Irreversible

Hydrocolloid

Student ____________________


Preliminary Alginate Impressions
Date / / Initials_______ Instructor #_____

q Unacceptable q Correctable q Acceptable Student
q Unacceptable q Correctable q Acceptable Instructor
__________

q Accurate recording of all critical anatomy
q Material properly mixed as indicated by impressions
q Minimum of voids
q Trays properly selected and centered over the ridges
q Minimal areas where trays have contacted tissues

Diagnostic Cast Evaluation

Date / / Initials_______ Instructor #_____

q Unacceptable q Correctable q Acceptable Student
q Unacceptable q Correctable q Acceptable Instructor
__________
q No significant bubbles or flaws in stone
q Base approximately parallel to ridge and approximately l/2 inches thick (minimum)
q Evidence of a dense stone surface
q Clean and well trimmed
q Includes all anatomical surfaces




Preliminary Impressions

Selection of a Stock Tray
5 -7 mm between tray & tissues
Bulk for strength & accuracy of material
Just short of vestibule
Slightly beyond vibrating line
Stock Tray Selection
Compound on peripheries if needed
Extension only to provide coverage of critical
anatomy
Not for displacing vestibular tissues
Pre-Measure Material
Infection control
Do not take
containers to your
operatory
Do not handle
containers with
contaminated
gloves/hands

Handling the Material
Do not leave containers open in a
humid environment
Humidity & high temperatures cause
deterioration
Use Separate Bowls
Gypsum can cause
acceleration of
setting of alginate
Alginate
contamination can
decrease strength of
casts
Alginate
Stone
Measuring Alginate
Fluff the powder before
measuring
Ensure no large voids
Measuring Alginate
Do not tap the scoop more than
once or twice
Compacts the powder
Thicker mix
Preparations
Measuring by weight is
more accurate than by
volume
Ratio of 1 scoop powder : 1
measure water
3 scoops of powder is
sufficient for most arches
Regulating Set Time
Regulate with water temperature
Water/powder ratio can affect tear
strength & viscosity
Mixing Alginate
Mix for up to 45 seconds
Smooth creamy consistency
No lumps or powder should
remain
Mixing
Fill Tray
Making the Impression
Wipe alginate onto the occlusal
surfaces of any teeth
Making the Impression
Don't bottom out on the teeth or
the residual ridge
Distort the tissue or move teeth
Stone leaks between alginate &
tray & produces distorted cusp
Making the impression
Wait to remove impression
until the material is firm
Approximately one minute
after initial set
Removal
Lift lip up to break the seal against tissues
Several drops of water
Remove rapidly, to prevent significant
permanent deformation
Impression Storage
Wrap in a damp towel
Wring to eliminate excess water
Pour within 12 minutes
Minimizes distortion
Support impression by handle
or tray until cast poured
Evaluating Irreversible
Hydrocolloid Impressions
Properly mixed
Smooth surface
Evaluating Irreversible
Hydrocolloid Impressions
Tray centered over ridge
Evaluating Irreversible
Hydrocolloid Impressions
No significant tissue/tooth contact
Evaluating Irreversible
Hydrocolloid Impressions
No-large voids in the impression
Evaluating Irreversible
Hydrocolloid Impressions
All critical anatomy recorded
Hamular notches
Retromolar pads
Vestibules, etc.
Disinfection
Rinse the impression
Place in zip lock bag, pour in
disinfectant to cover all surfaces
Seal for 10 minutes
Remove and rinse prior to
pouring stone
Mixing Stone
Weigh powder
Measure water
Vacuum mix
Less time to complete
than hand mixing
Stronger cast
Two pour technique
Pour stone into
impression
Wait for stone to set
(~ 30 minutes)
Invert impression with
set first pour onto base
stone
Superior surface
strength
Two Pour Technique
Use vibrator & flow the stone into
the impression slowly
Modulate speed of pouring by
tilting the tray back and forth
Two Pour Technique
If impression fills too quickly-voids
To delay filling:
Tilt impression in opposite direction of
the flow of the stone
Reduce speed of vibrator
Press impression less firmly against
vibrator
Two Pour Technique
Leave rough areas on the
exposed surface of the stone
Helps attach base
Two Pour Technique
Make a patty of stone
Invert impression with
the first pour onto the
base
Adapt new stone to the
existing stone
Two Pour Technique
Trim excess stone from the base
with the spatula while the stone is
still soft
Two Pour Technique
Separate impression from
cast after 30 minutes
Trimming Casts
Model moist for trimming
Debris from trimmer will not
attach
Trimming Casts
Soak the model by immersing
in slurry water
just base of cast contacting tap
water
Trimming Casts
Prolonged immersion in tap
water can lead to erosion of
the cast
Trimming Diagnostic Casts
Cast should be minimum of 10-
12mm (.5 inch) in thinnest part
Trim the base on the model trimmer
parallel to ridges
Leave the mucous membrane
reflection intact for making a
custom tray
a
10-12
mm
Trimming Master Casts
a
3mm
3mm
Land
Area
10-12
mm
Boxed and trimmed with a 3mm
wide by 3mm deep land area
Aids in processing of acrylic
Diagnostic casts (no land area)
Used for making custom trays
Land area omitted so material is
easier to trim & remove from the
cast
Outline of Bases for Trimmed
Casts
Follow the contour of the ridges,
with rounded angles
a
Mandibular
Maxillary