Boxing Dental Impressions

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Questions and Answers

What is the primary reason for boxing an impression in dental procedures?

  • To ensure the accurate reproduction of the impression borders in the cast. (correct)
  • To reduce the setting time of the cast material.
  • To simplify the removal of the impression from the cast.
  • To decrease the amount of cast material needed.

Which of the following is an advantage of boxing an impression, besides preserving borders?

  • Controlled thickness of the base of the cast. (correct)
  • Enhanced dimensional accuracy of the teeth in the cast.
  • Decreased expansion of the gypsum material.
  • Reduced risk of distortion during cast removal.

What benefit does vibrating the cast provide during the boxing procedure?

  • It allows for better adhesion between the impression and the cast material.
  • It aids in the uniform distribution of pressure during pouring.
  • It prevents air bubbles, leading to a denser cast. (correct)
  • It helps in achieving a smoother surface finish on the cast.

Which of the following is considered an advantage of boxing in terms of time and resources?

<p>Boxing conserves time during pouring of the cast. (D)</p> Signup and view all the answers

Why is it advantageous to avoid turning the impression during the boxing procedure?

<p>To facilitate a more accurate pouring process. (A)</p> Signup and view all the answers

Which of the listed method is appropriate for boxing an impression?

<p>Wax Method (B)</p> Signup and view all the answers

Besides wax, what other material can be used for boxing an impression?

<p>Plaster and Pumice (C)</p> Signup and view all the answers

What type of wax is commonly used in the wax method of boxing impressions?

<p>Beading wax and carding wax. (D)</p> Signup and view all the answers

If a dental professional needs to make a device to relate casts in different positions, what should they use?

<p>Occlusion Blocks (D)</p> Signup and view all the answers

Occlusion blocks are comprised of occlusion rims and what other element?

<p>Trial denture bases (B)</p> Signup and view all the answers

Why are guide lines drawn on the casts when creating occlusion blocks?

<p>To aid in determining the correct alignment and dimensions for the occlusion rims. (B)</p> Signup and view all the answers

During the fabrication of an occlusion rim, what initial form is the wax sheet typically prepared in?

<p>A roll (C)</p> Signup and view all the answers

Where is the rolled wax sheet placed during the creation of an occlusion rim?

<p>On the record base / trial denture base (A)</p> Signup and view all the answers

What is the primary purpose of a trial denture base, also known as a record base?

<p>To support the record rim material for recording maxillomandibular records. (B)</p> Signup and view all the answers

What key characteristic must a record base possess to ensure accurate adaptation to the cast?

<p>It must be accurately adapted to the cast. (B)</p> Signup and view all the answers

What property is crucial for a record base to prevent movement or displacement during maxillomandibular records?

<p>It must be easily adaptable without rocking. (A)</p> Signup and view all the answers

Which quality is important for the edges of a record base to promote patient comfort?

<p>They must be smooth and round. (B)</p> Signup and view all the answers

Which of these materials is typically used for temporary record bases that will be replaced by a permanent denture base?

<p>Wax (A)</p> Signup and view all the answers

What is a drawback of using wax for a temporary record base?

<p>Easily distorted by body temperature (A)</p> Signup and view all the answers

Why are cold cure acrylic resin record bases considered superior to shellac bases?

<p>They fit the cast more accurately and are more stable at oral temperatures. (D)</p> Signup and view all the answers

What characteristic does light cure resin provide for record bases?

<p>Dimensional stability (A)</p> Signup and view all the answers

Which of the following materials is suitable for permanent record bases?

<p>Acrylic (heat-cured) (C)</p> Signup and view all the answers

Which material can be used to create cast metal bases for permanent record bases?

<p>Gold and Cobalt-chromium (B)</p> Signup and view all the answers

What is the function of an occlusion rim in the context of complete dentures?

<p>To establish maxillomandibular relation records and arrange teeth. (D)</p> Signup and view all the answers

What is another term for occlusion rims?

<p>Record rims (C)</p> Signup and view all the answers

Which defining characteristic is correct about a record rim?

<p>Interim denture base (D)</p> Signup and view all the answers

Which material is recommended for use in construction of the rims?

<p>Wax (A)</p> Signup and view all the answers

Besides wax, which other materials can be used for the rims of a record base?

<p>Plaster and Pumice (A)</p> Signup and view all the answers

What is one of the main uses of occlusion rims in complete denture construction?

<p>Jaw relation records (D)</p> Signup and view all the answers

What determination relies on usage of occlusion rims?

<p>Choice of the teeth. (B)</p> Signup and view all the answers

What occlusal determination do occlusion rims allow us to accomplish?

<p>Setting up of the teeth (A)</p> Signup and view all the answers

What is the approximate measurement from midline to the inferior portion of occlusal block?

<p>22 mm (A)</p> Signup and view all the answers

What is the approximate height of the occlusal block?

<p>18 mm (A)</p> Signup and view all the answers

A dental technician is using the plaster and pumice method for boxing a lower impression. After applying the initial layer, what is the next crucial step?

<p>Adding a boxing or support around the plaster and pumice (D)</p> Signup and view all the answers

If a dental student uses wax that’s too warm(high temperature) when creating a record base, which of the following problems is most likely to occur?

<p>The wax will lack dimensional accuracy. (D)</p> Signup and view all the answers

A dentist needs to create an accurate master cast with detailed anatomical surface and land area. Which of the following considerations is MOST crucial?

<p>Adhering to proper boxing methods. (A)</p> Signup and view all the answers

Why is it important to form a beaded edge when using a wax boxing method for an impression?

<p>To create a larger surface area for adhesion with the pouring plaster or stone. (B)</p> Signup and view all the answers

Flashcards

Boxing the impression

Boxing an impression involves enclosing it to preserve borders for accurate cast reproduction.

Advantages of boxing

Preserves impression borders, controls base thickness, prevents air bubbles for denser cast, time and material conservation, eliminates impression turning.

Methods for boxing

Wax method and Plaster and Pumice method.

Wax Method

Wax is used to surround the impression to form the boxing.

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Plaster and Pumice method

Boxing method using plaster and pumice to create a mold around the impression.

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Anatomical Surface

An anatomical surface represents the natural contours of the oral structures.

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Land Area

Area on the cast that replicates the impression's borders and provides a reference point.

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Base (Cast)

The base is the foundation or support of the cast.

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Definitive/Master Cast

A master cast is a precise replica of oral structures, used for final denture fabrication.

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Inverted Pouring

Inverted pouring involves inverting the impression to form the base of the cast.

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Occlusion Blocks

Occlusion blocks are made of occlusion rims attached to trial denture bases; these are used to help relating the casts in different positions.

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Trial denture base

An interim denture base used to support record rim material for recording maxillomandibular records.

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Requirements of Record Base

Must be rigid, fit accurately, easily adaptable, and have smooth, comfortable edges.

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Temporary record base

Wax, Shellac base plates, Cold cure acrylic resin, Light cure resin.

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Permanent record base

Acrylic bases (heat cured), Cast metal bases as (Gold and Cobalt chromium).

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Occlusion Rims

Occluding surfaces on interim or final denture bases for making maxillomandibular relation records and arranging teeth.

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Record Rim Definition

It's an interim denture base to record jaw relationships and arrange teeth.

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Record Rim Materials

Wax, Composition (modeling compound), Plaster and pumice.

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Occlusion Rims Uses

Jaw relation records, choice of the teeth, setting up of the teeth.

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Study Notes

  • Boxing the impression preserves the borders of the impression, so they are accurately reproduced in the cast.
  • Boxing the impression is a process of enclosing or surrounding an impression to create a form into which dental plaster or stone can be poured.
  • You can see a YouTube video about it at https://www.youtube.com/watch?v=DSbmxwn_ybY

Advantages of Boxing

  • Borders of the impression are preserved.
  • The thickness of the base can be controlled.
  • Permits vibrating for denser casts and prevents air bubbles.
  • Time for pouring the cast is conserved.
  • Materials are conserved.
  • No need to turn the impression.

Methods for Boxing

  • Wax method
  • Plaster and Pumice method

Wax Method

  • Beading wax and carding wax are used for boxing.
  • Used for both upper and lower impressions.

Plaster and Pumice method

  • Plaster and pumice are used for boxing.
  • Applicable for both lower and upper impressions.

Master Casts

  • These are definitive casts used in the creation of complete dentures.

Occlusion Blocks

  • Occlusion blocks consist of occlusion rims attached to trial denture bases.
  • Occlusion blocks help in relating casts in different positions.

Guidelines for Occlusion Blocks

  • Key landmarks on the cast include the center of the ridge posteriorly and anteriorly, the 1/2 way up retromolar area, and the land area, all relative to the mandibular cast.

Occlusion Rim Fabrication Steps

  • Form a wax sheet into a roll.
  • Shape the roll and place it on the record base.

Trial Denture Base/Record Bases

  • An interim denture base supports the record rim material.
  • Used for recording maxillomandibular records.

Requirements for Record Base

  • Must be rigid.
  • Should be accurately adapted to the cast.
  • It must be easily adaptable without rocking.
  • Edges should be smooth and rounded for comfort.

Types of Record Bases

Temporary Record Base

  • Will be replaced by the permanent denture base.
  • Wax:
    • Easily distorted by body temperature.
    • Can lead to incorrect occlusal relationships.
  • Shellac base plates.
  • Cold cure acrylic resin:
    • Superior to shellac bases.
    • Closely and accurately fits the cast.
    • Stable in oral temperatures and doesn't soften.
  • Light cure resin

Permanent Record Base

  • Acrylic bases (heat cured)
  • Cast metal bases, like Gold and Cobalt chromium

Occlusion Rims

  • Surfaces are fabricated on interim/final denture bases for making maxillomandibular relation records.
  • Can be called record rims.
  • Record rims are interim denture bases to make maxillomandibular relationship records and/or arrange teeth.
  • Construction materials: wax, composition (modeling compound), and plaster and pumice.
  • Used for jaw relation records, tooth choice, and setting up teeth.

Occlusion Blocks Measurement

  • 18 mm is an approximate measurement
  • 22 mm is an approximate measurement

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