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ELASTOMERIC IMPRESSION
MATERIALS
Dr.Priyadarshani Pawar
Rubbery polymers, which are either
chemically or physically cross linked. They
can be easily stretched and rapidly recover
their original dimensions when the applied
stress is released
 Chemically, there are four kinds of
elastomers used as impression materials are:
polysulfide, condensation polymerizing
silicon, addition polymerizing silicon &
polyether.
Polysulfide elastomer
 main component is a multifunctional
mercaptan or polysulfide polymer.
Composition(Base paste)
Ingredients Weight (%) Function
Polysulfide
ploymer
80-85 Main component
Lithopone/titaniu
m dioxide/zinc
sulphate/copper
carbonate/silica
16-18 Filler (to provide
required
strength)
dibutyl phthalate 2-4 Plasticizer
Catalyst paste
Ingredient Weight (%) Function
lead dioxide 60-68 Oxidizing agent
(to initiate the
polymerization)
dibutyl phthalate 30-35 Plasticizer
Sulphur 3 Accelerator
oleic acid/stearic
acid
2 Retarder
Setting reaction
During setting reaction terminal hydrogen
atoms of the polisulfide polymer are
oxidized by the lead dioxide with a resultant
increase in the degree of polymerization
The reaction is slightly exothermic, with a
typical increase in temperature of 3-4C.
mixes set to rubber consistency in about 10-
20 min but polymerisation continues & the
properties change for a number of hours
after the material sets
hot & humid conditions accelerate the
setting of polysulfide impression material.
The reaction yields water as a by product of
reaction. Loss of this molecule from the set
material has a significant effect on the
dimensional stability of the impression.
 do not adhere to impression tray-
adhesives:rubber solution in acetone
available in three consistencies
– Low (syringe or wash)
– Medium (regular)
– High (tray)
Condensation silicone
Base paste: Polydimethyl siloxane:main
constituent & has reactive terminal
hydroxyl groups.
– Fillers: calcium carbonate or silica in
concentration of 35% for low consistencies to
75% for putty like consistencies.
Accelerator: liquid that consists of
stannous octate suspension & alkyl
silicate/paste by adding a thickening agent.
Setting reaction
polydimethyl siloxane & accelerator are
mixed leading to production of a three
dimensional network with the liberation of
ethyl alcohol (byproduct) & an exothermic
temperature rise of about 1C.
release of ethyl alcohol causes a shrinkage
that is greater in the low consistency than in
the putty like consistency.
Available consistencies
– Low
– Putty
Catalyst of Condensation silicones can be
supplied as a putty or liquid
do not adhere to impression tray-adhesive
solutions
Addition silicone
 Base paste: polymethyl hydrogen siloxane& other
siloxane prepolymers. If catalyst paste contains
platinum salt activator, then base paste must
contain hybrid silicone. Fillers are also present.
 Accelerator paste/ catalyst paste: divinyl
polydimethyl siloxane & other siloxane
prepolymers. Platinum salt activator may be
added. Fillers are also present.
Setting reaction
no reaction byproducts develop as long as
the direct proportions of vinyl silicone &
hydride silicone are maintained & there are
no impurities.
However, a secondary reaction between
moisture & residual hydrides of the base
polymer can lead to the development of
hydrogen gas.
Available consistencies
– Extra low
– Monophase
– Putty (extra high)
Polyether elastomers
Composition:
base paste:
polyether polymer
fillers
inert oils
activator paste:
sulphonic acid esther in hydrocarbons
fillers
Setting reaction
During setting reaction cross linking
reaction occurs with the aziridino groups of
the base and the end product is a rubber-like
polymer
Consistencies available
– Low
– Medium
– High
Do not adhere to impression
tray-special adhesives
Mixing systems for
elastomers
Hand mixing
Static Automixing
Dynamic Mechanical mixing
IMPRESSION
TECHNIQUES
Simultaneous, dual viscosity technique
Single viscosity or monophase technique
Putty wash technique
Monophase
Putty wash impression
Setting properties
Viscosity: is the resistance of a fluid to flow
Polysulfides have the lowest viscosity &
ranks as one of the least stiff of elastomeric
impression materials
The most rapid increase in viscosity with
time occurred with silicones & polyether
materials
Shear thinning or
pseudoplasticity
a shearing force can affect the viscosity of
polyether & addition silicone impression
materials
Working & setting times
working time is measured at room
temperature where as, setting time is
measured at mouth temperature
An increase in the temperature accelerates
the curing rate of all elastomers & thus
decreases both setting & working time
Working & setting times
Cooling is a practical method of increasing
the working time
Working &setting time decreases with
increase in viscosity.
Altering the base/catalyst ratio will change
the curing rate.Mechanical properties can be
adversely affected when marked change in
base/catalyst ratio occur.
– Polysulfides have the longest working &
setting times followed by silicones &
polyethers.
– Polyethers show a clearly defined
working time with a sharp transition into
the setting phase. This behaviour is often
called snap test.
Viscosity Max. mixing
time (min)
Max.
working
time (min)
Low 1 2
Medium 1 2
High 1 2
Very high 1 2
Requirements by ANSI/ADA specification no. 19
Dimensional change
– Polymerization shrinkage
– Loss of byproduct (water or ethyl alcohol)
– Thermal contraction from oral to room
temperature
– Imbibitions when exposed to water, disinfectant
or a high humidity environment over a period
of time
– Incomplete recovery of deformation because of
viscoelastic behaviour
In ANSI/ADA specification number 19 for
elastomeric impression materials, a disk of
impression material is placed on a talc
covered glass plate. At the end of 24 hours,
the contraction should not exceed o.5-1.0%
The change is greater in magnitude for the
polysulfide & condensation silicone.
One property that has a negative effect on
the polyether impression is the absorption
of water or fluids & the simultaneous
leaching of water soluble plasticizer. Thus
the stored impression must be kept in a dry,
cool environment to maintain its accuracy.
Mechanical properties
 Elastic recovery
– The relative amount of permanent deformation
following strain in compression increases in the
following order: addition silicone, condensation
silicone, polyether & polysulfide.
– Addition silicones are the most ideally elastic.
Distortion on removal from undercuts is virtually
nonexistent because these materials exhibit the lowest
permanent distortion after strain in compression
Despite the possibility of a large
dimensional change occurring when a
polysulfide impression is removed from the
mouth, there is no advantage to “bench
cure” the material.
Minimum elastic recovery required for
elastomeric material is 96.5% & minimum
strain in compression required is 0.8% &
maximum is 20%.
Strain in compression
The stiffness of elastomers increase in order
of: polysulfide, condensation silicone,
addition silicone & polyether.
Flow
 It is measured on a cylindrical specimen
1 hour old & the %age flow is determined
15 minutes after a load of 1N is applied.
 Silicones & polyether have the lowest
values of flow & polysulfides have the
highest.
Hardness
The shore A hardness increases from low to
high consistency.
The low, medium & high viscosity addition
silicones & polysulfides don’t change
hardness significantly with time, whereas
hardness of condensation silicone, addition
silicone putties & polyethers does increase
with time.
Low flexibility & high hardness can be
compensated for clinically by producing
more space for the impression material
between the tray & the teeth.
This can be accomplished with additional
block-out for custom trays or by selecting a
larger tray when using disposable trays.
Tear strength
It indicates the ability of a material to
withstand tearing in thin interproximal areas
& margins of periodontally involved teeth
The ranking of tear strength from the lowest
to highest of all impression materials
generally is as follows: hydrocolloids (agar
& alginate), silicones, polyether & then
polysulfide
In addition to chemical composition of the
material, tear strength is also influenced by
the consistency & manner of removal of the
material
Creep compliance
Initial creep
compliance
illustrates that
polysulfide is the
most flexible &
polyether is the least
flexible
The flatness or parallelism of the curves
with respect to the time axis indicates low
permanent deformation during the removal
of an impression material; polyether &
addition silicones have the best elastic
recovery followed by condensation
silicones & then polysulfides
Detail reproduction
Expect for the very high viscosity products,
all should reproduce a V-shaped groove & a
0.02 mm wide line in elastomeric.
The rubber impression materials are capable
of reproducing detail more acuurately than
can be transferred to the stone or die cast
Addition silicone
Polyether elastomer
WETTABILITY &
HYDROPHYLIZATION OF
ELASTOMERs
Wettability may be measured by advancing
contact angle of water on the surface of the
set impression material
All the elastomeric impression materials
possess advancing & receeding contact
angle greater than 45 degrees.
There are however, differences in wetting
among & with in types of elastomers.
Traditional addition silicone is not as
wettable as polyether.
Hydrophilizer addition
silicone
diffusion controlled transfer of surfactant
molecules from the polyvinyl siloxane into
the aqueous phase, thereby altering the
surface tension of surrounding liquid.
By observing water droplets on impression
surfaces, it has been shown that
hydrophilized addition silicone & polyether
are wetted the best, & condensation
silicones & traditional addition silicones the
least
Ability of polyether & addition
silicone to reproduce detail under
wet & dry condition
DISINFECTION
Material Method Recommended
disinfectant
Polysulfides &
silicone
Immersion Gluteraldehyde,
chlorine
compounds,
iodophores,
phenolics
Polyether Immerse with
caution (<10
min)
Chlorine
compounds &
iodophores
BIOCOMPATIBILITY
Cell cytotoxicity test for different materials
reveals that polysulfides result in the lowest
cell death count & the set polyethers
produce highest cell cytotxicity scores.
problem occurs when a segment of
impression material is lodged in patient’s
gingival sulcus. It may cause gingival
inflammation & can be misdiagnosed.
SHELF LIFE
Properly compounded impression material
doesn’t deteriorate appreciably in the tube
or container when it is stored in a dry, cool
environment.
The tubes should always be kept tightly
closed when they are not in use.
COMMON FAILURES
Rough/uneven surface of impression
– Incomplete polymerization caused by premature
removal from mouth
– Improper ratio/mixing of components
– Presence of oil/other organic material on teeth
– Contamination with latex gloves for addition
silicones
– Too rapid polymerization from high humidity or
temperature
– Excessive high accelerator/base ratio with
condensation silicone
Bubbles
– Too rapid polymerization, preventing flow
– Air incorporated during mixing
–Irregularly shaped voids
• Moisture or debris on surface of teeth
Rough/chalky stone casts
Inadequate cleaning of impression
Excess water left on the surface of
impression
Excess wetting agent on the impression
Premature removal of cast/improper
manipulation of stone
Failure to delay pour of addition silicone at
least 20 min
Distortion
 Resin tray not aged sufficiently; still
polymerization going on
 Lack of adhesion of rubber to impression tray
caused by not applying enough coats of
adhesive/filling the tray with material too soon
after adhesive application or using wrong adhesive
 Lack of mechanical retention for those materials
where adhesive is ineffective
 Development of elastic properties in material
before the tray is seated
Excessive bulk of material
Insufficient relief for the reline material (if
such technique is used)
Continue pressure against impression
material that has developed elastic
properties
Movement of tray during polymerization
Premature removal from the mouth
Improper removal from the mouth
Delayed pouring of the polysulfide or
condensation silicone impression
Polysulfides :advantages
Long working time
High tear resistance
Margins easily seen
Modest cost
Disadvantages
Requires custom tray
Stretching leads to distortion
Stains clothing / Obnoxious odour
Pour within 1 hour
Condensation silicone
Advantages
– Putty for custom tray
– Clean & pleasant
– Good working time
– Easily seen margins
Disadvantages
High polymerization shrinkage
Volatile byproduct
Hydrophobic
Pour immediately
Addition silicone: advantages
Putty for custom tray
Automix dispense
Clean & pleasant
Easily seen margins
Ideally elastic
Pour repeatedly
Stable: delay pour
Disadvantages
Hydrophobic
No flow if sulcus is moist
Low tear strength
Putty displaces wash
Putty too stiff
Difficult to pour a cast
Polyether : advantages
Fast setting / Clean
Automix dispense
Least hydrophobic
Easily seen margins
Good stability
Delay pour
Shelf life: 2 yrs
Disadvantages
Stiff / high modulus of elasticity
Bitter taste
Needs to block undercuts
Absorbs water
Leaches components
High cost
“ No impression material fulfills
all the requirements”
 the selection of the material best
suited for a particular clinical situation
and technique rests with the dentist.
References
Phillip’s – 11th edition
Craig’s – restorative dental materials – 12th
edition
Craig’s – dental materials – 11th edition
Textbook of complete denture – heartwell –
5th edition

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ELASTOMERIC-IMPRESSION-MATERIALS-1.ppt

  • 2. Rubbery polymers, which are either chemically or physically cross linked. They can be easily stretched and rapidly recover their original dimensions when the applied stress is released  Chemically, there are four kinds of elastomers used as impression materials are: polysulfide, condensation polymerizing silicon, addition polymerizing silicon & polyether.
  • 3. Polysulfide elastomer  main component is a multifunctional mercaptan or polysulfide polymer.
  • 4. Composition(Base paste) Ingredients Weight (%) Function Polysulfide ploymer 80-85 Main component Lithopone/titaniu m dioxide/zinc sulphate/copper carbonate/silica 16-18 Filler (to provide required strength) dibutyl phthalate 2-4 Plasticizer
  • 5. Catalyst paste Ingredient Weight (%) Function lead dioxide 60-68 Oxidizing agent (to initiate the polymerization) dibutyl phthalate 30-35 Plasticizer Sulphur 3 Accelerator oleic acid/stearic acid 2 Retarder
  • 6. Setting reaction During setting reaction terminal hydrogen atoms of the polisulfide polymer are oxidized by the lead dioxide with a resultant increase in the degree of polymerization
  • 7. The reaction is slightly exothermic, with a typical increase in temperature of 3-4C. mixes set to rubber consistency in about 10- 20 min but polymerisation continues & the properties change for a number of hours after the material sets
  • 8. hot & humid conditions accelerate the setting of polysulfide impression material. The reaction yields water as a by product of reaction. Loss of this molecule from the set material has a significant effect on the dimensional stability of the impression.
  • 9.  do not adhere to impression tray- adhesives:rubber solution in acetone available in three consistencies – Low (syringe or wash) – Medium (regular) – High (tray)
  • 10. Condensation silicone Base paste: Polydimethyl siloxane:main constituent & has reactive terminal hydroxyl groups. – Fillers: calcium carbonate or silica in concentration of 35% for low consistencies to 75% for putty like consistencies. Accelerator: liquid that consists of stannous octate suspension & alkyl silicate/paste by adding a thickening agent.
  • 11. Setting reaction polydimethyl siloxane & accelerator are mixed leading to production of a three dimensional network with the liberation of ethyl alcohol (byproduct) & an exothermic temperature rise of about 1C. release of ethyl alcohol causes a shrinkage that is greater in the low consistency than in the putty like consistency.
  • 12. Available consistencies – Low – Putty Catalyst of Condensation silicones can be supplied as a putty or liquid do not adhere to impression tray-adhesive solutions
  • 13.
  • 14. Addition silicone  Base paste: polymethyl hydrogen siloxane& other siloxane prepolymers. If catalyst paste contains platinum salt activator, then base paste must contain hybrid silicone. Fillers are also present.  Accelerator paste/ catalyst paste: divinyl polydimethyl siloxane & other siloxane prepolymers. Platinum salt activator may be added. Fillers are also present.
  • 15. Setting reaction no reaction byproducts develop as long as the direct proportions of vinyl silicone & hydride silicone are maintained & there are no impurities. However, a secondary reaction between moisture & residual hydrides of the base polymer can lead to the development of hydrogen gas.
  • 16. Available consistencies – Extra low – Monophase – Putty (extra high)
  • 17.
  • 18. Polyether elastomers Composition: base paste: polyether polymer fillers inert oils activator paste: sulphonic acid esther in hydrocarbons fillers
  • 19. Setting reaction During setting reaction cross linking reaction occurs with the aziridino groups of the base and the end product is a rubber-like polymer
  • 20. Consistencies available – Low – Medium – High Do not adhere to impression tray-special adhesives
  • 21.
  • 22. Mixing systems for elastomers Hand mixing Static Automixing Dynamic Mechanical mixing
  • 23. IMPRESSION TECHNIQUES Simultaneous, dual viscosity technique Single viscosity or monophase technique Putty wash technique
  • 26. Setting properties Viscosity: is the resistance of a fluid to flow Polysulfides have the lowest viscosity & ranks as one of the least stiff of elastomeric impression materials The most rapid increase in viscosity with time occurred with silicones & polyether materials
  • 27. Shear thinning or pseudoplasticity a shearing force can affect the viscosity of polyether & addition silicone impression materials
  • 28. Working & setting times working time is measured at room temperature where as, setting time is measured at mouth temperature An increase in the temperature accelerates the curing rate of all elastomers & thus decreases both setting & working time
  • 29. Working & setting times Cooling is a practical method of increasing the working time Working &setting time decreases with increase in viscosity. Altering the base/catalyst ratio will change the curing rate.Mechanical properties can be adversely affected when marked change in base/catalyst ratio occur.
  • 30. – Polysulfides have the longest working & setting times followed by silicones & polyethers. – Polyethers show a clearly defined working time with a sharp transition into the setting phase. This behaviour is often called snap test.
  • 31. Viscosity Max. mixing time (min) Max. working time (min) Low 1 2 Medium 1 2 High 1 2 Very high 1 2 Requirements by ANSI/ADA specification no. 19
  • 32. Dimensional change – Polymerization shrinkage – Loss of byproduct (water or ethyl alcohol) – Thermal contraction from oral to room temperature – Imbibitions when exposed to water, disinfectant or a high humidity environment over a period of time – Incomplete recovery of deformation because of viscoelastic behaviour
  • 33. In ANSI/ADA specification number 19 for elastomeric impression materials, a disk of impression material is placed on a talc covered glass plate. At the end of 24 hours, the contraction should not exceed o.5-1.0% The change is greater in magnitude for the polysulfide & condensation silicone.
  • 34. One property that has a negative effect on the polyether impression is the absorption of water or fluids & the simultaneous leaching of water soluble plasticizer. Thus the stored impression must be kept in a dry, cool environment to maintain its accuracy.
  • 35. Mechanical properties  Elastic recovery – The relative amount of permanent deformation following strain in compression increases in the following order: addition silicone, condensation silicone, polyether & polysulfide. – Addition silicones are the most ideally elastic. Distortion on removal from undercuts is virtually nonexistent because these materials exhibit the lowest permanent distortion after strain in compression
  • 36. Despite the possibility of a large dimensional change occurring when a polysulfide impression is removed from the mouth, there is no advantage to “bench cure” the material.
  • 37. Minimum elastic recovery required for elastomeric material is 96.5% & minimum strain in compression required is 0.8% & maximum is 20%.
  • 38. Strain in compression The stiffness of elastomers increase in order of: polysulfide, condensation silicone, addition silicone & polyether.
  • 39. Flow  It is measured on a cylindrical specimen 1 hour old & the %age flow is determined 15 minutes after a load of 1N is applied.  Silicones & polyether have the lowest values of flow & polysulfides have the highest.
  • 40. Hardness The shore A hardness increases from low to high consistency. The low, medium & high viscosity addition silicones & polysulfides don’t change hardness significantly with time, whereas hardness of condensation silicone, addition silicone putties & polyethers does increase with time.
  • 41. Low flexibility & high hardness can be compensated for clinically by producing more space for the impression material between the tray & the teeth. This can be accomplished with additional block-out for custom trays or by selecting a larger tray when using disposable trays.
  • 42. Tear strength It indicates the ability of a material to withstand tearing in thin interproximal areas & margins of periodontally involved teeth The ranking of tear strength from the lowest to highest of all impression materials generally is as follows: hydrocolloids (agar & alginate), silicones, polyether & then polysulfide
  • 43. In addition to chemical composition of the material, tear strength is also influenced by the consistency & manner of removal of the material
  • 44. Creep compliance Initial creep compliance illustrates that polysulfide is the most flexible & polyether is the least flexible
  • 45. The flatness or parallelism of the curves with respect to the time axis indicates low permanent deformation during the removal of an impression material; polyether & addition silicones have the best elastic recovery followed by condensation silicones & then polysulfides
  • 46. Detail reproduction Expect for the very high viscosity products, all should reproduce a V-shaped groove & a 0.02 mm wide line in elastomeric. The rubber impression materials are capable of reproducing detail more acuurately than can be transferred to the stone or die cast
  • 49. WETTABILITY & HYDROPHYLIZATION OF ELASTOMERs Wettability may be measured by advancing contact angle of water on the surface of the set impression material
  • 50. All the elastomeric impression materials possess advancing & receeding contact angle greater than 45 degrees. There are however, differences in wetting among & with in types of elastomers. Traditional addition silicone is not as wettable as polyether.
  • 52. diffusion controlled transfer of surfactant molecules from the polyvinyl siloxane into the aqueous phase, thereby altering the surface tension of surrounding liquid. By observing water droplets on impression surfaces, it has been shown that hydrophilized addition silicone & polyether are wetted the best, & condensation silicones & traditional addition silicones the least
  • 53. Ability of polyether & addition silicone to reproduce detail under wet & dry condition
  • 54. DISINFECTION Material Method Recommended disinfectant Polysulfides & silicone Immersion Gluteraldehyde, chlorine compounds, iodophores, phenolics Polyether Immerse with caution (<10 min) Chlorine compounds & iodophores
  • 55. BIOCOMPATIBILITY Cell cytotoxicity test for different materials reveals that polysulfides result in the lowest cell death count & the set polyethers produce highest cell cytotxicity scores. problem occurs when a segment of impression material is lodged in patient’s gingival sulcus. It may cause gingival inflammation & can be misdiagnosed.
  • 56. SHELF LIFE Properly compounded impression material doesn’t deteriorate appreciably in the tube or container when it is stored in a dry, cool environment. The tubes should always be kept tightly closed when they are not in use.
  • 57. COMMON FAILURES Rough/uneven surface of impression – Incomplete polymerization caused by premature removal from mouth – Improper ratio/mixing of components – Presence of oil/other organic material on teeth – Contamination with latex gloves for addition silicones – Too rapid polymerization from high humidity or temperature – Excessive high accelerator/base ratio with condensation silicone
  • 58. Bubbles – Too rapid polymerization, preventing flow – Air incorporated during mixing –Irregularly shaped voids • Moisture or debris on surface of teeth
  • 59. Rough/chalky stone casts Inadequate cleaning of impression Excess water left on the surface of impression Excess wetting agent on the impression Premature removal of cast/improper manipulation of stone Failure to delay pour of addition silicone at least 20 min
  • 60. Distortion  Resin tray not aged sufficiently; still polymerization going on  Lack of adhesion of rubber to impression tray caused by not applying enough coats of adhesive/filling the tray with material too soon after adhesive application or using wrong adhesive  Lack of mechanical retention for those materials where adhesive is ineffective  Development of elastic properties in material before the tray is seated
  • 61. Excessive bulk of material Insufficient relief for the reline material (if such technique is used) Continue pressure against impression material that has developed elastic properties Movement of tray during polymerization Premature removal from the mouth Improper removal from the mouth Delayed pouring of the polysulfide or condensation silicone impression
  • 62. Polysulfides :advantages Long working time High tear resistance Margins easily seen Modest cost
  • 63. Disadvantages Requires custom tray Stretching leads to distortion Stains clothing / Obnoxious odour Pour within 1 hour
  • 64. Condensation silicone Advantages – Putty for custom tray – Clean & pleasant – Good working time – Easily seen margins
  • 65. Disadvantages High polymerization shrinkage Volatile byproduct Hydrophobic Pour immediately
  • 66. Addition silicone: advantages Putty for custom tray Automix dispense Clean & pleasant Easily seen margins Ideally elastic Pour repeatedly Stable: delay pour
  • 67. Disadvantages Hydrophobic No flow if sulcus is moist Low tear strength Putty displaces wash Putty too stiff Difficult to pour a cast
  • 68. Polyether : advantages Fast setting / Clean Automix dispense Least hydrophobic Easily seen margins Good stability Delay pour Shelf life: 2 yrs
  • 69. Disadvantages Stiff / high modulus of elasticity Bitter taste Needs to block undercuts Absorbs water Leaches components High cost
  • 70. “ No impression material fulfills all the requirements”  the selection of the material best suited for a particular clinical situation and technique rests with the dentist.
  • 71. References Phillip’s – 11th edition Craig’s – restorative dental materials – 12th edition Craig’s – dental materials – 11th edition Textbook of complete denture – heartwell – 5th edition