thus the impression should be removed as rapidly as possible to avoid distortion.
  • 49. Laminate Technique  Also known as Agar-Alginate combination technique.  Syringe material is injected on the area to be recorded.  An impression tray containing chilled alginate is placed, so it will bind to agar that is already positioned.  The alginate sets by chemical reaction and agar by the cooling effect of the alginate. ADVANTAGES Less air bubbles Water cooled trays are not required It sets faster
  • 50. Wet Field Technique  The areas to be recorded are flooded with warm water.  Then the syringe material is introduced quickly in bulk to cover the occlusal or incisal areas.  While the syringe material is still liquid, the tray material is seated.  The hydraulic pressure of the viscous tray materials forces the fluid syringe down into the areas to be restored.  This displaces the syringe material, blood and debris through out the sulcus.
  • 51. Impression Disinfection  Iodophor  Bleach  Glutaraldehyde
  • 52. Advantages  Accurate dies can be prepared.  Good elastic properties help reproduce undercut areas.  Good recovery from distortion.  Hydrophillic  It is economical compared to synthetic elastic materials.  Low cost because it can be reused.  Can be reused when used as a duplicating material..
  • 53. Disadvantages  Requires special & expensive equipment.  Doest not flow well  Can’t be electroplated.  Patient may feel thermal discomfort.  Only 1 model can be poured.  Has to be poured immediately.  Impossible to sterlize.
  • 54.
  • 56.  The word alginate comes from the term ‘Algin’  It is the peculiar mucous extract yield by certain brown seaweed(algae).  It is classified as elastic irreversible material that sets by chemical rxn.
  • 57. TYPES Type 1-fast setting Type 2-normal setting
  • 58. Mode of supply  It is supplied as a packed powder  In bulk or in tins  A plastic scoop is supplied for dispensing the bulk powder and the plastic cylinder for measuring
  • 59.
  • 60. COMPOSITION  Sodium or potassium or alginate -15%  Calcium sulphate-16%  Zinc oxide - 4%  Potassium titanium fluoride -3%  Dissolves in water and reacts with calcium ion  Reactor reacts with potassium alginate and forms insoluble calcium alginate  Acts as filler  Gypsum hardner
  • 61.  Diatomaceous earth -60%  Sodium phosphate -2%  Coloring and flavouring agents -traces  Acts as filler  retarder
  • 62. Setting rxn  When alginate powder is mixed with water a sol is formed which later sets to form gel by chemical rxn  The final gel i.e insoluble calcium alginate is produce when sodium alginate reacts with calcium sulphate  The reaction is retarded by using retarder sodium phosphate.
  • 63. Sod. Alginate+ cal. Sulphate + water Ca alginate(gel) + water
  • 64. Gel structure  Gelation is the conversion of sol to gel.  The final gel consist of a brush heap of calcium alginate fibril network enclosing unreacted sodium alginate sol, excess water, filler particles and reaction by product .  Fibrils are held by primary bond rather then intermolecular forces.
  • 65. Control of gelation time  By addition of retarder  By altering the temp of water colder water longer is the gelation time. warmer water shorter is the gelation time.  Even the mixing bowl and spatula can be cooled to prolong the gelation time.
  • 66. MANIPULATION  For mixing, we need a clean flexible plastic bowl. a clean wide bladed stiff metal spatula. METHOD  Tumbling the container is done for the uniform distribution of constituent before mixing.  Top is opened carefully so that to prevent very fine particles to being distribute around the room.
  • 67. •The recommended w:p ratio is 38ml:16gm. •Scoop supplied by the manufacturer is taken the powder is level and sprinkle on water •Mixing is done rapidly with stirring motion to wet the powder with water •After that rapid spatulation is done against the side of the bowl •A vigrous figure of 8 motion is used with the mix being a wiped or stropped against the side of the rubber mixing bowl and prevent entraption of air bubbles.
  • 68. Mechanical device are also available for spatulation Its advantages are: 1)speed 2)covenience 3)elimination of human variable The mix should be smooth creamy with minimum voids and dose not drip off the spatula when raised from the bowl
  • 69. Over mixing •Reduction in final strength as the gel fibrils are destroyed as they form •Reduction in working time Under mixing •Inadequate wetting, lack of homogeneity and reduced strength •The mix become grainy and poor recording of details MIXING TIME  Fast set alginate-45 sec  Normal set alginate-60sec WORKING TIME  Fast set alginate-1min  Normal set alginate-2 min
  • 70. IMPRESSION MAKING Loading the tray-  the alginate is mixed and loaded on a perforated tray so that it can mechanically interlocked  the adhesive such as sticky wax or methyl cellulose can be applied to the tray  the thickness of the gel between the tray and tissue should be 3 mm Seating the tray-  before making the impression the saliva should be wiped of to prevent the material flowing along the throat and causing nausea to the patient.  the impression is seated on the posterior portion first then the anterior portion is seated.  Since the material sets from the tissue to the peripheral any movement during this time can cause distortion
  • 71.  After removing the impression from the mouth it should be washed to remove saliva  Covered with damp napkin to prevent syneresis  Cast should be poured as soon as possible; preferably within 15 mins after making impression.
  • 72. Impression disinfection  The irreversible hydrocolloid may be disinfected by 10 min immersion in or spraying of antimicrobial agent e.g sodium hypochlorite, glutaraldehyde without significant dimensional changes.
  • 73. PROPERTIES 1)Setting time- for fast setting material-1 to 2 min for normal setting material- 2 to 4.5min 2) flexibility- 14% at the stress of 1000g/cm sq 3)Elasticity- it is elastic but less as compared to agar 4)Reproduction of details- suface detail reproduction is less as compared to agar 5)strength- compressive sterngth-5000 to8000 g/cm sq tear strength vary from 350-700 g/cm sq
  • 74. 6)Dimensional stability- alginate impression loses water by evaporation and shrinks on standing air. if its placed in water it swells. so kept in 100% humidity for least dimensional change 7)Shelf life- it has short self life. material is stored in cool and dry environment. 8)Biological properties- silica particles present in dust which rises after fluffing alginate powder is health hazardous so there are also dust free alginate.
  • 75. APPLICATION 1) Used for making impression when there are undercuts 2) For making impression for orthodontic and study models 3) For duplicating models
  • 76. RECENT ADVANCE  Dust free alginate- to avoid inhalation problem of alginate dust some material have been introduce in the dustless version in which the powder is coated with glycol.  Some products contain a chemical disinfectant in the alginate powder for infection control.
  • 77. ADVANTAGE  It is easy to mix and manipulate  Minimum requirement of equipment  Flexibility of the set impression  Accuracy if properly handled  Low cost  It is hygienic as fresh material to be used for each impression DISADVANTAGES  It is not possible to make the metal die which have high resistance to abrasion  It is not accurate enough for crown and bride in impression  It cannot be used alone for compressing the tissue  It cannot be corrected  Distortion may occur if the material is not held stationary in relation to the tissue through out he setting period
  • 79. TYPES  Acc to chemistry: 1. Polysulfide. 2. Polysilicones- a. Condensation silicones b. Addition silicones. 3.Polyether.  Acc to viscosity: 1. Light body or syringe consistency 2. Medium or regular body
  • 80. 3. Heavy body or light consistency. 4. Very heavy or putty consistency.  Acc to wettability: 1. Hydrophilic 2. Hydrophobic.
  • 81. USES  Used in FPD for impression of prepared teeth.  Impression for dentulous mouth for RPD.  Impression for edentulous Mouth for CD.  For bite registration.  Polyether used for border molding of edentulous custom trays.  Silicone duplicating material for refractory casts.
  • 82. SUPPLIED AS  Collapsible tubes  Putty consistency supplied in jars  Light and regular body material supplied in cartridges.
  • 83. PROPERTIES  Excellent reproduction of surface details.  Generally hydrophobic (except polyether).  Nearly complete elastic recovery.  Tear strength is excellent.  Dimensional inaccuracies may occur due to curing shrinkage, loss of byproducts of reaction, thermal contraction, removal before complete setting.
  • 84. MANIPULATION  Single mix technique.  Multiple mix technique.  Reline technique: - Two stage putty wash technique - One stage putty wash technique.
  • 85.
  • 86. This is the first elastomeric impression material introduced in 1950. Also known as Mercaptan or Thiokol. POLYSULFIDES
  • 87. SUPPLIED AS  Light bodied.  Medium bodied.  Heavy bodied.
  • 88. COMPOSITION  Liquid polysulfide polymer (80-85%)  Inert fillers like titanium dioxide, zinc sulfate, copper carbonate (16-18%)  Lead dioxide (60-68%)  Dibutyl Phthalate (30- 35%)  Sulfur (3%)  Retarders (2%) BASE PASTE REACTOR PASTE
  • 89. SETTING REACTION Mercaptan + Lead dioxide Polysulfide + Water It is an exothermic reaction and loss of water causes shrinkage.
  • 90. PROPERTIES  Unpleasant color and odor.  Materials are extremely viscous and sticky.  MT  45secs ST  12-16mins.  Excellent reproduction of surface details.  Dimensional stability (highest permanent deformation and elastic recovery improves with time).  High tear strength.  Low hardness and good flexibility.  Hydrophobic.
  • 92. TYPES The silicone impression materials are of two types based on the type of polymerization reaction:  Condensation silicones  Addition silicones. Both silicones are available in different colors like pastel pink, purple, blue, green, orange, etc.
  • 94. SUPPLIED AS:  Paste: Supplied as two pastes in unequal sized collapsible tubes. Base paste in a large tube and catalyst paste in a small tube.  Putty: Supplied in a single large plastic jar. Catalyst as paste or liquid form. They come in variety of colors. Base and catalyst in contrasting colors to aid in mixing.
  • 95. Available in Three viscosities  Light bodied  Medium bodied  Putty.
  • 96. COMPOSITION  Polydimethyl siloxane  Colloidal silica or microsized metal oxide filler.  Color pigments.  Orthoethyl silicate Cross linking agent.  Stannous octoate Catalyst. Base Catalyst
  • 97. SETTING REACTION.  Dimethyl siloxane + Orthoethyl silicate Stannous Octoate Silicone rubber + Ethyl alcohol. The ethyl alcohol formed as a by product evaporates from the set rubber leading to shrinkage.
  • 98. PROPERTIES  Pleasant color and odour.  ST  6-9mins MT  45secs.  Excellent reproduction of surface details.  Dimensional stability is less.  Tear strength lower than polysulfides.  Stiffer and harder than polysulfides.  Hydrophobic.  Self life less than polysulfides.
  • 100. SUPPLIED AS:  Tubes: Base and catalyst paste in equal sized tubes.  Cartridge form.  Putty jars: Two equal sized plastic jars containing base and catalyst.
  • 101. Available in four viscosities:  Light bodied.  Medium bodied.  Heavy bodied.  Putty.
  • 102. COMPOSITION  Poly(methyl hydrogen siloxane).  Other siloxane prepolymers.  Fillers.  Divinyl polysiloxane.  Other siloxane prepolymers.  Platinum salts-catalyst.  Palladium or hydrogen absorber.  Retarders.  Fillers. Base Catalyst
  • 103. SETTING REACTION Vinyl siloxanes + Silane siloxane Pt salts Silicone rubber
  • 104. PROPERTIES  Pleasant odor and color.  May cause allergic reaction so direct skin contact to be avoided.  Excellent reproduction of surface details.  ST  5-9mins MT  45secs.  Has best dimensional stability among elastomers.  Has good tear strength.  Hydrophobic.  Lower flexibility and harder than polysulfides.  Self life ranges from 1-2yrs.
  • 105.
  • 106. 106 POLYETHER  Good mechanical properties.  Good Dimensional Stability.  Base and accelerator in collapsible tubes.  Accelerator tube is smaller.  Available in 3 viscosities- • Light Bodied • Medium Bodied • Heavy Bodied AVAILABLE AS-
  • 107. 107  Polyether Polymer  Colloidal Silica Filler  Glycolether or Phthalate Plasticizer  Aromatic Sulfonate Easter Cross linking agent  Colloidal Silica Filler  Glycolether or Phthalate Plasticizer BASE ACCELERATOR PASTE
  • 108. 108  It is cured by the reaction b/w aziridine rings which are at the end of branched polyether molecule.  The main chain is a co-polymer of ethylene oxide and tetrahydrofuran.  Cross linking is brought about by the aromatic sulfonate ester via the imine end groups.  The reaction is exothermic (4 to 5 C) Polyether + Sulfonic ester Crosslinked rubber
  • 109. 109 1. Pleasant odor and taste. 2. Sulfonic ester can cause skin reactions. 3. Setting time – 6 to 8 mins. 4. Mixing time – 30 sec 5. Dimensional stability is very good. 6. It is extremely stiff (flexibility 3%) 7. Tear strength is good (3000 gm/cm). 8. It is hydrophilic. 9. It can be electroplated with silver or copper. 10. Shelf life is excellent (more than 2 years).
  • 110. 110 • With addition silicon – equal scoop of base and accelerator. • With condensation silicon - required no. of scoops of base and recommended amount of liquid or paste accelerator is taken. • In both cases mixing is done by kneading b/w the fingers. • Unlike addition silicon the quantity of catalyst paste is very little. The 2 pastes therefore are of unequal length and diameter. PUTTY PASTE
  • 111. CONTD… • The required amount thinner may be added to the base and accelerator depending on the viscosity needed. • The quantity of accelerator needed is very little. • The ratio is usually displayed on a mixing pad. Mixing time 30 sec. 111 FOR POLYETHER
  • 112. 1. Impression can be made in custom or stock trays 2. Elastomer do not adhere well to the tray 3. An adhesive should be applied to the tray and allowed to dry before making impressions. 4. Perforatd stock trays are used because perforations helps to retain the putty in the tray. 5. Spacing is given b/w 2-4 mm. 6. Bulk of impression should be made with heavier consistency 112
  • 113. METHODS OF MAKING IMPRESSIONS 113  SINGLE MIX TECHNIQUE Tray used – Resin custom tray with 2-4 mm spacing Viscosity used – regular  MULTIPLE MIX TECHNIQUE Tray used - – Resin custom tray with 2-4 mm spacing Viscosity used – (a) Heavy bodied (b) Light bodied
  • 114. CONTD…  RELINE TECHNIQUE ( 2 STAGE PUTTY-WASH TECHNIQUE) Tray used – Perforated stock tray Viscosity used – (a) Putty (b) Light Body  RELINE TECHNIQUE ( 1 STAGE PUTTY-WASH TECHNIQUE) Tray used – Perforated stock tray Viscosity used – (a) Putty (b) Light Body 114
  • 115. AUTOMATIC DISPENSING AND MIXING DEVICES 10/26/2015 115 • Double barrel caulking gun with mixing tip is used. • The tip contain spirals, forcing the base and accelerator through these spirals result in mixing.
  • 116. CONTD… ADVANTAGES • More uniform mix. • Less air bubbles incorporated in mix. • Reduced working time. 116
  • 117. 117 REMOVAL OF THE IMPRESSION The impression is dislodged from the mouth as quickly as possible for the following reasons – • Elastic recovery is better. • Tear strength is higher.
  • 118. INFECTION CONTROL  Rubber impression materials are disinfected by immerging them in 2% glutaraldehyde for 10 mins or in chlorine di-oxide solution for 3 mins.  In case of polyether a spray of chlorine di-oxide is preffered. 118