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Final Impressions for
Complete Dentures
Potential Impression Materials
• Irreversible Hydrocolloid
– Hydrophilic but viscous
– Stock tray distorts
vestibular tissues
Potential Impression Materials
• Zinc oxide & eugenol
– Fast set
– Rigid (undercuts difficult),
– Poor taste
Potential Impression Materials
• Polysulfides
– Poor taste
– Poor dimensional stability
– Poor elastic recovery
Potential Impression Materials
• Silicones
– Addition reaction
– Acceptable taste
– Dimensionally stable
– Elastic recovery
Potential Impression Materials
• Polyethers
– Poor taste
– Dimensionally stable
– Elastic recovery
– Expensive
Polyvinyl Siloxanes
Addition Reaction Silicone

• Hydrophobic
• Newer materials more hydrophilic
– Similar to Polysulfides & Polyethers

• Flow
– Thixotropic
– Require pressure to flow
Polyvinyl Siloxanes
Addition Reaction Silicone

• Good dimensional stability
• Excellent elastic recovery
• Excellent dimensional
accuracy
• Material of choice
Wax Spacer Removal
• After border molding, remove
wax spacer
• Do not dislodge border molding
Custom Trays
• Smooth sharp surfaces of
border molding or tray
Effect of Sharp Borders
Custom Trays
• Place holes in tray to allow
release of hydraulic
pressure
Adhesive
• Paint inside of tray &
border molding
• Allow to dry 7-15 minutes
Final Impressions
• Dry tissues with 2x2 gauze
folded in cotton pliers
Tissue Rest
• Leave dentures out 24 hours
– Tissue recovery

• Use low viscosity polyvinyl
siloxane material
– Use adhesive
Final Impressions
• Enough material to replace wax
spacer
• Load quickly - viscosity
• Avoid bubbles when loading tray
Final Impressions
• Cover all border molding
with impression material
Tray Insertion
• Insert side of tray
against commissure of
mouth & rotating the
tray into place while
pulling outward on
the commissure of the
contralateral side
Final Impressions
• Seat tray front to
back - use gauze
over holes in tray
• Ensure tray is
centered &
properly
oriented

Subsurface Voids
Subsurface Voids
Tech.
Tech.

Dentist
Dentist
A
A

B
B

C
C

TOTAL
TOTAL

F-B
2
1
6
F-B 3
3
2
1
6
Even 4
3
6
13
Even 4
3
6
13
B-F
6
4
3
13
B-F
6
4
3
13
__________________________
__________________________
TOTAL 13
TOTAL 13

9
9

10
10

32
32
Tissue Manipulation
Maxilla
• Slight manipulation of
cheeks, lips
• Patient moves mandible to
side to side for maxillary
impression
Tissue Manipulation
Mandible
• Hold tray in position &
have patient:
– Pucker lips
– Lift & move tongue
forward & side to side
Impressions Videos
Final Impressions
Two Mirror Impression Technique
Set Time
• Most polyvinyl siloxane
materials set within 6
minutes
Evaluating Impression Video
Evaluation of Borders
• Material should not be
more than l mm thick over
border molding (otherwise
it was not fully seated)
Final Impressions
Final Impressions
Final Impressions
Post-palatal Seal
• Compensates for
polymerization shrinkage
away from palate
• Enhances retention
Post-palatal Seal
• Mark post-palatal seal with indelible stick
– Glandular area & vibrating line
• Place impression in mouth, line transfers
to impression
Post-palatal Seal
•
•
•
•

Disinfect
Refresh the line with new indelible stick
Prescribe a mechanical post-palatal seal
Pour impression in Type III stone (ie.
Microstone)
Boxing Final Impressions
Rationale

• Superior hardness of cast surface
• Provides land area & preserves
peripheral role
• Minimizes trimming
Boxing Impression
Trimming Alginate
Pour the Model
Trimming the Cast
Trimming the Cast
Land Area = 4mm Wide
Boxing Impression Video

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final impressions