Elastomeric impression material Flashcards

1
Q

Why do we take dental impressions and pour a gypsum model? (5)

A

๐Ÿง  Purpose of impressions:

๐Ÿง Study the case โ€“ understand occlusion, arch shape, and individual characteristics.
๐Ÿงฌ Diagnose dental conditions โ€“ malocclusion, caries, wear patterns, soft tissue evaluation.
๐Ÿฆท Treatment planning โ€“ for crowns, bridges, implants, dentures, ortho.
๐Ÿง‘โ€๐Ÿซ Educate the patient โ€“ visual aid to explain treatment needs.
๐Ÿงฑ Fabricate indirect restorations โ€“ inlays, onlays, crowns, bridges, complete/partial dentures.
๐Ÿ” Link between dentist and technician โ€“ accurate communication via model.

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2
Q

What factors influence impression material selection? (5)

A

Clinicians consider:

๐Ÿง Consistency โ€“ putty, medium, or light body
๐Ÿ’ง Flow properties โ€“ ability to adapt around fine details
โฑ Setting time โ€“ shorter for patient comfort, long enough for working
๐Ÿ“ Dimensional stability โ€“ minimal shrinkage or deformation
โœ‹ Ease of handling โ€“ mixing, tray loading, and placement

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3
Q
  1. What are elastomeric impression materials?
A

Definition:

A class of rubbery materials (natural/synthetic) used when high accuracy is essential ๐Ÿ“
๐Ÿงฒ Elastomers deform under force and return to shape when force is removed.
Structure:

๐Ÿงฌ Long-chain polymers that form a 3D crosslinked network
Upon stretching, chains uncoil but return to original once relaxed ๐ŸŒ€

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4
Q

Ideal properties of elastomeric materials? (9)

A

๐Ÿšซ Non-toxic, non-irritant
๐Ÿ˜Œ Acceptable taste and odour for patients
โณ Optimal setting time (not too fast, not too slow)
๐Ÿงˆ Consistency suitable for different applications
๐Ÿงผ Excellent surface detail reproduction
๐Ÿง Dimensional stability over time
๐Ÿ›  Easy to mix and use
๐Ÿค Compatible with gypsum for model pouring
๐Ÿ’ฐ Cost-effective & long shelf life

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5
Q

Types of Elastic Impression Materials (2)

A

Elastic Materials are divided into:

Aqueous Hydrocolloids (Water-based):
๐ŸŒ€ Agar (reversible)
๐ŸŒŠ Alginate (irreversible)
Non-aqueous Elastomers (Rubber-based):
๐Ÿงด Polysulfide
๐Ÿงช Silicones โ€“ Condensation (C-Silicone) and Addition (A-Silicone/PVS)
๐ŸŒง Polyether

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6
Q

Why not use alginate for precision impressions?

A

๐Ÿงป Tears easily
โŒ Dimensionally unstable โ€“ must pour immediately
๐Ÿ“ธ Single-use cast
๐Ÿ” Low detail โ€“ unsuitable for crowns/bridges
๐Ÿงฝ Difficult to disinfect
๐Ÿ’ฅ High permanent deformation after removal

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7
Q

Forms of Elastomeric Materials (3)

A

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
๐Ÿ’ก Viscosity is determined by the filler content.

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8
Q

What are the 3 Stages of Setting in Elastomers

A

Initial Set โ€“ material stiffens, not elastic yet
Final Set โ€“ becomes elastic; manipulation must stop
Final Cure โ€“ occurs over 1โ€“24 hrs; full strength achieved

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9
Q

What should clinicians check in an elastomeric impression? (9)

A

๐Ÿ”Ž Clinical checklist:

๐Ÿฆท Detail reproduction โ€“ sharp margins, fine anatomy
๐Ÿ“ Dimensional accuracy โ€“ no distortion or tray separation
๐Ÿซง No voids or bubbles โ€“ especially at margins
๐Ÿ“ Full coverage โ€“ teeth + soft tissues
๐Ÿงฝ Consistent thickness โ€“ even material distribution
๐Ÿšซ No drag or pulls โ€“ no movement during setting
โฑ Proper setting time โ€“ fully cured before removal
๐Ÿ“ Tray fit โ€“ rigid tray + good retention
๐Ÿงผ Infection control โ€“ properly disinfected before lab

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10
Q

Summary: What makes the perfect impression material?

A

โœ… Smooth-flowing
๐Ÿ’ง Hydrophilic
๐Ÿงต Good tear strength
๐Ÿ“‰ Low shrinkage
๐Ÿ” Can be poured multiple times
๐Ÿ˜Š Pleasant taste
๐Ÿ“† Long shelf life
๐Ÿšซ No toxic by-products
๐Ÿ“ค Easy to mix and use
๐Ÿงช Compatible with gypsum

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11
Q

What are future trends in impression taking?

A

๐Ÿš€ Digital impressions are gaining popularity due to:

๐Ÿ–ฅ Intraoral scanners: iTero, 3Shape, LAVA COS
๐Ÿงผ More hygienic โ€“ no materials in mouth
๐Ÿง  Better patient experience
๐Ÿ“ค Instant digital communication with labs
๐Ÿ“ธ High-resolution images for diagnosis & planning

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12
Q

What are some examples of digital impression systems?

A

๐Ÿ’ป iTero
๐Ÿ“ธ 3Shape
๐Ÿง  LAVA COS

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13
Q

What are the benefits of digital impressions?

A

๐ŸŽฏ High precision
๐Ÿšซ No distortion
๐Ÿ“ฆ Easy storage/sharing
๐Ÿ˜Œ More comfortable for patient
๐Ÿ“‰ Reduced chairside errors

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14
Q

What is the composition of polysulfide materials?

A

๐Ÿงด Base: Mercaptan polysulfide
๐Ÿ” Crosslinker: Sulfur or lead dioxide
โš—๏ธ Catalyst: Copper hydroxide, zinc periodate
๐Ÿง‚ Filler: Zinc sulfate, calcium sulfate dihydrate

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15
Q

What is the polysulfide setting reaction?

A

๐Ÿงช Mercaptan + Lead Dioxide โ†’ Polysulfide rubber + Lead oxide + Water

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16
Q

What are the advantages of polysulfide?

A

๐Ÿ’ฐ Lower cost
๐Ÿ• Long working time
๐Ÿงต High tear strength
๐ŸŒ€ Flexible
๐Ÿ” Good detail reproduction

17
Q

What are the disadvantages of polysulfide?

A

๐Ÿ’ง Poor dimensional stability
โฑ Pour within 1 hour
๐Ÿงผ Messy handling
๐Ÿ‘ƒ Bad odor
๐Ÿ–Œ Requires custom tray

18
Q

What is the composition of polyether materials?

A

๐Ÿงด Base: Polyether
๐Ÿ” Crosslinker: Sulfonic ester
โš—๏ธ Catalyst: Glycol plasticizers
๐Ÿง‚ Filler: Silica

19
Q

What are the advantages of polyether?

A

๐ŸŽฏ High accuracy
๐Ÿ“ Excellent dimensional stability
๐Ÿ” Can pour multiple casts
๐Ÿ’ง Hydrophilic โ€“ great in moist conditions
๐Ÿงผ Good surface detail

20
Q

What are the disadvantages of polyether?

A

๐Ÿ’ธ Expensive
๐Ÿ• Short working time
๐Ÿงฑ Very stiff โ€“ hard to remove
๐Ÿ˜– Bitter taste
๐Ÿ“‰ Low tear strength
๐Ÿ’ง Absorbs water โ€“ dimensional changes

21
Q

What is the chemical composition of C-silicones?

A

๐Ÿงด Base: Polydimethyl siloxane
๐Ÿ” Crosslinker: Alkyl ortho silicate
โš—๏ธ Catalyst: Organo tin compound
๐Ÿง‚ Filler: Silica
๐Ÿ”„ Byproduct: Ethyl alcohol (causes shrinkage)

22
Q

What are the advantages of C-silicones?

A

โœ… Better elasticity than alginate
๐Ÿงผ Cleaner with pleasant odor
๐Ÿ• Good working/setting time
๐Ÿชฅ Can be used with stock trays (putty-wash)

23
Q

What are the disadvantages of C-silicones?

A

๐Ÿ“‰ Poor dimensional stability
๐Ÿ’จ Shrinks due to ethanol byproduct
โฑ Must be poured within 30 minutes
๐Ÿ’ง Hydrophobic โ€“ poor wettability
๐Ÿ“ฆ Limited shelf life

24
Q

What is the composition of addition silicones?

A

๐Ÿงด Base: Vinyl polysiloxane
๐Ÿงด Catalyst: Siloxane prepolymer
๐Ÿงช Catalyst: Chloroplatinic acid
๐Ÿง‚ Filler: Silica
๐Ÿงจ No byproduct (unless contaminated โ€“ may release Hโ‚‚ gas)

25
Q

What are the advantages of PVS (A-silicones)?

A

๐Ÿ’ฏ Highly accurate
๐Ÿ“ Excellent dimensional stability
๐Ÿงช No byproduct
๐Ÿ“† Long shelf life
๐Ÿ” Multiple pours
๐Ÿšš Can be shipped without distortion
๐Ÿงผ Easy to mix
๐Ÿ˜Œ Pleasant odor

26
Q

What are the disadvantages of PVS?

A

๐Ÿงช Sensitive to sulfur (latex gloves, retraction agents)
๐Ÿ• Short working time
๐Ÿ“‰ Lower tear strength
๐Ÿ’จ Potential hydrogen gas release โ†’ air bubbles
๐Ÿงฒ Requires palladium to absorb gas

27
Q

How should polyether impressions be handled?

A

๐Ÿชจ Very stiff โ†’ Rock tray gently to remove
๐Ÿ’ง Avoid water/blood contamination โ†’ causes discrepancies
๐Ÿšซ Avoid undercuts โ†’ material may lock in

28
Q

โ“ How should PVS impressions be handled?

A

โณ Allow proper setting โ†’ early removal = distortion
๐Ÿงด Use automix tips for uniform mix
๐Ÿ›  For best results, use surfactant or hydrophilic types

29
Q

โ“ What causes most distortion in elastomeric impressions?

A

๐Ÿ• Removing impression too soon before cross-linking is complete