Impression Materials for Removable Pros Flashcards
What are the 3 main branches of impression materials
- Hydrocolloids
- Elastomers
- Non-elastic materials
What types of Hydrocolloid are there
- reversible (agar)
- irreversible (alginate)
What types of elastomer are there
- Polyethers
- Polysulphides
- Cond. and Add. Silicones
What types of non elastic impression materials are there
- Impression compound
- Zinc Oxide Eugenol (ZOE)
- Impression Plaster
What do mucodisplacive (muco-compressive) impression materials do
These are viscous and record an impression of the mucosa under load
Resulting removable prosthesis e.g. dentures, result in a distribution of load during function
How does taking an impression using mucodisplacive impression materials reduce fracture risk
The record of the mucosa under load makes a prosthesis that compensates for the differing compressibility of the denture bearing area, reducing the risk of a fracture due to flexion.
Why might the retention of the prosthesis made from mucodisplacive impression materials be compromised
As the tissues recorded in the impression will return to their original position at rest
Give some examples of mucodisplacive impression materials
- Impression compound
- High viscosity alginates
- High viscosity elastomers (e.g. polyether)
What do mucostatic impression materials take an impression of
These displace the tissues less and record an impression of the un-displaced mucosa
What might cause instability of the denture produced from mucostatic impression materials
During function the tissues may distort and cause instability
NOTE: mucostatic dentures generally have better retentions than mucodisplacive as there is a closer adaptation to the mucosa at rest
Give some examples of mucostatic impression materials
- Impression plaster
- Zinc Oxide Eugenol (ZOE)
- Low viscosity alginates
- Light body addition silicone
Where are non-elastic impression materials used
Where there are no undercuts and in edentulous patients
AY BAWS CAN I HABE DE NOTE PLEASSE
Any significant deformation produces a permanent deformation
Describe the composition of impression plaster (mucostatic - non-elastic)
- beta hemihydrate of calcium sulphate
- potassium sulfate - anti-expansion agent
- Borax - counteracts fast set caused by K2SO4
- Colouring agents - contrast with model plaster
What happens to impression plaster (mucostatic - non-elastic) when you add water
the beta-hemihydrate converts to the dihydrate and there is expansion on setting (controlled by anti-expansion agent K2SO4)
When is the only time impression plasters are used
Only in edentulous cases
AY BAWS CAN I HABE DE NOTE PLEZ
- Mucostatic non-elastic impression material so doesn’t displace soft tissue
- Material sets hard
What happens if the impression plaster fractures when you try to remove it from the mouth after an impression
You should retrieve the pieces and glue them back before casting
NOTE: a separating medium should be used
Describe the composition of impression compound (mucocompressive non-elastic material)
- resins and waxes
- talc as a filler
- Stearic acid as a lubricant
Talc = hydrated magnesium silicate
How do you used impression compound (mucocompressive non-elastic material) in clinics
- Thermoplastic material
- Softened by heating the sheet in water at ~60C
- Placed in a stock tray which is then positioned in the mouth
Describe the thermal conductivity of impression compound
- Poor thermal conductivity/flow properties
What won’t impression compound reproduce in the mouth
Undercut areas
What is the advantage of impression compound having a high viscosity
- If full depth of the sulcus is required to support the subsequent denture you can do it with impression compound (border moulding)
Describe the contents of the pastes used in ZOE mucostatic non-elastic impression materials
Paste 1:
- Zinc Oxide
- Zinc acetate
Paste 2:
- Eugenol
- Inert filler (e.g. talc or kaloin)
Kaolin = aluminium silicate
When are ZOE mucostatic non-elastic impression materials used
- Edentulous cases
- Often when relining a denture
Describe some of the properties of ZOE mucostatic non-elastic impression materials
- Brittle material when set - bits can fracture off
- Accurate in thin section
- Initial low viscosity and pseudo plasticity
Describe the uses of hydrocolloid elastic impression materials
- Complete/partial dentures
- Orthodontics - base plate
- Study models and working casts
- Duplicating models
Is a high viscosity alginate (hydrocolloid) mucocompressive or mucostatic
Mucocompressive
NOTE: Low viscosity alginate = mucostatic
What are the advantages of using alginates (hydrocolloids)
- Material is cheap and reliable
Setting behaviour is v good: - Na3PO4 suppresses setting so material is a viscous paste while impression tray is seated in the mouth
- When setting reaction begins its quick af so impression taking time is short
What are the disadvantages of using alginates
Water loss:
- Shrinkage after setting so poor dimensional stability
- Impression covered with damp napkin/sealed inelastic bag
Alginate immersed in disinfecting solution:
- swells
- then shrinks
- prolonged immersion in disinfecting solution impractical
Poor Tear strength - large undercuts can’t be reporduced
Highly viscoelastic material:
- snap removal technique needs to be employed
- permanent deformation up to 1.5%
What are the advantages of using agar (hydrocolloid)
- Once equipment is set up its easy to use
- Material is cheap
Impressions have good surface detail: - fine detail recorded due to setting behaviour
What are the disadvantages of using agar (hydrocolloid)
- Impressions must be cast up immediately due to water loss
- Also absorbs water
- Compatibility with model materials
- Agar has a poor tear strength (but better than alginates)
- Highly viscoelastic material: snap-removal technique needed, permanent deformation up to 1%
Are high viscosity elastomer mucocompressive or mucostatic
Mucocompressive
NOTE: Low viscosity elastomers = mucostatic
What are elastomers used for and why
Due to their strength and dimensional stability they’re used to:
- Produce accurate replicas of teeth and tissues to make full and partial dentures, crowns, bridges and inlays
- Border moulding of special trays, duplicating materials for refractory casts, bite registration
What is a disadvantage of elastomers
- Costs more than alginates/agar
What are the advantages of condensation silicones (Poly-dimethyl siloxanes = elastomer?)
- More elastic than polysulfides and polyethers
- Tear strength and elongation at break are adequate - undercuts can be reproduced
What are the disadvantages of condensation silicones (Poly-dimethyl siloxanes = elastomer?)
- Shrinks in air (affects dimensional stability)
- Hydrophobic material (contain some detergent for wettability)
What are the advantages of using addition silicones (poly-vinyl dimethyl siloxanes = elastomers?)
- Best dimensional stability compared to all other impression materials (v little shrinkage)
- Elastic recovery is v good
What are the disadvantages of using addition silicones (poly-vinyl dimethyl siloxanes = elastomers?)
- Free water in plaster reacts with unreacted Si-H groups and releases hydrogen, resulting in a porous model - wait at least 20-30mins before casting
- %elongation and tear strength are generally less than that of Condensation silicones
- Hydrophobic material (detergents added for wettability)
- Don’t use natural rubber gloves - setting can be v impaired (S poisons Pt catalyst)
What are the advantages of polyether (impregum) mucodisplacive (due to their stiffness)
- Good dimensional stability in AIR
- Quick setting compared to polysulfide and reliable
What are the disadvantages of polyether (impregum) mucodisplacive (due to their stiffness)
- Original impregum = very stiff material
- Original impregum = 50% elongation + high stiffness = tearing on withdrawal
- Permanent deformation
- Dimensional stability on prolonged contact with water or water vapour (don’t wrap in damp napkin) - disinfection is a problem
What are the advantages of using polysulfide elastomer impression materials
- Its the strongest of all impression rubbers (elongation at break ~500%)
What are the disadvantages of using polysulfide elastomer impression materials
- Dimensional stability (shrinks by 0.1-0.2%)
- slow setting
- Dirty to handle and has an unpleasant smell
- plastic recovery is not as good as the silicone and polyether materials
Are elastomers or hydrocolloids preferred for producing duplicating materials
- Elastomers are recommended as duplicating materials for fixed restorations
- Agar and alginates can be readily used in the preparation of partial dentures
What materials are most commonly used for dentate patients
- Alginate
- Agar
- Non-aqueous elastomers
What materials are most commonly used for edentulous patients
- Impression compound
- Impression plaster
- ZOE
- Alginates
- Non-aqueous elastomers
List as many desirable qualities of an ideal impression material as possible
- Pleasant odour, taste and aesthetic colour
- Adequate shelf life for requirements of storage and dsitribution
- Free from toxic irritant constituents
- Economically commensurate with the results obtained
- Easy to use
- Setting characteristics that meet clinical requirements
- readily wets oral tissues
- Elastic properties free from permanent deformation after strain
- Adequate strength to not tear upon removal from mouth
- Dimensional stability over temp and humidity ranges
- readily disinfects without loss of accuracy