IMPRESSIONS MAKING IN FIXED
PARTIAL DENTURE
INTRODUCTION
2
IMPRESSION : An impression is a negative likeliness of the
teeth and surrounding structures.
A good quality impression is only obtained
when we have a thorough knowledge of
materials, their properties, and techniques
for their best manipulation
IMPRESSION TRAY
3
It is a receptacle into which suitable impression material
is placed to make a negative likeliness (or) a device that is
used to carry, confine and control impression material
while making impression - GPT 9
REQUIREMENTS OF CUSTOM TRAY
• Rigid
• Stops on the occlusal surfaces of the teeth to orient the tray
properly when it is seated in the mouth
• Impression material should adhere firmly to tray – rubber
adhesive is used.
• Beside this
–Perforation
–Roughening the inner surface of tray
4
CUSTOM TRAY
Improves accuracy – limits volume of material
Reduces stress during removal & thermal contraction
Tray rigidity is important
Resin thickness of 2 – 3mm
Clearance of 2 – 3 mm
5
CHALLENGES IN MAKING GOOD IMPRESSION
 Moisture control
• Saliva
• Blood
• Gingival tissue must be displaced laterally to allow access & provide space
for the material
6
IMPRESSION MATERIALS USED IN FPD
1) Hydrocolloid impression material
a) Reversible
b) Irreversible
2) Elastomeric impression materials
a) Polysulfide
b) Addition silicone
c) Condensation silicone
d) Polyether
7
According to Viscosity they are classified as
1. Light body/ Syringe consistency
2. Medium body/ Regular body
3. Heavy body/ Tray consistency
4. Very heavy body/ Putty consistency
ELASTOMERS
8
IMPRESSION TECHNIQUES
9
IMPRESSION
TECHNIQUES
1. Stock tray technique
Double mix
Single mix
2. Custom tray technique
3. Double arch technique
4. Copper band technique
5. Reversible hydrocolloid
Laminate
technique
Wet field
technique
6. Matrix system
IMPRESSION MATERIALS
10
Wettability
Viscosity
Cost
Which
material to
choose
STOCK TRAY IMPRESSION TECHNIQUE
(Putty wash technique)
Mixing method : Double mix
Single mix
Procedure:
 Tray selection is done
 Coat the tray with adhesive on inside & rim
 Mix high viscosity putty according to
manufacturer’s instruction
 Adapt it into the stock tray
 Cover putty with manufacturer’s spacer(a sheet of polyethylene)
 Hold & wait until initial set
11
ADAPTATION OF POLYETHLENE SPACER
12
PUTTY WASH IMPRESSION TECHNIQUE
13
 Remove the putty impression from mouth with minimal sideward
movement
 Light body is immediately injected into the sulcus & around
prepared teeth
 Tray is seated slowly until it is firmly in place for 6 minutes
 As the impression is set, its removed as quickly and in as straight a
path as possible to prevent plastic deformation of the material
 Impression is rinsed to remove blood & saliva, blown dry,
inspected, disinfected and poured
SINGLE MIX TECHNIQUE
 Mix the low viscosity impression material & load it into
syringe / take syringe material (light body)
 Syringe in inaccessible areas first
 Load the tray with putty material
 Seat the tray
 After final set remove the tray parallel to the preparation path
 Impression is evaluated for finish lines & for any distortion &
tear
14
SINGLE MIX TECHNIQUE
15
Stock tray is coated with tray
adhesive
Light body is injected around
Prepared tooth
Heavy body is loaded in stock tray
Space is created in putty and
Light body is injected
Tray seated in patient’s mouth Final impression
DOUBLE MIX TECHNIQUE
 For the stock tray double mix insert the low viscosity impression
material into the tray without overfilling it
 Position the tray over the arch
 Evaluate final position & adjust tray quickly if necessary
16
Prepared teeth
After applying tray adhesive
Putty is loaded in stock tray
Putty impression is
made
Space is created for
light body
Light body is injected around
the prepared tooth & the
impression is reaseated
Final impression
17
DUAL-ARCH IMPRESSIONS
use of only one tray –
• Captures an impression of the prepared tooth, the adjacent and
opposing teeth
• And the relationship between them in maximal intercuspation
without the need for an interocclusal record
18
DUAL IMPRESSION TECHNIQUE
Indication
– single tooth with intact adjacent
and opposing teeth
– intact, mutually protected Angle‘s Class I
occlusion
• Low-viscosity impression material is injected
around prepared tooth
• High-viscosity material into the tray
• Tray is inserted immediately
• Maximal interocclusion is checked
19
DUAL IMPRESSION TECHNIQUE
20
ADVANTAGES:
 Physical deformation of mandible is minimal
 Shifting of teeth occuring during maximum intercuspation is captured
 Less impression material is needed
 Less gagging
DISADVANTAGES:
 Tray is not rigid
 Limited to one quadrant
 Distribution of impression material is not uniform
COPPER BAND OR TUBE METHOD
 The copper band is used to salvage an impression of multiple
preparation where there is only vague margins on one or two
preparation that are not adequately replicated in the impression
FITTING OF COPPER BAND TO PREPARATION:
 A copper band is selected & annealed by heating on a flame &
quenching in alcohol
 Mark the finish line with explorer & round off the edges
21
 Evaluate the fit & cut orientation hole in top one fifth of the facial surface
22
EVALUATING THE FIT OF COPPER BAND:
 The circumference of the copper band must be such that it will fit over the
preparation and still project into the gingival crevice.
 An oversize band should not be used since it will impinge on the gingival
tissues
23
PROCEDURE:
 Make 4 to 5 holes evenly distributed above the bottom of the copper tube
for retention of the impression material
 Coat the internal surface sparingly with adhesive
 Clean and isolate the preparation
 Mix heavy viscosity material & inject to the band & position it on the tooth
 Once the material is set remove the band & inspect the impression
24
REVERSIBLE HYDROCOLLOID TECHNIQUE
This impression requires a special conditioning unit which consists of 3
thermostatically controlled water baths.
1. A liquefaction bath
2. A storage bath
3. A tempering bath
25
26
PROCEDURE:
 Select the correct size of water cooled impression trays
 Place a small modelling compound or pre fabricated stops in the
tray to prevent over seating
 Fill the impression tray with heavy bodied material from the
storage bath & place it in the tempering bath
 Load the syringe material in the syringe & replace it in the storage
bath
 Carefully remove the retraction cord and flood the tooth with water
27
 Inject the syringe material on the tooth
 Remove impression tray from the bath , wipe with the gauze &
place it in the mouth
 After seating cold water is circulated through the tray until the
impression material is set
28
Laminate Technique or Agar Alginate combination
technique
 After injecting the syringe agar on to the area to be recorded, an
impression tray containing a mix of chilled alginate that will
bond with the syringe agar is positioned on it
 Alginate gels by chemical reaction & agar gels by means of
contact with cool alginate rather than the water circulating
through the tray
29
ADVANTAGES:
 Less air bubbles
 Water cooled trays are not required
 It sets faster than regular agar technique
30
Wet Field Technique
 Popular & relatively new technique
 Areas to be recorded are actually flooded with warm water
 Then the syringe material is introduced quickly, liberally & in bulk
to cover the occlusal and / incisor areas only
 While the syringe material is still liquid, the tray material is seated
31
Wet Field Technique
32
 The hydraulic pressure of the
viscous tray material forces the fluid
syringe hydrocolloid down into the
areas to be recorded
 This motion displaces the
syringe materials as well as blood
and debris throughout the sulcus
MATRIX IMPRESSION SYSTEM
This system uses three impression materials
1. Matrix impression material
2. Tray impression material
3. Matrix forming material
33
Tooth preparation Clear plastic template selected
Matrix is made in carrier with PVS material before soft tissue is retracted
34
Impression syringe is used to
fill matrix with high viscosity material
Matrix impression is seated with
light pressure
Stock tray filled with medium viscosity impression material is seated over matrix impression
before matrix material polymerizes
35

IMPRESSION MAKING IN FIXED PARTIAL DENTURE.pptx

  • 1.
    IMPRESSIONS MAKING INFIXED PARTIAL DENTURE
  • 2.
    INTRODUCTION 2 IMPRESSION : Animpression is a negative likeliness of the teeth and surrounding structures. A good quality impression is only obtained when we have a thorough knowledge of materials, their properties, and techniques for their best manipulation
  • 3.
    IMPRESSION TRAY 3 It isa receptacle into which suitable impression material is placed to make a negative likeliness (or) a device that is used to carry, confine and control impression material while making impression - GPT 9
  • 4.
    REQUIREMENTS OF CUSTOMTRAY • Rigid • Stops on the occlusal surfaces of the teeth to orient the tray properly when it is seated in the mouth • Impression material should adhere firmly to tray – rubber adhesive is used. • Beside this –Perforation –Roughening the inner surface of tray 4
  • 5.
    CUSTOM TRAY Improves accuracy– limits volume of material Reduces stress during removal & thermal contraction Tray rigidity is important Resin thickness of 2 – 3mm Clearance of 2 – 3 mm 5
  • 6.
    CHALLENGES IN MAKINGGOOD IMPRESSION  Moisture control • Saliva • Blood • Gingival tissue must be displaced laterally to allow access & provide space for the material 6
  • 7.
    IMPRESSION MATERIALS USEDIN FPD 1) Hydrocolloid impression material a) Reversible b) Irreversible 2) Elastomeric impression materials a) Polysulfide b) Addition silicone c) Condensation silicone d) Polyether 7
  • 8.
    According to Viscositythey are classified as 1. Light body/ Syringe consistency 2. Medium body/ Regular body 3. Heavy body/ Tray consistency 4. Very heavy body/ Putty consistency ELASTOMERS 8
  • 9.
    IMPRESSION TECHNIQUES 9 IMPRESSION TECHNIQUES 1. Stocktray technique Double mix Single mix 2. Custom tray technique 3. Double arch technique 4. Copper band technique 5. Reversible hydrocolloid Laminate technique Wet field technique 6. Matrix system
  • 10.
  • 11.
    STOCK TRAY IMPRESSIONTECHNIQUE (Putty wash technique) Mixing method : Double mix Single mix Procedure:  Tray selection is done  Coat the tray with adhesive on inside & rim  Mix high viscosity putty according to manufacturer’s instruction  Adapt it into the stock tray  Cover putty with manufacturer’s spacer(a sheet of polyethylene)  Hold & wait until initial set 11
  • 12.
  • 13.
    PUTTY WASH IMPRESSIONTECHNIQUE 13  Remove the putty impression from mouth with minimal sideward movement  Light body is immediately injected into the sulcus & around prepared teeth  Tray is seated slowly until it is firmly in place for 6 minutes  As the impression is set, its removed as quickly and in as straight a path as possible to prevent plastic deformation of the material  Impression is rinsed to remove blood & saliva, blown dry, inspected, disinfected and poured
  • 14.
    SINGLE MIX TECHNIQUE Mix the low viscosity impression material & load it into syringe / take syringe material (light body)  Syringe in inaccessible areas first  Load the tray with putty material  Seat the tray  After final set remove the tray parallel to the preparation path  Impression is evaluated for finish lines & for any distortion & tear 14
  • 15.
    SINGLE MIX TECHNIQUE 15 Stocktray is coated with tray adhesive Light body is injected around Prepared tooth Heavy body is loaded in stock tray Space is created in putty and Light body is injected Tray seated in patient’s mouth Final impression
  • 16.
    DOUBLE MIX TECHNIQUE For the stock tray double mix insert the low viscosity impression material into the tray without overfilling it  Position the tray over the arch  Evaluate final position & adjust tray quickly if necessary 16
  • 17.
    Prepared teeth After applyingtray adhesive Putty is loaded in stock tray Putty impression is made Space is created for light body Light body is injected around the prepared tooth & the impression is reaseated Final impression 17
  • 18.
    DUAL-ARCH IMPRESSIONS use ofonly one tray – • Captures an impression of the prepared tooth, the adjacent and opposing teeth • And the relationship between them in maximal intercuspation without the need for an interocclusal record 18
  • 19.
    DUAL IMPRESSION TECHNIQUE Indication –single tooth with intact adjacent and opposing teeth – intact, mutually protected Angle‘s Class I occlusion • Low-viscosity impression material is injected around prepared tooth • High-viscosity material into the tray • Tray is inserted immediately • Maximal interocclusion is checked 19
  • 20.
    DUAL IMPRESSION TECHNIQUE 20 ADVANTAGES: Physical deformation of mandible is minimal  Shifting of teeth occuring during maximum intercuspation is captured  Less impression material is needed  Less gagging DISADVANTAGES:  Tray is not rigid  Limited to one quadrant  Distribution of impression material is not uniform
  • 21.
    COPPER BAND ORTUBE METHOD  The copper band is used to salvage an impression of multiple preparation where there is only vague margins on one or two preparation that are not adequately replicated in the impression FITTING OF COPPER BAND TO PREPARATION:  A copper band is selected & annealed by heating on a flame & quenching in alcohol  Mark the finish line with explorer & round off the edges 21
  • 22.
     Evaluate thefit & cut orientation hole in top one fifth of the facial surface 22
  • 23.
    EVALUATING THE FITOF COPPER BAND:  The circumference of the copper band must be such that it will fit over the preparation and still project into the gingival crevice.  An oversize band should not be used since it will impinge on the gingival tissues 23
  • 24.
    PROCEDURE:  Make 4to 5 holes evenly distributed above the bottom of the copper tube for retention of the impression material  Coat the internal surface sparingly with adhesive  Clean and isolate the preparation  Mix heavy viscosity material & inject to the band & position it on the tooth  Once the material is set remove the band & inspect the impression 24
  • 25.
    REVERSIBLE HYDROCOLLOID TECHNIQUE Thisimpression requires a special conditioning unit which consists of 3 thermostatically controlled water baths. 1. A liquefaction bath 2. A storage bath 3. A tempering bath 25
  • 26.
  • 27.
    PROCEDURE:  Select thecorrect size of water cooled impression trays  Place a small modelling compound or pre fabricated stops in the tray to prevent over seating  Fill the impression tray with heavy bodied material from the storage bath & place it in the tempering bath  Load the syringe material in the syringe & replace it in the storage bath  Carefully remove the retraction cord and flood the tooth with water 27
  • 28.
     Inject thesyringe material on the tooth  Remove impression tray from the bath , wipe with the gauze & place it in the mouth  After seating cold water is circulated through the tray until the impression material is set 28
  • 29.
    Laminate Technique orAgar Alginate combination technique  After injecting the syringe agar on to the area to be recorded, an impression tray containing a mix of chilled alginate that will bond with the syringe agar is positioned on it  Alginate gels by chemical reaction & agar gels by means of contact with cool alginate rather than the water circulating through the tray 29
  • 30.
    ADVANTAGES:  Less airbubbles  Water cooled trays are not required  It sets faster than regular agar technique 30
  • 31.
    Wet Field Technique Popular & relatively new technique  Areas to be recorded are actually flooded with warm water  Then the syringe material is introduced quickly, liberally & in bulk to cover the occlusal and / incisor areas only  While the syringe material is still liquid, the tray material is seated 31
  • 32.
    Wet Field Technique 32 The hydraulic pressure of the viscous tray material forces the fluid syringe hydrocolloid down into the areas to be recorded  This motion displaces the syringe materials as well as blood and debris throughout the sulcus
  • 33.
    MATRIX IMPRESSION SYSTEM Thissystem uses three impression materials 1. Matrix impression material 2. Tray impression material 3. Matrix forming material 33
  • 34.
    Tooth preparation Clearplastic template selected Matrix is made in carrier with PVS material before soft tissue is retracted 34
  • 35.
    Impression syringe isused to fill matrix with high viscosity material Matrix impression is seated with light pressure Stock tray filled with medium viscosity impression material is seated over matrix impression before matrix material polymerizes 35