Impression Materials and Laboratory Materials and Procedures Flashcards
Dental labortory
making impression, take place in dental office and require expertise in using a dental laboratory.
The laboratory could be in house and will help with
-making models from preliminary impressions.
-Trimming and finishing diagnostic models
-Preparing custom trays
-polishing
*provisional coverage
*partial or full dentures
* Indirect restorations
Laboratory rules
- no eating and drinking or smoking
- keep all cosmetics out of area
- wear personal protective equipment when working in laboratory
- keep hair back
- report all accidents to dentist immediately
- follow the manufactures instructions for the operation of equipment.
- clean the work area before and after every procedure.
Laboratory Safety Lab
safety requires attention to several key areas. Review the safety guidelines here:
- Physical safety: Know the location of the fire extinguisher and fire-escape routes
- Chemical safety: Take care in the handling of corrosive, toxic, and carcinogenic substances
- Biohazards: Be aware that items brought into the laboratory can harbor blood and saliva that might be infective
Laboratory equipment
- Heat source: torches and bunsen burners and used to heat wax carving instrument, smooth wax surfaces, and perform tasks that require constant and controlled.
-Vacuum former: machine that uses heated plastic and suction to fabricate customs trays, high guards, bleaching trays, athletic mouth guards, and splints for temporary crowns.
-Articulator: a-mechanical device to which casts of maxillary and mandibular teeth are attached to simulate the position of the maxilla to the mandible. The articulator assists in the fabrication of orthodontic appliances, bridge, crowns, inlays, and onlays. The articulator might or might not be used with a facebow.
- Dental lathe: piece of dental laboratory equipment that uses grinding and polishing attachments to polish dentures and crowns.
- vibrator: A speed adjustable machine that vibrates to promote the easy pouring or plaster into. dental impression while preventing bubbles from forming in the plaster.
- Model Trimmer: An instrument that uses an abrasive wheel and water to trim and contour casts and models made ofgypsum.
Equipment : spatulas and Bowls
- Wax spatulas: wax spatulas are used to control hot wax used in prosthodontic procedures.
- Mixing spatulas: Maxing spatulas include broad blade spatulas used for mixing alginate impression materials. The broad blade helps push the materials against the bowl to eliminate air bubbles.
-Rubber Bowls: are soft and fleible and used for mixing alginate, plaster, stone, and other dental materials.
Final impression
Final impression , provides that most accurate reproduction of the teeth and surrounding tissues.
Final impression are used to make:
- Indirect restorations
- partial or full dentures
-implant
Final impression are taking by the dentist
preliminary impression
three different types of impression
- preliminary impression
- Final impression
- bite impression
preliminary impression are used for
- diagnostic models
- customs trays
-provisional coverage
- orthodontic appliances
- preliminary and prettreatment records.
preliminary impression are taken either by the dentist or the expanded function dental assistant..
Basic Impression technique
impression are made using following sequence steps:
- The dentist chooses the material based on personal presences and the types of impression for the procedure
- dentist preparew the tooth or the teeth for the impression
- The light bodied material is prepared and loaded into the syringe and transferred to the dentist.
- The dentist the light bodied material over and around the prepared teeth and on the surrounding tissues.
- the heavy material is prepared and load into the tray and transferred to the dentist.
- when the impression material has reached its final set, the impression is removed and inspected for accuracy.
- The accuracy is disinfected, placed in a biohazard bag, labeled, and readied for the laboratory technician.
Impression trays
Impression trays must be sufficiently rigid to
- carry the impression material into the oral cavity
- hold the material in close proximity to the teeth
- avoid being broken during removal
- prevent warping of the completed impression.
Different Impression trays are used for different purpose.
- Quadrant Tray: covers one half of the arch
- section tray: covers the anterior portion of the arch
-Full arch tray: covers the entire arch.
- perforated tray: has holes in the tray to create mechanical lock to hold the material in place.
-Smooth tray: has an interior that is painted or sprayed with an adhesive to hold the impression material.
Tray selection criteria
1.Dell comfortable to the patient.
- extend slightly beyond the facial surface of teeth.
- Extend approximately 2-3mm beyond the third molar, retromolar, or tuberosity area of the arch
- Have enough depth to allow 2-3 mm of material between the tray and incisal or occlusal edges of the teeth
Tray Adhesives
Tray Adhesives should be applied after the tray’s has been tested in the patient’s mouth.
Tray Adhesives vary in color and type. The specific type of Tray Adhesives used depends on the type of impression materials
Types Tray Adhesives
-VPS Adhesives (blue): for polyvinyi siloxane and polyether impression materials.
-Rubber base Adhesive (brown): used with rubber base impression materials
- Silicone Adhesive (orange-pink): used with silicone impression materials.
Packaging and storing Alginate
the most common packaging for alginate impression materials is a reusable tub with a measuring scoop.
Distoration and dimensional chnage can occur with alginate impressions if the are improperly stored. Two types of conditions can result from improper storage:
-Imbibition: Expansion and distortion resulting from the alginate impression being stored in water or a very wet paper towel absorbing water.
- Syneresis: shrinkage and distortion resulting from the alginate impression remaining in the open air allowing its moisture evaporate.
Hydrocolloid Impression Materials
Hydrocolloid Impression Materials: are used to obtain preliminary and final impressions.
Irreversible hydrocolloid materials: cannot return to solid state after it become a gel.
Alginate: the Hydrocolloid most widely used to take preliminary impressions.
Fasts: Hydro= water
colloid=gelatin substance.
Alginate composition
Alginate consists f elements:
-Potassium alginate: comes from seaweed, also used in food such as ice cream as a thickening agent.
-Calcium sulfate: reacts with Potassium alginate to form the gel.
- Trisodium phosphate: added to slow the reaction time for mixing.
- Diatomaceous earth: A filler that adds bulk to the material
-Zinc oxide: adds bulk to the material.
-Potassium Trisodium fluoride: added so as not to interfere wt the setting surface strength.
Two physical phases of alginate are
- First phase: In the sol (or solution) phase, the material is in a liquid or semiliquid form.
-Second phase: in the gel phase, the material is semisolid, similar to gelatin dessert.
Alginate settings
Alginate settings are effected by working time and setting time.
working time refers to the time allowed for mixing the alginate, loading the tray, and positioning the tray in the patient’s mouth.
Setting time refers to time required for the chemical action to be completed.
In terms of setting time, alginate can be divided into two types.
The setting time of alginate can be altered by adding:
- cooler water to increase the setting time if additional time is needed for the procedure.
- warmer water to reduce or shorten the setting time of the procedure.
Normal set Alginate: working time of 2 minutes, and a setting time of up to 41/2 min after mixing.
fast-set alginate: working time of 1 min and 15 sec and a setting time of 1 to 2 min.
Mixing Alginate
when mixing the alginate, the water to powder ratio varies, depending on whether the material is for a mandibular or maxillary impression.
The ratios are
- For an adult mandibular impression, mix two scoops of powder and two measures of water.
-For an adult maxillary impression, mix three scoops of powder and three measures of water.
Taking an alginate impression
It is important to explain the procedure
- the material will feel cold, there is unpleasant taste and the material will set quickly.
-The patient should breathe deeply through his or her nose to help relax and fell more comfortable.
- The patient should be use hand signals to communicate any discomfort.
*** Never leave the patient alone during this procedure.
- The impression tray is centered
- The “peripheral roll” including all of the vestibular areas is competed
- Tray is not overseated
- impression is free of tears or voids.
- sharp anatomic detail of all teeth and soft tissues is captured
- The retromolar area, lingual frenum, tongue space, and mylohyoid ridge are reproduced in the mandibular impression.
- The hard palate and tongue space are recorded in maxillary impression.
Reverible hydrocolloid
Reversible Hydrocolloid Reversible hydrocolloid impression material changes its physical state from a solid to a gel and then back to a solid. Its chemical makeup includes 85% water and 13% agar. Additional chemical modifiers are added to improve the substance’s handling characteristics.
A conditioning bath is used to change the state of the reversible hydrocolloid material. The bath has three compartments:
- A “conditioner” bath liquefies the semisolid material at 212° F and then is cooled to 150° F
- A “storage” bath readies the material for the impression
- A “tempering” bath keeps material at 110° F in the syringe and tray
Reversible hydrocolloid tray material is packaged in plastic tubes, each with enough material to fill a water-cooled, full-arch tray. Syringe material is packaged in plastic or glass cartridges that fit a syringe. There are also preloaded syringes or preformed sticks that are used to refill special hydrocolloid inlay syringes.
Reversible hydrocolloid Application steps.
- Impression material is placed into the tray
- Eject the syringe material around the treatment area in the oral cavity
- place and seat the tray in the mouth
- The tray should be cooled with the water in the tubes for 3-5 min.
- Remove the tray and pour gypsum into it.
Elastomeric Impression materilas
The base can be packaged as:
- Paste in a tube
- putty in a jar
- a cartridge
The catalyst or “accelerator” can be packaged as
- paste in a tube
- A cartridge
- liquid in a bottle with a dropper top.
Polysulfide material
Polysulfide material provide excellent reproduction of detail, and are composed of a catalyst and a base.
The chemical makeup of the Polysulfide impression material is
- fillers : zinc sulfate, lithopone or calcium sulfate dihydrate
- crosslinking agent: sulfer, lead peroxide m or both
- catalysts: copper hydroxides, zinc peroxide, organic hydrogen peroxide.
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Three stages of elastomeric impression materials
common types of elastomeric materials includes:
- Polysufide
- polyether
- silicone
-polyvinyI siloxane
the material sets after the base and catalyst are mixed. they can be found in a syringe-type application that automatically/extrudes and mixes the material.
The curing stage of elastomeric materials occurs in three stages
- Initial set: paste stiffens and does not exhibit elastic properties. This is only time the material can be manipulated.
- Final set:s second stage, the material becomes more elastic and gradually changes to a solid rubberlike mass. The material must be in place in the mouth before the elastic properties of the finals et begin to develop.
- Final cure: during last stage, which take to 24 hours only slight changes details of the impression.
Polysulfide material mixing steps
to mix Polysulfide material steps:
-step 1: dispense pastes at the top of the mixing pad.
-step 2: mix pastes with the tip of a spatula to incorporate the material first
-step 3; transfer the material to fresh surface of the mixing pad.
-step 4: notes that water, saliva, blood affect polysulfide material.
-step 5: remove the impression quickly after setting ; do not rock the tray.
-step 6: make sure the adhesive is thin and dry before adding the impression material.
-step 7: wait 20-30 min before pouring the impression to allow stress relaxation to occur in the material.
-step 8: be careful to avoid glove powder contamination.
Mixing silicon materials
When mixing silicone material, note that
- The material has a limited shelf life.
- The tray requires a special tray adhesive
- Silicone material is not subject to syneresis
- silicone material is not subject to syneresis or imbition, but it does shrink over time.
- The material is more flexible, so the chance of distortion during removal is grater.
-You should wait with 20 to 30 min before pouring models to allow stress relaxation to accur.