Final

Final Impressions
Impressions for
for
Complete
Complete Dentures
Dentures
Potential
Potential Impression
Impression Materials
Materials
•• Irreversible
Irreversible Hydrocolloid
Hydrocolloid
––Hydrophilic
Hydrophilic butbut viscous
viscous
––Stock
Stock tray
tray distorts
distorts
vestibular
vestibular tissues
tissues
Potential
Potential Impression
Impression Materials
Materials
•• Zinc
Zinc oxide
oxide &
& eugenol
eugenol
––Fast
Fast set
set
––Rigid
Rigid (undercuts
(undercuts difficult),
difficult),
––Poor
Poor taste
taste
Potential
Potential Impression
Impression Materials
Materials
•• Polysulfides
Polysulfides
––Poor
Poor taste
taste
––Poor
Poor dimensional
dimensional stability
stability
––Poor
Poor elastic
elastic recovery
recovery
Potential
Potential Impression
Impression Materials
Materials
•• Silicones
Silicones
––Addition
Addition reaction
reaction
––Acceptable
Acceptable taste
taste
––Dimensionally
Dimensionally stable
stable
––Elastic
Elastic recovery
recovery
Potential
Potential Impression
Impression Materials
Materials
•• Polyethers
Polyethers
––Poor
Poor taste
taste
––Dimensionally
Dimensionally stable
stable
––Elastic
Elastic recovery
recovery
––Expensive
Expensive
 Polyvinyl
Polyvinyl Siloxanes
Siloxanes
Addition
Addition Reaction
Reaction Silicone
Silicone

•• Hydrophobic
Hydrophobic
•• Newer
Newer materials
materials more
more hydrophilic
hydrophilic
–– Similar
Similar to
to Polysulfides
Polysulfides &
& Polyethers
Polyethers
•• Flow
Flow
–– Thixotropic
Thixotropic
–– Require
Require pressure
pressure to
to flow
flow
 Polyvinyl
Polyvinyl Siloxanes
Siloxanes
Addition
Addition Reaction
Reaction Silicone
Silicone

•• Good
Good dimensional
dimensional stability
stability
•• Excellent
Excellent elastic
elastic recovery
recovery
•• Excellent
Excellent dimensional
dimensional
accuracy
accuracy
•• Material
Material of
of choice
choice
 Wax
Wax Spacer
Spacer Removal
Removal
•• After
After border
border molding,
molding, remove
remove
wax
wax spacer
spacer
•• Do
Do not
not dislodge
dislodge border
border molding
molding
 Custom
Custom Trays
Trays
•• Smooth
Smooth sharp
sharp surfaces
surfaces ofof
border
border molding
molding or
or tray
tray
Effect
Effect of
of Sharp
Sharp Borders
Borders
 Custom
Custom Trays
Trays
•• Place
Place holes
holes in
in tray
tray to
to allow
allow
release
release of
of hydraulic
hydraulic
pressure
pressure
 Adhesive
Adhesive
•• Paint
Paint inside
inside of
of tray
tray &
&
border
border molding
molding
•• Allow
Allow toto dry
dry 7-15
7-15 minutes
minutes
 Final
Final Impressions
Impressions
•• Dry
Dry tissues
tissues with
with 2x2
2x2 gauze
gauze
folded
folded in
in cotton
cotton pliers
pliers
 Tissue
Tissue Rest
Rest
•• Leave
Leave dentures
dentures out
out 24
24 hours
hours
––Tissue
Tissue recovery
recovery
•• Use
Use low
low viscosity
viscosity polyvinyl
polyvinyl
siloxane
siloxane material
material
––Use
Use adhesive
adhesive
 Final
Final Impressions
Impressions
•• Enough
Enough material
material to to replace
replace wax
wax spacer
spacer
•• Load
Load quickly
quickly -- viscosity
viscosity
•• Avoid
Avoid bubbles
bubbles when
when loading
loading tray
tray
 Final
Final Impressions
Impressions
•• Cover
Cover all
all border
border molding
molding
with
with impression
impression material
material
 Tray
Tray Insertion
Insertion
•• Insert
Insert side
side of
of tray
tray
against
against commissure
commissure of of
mouth
mouth & & rotating
rotating the
the
tray
tray into
into place
place while
while
pulling
pulling outward
outward on on
the
the commissure
commissure of of the
the
contralateral
contralateral side
side
 Final
Final Impressions
Impressions

•• Seat Subsurface
SubsurfaceVoids
Voids
Seat tray
tray front
front to
to
back
back -- use
use gauze
gauze Tech.
Tech. Dentist
Dentist
over
over holes
holes in
in tray
tray AA BB CC TOTAL
TOTAL

•• Ensure
Ensure tray
tray isis F-B
F-B 33 22 11 66
Even
Even 44 33 66 13
13
centered
centered & & B-F
B-F 66 44 33 13
13
__________________________
__________________________
properly
properly
TOTAL
TOTAL 13 99 10 32
oriented
oriented 13 10 32
 Tissue
Tissue Manipulation
Manipulation
Maxilla
Maxilla
•• Slight
Slight manipulation
manipulation of of cheeks,
cheeks,
lips
lips
•• Patient
Patient moves
moves mandible
mandible toto side
side
to
to side
side for
for maxillary
maxillary impression
impression
 Tissue
Tissue Manipulation
Manipulation
Mandible
Mandible
•• Hold
Hold tray
tray in
in position
position &
&
have
have patient:
patient:
––Pucker
Pucker lips
lips
––Lift
Lift &
& move
move tongue
tongue
forward
forward & & side
side to
to side
side
 Set
Set Time
Time

•• Most
Most polyvinyl
polyvinyl siloxane
siloxane
materials
materials set
set within
within 66
minutes
minutes
 Evaluation
Evaluation of
of Borders
Borders
•• Material
Material should
should notnot be
be
more
more than
than ll mm
mm thick
thick over
over
border
border molding
molding (otherwise
(otherwise
itit was
was not
not fully
fully seated)
seated)
Final
Final Impressions
Impressions
Final
Final Impressions
Impressions
Final
Final Impressions
Impressions
 Post-palatal
Post-palatal Seal
Seal
•• Compensates
Compensates for
for
polymerization
polymerization shrinkage
shrinkage
away
away from
from palate
palate
•• Enhances
Enhances retention
retention
 Post-palatal
Post-palatal Seal
Seal
•• Mark
Mark post-palatal
post-palatal seal
seal with
with indelible
indelible stick
stick
–– Glandular
Glandular area
area && vibrating
vibrating line
line
•• Place
Place impression
impression in
in mouth,
mouth, line
line transfers
transfers
to
to impression
impression
 Post-palatal
Post-palatal Seal
Seal
•• Disinfect
Disinfect
•• Refresh
Refresh the
the line
line with
with new
new indelible
indelible stick
stick
•• Prescribe
Prescribe aa mechanical
mechanical post-palatal
post-palatal seal
seal
•• Pour
Pour impression
impression in in Type
Type III
III stone
stone (ie.
(ie.
Microstone)
Microstone)
 Boxing
Boxing Final
Final Impressions
Impressions
Rationale
Rationale

•• Superior
Superior hardness
hardness of
of cast
cast surface
surface
•• Provides
Provides land
land area
area &
& preserves
preserves
peripheral
peripheral role
role
•• Minimizes
Minimizes trimming
trimming
Boxing
Boxing Impression
Impression
Trimming
Trimming Alginate
Alginate
Pour
Pour the
the Model
Model
Trimming
Trimming the
the Cast
Cast
Trimming
Trimming the
the Cast
Cast
Land
Land Area
Area == 4mm
4mm Wide
Wide