Impression Materials Flashcards
Indirect restorations definition
- Restoration of teeth with rigid materials
- Materials being rigid are fabricated outside the mouth
- Often in labs
- Model replica of the tooth/teeth needs to be first constructed
How are indirect restorations made
- Record an accurate impression
- Casting up
- Investment of the pattern to a mould (lost wax technique)
- Construction of an appliance
How has CAD-CAM changed the game in terms of production of indirect restorations
-No need for that impression stage
When is an indirect restoration indicated
- Significantly less natural tooth remaining
- Need for a more rigid material/restoration
- Greater morphological control
- Allows use of machined or pressed ceramics
- Higher degrees of polymerisation
How does the DC change when curing a composite directly/indirectly and why
- Greater DC when indirect curing
- Can achieve high temperatures and higher pressures when out of the mouth
- Much higher degree of monomer conversions
- These temps and pressures would not be tolerated intra-orally
- Only light curing
Importance of accurate impressions
- Vital that no distortion occurs in the successive stages
- Small errors in impressions get worse over the steps to come
- Amplifies mistakes
- Accurate model of the prepared tooth required
- Any defects or errors will get carried in the subsequent steps translating into an unsuccessful indirect restoration
Properties of materials for indirect restorations
Examples of materials
Rigid Materials
-High modulus of elasticity that can resist high stress without permanent distortion. Many behave as a brittle material
Ceramics:
-Rigid and brittle
Pure gold:
-Ductile
Prefabricated composites:
- Improved properties
- Control on shrinkage
The role of impression materials and it what time of dental appliances would you take an impression
- Record and reproduce the form and relationship of teeth and oral tissues (hard and soft tissues)
- Record accurate impressions for appliances constructed outside the mouth
- Dentures
- Crowns
- Inlays
- Onlays
- Bridges
- Orthodontic appliances
-All require models of the hard and soft tissues
Role and types of impression tray
Stock Trays:
- Metals (reusable)
- Polystyrene
- Nylon (disposable)
Custom Trays:
-Disposable
-Impression materials are transferred to the mouth in impression trays
Why are trays perforated
- One part of the impression material will touch the tray whereas another part of the tray should touch patients hard/soft tissues
- No movement should be permitted between the tray and impression material
- Placement of adhesive/perforations in the stock trays
- Once the impression is set in the tray, it should not move
- Or it would be ruined
Classification of Impression Materials and examples of each
Elastic Materials:
- Synthetic elastomeres
eg. Silicones, polyethers - Hydrocolloids (natural)
eg. Agar, Alginates
Non-Elastic Materials:
- Impression plaster
- eg. Impression compound, zinc oxide pastes and impression waxes
Ideal Requirements of Impression materials
- Accurate
- Rheological properties (flowability)
- Dimensional stability (short and long term)
- Adequate thermal properties
- Adherence to the tray
- Disinfection
- compatibility with the model and die materials
Physical and Mechanical Properties to be aware of in Impression Materials
Flow Materials (Rheology)
Wettability
Working and setting time
Mechanical Properties (compressive and tear strength)
Working Humidity
Dimensional Accuracy
Stability
Consistency
Biocompatibility
Compatibility with die and cast materials
Shrinkage
Definition of accuracy and how achieved
- Ability to replicate the intraoral surface details
- Accurate recording of the impression of the oral tissues is very important
- 100% elastic materials do not exist, so 99% viscoelastic materials will have to do
- Material should have good flow characteristics and be elastic in nature
- Viscoelastic materials undergo some flow but most will recover
How does an impression material set
- Usually by chemical change
- Some undergo a physical change of state