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IMPRESSION IMPRESSION MATERIALSMATERIALS
DR ZURYATI AB GHANIDR ZURYATI AB GHANI
BDS (WALES), Grad Dip BDS (WALES), Grad Dip ClinClin Dent (Adelaide), Dent (Adelaide), Doctor in Clinical Dentistry (Doctor in Clinical Dentistry (prosthodonticsprosthodontics), ),
Adelaide, FRACDS (Australia).Adelaide, FRACDS (Australia).
18.06.0718.06.07
Impression materialsImpression materials
PlasterCompoundZOE pasteWax
Non AqueousPolysulphideCondensation SiliconeAdditional SiliconePolyether
Non Elastomeric Elastomers
AqueousReversible hydrocolloid (Agar)Irreversible hydrocolloid(Alginate)
DESIRABLE PROPERTIESEasy to mix and dispenseDimensionally stableGood wettingAccuracy in detailAccuracy after cold sterilisationOdor and taste neutralGood elastic recoveryGood tear strengthCompatibility with die materialsLong shelf lifeAdequate working timeNo irritation to tissues
KEY LEARNING ISSUESClassification of materialsUnderstanding setting reactionPropertiesDelivery systemsProblems and their solutions
CompoundCompound
Composition: 40%resin, 7% waxes, Composition: 40%resin, 7% waxes, 3% organic acids, 50% fillers, 3% organic acids, 50% fillers, colouringcolouring agentsagentsCapable of Capable of mouldingmoulding impression at impression at 4545°°CCPrimary impression in the edentulous Primary impression in the edentulous ridgeridge
Zinc oxide Zinc oxide EugenolEugenol
Composition
Tube 1Tube 1Zinc oxide Zinc oxide OilsOilsAdditives
Tube 2Tube 2EugenolEugenolOilOilResinResinAdditives
AdditivesAdditives
Zinc oxide Zinc oxide eugenoleugenol
Used in custom made tray to record Used in custom made tray to record usually edentulous arches, sometimes usually edentulous arches, sometimes referred as wash impressionreferred as wash impressionMixing time 30 to 45 Mixing time 30 to 45 secssecsSetting time 3 to 5 Setting time 3 to 5 minsminsBrittle, messy, sometimes irritates Brittle, messy, sometimes irritates patient due to patient due to eugenoleugenol contentcontent
Impression waxesImpression waxes
Useful for correction of small Useful for correction of small imperfection in imperfection in ZnOEZnOE impression, or impression, or for recording partial lower free end for recording partial lower free end saddlessaddles
Aqueous Aqueous elastomericelastomericimpression materialsimpression materials1)1) AgarAgar-- Reversible hydrocolloidReversible hydrocolloid2)2) Alginate Alginate ––irreversible hydrocolloidirreversible hydrocolloid
AlginateAlginate
One of the most widely used One of the most widely used impression materialsimpression materialsADVANTAGES: Easy to mix and ADVANTAGES: Easy to mix and manipulate, cheap, flexibility of set manipulate, cheap, flexibility of set impression, minimum equipment, impression, minimum equipment, accuracy if handled properly.accuracy if handled properly.
ALGINATEALGINATEComposition FunctionSodium or potassium Sodium or potassium alginatealginateSodium phosphateSodium phosphateSilicate powderSilicate powderPotassium Potassium sulphatesulphate or or potassium zinc fluoridepotassium zinc fluoride
Organic glycolOrganic glycol
Chlorhexidine
To dissolve in waterTo dissolve in water
To react with alginateTo react with alginateControl setting timeControl setting timeTo aid setting of die To aid setting of die materialmaterial
Min dust during Min dust during dispensingdispensingSelf disinfectionChlorhexidine Self disinfection
Mixing time: 1 minMixing time: 1 minSetting time: 2Setting time: 2--4.5 4.5 minsminsFast set: 1Fast set: 1--2 2 minsmins↑↑Temp Temp ↑↑setting time. Do not alter powder setting time. Do not alter powder liquid ratio to change setting timeliquid ratio to change setting time
Dimensional changes. Can be stored Dimensional changes. Can be stored at 100 % humidity for 1 hr without at 100 % humidity for 1 hr without dimensional changesdimensional changesNot very accurateNot very accurateLow tear resistanceLow tear resistance
Also known as thiokol rubbers or mercaptansProvided as two pastes: Base and Catalyst
CompositionBase:Polysulfide polymer Titanium oxide or Zinc Oxide Calcium Sulfate
Catalyst:Lead dioxide Sulfur Dibutyl phthalate
Products: Permlastic (Kerr); Omniflex (GC-America)
SETTING REACTIONCondensation reaction between –SH (sulfydryl groups)with lead dioxide and sulfur to produce disulfide linksand water.Chain lengthening and cross-linking occursIncrease in viscosityElastic properties ariseWater accelerates the setting reactionHeat accelerates the setting reaction
ADVANTAGESGood tear strength and flexibilityLow costIncreased working time
DISADVANTAGESPoor dimensional stability due to water lossOffensive odorLong setting timeMore permanent deformation on removal andless elastic recovery due to reduced degree ofpolymerisation compared to silicones and polyethers
DIMENSIONAL CHANGE FROM:Temperature transition upon removal from mouthWater loss which is a setting reaction by-productShrinkage from continued polymerisation
COMPOSITIONBase:Dimethyl polysiloxaneAlkyl silicate
Catalyst:Stannous octoate
Setting reaction:Cross-linking of a hydroxy terminated dimethyl polysiloxaneby an alkyl silicate catalysed by stannous octoate
ADVANTAGESMore stable than polysulfidesGood tear strengthGood working and setting times
DISADVANTAGESOdor from alcohol byproductDimensional instability
Most accurate impressions with condensation silicones aregenerated via a putty-wash technique.
Products: Formasil, Accoe (GC America)
Poly-Vinyl Siloxanes
Setting reaction can be inhibited via a sulfur compound insome latex gloves by the name of zinc diethyl dithiocarbamateThis chemical interacts with the chloroplatinic acid catalyst inthe PVS formulationNot all latex gloves cause problems for PVS materials
PolyVinyl Siloxanes
SETTING REACTIONCrosslinking reaction of a vinyl terminated dimethyl polysiloxaneCatalysed by chloroplatinic acid. Hydroen gas can be released asas by-product. The more contemporary products have hydrogen gas scavengers.
VISCOSITIESPuttyMonophaseHeavyIntermediateLight
PolyVinyl Siloxanes
ADVANTAGESVery stable dimensionallyImpression re-pours possibleOdor and taste neutralGood elastic recoveryGood tear strengthGood wetting of prep surfaceGood working and setting timesExcellent delivery systems
Poly-Vinyl Siloxanes
PROBLEMSSetting retardation via sulfur in latex glovesSetting retardation from sulfur in Astringident solutionTearing of wash material away from tray materialHydrogen gas releaseLocking into undercuts and open embrasuresPorosities
COMPOSITION
Base:Polyether polymerColloidal silica fillerGlycol ether or phthalate plasticizer
Catalyst:Alkyl aromatic sulfonatePlasticizers and fillers as above
Permadyne
Polyether based polymer cured byreaction between aziridine rings which branch off a copolymer of ethylene oxide and tetrahydrofuran
Aromatic ester(Initiator)
Cross-linking occurs via cationicPolymerisation of imine end groups
ADVANTAGESExcellent accuracy and wettingGood dimensional stabilityVery good shelf life (~ 5years, less in warm conditions)
PROBLEMSVery stiff when set / problem in undercuts, embrasuresCold disinfectionPoor tear strengthOdorPaste-paste mixing (messy, porosities)Shorter working time than PVS siliconesSensitivity to aromatic sulfonateWater condensation on chilled mixes
θ1 θ2
AB
B = Material has superior wetting, a desirable property
PVS silicones have good wetting properties and are advertised ashaving high hydrophilicity when in fact they are HYDROPHOBIC
CLINICAL TIPS TO AVOID PROBLEMSUse correct adhesive on trayBlock out locking embrasures and undercuts prior to impressionTooth surface must be cleanPreparation margins must be well defined and clear Margins free of fluids and bloodMix impression material correctlyDo not overload stock traysHave a high velocity suction handyApply material efficiently without delaysLeave in place without tray movement for correct timeRemove tray carefullyWash away any blood on impression surfaceDisinfectInspect marginal detailRetake impression if major flaws arise
Mandikos MN. Polyvinyl siloxane impression materials: An updateon clinical use. Aust Dent J 1998;43:428-34
Wassel RW, Barker D, Wall AWG. Crowns and other extra oral restorations.Impression materials and technique. British Dental Journal 2002;192:679-690
ReferencesReferences
1. 1. MandikosMandikos MN. Polyvinyl MN. Polyvinyl siloxanesiloxane impression materials: An updateimpression materials: An updateon clinical use. on clinical use. AustAust Dent J 1998;43:428Dent J 1998;43:428--34342. 2. WasselWassel RW, Barker D, Wall AWG. Crowns and other extra oral RW, Barker D, Wall AWG. Crowns and other extra oral
restorations.restorations.Impression materials and technique. British Dental Journal Impression materials and technique. British Dental Journal
2002;192:6792002;192:679--6906903. Mc 3. Mc CabeCabe JF, Wall AWG. (1998) Applied dental materials, 8th edition. JF, Wall AWG. (1998) Applied dental materials, 8th edition.
Blackwell ScienceBlackwell Science4. 4. ShillingburgShillingburg HT, HT, SumiyaSumiya H, H, WhittsettWhittsett 3rd edition. Fundamentals of 3rd edition. Fundamentals of
fixwdfixwd prosthodonticsprosthodontics. Quintessence books. Quintessence books5. 5. RosenstielRosenstiel, Land, Fujimoto. Contemporary fixed , Land, Fujimoto. Contemporary fixed prosthodonticsprosthodontics 3rd 3rd
editionedition6. Lectures from Dr tom 6. Lectures from Dr tom BerekallyBerekally. Consultant . Consultant prosthodontistprosthodontist/lecturer /lecturer
University of Adelaide, South AustraliaUniversity of Adelaide, South Australia