Elastomeric impression material Flashcards

(42 cards)

1
Q

Why do we take dental impressions and pour a gypsum model? (5)

A

๐Ÿง  Purpose of impressions:

๐Ÿง Study the case โ€“ understand occlusion, arch shape, and individual characteristics.
๐Ÿงฌ Diagnose dental conditions โ€“ malocclusion, caries, wear patterns, soft tissue evaluation.
๐Ÿฆท Treatment planning โ€“ for crowns, bridges, implants, dentures, ortho.
๐Ÿง‘โ€๐Ÿซ Educate the patient โ€“ visual aid to explain treatment needs.
๐Ÿงฑ Fabricate indirect restorations โ€“ inlays, onlays, crowns, bridges, complete/partial dentures.
๐Ÿ” Link between dentist and technician โ€“ accurate communication via model.

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2
Q

What factors influence impression material selection? (5)

A

Clinicians consider:

๐Ÿง Consistency โ€“ putty, medium, or light body
๐Ÿ’ง Flow properties โ€“ ability to adapt around fine details
โฑ Setting time โ€“ shorter for patient comfort, long enough for working
๐Ÿ“ Dimensional stability โ€“ minimal shrinkage or deformation
โœ‹ Ease of handling โ€“ mixing, tray loading, and placement

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3
Q
  1. What are elastomeric impression materials?
A

Definition:

A class of rubbery materials (natural/synthetic) used when high accuracy is essential ๐Ÿ“
๐Ÿงฒ Elastomers deform under force and return to shape when force is removed.
Structure:

๐Ÿงฌ Long-chain polymers that form a 3D crosslinked network
Upon stretching, chains uncoil but return to original once relaxed ๐ŸŒ€

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4
Q

Ideal properties of elastomeric materials? (9)

A

๐Ÿšซ Non-toxic, non-irritant
๐Ÿ˜Œ Acceptable taste and odour for patients
โณ Optimal setting time (not too fast, not too slow)
๐Ÿงˆ Consistency suitable for different applications
๐Ÿงผ Excellent surface detail reproduction
๐Ÿง Dimensional stability over time
๐Ÿ›  Easy to mix and use
๐Ÿค Compatible with gypsum for model pouring
๐Ÿ’ฐ Cost-effective & long shelf life

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5
Q

Types of Elastic Impression Materials (2)

A

Elastic Materials are divided into:

Aqueous Hydrocolloids (Water-based):
๐ŸŒ€ Agar (reversible)
๐ŸŒŠ Alginate (irreversible)

Non-aqueous Elastomers (Rubber-based):
๐Ÿงด Polysulfide
๐Ÿงช Silicones โ€“ Condensation (C-Silicone) and Addition (A-Silicone/PVS)
๐ŸŒง Polyether

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6
Q

Why not use alginate for precision impressions?

A

๐Ÿงป Tears easily
โŒ Dimensionally unstable โ€“ must pour immediately
๐Ÿ“ธ Single-use cast
๐Ÿ” Low detail โ€“ unsuitable for crowns/bridges
๐Ÿงฝ Difficult to disinfect
๐Ÿ’ฅ High permanent deformation after removal

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7
Q

Forms of Elastomeric Materials (3)

A

Light-body (wash/syringe) โ€“ flows into fine details
Medium/regular-body โ€“ used in tray, provides support, thicker materials and stiffness forces light bodied materials to close contact wit prepared teeth to ensure a accurate impression
Putty โ€“ kneaded by hand, often used in putty-wash technique
๐Ÿ’ก Viscosity is determined by the filler content.

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8
Q

What are the 3 Stages of Setting in Elastomers

A

Initial Set โ€“ material stiffens, not elastic yet
Final Set โ€“ becomes elastic; manipulation must stop
Final Cure โ€“ occurs over 1โ€“24 hrs; full strength achieved

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9
Q

What should clinicians check in an elastomeric impression? (9)

A

๐Ÿ”Ž Clinical checklist:

๐Ÿฆท Detail reproduction โ€“ sharp margins, fine anatomy
๐Ÿ“ Dimensional accuracy โ€“ no distortion or tray separation
๐Ÿซง No voids or bubbles โ€“ especially at margins
๐Ÿ“ Full coverage โ€“ teeth + soft tissues
๐Ÿงฝ Consistent thickness โ€“ even material distribution
๐Ÿšซ No drag or pulls โ€“ no movement during setting
โฑ Proper setting time โ€“ fully cured before removal
๐Ÿ“ Tray fit โ€“ rigid tray + good retention
๐Ÿงผ Infection control โ€“ properly disinfected before lab

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10
Q

Summary: What makes the perfect impression material?

A

โœ… Smooth-flowing
๐Ÿ’ง Hydrophilic
๐Ÿงต Good tear strength
๐Ÿ“‰ Low shrinkage
๐Ÿ” Can be poured multiple times
๐Ÿ˜Š Pleasant taste
๐Ÿ“† Long shelf life
๐Ÿšซ No toxic by-products
๐Ÿ“ค Easy to mix and use
๐Ÿงช Compatible with gypsum

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11
Q

What are future trends in impression taking?

A

๐Ÿš€ Digital impressions are gaining popularity due to:

๐Ÿ–ฅ Intraoral scanners: iTero, 3Shape, LAVA COS
๐Ÿงผ More hygienic โ€“ no materials in mouth
๐Ÿง  Better patient experience
๐Ÿ“ค Instant digital communication with labs
๐Ÿ“ธ High-resolution images for diagnosis & planning

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12
Q

What are some examples of digital impression systems?

A

๐Ÿ’ป iTero
๐Ÿ“ธ 3Shape
๐Ÿง  LAVA COS

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13
Q

What are the benefits of digital impressions?

A

๐ŸŽฏ High precision
๐Ÿšซ No distortion
๐Ÿ“ฆ Easy storage/sharing
๐Ÿ˜Œ More comfortable for patient
๐Ÿ“‰ Reduced chairside errors

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14
Q

What is the composition of polysulfide materials?

A

๐Ÿงด Base: Mercaptan polysulfide
๐Ÿ” Crosslinker: Sulfur or lead dioxide
โš—๏ธ Catalyst: Copper hydroxide, zinc periodate
๐Ÿง‚ Filler: Zinc sulfate, calcium sulfate dihydrate

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15
Q

What is the polysulfide setting reaction?

A

๐Ÿงช Mercaptan + Lead Dioxide โ†’ Polysulfide rubber + Lead oxide + Water

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16
Q

What are the advantages of polysulfide?

A

FIRST DENTAL ELASTOMERS
$ Lower cost
๐Ÿ• Long working time
๐Ÿงต High tear strength
๐ŸŒ€ Flexible
๐Ÿ” Good detail reproduction

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17
Q

What are the disadvantages of polysulfide?

A

๐Ÿ’ง Poor dimensional stability
โฑ Pour within 1 hour
๐Ÿงผ Messy handling
๐Ÿ‘ƒ Bad odor
๐Ÿ–Œ Requires custom tray

18
Q

What is the composition of polyether materials?

A

๐Ÿงด Base: Polyether
๐Ÿ” Crosslinker: Sulfonic ester
โš—๏ธ Catalyst: Glycol plasticizers
๐Ÿง‚ Filler: Silica

19
Q

What are the advantages of polyether?

A

๐ŸŽฏ High accuracy
๐Ÿ“ Excellent dimensional stability
๐Ÿ” Can pour multiple casts
๐Ÿ’ง Hydrophilic โ€“ great in moist conditions
๐Ÿงผ Good surface detail

20
Q

What are the disadvantages of polyether?

A

๐Ÿ’ธ Expensive
๐Ÿ• Short working time
๐Ÿงฑ Very stiff โ€“ hard to remove
๐Ÿ˜– Bitter taste
๐Ÿ“‰ Low tear strength
๐Ÿ’ง Absorbs water โ€“ dimensional changes

21
Q

What is the chemical composition of C-silicones?

A

๐Ÿงด Base: Polydimethyl siloxane
๐Ÿ” Crosslinker: Alkyl ortho silicate
โš—๏ธ Catalyst: Organo tin compound
๐Ÿง‚ Filler: Silica
๐Ÿ”„ Byproduct: Ethyl alcohol (causes shrinkage)

22
Q

What are the advantages of C-silicones?

A

โœ… Better elasticity than alginate
๐Ÿงผ Cleaner with pleasant odor
๐Ÿ• Good working/setting time
๐Ÿชฅ Can be used with stock trays (putty-wash)

23
Q

What are the disadvantages of C-silicones?

A

๐Ÿ“‰ Poor dimensional stability
๐Ÿ’จ Shrinks due to ethanol byproduct
โฑ Must be poured within 30 minutes
๐Ÿ’ง Hydrophobic โ€“ poor wettability
๐Ÿ“ฆ Limited shelf life

24
Q

What is the composition of addition silicones?

A

๐Ÿงด Base: Vinyl polysiloxane
๐Ÿงด Catalyst: Siloxane prepolymer
๐Ÿงช Catalyst: Chloroplatinic acid
๐Ÿง‚ Filler: Silica
๐Ÿงจ No byproduct (unless contaminated โ€“ may release Hโ‚‚ gas)

25
What are the advantages of PVS (A-silicones)?
๐Ÿ’ฏ Highly accurate ๐Ÿ“ Excellent dimensional stability ๐Ÿงช No byproduct ๐Ÿ“† Long shelf life ๐Ÿ” Multiple pours ๐Ÿšš Can be shipped without distortion ๐Ÿงผ Easy to mix ๐Ÿ˜Œ Pleasant odor
26
What are the disadvantages of PVS?
๐Ÿงช Sensitive to sulfur (latex gloves, retraction agents) ๐Ÿ• Short working time ๐Ÿ“‰ Lower tear strength ๐Ÿ’จ Potential hydrogen gas release โ†’ air bubbles ๐Ÿงฒ Requires palladium to absorb gas
27
How should polyether impressions be handled?
๐Ÿชจ Very stiff โ†’ Rock tray gently to remove ๐Ÿ’ง Avoid water/blood contamination โ†’ causes discrepancies ๐Ÿšซ Avoid undercuts โ†’ material may lock in
28
โ“ How should PVS impressions be handled?
โณ Allow proper setting โ†’ early removal = distortion ๐Ÿงด Use automix tips for uniform mix ๐Ÿ›  For best results, use surfactant or hydrophilic types
29
โ“ What causes most distortion in elastomeric impressions?
๐Ÿ• Removing impression too soon before cross-linking is complete
30
What is a base or catalyst in impression materials
31
Name 4 types of elastomeric materials
32
What are the indications for Polysuflide
- complete denture - removable fixed partial denture - crown and bridge examples: Permlastic Omnni Flex
33
How do you manipulate Polysulfide
- Adhesive to try Uniform layer -equal lengths of paste Mix thoroughly- within one minute Setting time 8-12 minutes Pour within 1 hour - messy paste to paste mix bad odour may satin clothing H-S gives rotten egg smell
34
Manipulations and technique considerations for Polyether materials
35
What are the manipulations and technique considerations for C silicone material
36
What are Polyvinyl siloxanes and how are they supplied
37
38
Describe the different pastes and catalyst used In PVS
39
40
A silicone Properties 4
41
Manipualtiyon and technique cosndieratiosn for PVS
42