Elastomeric impression material Flashcards
Why do we take dental impressions and pour a gypsum model? (5)
๐ง Purpose of impressions:
๐ง Study the case โ understand occlusion, arch shape, and individual characteristics.
๐งฌ Diagnose dental conditions โ malocclusion, caries, wear patterns, soft tissue evaluation.
๐ฆท Treatment planning โ for crowns, bridges, implants, dentures, ortho.
๐งโ๐ซ Educate the patient โ visual aid to explain treatment needs.
๐งฑ Fabricate indirect restorations โ inlays, onlays, crowns, bridges, complete/partial dentures.
๐ Link between dentist and technician โ accurate communication via model.
What factors influence impression material selection? (5)
Clinicians consider:
๐ง Consistency โ putty, medium, or light body
๐ง Flow properties โ ability to adapt around fine details
โฑ Setting time โ shorter for patient comfort, long enough for working
๐ Dimensional stability โ minimal shrinkage or deformation
โ Ease of handling โ mixing, tray loading, and placement
- What are elastomeric impression materials?
Definition:
A class of rubbery materials (natural/synthetic) used when high accuracy is essential ๐
๐งฒ Elastomers deform under force and return to shape when force is removed.
Structure:
๐งฌ Long-chain polymers that form a 3D crosslinked network
Upon stretching, chains uncoil but return to original once relaxed ๐
Ideal properties of elastomeric materials? (9)
๐ซ Non-toxic, non-irritant
๐ Acceptable taste and odour for patients
โณ Optimal setting time (not too fast, not too slow)
๐ง Consistency suitable for different applications
๐งผ Excellent surface detail reproduction
๐ง Dimensional stability over time
๐ Easy to mix and use
๐ค Compatible with gypsum for model pouring
๐ฐ Cost-effective & long shelf life
Types of Elastic Impression Materials (2)
Elastic Materials are divided into:
Aqueous Hydrocolloids (Water-based):
๐ Agar (reversible)
๐ Alginate (irreversible)
Non-aqueous Elastomers (Rubber-based):
๐งด Polysulfide
๐งช Silicones โ Condensation (C-Silicone) and Addition (A-Silicone/PVS)
๐ง Polyether
Why not use alginate for precision impressions?
๐งป Tears easily
โ Dimensionally unstable โ must pour immediately
๐ธ Single-use cast
๐ Low detail โ unsuitable for crowns/bridges
๐งฝ Difficult to disinfect
๐ฅ High permanent deformation after removal
Forms of Elastomeric Materials (3)
Light-body (wash/syringe) โ flows into fine details
Medium/regular-body โ used in tray, provides support
Putty โ kneaded by hand, often used in putty-wash technique
๐ก Viscosity is determined by the filler content.
What are the 3 Stages of Setting in Elastomers
Initial Set โ material stiffens, not elastic yet
Final Set โ becomes elastic; manipulation must stop
Final Cure โ occurs over 1โ24 hrs; full strength achieved
What should clinicians check in an elastomeric impression? (9)
๐ Clinical checklist:
๐ฆท Detail reproduction โ sharp margins, fine anatomy
๐ Dimensional accuracy โ no distortion or tray separation
๐ซง No voids or bubbles โ especially at margins
๐ Full coverage โ teeth + soft tissues
๐งฝ Consistent thickness โ even material distribution
๐ซ No drag or pulls โ no movement during setting
โฑ Proper setting time โ fully cured before removal
๐ Tray fit โ rigid tray + good retention
๐งผ Infection control โ properly disinfected before lab
Summary: What makes the perfect impression material?
โ
Smooth-flowing
๐ง Hydrophilic
๐งต Good tear strength
๐ Low shrinkage
๐ Can be poured multiple times
๐ Pleasant taste
๐ Long shelf life
๐ซ No toxic by-products
๐ค Easy to mix and use
๐งช Compatible with gypsum
What are future trends in impression taking?
๐ Digital impressions are gaining popularity due to:
๐ฅ Intraoral scanners: iTero, 3Shape, LAVA COS
๐งผ More hygienic โ no materials in mouth
๐ง Better patient experience
๐ค Instant digital communication with labs
๐ธ High-resolution images for diagnosis & planning
What are some examples of digital impression systems?
๐ป iTero
๐ธ 3Shape
๐ง LAVA COS
What are the benefits of digital impressions?
๐ฏ High precision
๐ซ No distortion
๐ฆ Easy storage/sharing
๐ More comfortable for patient
๐ Reduced chairside errors
What is the composition of polysulfide materials?
๐งด Base: Mercaptan polysulfide
๐ Crosslinker: Sulfur or lead dioxide
โ๏ธ Catalyst: Copper hydroxide, zinc periodate
๐ง Filler: Zinc sulfate, calcium sulfate dihydrate
What is the polysulfide setting reaction?
๐งช Mercaptan + Lead Dioxide โ Polysulfide rubber + Lead oxide + Water
What are the advantages of polysulfide?
๐ฐ Lower cost
๐ Long working time
๐งต High tear strength
๐ Flexible
๐ Good detail reproduction
What are the disadvantages of polysulfide?
๐ง Poor dimensional stability
โฑ Pour within 1 hour
๐งผ Messy handling
๐ Bad odor
๐ Requires custom tray
What is the composition of polyether materials?
๐งด Base: Polyether
๐ Crosslinker: Sulfonic ester
โ๏ธ Catalyst: Glycol plasticizers
๐ง Filler: Silica
What are the advantages of polyether?
๐ฏ High accuracy
๐ Excellent dimensional stability
๐ Can pour multiple casts
๐ง Hydrophilic โ great in moist conditions
๐งผ Good surface detail
What are the disadvantages of polyether?
๐ธ Expensive
๐ Short working time
๐งฑ Very stiff โ hard to remove
๐ Bitter taste
๐ Low tear strength
๐ง Absorbs water โ dimensional changes
What is the chemical composition of C-silicones?
๐งด Base: Polydimethyl siloxane
๐ Crosslinker: Alkyl ortho silicate
โ๏ธ Catalyst: Organo tin compound
๐ง Filler: Silica
๐ Byproduct: Ethyl alcohol (causes shrinkage)
What are the advantages of C-silicones?
โ
Better elasticity than alginate
๐งผ Cleaner with pleasant odor
๐ Good working/setting time
๐ชฅ Can be used with stock trays (putty-wash)
What are the disadvantages of C-silicones?
๐ Poor dimensional stability
๐จ Shrinks due to ethanol byproduct
โฑ Must be poured within 30 minutes
๐ง Hydrophobic โ poor wettability
๐ฆ Limited shelf life
What is the composition of addition silicones?
๐งด Base: Vinyl polysiloxane
๐งด Catalyst: Siloxane prepolymer
๐งช Catalyst: Chloroplatinic acid
๐ง Filler: Silica
๐งจ No byproduct (unless contaminated โ may release Hโ gas)
What are the advantages of PVS (A-silicones)?
๐ฏ Highly accurate
๐ Excellent dimensional stability
๐งช No byproduct
๐ Long shelf life
๐ Multiple pours
๐ Can be shipped without distortion
๐งผ Easy to mix
๐ Pleasant odor
What are the disadvantages of PVS?
๐งช Sensitive to sulfur (latex gloves, retraction agents)
๐ Short working time
๐ Lower tear strength
๐จ Potential hydrogen gas release โ air bubbles
๐งฒ Requires palladium to absorb gas
How should polyether impressions be handled?
๐ชจ Very stiff โ Rock tray gently to remove
๐ง Avoid water/blood contamination โ causes discrepancies
๐ซ Avoid undercuts โ material may lock in
โ How should PVS impressions be handled?
โณ Allow proper setting โ early removal = distortion
๐งด Use automix tips for uniform mix
๐ For best results, use surfactant or hydrophilic types
โ What causes most distortion in elastomeric impressions?
๐ Removing impression too soon before cross-linking is complete