DUAL ARCH IMPRESSIONS Flashcards
30+ years old
The triple tray was first patented in 1980 by
Dr. S. Rand Werrin.
It was called the “Dental Bite Tray”
single tray records (3)
Impression of prepared tooth
Adjacent and opposing teeth
Relationship in maximum intercuspation
advantages
* Average occlusal error for articulated casts is
– microns
* Less — is necessary(ideally)
* — procedure for a single tooth restoration
bounded by natural occlusal stops
* Best used for an —
* Overimpression technique (made before tooth
preparation) aids in — fabrication
5
impression material
Quick
intact, mutually protected
Angle Class I occlusion
provisional
disadvantages
The tray is —, not a custom fit to the
dentition/arch form
Most tray types are —
The tray can interfere with correct jaw —
The patient is — when biting into
the impression-must check accuracy
Cast preparation/mounting are —
No contralateral — reference, as in full
arch, accurate mounting?
Potential occlusal interferences in —
movements-must eliminate beforehand
Consider Thielemann’s diagonal law of
occlusion(Compendium 1991 Feb;12(2):114)
Compromised prosthetic occlusal —
— sensitive
NOT FOR — or —
generic
flexible
closure
anesthetized
technique sensitive
occlusion
lateral
anatomy
Technique
BRIDGES or RPD abutment crowns
analyze the — first
occlusion
clinical technique
Visually inspect the interocclusal relationship
in maximum intercuspation before anesthesia
Try-in the impression tray and visually verify
the same occlusal relationship (no tray
interference)-on both sides of the mouth
Impressions must include the opposing
— for anterior guidance
Perform preparation isolation and gingival
retraction
Apply tray adhesive to the …-not on the interocclusal
insert/mesh
Apply — viscosity impression material
around the preparation
Fill both sides of the tray with — viscosity
material
Insert the tray immediately and verify the
originally observed interocclusal relationship
The impression should have — areas
on the mesh where adjacent teeth occlude completely.
Verify no tray interferences in the final
impression.
Remove any materials that can’t be
disinfected, i.e. cotton rolls, isolation aids
canines
internal vertical
tray walls
low
high
translucent
lab technique
Pour the arch with the preparation(s) in — stone, place —, and allow the stone
to set.
Pour the opposing arch in — stone and
let it set.
With both arches not separated from the
impression, mount the casts on a small metal
hinge articulator.
Trim all excess overlapping stone that might
prevent closure to the proper occlusion.
Open the articulator.
Separate the arches.
Saw the dies from the master cast.
Trim the dies and mark the margins.
die
dowel pins
regular