FIXED PROS - Elastomeric Impression Materials Flashcards

1
Q

why are impressions taken?

A
  • study the case
  • diagnose the case
  • help plan treatment
  • educational tool for the patient
  • construct indirect restorations
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2
Q

what is considered when choosing the impression material? CDFES

A
  • consistency
    • dimension stability - does it keep accurate shape
  • ease of handling
  • flowability
  • setting time
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3
Q

what is an elastomer?

A

natural or synthetic rubber which can undergo deformation under force and regain its original shape when force is removed

e.g. rubber band

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4
Q

when is a elastomeric material used?

A

when a accurate impression is essential

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5
Q

what are 11 ideal properties of a impression to be used in a patient?

A
  • cheap
  • good shelf life
  • non-toxic and non-irritant
  • good taste
  • good mixing
  • easy handling
  • good setting time
  • compatible with other material
  • good consistency
  • accurate surface reproducibility
  • accurate dimension stability
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6
Q

what are the 2 types of elastic materials? give examples of them.

A

Aqueous Hydrocolloids
- Agar - reversible
- Alginate - irreversible

Non-aqueous Hydrocolloids
- Polysulfide
- Silicones - Condensation and Addition (A silicones and C silicones)
- Polyether

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7
Q

why is alginate not used? its irreversible?

A
  • tears easy
  • dimensionally unstable - immediate pour and single caste
  • low detail reproduction
  • difficult to disinfect
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8
Q

2 components used in making the impression material.

A

using a base and catalyst

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9
Q

what is another name for the catalyst?

A

accelerator

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10
Q

what are the different types of flowability/viscocity you can have for the impression material?

A

light bodied
regular/medium bodied
putty

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11
Q

what determines the viscosity?

A

how much filler there is

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12
Q

what is a light bodied impression material known as? why is it used?

A

syring type
wash type

  • flowable
  • good details
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13
Q

what are medium/regular bodied impression materials also known as? why would it be used?

A

tray type

  • so stiff
  • helps to force light-bodied in close contact with prepared tooth and surrounding tissue
    = more accurate impression
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14
Q

how is a putty made?

A

must be manually kneaded

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15
Q

what are the 3 steps of curing?

A

initial set
final set
final cure

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16
Q

describe each stage of curing.

A

initial set
- stiffens the paste
- appears without elastic properties
- material can be manipulated

final set
- appears elastic to a solid rubber mass
- material must be placed in the mouth

final cure
- occurs from 1-24 hrs
- doesn’t affect dimensional stability

17
Q

what’s the annoying thing about polysulfides and c silicones?

A

require condensation polymerisation
= there are by products

18
Q

with polysulfides, what base, cross-linking agent, catalysts (2) and fillers (3) are/can be used?

A

BASE
mercaptan polysulfide

CROSS-LINKING AGENT
sulfur and/or lead dioxide

CATALYSTS
copper hydroxide or zinc peroxide

FILLERS
zinc sulfate, lithopone or calcium sulphate dehydrate

19
Q

where may you use polysulfide impression materials?

A

complete denture
removable fixed partial denture
crown
bridges

20
Q

give 2 examples of polysulfides used.

A

permlastic
omni-flex

21
Q

describe a polysulfide reaction of mercaptan and lead dioxide

A

mercaptan + lead dioxide
= polysulfide rubber + lead oxide + water

22
Q

how do you make the polysulfide impression material?

A

equal lengths of paste
mix thoroughly within a minute
setting time = 8-12 mins
pour within an hour

23
Q

why may making polysulfide impression material not be favourable?

A

messy
poor dimension stability
requires custom tray
bad odour
may stain clothing
long setting time

24
Q

5 pros of Polysulfide.

A
  • cheapest non-aqeuous hydrocolloids
  • long working time
  • high tear strength
  • high flexibility
  • good detail reproduction
25
with polyethers, what base, cross-linking agent, catalyst and filler are used?
BASE polyether CROSS-LINKING AGENT sulfate CATALYSTS glycol-based plasticisers FILLERS silicone
26
7 advantages of Polyether
- accurate - good dimensional stability - can use stock trays - good detail - pour within a week - multiple casts - good wettability
27
6 disadvantages of polyether
- £££ - short working time - rigid - difficult to remove from undercut - bitter taste - low tear strength - absorbs water - this changes dimension, but u have a week
28
with C-silicones, what base, cross-linking agents (2), catalyst and filler are/can be used?
BASE poly dimethyl siloxane CROSS-LINKING AGENT alkyl orthosilicate or organo hydrogen siloxane CATALYST organo tin compound FILLER silica
29
what is the by-product of C-Silicone?
ethyl alcohol
30
5 Pros of C-Silicone
- better elastic property - pleasant for patient - can use a stock tray - good working time - good setting time
31
4 disadvantages of C-Silicone
- poor dimensional stability - poor shrinkage - have to pour within 30 mins - poor wettability = hydrophobic
32
describe how a-silicones are supplied.
2 pastes in automixing guns or as putties one paste = vinyl polydimethylsiloxane prepolymer other paste = siloxane prepolymer catalyst = chloroplatinic acid
33
another name for a-silicones.
polyvinylsiloxanes
34
what happens is a-silicones are not mixed properly or if there are any impurities?
hydrogen gas given off the impression = air bubbles in the model
35
6 pros of a-silicone
- accurate - good dimensional stability - a week - stock tray - multiple casts - easy to mix - good odour
36
cons of a-silicone
- £££ - sulfur inhibits the setting - be careful with latex gloves - short working time - poor tear strength - possible hydrogen gas release - can add palladium to absorb - working and setting time affected by temperature and moisture
37
what material is the best for dimensional stability and why?
a-silicone - pouring can be between 7 and 10 days - very stiff material