The document discusses the principles and objectives of dental impressions. It defines an impression as a negative replica of the surfaces of an object. The main objectives of taking an impression are retention, stability, support, aesthetics, and preservation of remaining structures. It describes different types of impressions like preliminary and functional impressions. Theories of definitive pressure, minimal pressure, selective pressure impressions are explained. Factors affecting retention like anatomical, physiological and physical factors are also summarized.
IMPRESSION TECHNIQUES IN COMPLETE DENTURE
CONTENTS
Introduction
History
Basic requirements of impression making
Objectives of impression making
Theories in impression making
Recording the preliminary impressions
Spacer designs & tissue stops
Recording the final impressions
Border molding
Wash impression
Conclusion
References
INTRODUCTION
The journey towards successful complete denture fabrication begins with making accurate impressions.
All subsequent steps that are necessary for complete denture fabrication will be greatly diminished if the denture base does not fit due to inadequate impression.
DEFINITION
IMPRESSION:
An imprint or negative likeness of the teeth, of the edentulous areas where the teeth have been removed, or of both, made in a plastic material that becomes relatively hard or set while in contact with these tissues.
WINKLER
COMPLETE DENTURE IMPRESSION:
A negative registration of the entire denture bearing, stabilizing, and border seal areas present in the edentulous mouth.
HEARTWELL
HISTORY
Before the middle of the 18th century, no method was available for producing an impression of the alveolar ridge.
Ridges were painted with a dye and a block of ivory or bone was pressed on the ridge.
Areas of contacts were scraped away from the block until the best fit of the prosthesis was achieved.
In 1711, Mathian Gottfried Purman recorded the use of wax.
In 1728, Pierre Fauchard made dentures by measuring mouth with compasses and cut the bone to approximate shape for the space to be filled.
In 1736, Phillip Pfaff of Germany made impressions in wax sections of half of the mouth at a time.
1782 -William Rae said that “he got the measurement of the jaws in a piece of wax pushed into the gum, afterwards making a cast of it with plaster of paris.
1840 - Charles De loude (london) made one of the earliest reference to impression trays .
1842- Montgomery discovered gutta percha.
It was introduced as an impression material in 1848 by Colburn.
1844-Wescott, Dwinelle and Dunning used plaster of paris as an impression material.
1862 Franklin described the first correct impression.
1874 Modeling plastics was developed by S. S. White
1900 Green brothers introduced a method for manipulating the modeling plastics.
First to use the term "posterior dam" in describing the posterior palatal seal.
1915 Rupert Hall perfected the first moderate-heat modeling plastic for making individual impression trays.
1925 Poller used agar for dental impressions.
1930s Ward and Kelly used ZOE for impressions.
1939 Trapozzano described one of the early techniques using Zinc oxide eugenol paste.
1936 Alginate-type materials patent awarded.
1940s Write and Denen were first to use alginate impression for corrective wash procedures
1942- Pendleton suggested a fluid wax technique using asiatic or india
IMPRESSION TECHNIQUES IN COMPLETE DENTURE
CONTENTS
Introduction
History
Basic requirements of impression making
Objectives of impression making
Theories in impression making
Recording the preliminary impressions
Spacer designs & tissue stops
Recording the final impressions
Border molding
Wash impression
Conclusion
References
INTRODUCTION
The journey towards successful complete denture fabrication begins with making accurate impressions.
All subsequent steps that are necessary for complete denture fabrication will be greatly diminished if the denture base does not fit due to inadequate impression.
DEFINITION
IMPRESSION:
An imprint or negative likeness of the teeth, of the edentulous areas where the teeth have been removed, or of both, made in a plastic material that becomes relatively hard or set while in contact with these tissues.
WINKLER
COMPLETE DENTURE IMPRESSION:
A negative registration of the entire denture bearing, stabilizing, and border seal areas present in the edentulous mouth.
HEARTWELL
HISTORY
Before the middle of the 18th century, no method was available for producing an impression of the alveolar ridge.
Ridges were painted with a dye and a block of ivory or bone was pressed on the ridge.
Areas of contacts were scraped away from the block until the best fit of the prosthesis was achieved.
In 1711, Mathian Gottfried Purman recorded the use of wax.
In 1728, Pierre Fauchard made dentures by measuring mouth with compasses and cut the bone to approximate shape for the space to be filled.
In 1736, Phillip Pfaff of Germany made impressions in wax sections of half of the mouth at a time.
1782 -William Rae said that “he got the measurement of the jaws in a piece of wax pushed into the gum, afterwards making a cast of it with plaster of paris.
1840 - Charles De loude (london) made one of the earliest reference to impression trays .
1842- Montgomery discovered gutta percha.
It was introduced as an impression material in 1848 by Colburn.
1844-Wescott, Dwinelle and Dunning used plaster of paris as an impression material.
1862 Franklin described the first correct impression.
1874 Modeling plastics was developed by S. S. White
1900 Green brothers introduced a method for manipulating the modeling plastics.
First to use the term "posterior dam" in describing the posterior palatal seal.
1915 Rupert Hall perfected the first moderate-heat modeling plastic for making individual impression trays.
1925 Poller used agar for dental impressions.
1930s Ward and Kelly used ZOE for impressions.
1939 Trapozzano described one of the early techniques using Zinc oxide eugenol paste.
1936 Alginate-type materials patent awarded.
1940s Write and Denen were first to use alginate impression for corrective wash procedures
1942- Pendleton suggested a fluid wax technique using asiatic or india
Retention,stability& support in dentures / dental implant courses by Indian d...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Different theories of impression making in complete denture treatment/cosmeti...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Different theories of impression making in complete denture/certified fixed o...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Fabrication of Complete Dentures for A Patient with Resorbed Mandibular Anter...QUESTJOURNAL
ABSTRACT: The loose and unstable lower complete denture is one of the most common problems faced by denture patients with highly resorbed ridge. The management of such highly resorbed ridges has always posed a difficulty to the prosthodontist.Obtaining consistent mandibular denture stability has longbeen a challenge for dental profession. The simplest approach often is to extend the denture base adequately for proper use of all available tisues.To achieve this goal impression of the resorbed mandibular ridge is very important. The objective is to develop a physiologic impression with maximum support of both hard and soft tissues.In such cases, an innovative technique of impressionmaking by using a close fitting tray and anelastomeric impression material tomake a proper impression to achieve maximum retentionand stability.This article describes an impression technique used for highly resorbed mandibular ridge using an all green impression technique, to gain maximum retention andstability
Retention in complete dentures /certified fixed orthodontic courses by Indian...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Retention in complete dentures /certified fixed orthodontic courses by Indian...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Journal club on cocktail impression technique. this technique can be used in cases with poor ridge like in Atwood's class V or Vi ridge defect, where there is not much of residual ridge left.
Retention,stability& support in dentures / dental implant courses by Indian d...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Different theories of impression making in complete denture treatment/cosmeti...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Different theories of impression making in complete denture/certified fixed o...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Fabrication of Complete Dentures for A Patient with Resorbed Mandibular Anter...QUESTJOURNAL
ABSTRACT: The loose and unstable lower complete denture is one of the most common problems faced by denture patients with highly resorbed ridge. The management of such highly resorbed ridges has always posed a difficulty to the prosthodontist.Obtaining consistent mandibular denture stability has longbeen a challenge for dental profession. The simplest approach often is to extend the denture base adequately for proper use of all available tisues.To achieve this goal impression of the resorbed mandibular ridge is very important. The objective is to develop a physiologic impression with maximum support of both hard and soft tissues.In such cases, an innovative technique of impressionmaking by using a close fitting tray and anelastomeric impression material tomake a proper impression to achieve maximum retentionand stability.This article describes an impression technique used for highly resorbed mandibular ridge using an all green impression technique, to gain maximum retention andstability
Retention in complete dentures /certified fixed orthodontic courses by Indian...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Retention in complete dentures /certified fixed orthodontic courses by Indian...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Journal club on cocktail impression technique. this technique can be used in cases with poor ridge like in Atwood's class V or Vi ridge defect, where there is not much of residual ridge left.
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1. z
Principles and objectives of impressions in
CD
Dr. M. Pavan Preetham
Reader
Dept. of Prosthodontics
SB Patil Institute for Dental Sciences & Research
Bidar
2. z
IMPRESSION
A negative replica or copy in reverse of the surface of an object .
– gpt 8
• An impression can also be defined as an imprint of the teeth
and adjacent structures for use in dentistry. - gpt 4
3. z
PRELIMINARY IMPRESSION
A preliminary impression is an impression made for the purpose
of diagnosis or for the construction of a tray
5. z
History • 1928 Pierre Fauchard made
dentures by measuring the mouth
with compasses and cutting bone
into an approximate shape.
• 1896 Green brothers introduced
mucocompressive theory.
• 1900-1929 Concepts like Rebase
impressions, border molding and
techniques for flabby tissues were
introduced.
6. z
• 1930-1940 This era recognized the anatomy of the
denture bearing areas, and muscle physiology as
related to impression procedures. This is evident by
descriptions of border molding of dentures.
Several new impression materials were introduced :
reversible hydrocolloids, zinc oxide eugenol and zinc
oxide and oil of cloves
1950-1964 more emphasis on biologic factor of
impression making was given.
• 1951 Carl O Boucher introduced selective pressure
theory.
8. z
Most of the impressions of the twentieth century are made with a
view to functional movement of the musculature.
• Theoretically, the impressions are so formed that the complete
denture will require no change in contour.
9. z
• Impression are
made with
– Definitive-pressure
impressions
– Minimal-pressure
impressions
– Selective-pressure
impressions
– Functional
impression
10. z
Definitive-pressure impressions
Because denture retention is tested most severely during
mastication, many dentist formerly considered it essential for the
tissue to remain in contact with the denture during chewing.
However, dentures did not fit well at rest, because of » Tissue so
distorted, tend to rebound. » Tissues so abused will long
maintain the shape that they assumed on the day of impression.
11. z
Minimal pressure impressions
Richardson in 1896 had advocated plaster because it least
disturbed the tissues
Addison (1944) descirbed the so called “muco- static
impression”
Main point of the mucostatic principle concerned Pascal’s law,
which states that pressure on a confined liquid, will be
transmitted throughout the liquid in all directions.
12. z
Selective pressure
This principle is based on the belief that the mucosa over the
ridge is best able to withstand pressure, whereas that covering
the midline is thin and contains very little submucosal tissues
This technique combines the principles of both pressure and non
pressure procedures
13. z
The technique utilizes a preliminary compound impression that
is generously relieved over the midline and incisive papilla
areas.
• The final impression is taken, which acts as a wash and also
records the relieved areas with minimal pressure while the ridge
areas are undergoing considerable pressure
14. z
Thus, the midline and papilla sections of the denture will not
make contact with the mucosa when the denture is not in
function, they will not bear heavily when the patient is chewing
15. z
Functional impression
• This technique uses a complete denture that is delivered,
relieved on its internal aspects, and filled with a slow setting
impression material(tissue conditioning material).
• The patient wears the prosthesis for several days, allowing the
tissues to be recorded “in function”
16. z
The completed impression then is converted to and reline
material via laboratory processing.
• This technique seeks to create a denture base that models the
functionally loaded tissues
20. z
Retention
Retention is defined as the ability of denture to resist the
displacement against vertical forces
Retention resists the adhesiveness of food, the force of gravity,
& the forces associated with the opening of jaws
23. z
Adhesion is achieved by ionic forces between charged salivary
glycoproteins & surface epithelium or acrylic resin.
Quality of adhesion depends on :-
Close adaption
Size of denture
Type of denture bearing saliva area
24. z
Cohesion occurs within the layer of fluid (usually saliva ) that is
present between the denture base & the mucosa.
25. z
Interfacial surface tension is the resistance to separation of two
parallel surfaces that is imparted by a film of liquid between
them
It is dependent on the ability of the fluid to wet the rigid
surrounding material .
26. z
Oral & facial musculature supplement retentive forces
Atmospheric pressure Acts to resist dislodging forces
applied to the denture ,if the denture have an effective seal
around their borders.
Retention due to atmospheric pressure is directly
proportional to the area covered by the denture base.
In function, atmospheric pressure is superior to interfacial
surface tension as a retentive force, for forces horizontal as
well as parallel to the mean of mucosal plane are resisted.
Interfacial surface tension will resist only forces
perpendicular to the axis of surface tension forces
27. z
STABILITY
It is the ability of the denture
to withstand horizontal forces.
• Vertical height of the residual ridge.
• Quality of soft tissue covering the
ridge.
• Occlusal plane
• Quality of the impression.
• Teeth arrangement.
• Contour of the polished surfaces.
Factors Affecting Stability
28. z
SUPPORT
It is the resistance to vertical forces of mastication & to occlusal
or other forces applied in a direction toward the basal seat .
When the natural teeth are missing ,the alveolar ridge & their
covering of mucosal tissue become the supporting elements.
29. z
ESTHETICS
The thickness of the denture flanges is one of the important
factors that govern aesthetics.
Thicker denture flanges are preferred in long-term edentulous
patients to give required labial fullness.
Impression should perfectly reproduce the width and height of
the entire sulcus for the proper fabrication of the flanges.
30. z
PRESERVATION OF REMAINING
STRUCTURES
De Van (1952) stated that, “the preservation of that which
remains is of utmost importance and not the
meticulous replacement of that which has been
lost”.
Impressions should record the
details of the basal seat and
peripheral structures in an
appropriate form to prevent injury
to the oral tissues