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are used to obtain a reproduction of the teeth, surrounding oral tissues, or both
impression materials
negative reproduction
impression
positive reproduction
model
what are the two impression techniques
traditional/material-based
digital
what are the 3 classifications of material-based impressions
preliminary
final
occlusal
what are preliminary impressions used for
diagnostic models/casts
custom trays
provisional coverage
orthodontic appliances
produces the most accurate reproduction of the teeth and surrounding tissues
final impressions
what are final impressions used for
indirect restorations
partial or full dentures
implants
also called bite registration
occlusal impression
records the relationship between the maxillary and mandibular teeth when the mouth is occluded
occlusal impression
provides an accurate registration of the patient’s centric relationship between the maxillary and mandibular arches
occlusal impression
preliminary → ?
diagnostic
final → ?
accurate/detailed
occlusal → ?
bite registration
hold the impression material during the impression procedure
impression tray
an impression tray but be rigid enough to ____?
carry material into mouth
hold material close to the teeth
avoid breaking during removal
prevent warping or distortion
impression trays are rigid for all of the following reason except to?
prevent warping or distortion
available in many sizes
stock trays
types of stock trays
quadrant
section
full arch
quadrant stock tray → ?
half arch
section stock tray → ?
anterior portion
full arch stock tray → ?
entire max or mand arch
impression material mechanically locks into the holes
perforated tray
requires tray adhesive
smooth tray
the tray should : ?
be comfortable
extend slightly beyond teeth
can be used to modify a stock tray
utility wax
utility wax can be used to _____?
extend length of tray
increase height of tray borders
accomodate unusual anatomy
accommodate a high palatal vault
extend posterior portion of mandibular tray
made specifically for one patient
custom tray
what is a custom tray constructed from
diagnostic model made from preliminary impression
materials used for custom trays: ?
acrylic resin
light-cured resin
thermoplastic resin
used for final impressions
custom trays
custom trays are used for final impressions, including?
dentures
inlays
crowns
bridges
partial dentures
stock tray → ?
standard size
custom tray → ?
made for one pt
blue adhesive
VPS wh
what is VPS adhesive used with
polyvinyl siolxane and polyether
brown
rubber base adhesive
what is rubber base adhesive used with
polysulfide
orange/pink
silicone adhesive
what is silicone adhesive used with
polysiloxane
hydro = ?
water
colloid = ?
gelatin substance
hydrocolloids change between a ?
sol → gel
what are the two types of hydrocolloids
irreversible
reversible
what kind of hydrocolloid is alginate
irreversible
once alginate changes from a sol → gel, it cannot return to the ___ state
sol
most widely used irreversible hydrocolloid for preliminary impressiosn
alginate
physical phase of sol
liquid or semiliquid
physical pahse of gel
semisolid
has less gel strength than elastomeric impression materials
alginate
ingredients of alginate
potassium alginate
calcium sulfate
trisodium phosphate
diatomaceous earth
zinc oxide
potassium titanium fluoride
derived from seaweed; thickens alginate
potassium alginate
reacts w/ potassium alginate to form the gel
calcium sulfate
slows the reaction
trisodium phosphate
adds bulk
diatomaceous earth
zinc oxide
prevents interference with setting and improves surface strength
potassium titanium fluoride
must be completely set before removal
alginate
strength increases over time
alginate
leave the alginate impression in the mouth for the ___?
full recommended time
dimensional changes of alginate
imbibition → water absorption → expansion
syneresis → water loss/open-air storage → shrinkage
imbibition = ?
water enters
syneresis = ?
water leaves
alginate can deteriorate quickly when exposed to : ?
elevated temp
moisture
what is the shelf life of alginate
1 yr
packaged in containers about the size of a coffee can
alginate
cost more but save time by eliminating powder measurement
premeasured individual alginate packages
working/setting time of normal-set alginate
2 working - 4 ½ minutes setting
working/setting time of fast-set alginate
1 ½ working - 1-2 minutes setting
good choice for a pt with a strong gag reflex
fast-set alginate
time available for mixing the alginate and loading the tray
working time
time required for the chemical reaction to be completed
setting time
cooler water → ?
longer setting time
warmer water → ?
shorter setting time
always use the scoop and measuring device supplied by ?
the manufacturer
measurements for adult mandibular impression
2 scoops poweder + 2 measures water
measurements for adult maxillary impressions
3 scoops powder + 3 measures water
what is the most common technique for mixing alginate
rubber bowl
beavertail/wide spatula
flexible rubber bowl attached to an electrical component that mixes the alginate at low or high speed
alginator
when taking an alginate impression the EFDA should be able to: ?
mix alginate
load the tray
seat the tray posterior first
keep pt comfortable
explain procedure
evaluate complete impression
after the the alginate impression is taken what should you do
spray w/ intermediate level disinfectant
place in a plastic bag
pour within 1 hour
reversible hydrocolloid changes
sol → gel → sol
what is the reversible hydrocolloid change caused by
temp
describes the temp change that causes the transformation
hysteresis
what is required for reversible hydrocolloid
special conditioning bath
what are the 3 bath compartments
liquefying
storage
tempering
before the impression
approximately 212 F
liquefying bath
keeps material ready for the impression
storage bath
used after material is placed in the tray
approximately 110 F
tempering bath
for reversible hydrocolloid tray and syringe what is used
water cooled stock tray
are used when an accurate final impression is essential
elastomeric material
types of elastomeric material
light-bodied
regular/heavy-bodied
other names for light bodied material
syringe type
wash-type
used to flow around the details of the prepared tooth
light bodied
applied first
light bodied
thicker material used to fill the tray
regular/heavy-bodied
paste begins to stiffen but does not yet have elastic properties
initial set
elasticity appears and the material becomes a solid, rubbery mass
final set
last stage occurs within approximately 1-24 hours
final cure
uses an extruder/dispenser gun
automix system
uses cartridges
automix system