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Reversible hydrocolloids
Aqueous
Elastic Irreversible hydrocolloids
Non-aqueous
Polysulfide
Condensation polymerized
Condensation polymerized silicone
Addition polymerized silicone
Addition polymerized
Polyether
Indications
• Diagnostic casts
– preliminary
– opposing
• Indirect
reconstruction
– fixed
– removable
• Bite registration
Elastomeric Impression
Materials
• Aqueous Elastomeric Impression Materials
– Hydrocolloids
• Reversible (e.g. agar)
• Irreversible (e.g. alginate)
• Nonaqueous Elastomeric Impression Materials
– Condensation Polymerized NEIM
• Polysulfide
• Condensation Polymerized Silicones
– Addition Polymerized NEIM
• Addition Polymerized Silicones
• Polyethers
Composition
• Agar • Potassium sulfate
– complex – improves gypsum
polysaccharide surface
• seaweed
• Water (85%)
– gelling agent
• Borax
– strength
cool to 43 C
Boiling Storage
• 3 chamber conditioning unit
– (1) liquefy at 100°C for
10 minutes
• converts gel to sol
– (2) store at 65°C
– place in tray
– (3) temper at 46°C for 3 minutes
– seat tray
– cool with water at 13°C for 3 minutes
• converts sol to gel
(powder) (gel)
O’Brien Dental Materials & their Selection 1997
Manipulation
• Weigh powder
• Powder added to water
– rubber bowl
– vacuum mixer
• Mixed for 45 sec to 1 min
• Place tray
• Remove 2 to 3 minutes
– after gelation (loss of tackiness)
Advantages
• Inexpensive
• Easy to use
• Hydrophilic
– displace moisture, blood, fluids
• Stock trays
Disadvantages
• Tears easily
• Dimensionally unstable
– immediate pour
– single cast
• Lower detail reproduction
– unacceptable for fixed pros
• High permanent deformation
• Difficult to disinfect
Elastomeric Impression
Materials
• Aqueous Elastomeric Impression Materials
– Hydrocolloids
• Reversible (e.g. agar)
• Irreversible (e.g. alginate)
• Nonaqueous Elastomeric Impression Materials
– Condensation Polymerized NEIM
• Polysulfide
• Condensation Polymerized Silicones
– Addition Polymerized NEIM
• Addition Polymerized Silicones
• Polyethers
Silicone Rubbers
• These are accurate, flexible, stable, clean
and easy to use
• Available in a variety of forms
– Liquid (catalyst) and paste (base)
– Paste / paste system
– Putty / putty system
• Various viscosities
• Light for syringing
• Regular for special trays
• Heavy for stock or special trays
• Putty for stock trays
Silicone Rubbers
• Catalyst paste:
– Chloroplatinic acid
– Silicone with vinyl groups (filler)
• Base paste
– Silicone with terminal hydrogen
• Reaction
– Siloxane + Chloroplatinic acid = silicone
Silicone -Addition Cured - putty
Silicone -Addition Cured - wash
Silicone -Addition Cured - automix
Non-Aqueous Elastomeric
Impression Materials
• Condensation Polymerized Elastomers
– Polysulfide
– Poly(dimethyl siloxane)
• Addition Polymerized Elastomers
– Poly(vinyl siloxane)
– Polyether
Polysulfide
• First dental elastomers
• Indications
– complete denture
– removable fixed partial denture
• tissue
– crown and bridge
Composition
• Base
– polysulfide polymers
– fillers
– plasticizers
• Catalyst
– lead dioxide (or copper)
– fillers
• By-product
– water
Polysulfide Reaction
--SH HS---------------------SH HS-- -S-S---------------S-S-
O O
=
=
Pb S Pb S + 3PbO + H O
H 2
=
=
O O = Pb = O O S
H
S
• Adhesive to tray
• Uniform layer
– custom tray
• Equal lengths of pastes
• Mix thoroughly
– within one minute
• Setting time 8 – 12 minutes
• Pour within 1 hour
Advantages
• Lower cost
– compared to silicones and polyethers
• Long working time
• High tear strength
• High flexibility
• Good detail reproduction
Disadvantages
• Poor dimensional stability
– water by-product
– pour within one hour
– single pour
• Custom trays
• Messy
– paste-paste mix
– bad odor
– may stain clothing
• Long setting time
Non-Aqueous Elastomeric
Impression Materials
• Condensation Polymerized Elastomers
– Polysulfide
– Poly(dimethyl siloxane)
• Addition Polymerized Elastomers
– Poly(vinyl siloxane)
– Polyether
Condensation Silicone
• Indications
– complete dentures
– crown and bridge
Composition
• Base
– poly(dimethylsiloxane)
– tetraethylorthosilicate
– filler
• Catalyst
– metal organic ester
• By-product
– ethyl alcohol
CH3 CH3
Condensation HO – Si – O – Si - O - H
CH3 CH3
C2H5O OC2H5
n
Silicone Si
CH3 CH3
Reaction HO – Si – O – Si - O - H C2H5O OC2H5
CH3 CH3 n
HO – Si – O – Si - O - OC2H5
CH3 CH3 n
Si + 2C2H5OH
ethanol
CH3 CH3
HO – Si – O – Si - O - OC2H5
CH3 CH3 n
Manipulation
• Mix thoroughly
– paste - paste
– paste - liquid
• Putty-wash technique
– reduces effect of polymerization shrinkage
– stock tray
• putty placed
• thin plastic sheet spacer
• preliminary impression
– intraoral custom tray
• inject wash material
Advantages
• Better elastic properties
• Clean, pleasant
• Stock tray
– putty-wash
• Good working and setting time
Disadvantages
• Poor dimensional stability
– high shrinkage
• polymerization
• evaporation of ethanol
– pour immediately
• within 30 minutes
• Hydrophobic
– poor wettability
Condensation Polymerized Non-
Aqueous Elastomeric Impression
Materials
O CH3
Manipulation
• Adhesive to tray
• Double mix
– custom tray
• heavy-body
– light-body to prep
• Putty-wash
– stock tray
Advantages
• Highly accurate
• High dimensional stability
– pour up to one week
• Stock or custom trays
• Multiple casts
• Easy to mix
• Pleasant odor
Disadvantages
• Expensive
• Sulfur inhibits set
– latex gloves
– ferric and Al sulfate
retraction solution
• Pumice teeth before
impressing
• Short working time
• Lower tear strength
• Possible hydrogen gas release
– bubbles on die
– palladium added to absorb
Non-Aqueous Elastomeric
Impression Materials
• Condensation Polymerized Elastomers
– Polysulfide
– Poly(dimethyl siloxane)
• Addition Polymerized Elastomers
– Poly(vinyl siloxane)
– Polyether
Polyether
• Indications
– crown and bridge
– bite registration
• Examples
– Impregum F (3M/ESPE)
– Polygel (Dentsply Caulk)
Composition
• Base
– difunctional epimine-terminated prepolymer
– fillers
– plasticizers
• Catalyst
– aromatic sulfonic acid ester
– fillers
• Cationic polymerization
– ring opening and chain extension
Polyether Reaction
R R
base
CH3 – CH – CH2 – CO2 – CH – (CH2)n – O – CH – (CH2)n – CO2 –
m
CH2 – CH –CH3
N N
H2C CH
H2C CH + R+
2 catalyst 2
SO3-
R –N + N N2 –
R – N – CH2 – CH
+ +
H2C CH H2C CH ring opening H2C CH
2 2 2
Manipulation
• Adhesive to tray
– stock or custom tray
• very stiff
• Paste-paste mix
• Auto-mixing
– hand-held
• low viscosity
– mechanical dispenser
• high viscosity
Advantages
• Highly accurate
• Good dimensional stability
• Stock or dual-arch trays
• Good surface detail
• Pour within one week
– kept dry
• Multiple casts
• Good wettability
Disadvantages
• Expensive
• Short working time
• Rigid
– difficult to remove from undercuts
• Bitter taste
• Low tear strength
• Absorbs water
– changes dimension
Biological Considerations
57
Choice and use of trays
• The tray should have enough spacer
• Avoid flexible trays
• Use perforated trays
• Make sure the tray is clean
• Apply only a thin layer of adhesive
• Wait appropriate time before taking
impression
• Don’t mix adhesives and impression
materials
58
Mixing techniques
• Manual:
• Low viscosity
• Less viscous is easier
• Silicones are easiest to mix
• followed by polyethers and polysulphides
Mixing techniques
• Automatic mixing
• Reduces mixing time
• Reduces bubbles
• Homogenous mix
• Use correct mixing proportions
2x2x2x2x2x2x2x2 = 256 folds
60
Impression Techniques
• Multiple mix technique
• Reline technique
• Single impression technique
Light body
Heavy body
Light body
Light body
Heavy body
Impression Techniques
• Multiple mix technique
• Reline technique (Putty wash)
• Single impression technique
Putty
Putty
Putty
Impression is first made with the putty and a
spacer. After the putty has set and the spacer
has been removed, light body material is
injected around the tooth and into the
previously made putty impression. Also
Known as Putty wash
Escape routes for “wash”
Impression Techniques
• Multiple mix technique
• Reline technique
• Single impression technique
Disinfecting Impressions
• Because imps have been in contact with
body fluids, they must be disinfected before
they are sent to the lab
• No single disinfectant is compatible with all
impression materials
DISINFECTING IMPRESSIONS
• Spray, dip, or immerse impression in
appropriate intermediate- or high-level
disinfectant and place in sealed bag.
• For addition silicone (hydrophobic) soak
sodium hypochlorite (1:10 concentration)
for 3 minutes
• Polyether materials cannot be immersed
in disinfectants due to potential for
absorption and distortion only spray