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Alginate
Derived from agar (seaweed)- irreversible
Used for temporary things
Used to take diagnostic impressions
Plaster or stone (plaster not as strong)
Hydrocolloid
Not reversible
Hydro= water colloid= gelatin
Impression
Negative
Pour up
Positive
Mandibular
What Impression do we take first?
mixing time
1 min
setting time
3 min
Plaster to harden
45 min
Cold water
Longer setting time
Warm water
Shorter setting time
1 shot water
1 scoop alginate
Comes in
Cans or pouches (once opened store in can)
Why do we take alginate impressions?
For study models
Preliminary impressions for dentures
Opposing arch and gold work
Fabrication of dental appliances
Pre and post treatment records
Why do we use alginate?
Inexpensive compares to other material
Easy to mix
Acquires little equipment
Sufficiently accurate for diagnostic cast
What do alginate impressions show?
Teeth and missing teeth (restorations)
Frenum
Hard palate
Rugae
Tuberosities
Retro molar pad
Tongue space
Tori (overgrowth or bone)
Types of impressions (what they are made of)
Metal
Aluminum
Steel
Plastic
Styrofoam
Styles of trays (what kind)
Full lowers and full uppers
Combination tray (some teeth but missing others)
Edentulous tray
Pedo tray
Anterior tray
Quadrant tray
Tray should fit
Loose fitting and extend 2-3mm beyond the last tooth
Always..
Seat the heel of tray first
Hold tray in pts mouth
Mandibular impression
Fill tray from sides
Stand 9 o'clock
Lift roof of tongue
Pull pts lip out
Maxillary impression
Fill tray from back or posterior border
Stand 11-12 o'clock
Seat back first
Pt put head down and breathe in through nose out through mouth
Add wax for high palate, comfort, gagging, lengthen tray and post dam
After taking impressions
Rinse w/ water
Spray w/ cavicide spray
Wrap in moist paper towel
Add plaster on vibrator (NO BUBBLES)
Pour within (plaster)
20 min (if can't right away)
Equipment
Lab bowls - S, M, L, XL (mix alginate in L)
Alginate spatula
Vibrator
Measuring device for water and alginate
Set too quickly
Use colder water
Set too slow
Use warmer water
Mixture of powder and water too thick or too thin
Use proper proportions
Material does not set
Mixing continued after gelatin started. Mix 1 min only
Teeth elongated or enlarged in impression
Impression was moved during gelation, hold don't press
Detail lacking in impression
Too little water used
Impression fractured in pieces
Material gelled before placed in mouth
Distorted but not torn
Impression removed too slowly, remove w/ quick jerk
Alginate sticks to impression
Cast separating too soon after pouring. Allow cast to set 45 min before separating from impression
Cast too rough
Surface of impression contained water droplet
Cast powdery
Cast remained in impression too long
Teeth broke on cast
Impression not removed sufficiently soon after cast had set. Cast should be removed no later than an hour
Dental plaster and stone are manufactured from
Gypsum
Negative reproduction of the dental arch is called
An impression
All of following are types of gypsum in products except
Plaster of Paris
Zinc oxide
Investment material
Class 1 stone
Zinc oxide
An important factor in controlling the setting time of gypsum products is the
Temperature of water
Water powder ratio
Length of spatula
A working model is usually poured in
Plaster
The compressive strength of set gypsum product is determined by
The controls set by the manufacturer
Setting expansion of stone is controlled by
W/p ratio
Spatulation
The manufacturer
Casts which serve as working models are usually poured in
Model plaster
When using gypsum products, air voids are minimized by
Using a vacuum and or vibrator
One drop of water in a stored container of plaster would
Render it useless