Dental Impression Materials Quiz

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Questions and Answers

Which property is essential for impression materials to ensure they do not break or tear upon removal from the mouth?

  • Good dimensional accuracy
  • Dimensional stability
  • Elastic properties
  • Sufficient mechanical strength (correct)

What characterizes thermoplastic impression materials?

  • They are non-reversible
  • They soften and harden by heat (correct)
  • They harden by chemical reaction
  • They are used only for undercuts

Why are non-elastic impression materials used only when no undercuts exist?

  • They are cheaper compared to elastic materials
  • They do not provide sufficient detail
  • They cannot accommodate changes in shape
  • They are difficult to remove if undercuts are present (correct)

Which of the following is an example of a reversible impression material?

<p>Impression compounds (B)</p> Signup and view all the answers

Which property is NOT typically fulfilled by any single impression material?

<p>Permanent deformation after strain (A)</p> Signup and view all the answers

Which of the following describes elastic impression materials?

<p>Capable of returning to original shape (C)</p> Signup and view all the answers

What is the primary classification basis for impression materials mentioned?

<p>Method of setting (A)</p> Signup and view all the answers

Which of the following is considered a non-elastic impression material?

<p>Plaster of Paris (D)</p> Signup and view all the answers

What is a notable disadvantage of polysulfide elastomeric impression materials?

<p>Poor patient acceptance due to odor (B)</p> Signup and view all the answers

What is the consequence of losing water as a by-product during the polymerization of polysulfide impression materials?

<p>Reduced dimensional stability (D)</p> Signup and view all the answers

Which type of elastomeric impression material is considered the most flexible?

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

What must be done within 30 minutes after removing polysulfide impressions from the oral cavity?

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

What advantage does condensation silicone have over polysulfide materials?

<p>Lower cost (B)</p> Signup and view all the answers

What is the result of having to use custom-made trays for polysulfide materials?

<p>Greater chance of distortion (C)</p> Signup and view all the answers

Which of the following statements is true regarding the disadvantages of polysulfide impression materials?

<p>They can stain clothing (A)</p> Signup and view all the answers

What does the reaction in polysulfide impression materials involve when it interacts with lead oxide?

<p>Production of polysulfide rubber and water (B)</p> Signup and view all the answers

What does a dental impression primarily serve to create?

<p>A negative imprint of the teeth and soft tissues (A)</p> Signup and view all the answers

Which property is NOT desirable in impression materials?

<p>Strong chemical odor (C)</p> Signup and view all the answers

For what reason might dental casts be created?

<p>To plan treatments and construct restorations (D)</p> Signup and view all the answers

Which of the following is a characteristic of ideal impression materials regarding their setting?

<p>They provide a long working time for dental professionals (A)</p> Signup and view all the answers

What type of reproduction is obtained from pouring a dental impression?

<p>Positive reproduction called a dental cast (B)</p> Signup and view all the answers

Which of the following is considered an undesirable property of impression materials?

<p>Releases gas during setting (A)</p> Signup and view all the answers

What is the primary purpose of introducing impression material in an unset condition?

<p>To allow for easy removal post-setting (A)</p> Signup and view all the answers

Which of the following statements about the working and setting time of impression materials is true?

<p>Longer working times allow more flexibility for the dental professional (C)</p> Signup and view all the answers

What is a characteristic of the one-step impression technique?

<p>Both putty and wash materials are mixed nearly simultaneously. (B)</p> Signup and view all the answers

What is a disadvantage of the two-step unspaced impression technique?

<p>It is difficult to reseat the set putty in the mouth. (C)</p> Signup and view all the answers

Which method can create a space for the light wash in a two-step spaced impression?

<p>Applying a polythene spacer over the teeth. (C)</p> Signup and view all the answers

What is a primary advantage of intra-oral scanning over traditional impression methods?

<p>Allows for adjustments to the virtual impression. (A)</p> Signup and view all the answers

What is a major challenge associated with optical impressions?

<p>Start-up costs can be high for the necessary equipment. (B)</p> Signup and view all the answers

In the dual-viscosity impression technique, what role does the high-viscosity material play?

<p>It forces the low-viscosity material into fine details. (D)</p> Signup and view all the answers

Which option is not considered a benefit of intra-oral scanning?

<p>It requires manual adjustment of impressions. (C)</p> Signup and view all the answers

What is a potential consequence of saliva contamination in the two-step unspaced impression technique?

<p>It may prevent the light body wash from adhering properly. (C)</p> Signup and view all the answers

What is the working time of fast set alginate after mixing?

<p>1 minute (C)</p> Signup and view all the answers

How can cooler water affect the setting time of alginate?

<p>It increases the setting time. (D)</p> Signup and view all the answers

What is a significant advantage of using polyether impression materials?

<p>They are hydrophilic and have high dimensional stability. (D)</p> Signup and view all the answers

Which of the following is NOT a use of alginate impression material?

<p>Impression of cavity preparations (C)</p> Signup and view all the answers

What is the best storage condition for alginate impression material to avoid shrinkage?

<p>At 100% relative humidity (C)</p> Signup and view all the answers

Which of the following is a disadvantage of polyether impression materials?

<p>They may cause allergic reactions in some individuals. (C)</p> Signup and view all the answers

Which of the following is an advantage of reversible hydrocolloids like agar?

<p>Good detail reproduction (C)</p> Signup and view all the answers

What characteristic of polyether materials helps in delaying casting?

<p>Their accuracy in dimensional stability. (B)</p> Signup and view all the answers

What is a defining feature of the single-viscosity impression technique?

<p>It involves a medium viscosity material for both filling and syringing. (D)</p> Signup and view all the answers

What equipment is NOT typically needed for manipulating alginate impression material?

<p>A dental drill (D)</p> Signup and view all the answers

What effect does warmer water have on the setting time of alginate?

<p>It shortens the setting time. (A)</p> Signup and view all the answers

Which of the following statements about polyether materials is true?

<p>They are suitable for making impressions with a syringe tray technique. (B)</p> Signup and view all the answers

Which material has largely replaced agar due to its cost and prolonged chair time?

<p>Rubber-based impression materials (B)</p> Signup and view all the answers

What is the main purpose of using dual-viscosity technique?

<p>To allow for more accurate impressions by using two different materials (A)</p> Signup and view all the answers

Why is the cost of polyether materials considered high?

<p>The advanced properties and performance of the materials increase production expenses. (A)</p> Signup and view all the answers

What is a common feature of both the single-viscosity and dual-viscosity impression techniques?

<p>Both techniques can utilize polyether materials for high accuracy. (A)</p> Signup and view all the answers

Flashcards

Dental Impression

A negative reproduction of oral tissues, used to create a positive model.

Dental Cast

A positive reproduction of teeth and surrounding tissues, made from a dental impression.

Impression Material Properties

Characteristics of impression materials that improve clinical outcomes.

Working Time (impression material)

The amount of time the materials are workable in the mouth.

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Setting Time (impression material)

The time it takes for the impression material to harden.

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Dental Model Purpose

Dental casts are used for various purposes in dentistry including case studies, diagnosis, treatment planning and creation of indirect restorations.

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Indirect Restorations

Dental restorations that are created outside the mouth.

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Impression Material Use

Used to create a physical three dimensional replica of the patient's teeth and mouth.

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Alginate Working Time

The time allowed for mixing, loading, and positioning alginate in a patient's mouth.

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Alginate Setting Time

The time it takes for alginate to chemically harden/set after mixing.

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Fast Set Alginate

Alginate with a quick working time (1 min or less) and setting time (1-2 mins or less)

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Normal Set Alginate

Alginate with a longer working time (2 mins) and setting time (up to 5 mins).

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Alginate Storage

Store alginate in 100% relative humidity to prevent shrinkage/expansion.

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Alginate Uses

Preparing study casts and gypsum models; removable partial dentures and athletic mouth protectors.

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Altering Setting Time

Cooler water increases setting time, warmer water shortens it.

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Agar Impression Material

A reversible hydrocolloid, providing good detail reproduction, but now less common due to complexity and time.

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Impression Material Classification (Setting)

Impression materials are categorized based on how they set. There are thermoset materials (chemical reaction, irreversible) and thermoplastic materials (heat-based, reversible).

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Non-Elastic Impression Material

Impression materials that maintain a rigid shape after setting and are unsuitable for use in areas with undercuts (sharp inward curves).

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Elastic Impression Material

Impression materials that can retain details and adapt to undercuts, creating a flexible mold.

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Plaster of Paris

A non-elastic impression material, commonly used for its rigid, strong structure, which doesn't easily bend.

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Alginate

A non-elastic but somewhat flexible impression material, used for its relatively quick setting time.

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Hydrocolloid

An elastic impression material that can adapt to undercuts.

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Rubber Impression Materials

Elastic impression materials used when fine details and undercuts are important.

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Polysulfide Impression Material

A type of elastomeric impression material that is known for its flexibility and ability to capture fine details. It is commonly used for making impressions of edentulous patients and multiple tooth preparations.

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Polysulfide Setting Reaction

Polysulfide impression material reacts with lead oxide, forming a rubber-like material and releasing water as a byproduct. This reaction leads to dimensional changes and necessitates immediate pouring of the impression.

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Polysulfide Disadvantages

Polysulfide impression materials have several drawbacks, including dimensional instability, hydrophobic nature, unpleasant odor, staining potential, and a relatively long setting time.

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Polysulfide Advantages

Polysulfide impression materials are flexible, have good tear strength, are biocompatible, and flow well, making them suitable for capturing fine details. They are also relatively inexpensive.

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Condensation Silicone

A type of silicone impression material that is less prone to shrinkage compared to polysulfides. It is often used for applications requiring precise detail capture but requires immediate pouring.

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Elastomeric Impression Materials

Materials used to capture the shape of teeth and surrounding tissues, providing a flexible and accurate impression. They are typically used to create casts for dental restorations or prosthetics. Examples: polysulfides, silicones, polyethers.

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What are the advantages of Polysulfide Impression Material?

Polysulfide Impression Material is the most flexible of all elastomers, has good tear strength, is the most biocompatible and flows well for good detail reproduction.

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Why is immediate pouring necessary for Polysulfide Impressions?

Polysulfide impression material releases water during its setting process, which leads to shrinkage and dimensional instability. Therefore, it is essential to pour the impression immediately to ensure accuracy.

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Dual-viscosity technique

A method for taking dental impressions using two different viscosities of impression material, one for detail and one for bulk support.

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Simultaneous impression

Recording putty and wash together in a single step using the dual-viscosity technique.

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Unspaced two-step impression

Taking a putty impression first, then adding a layer of wash after it sets, without a gap between them.

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Spaced two-step impression

Creating a space between putty and wash layers in a two-step impression.

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Low-viscosity material

Impression material with a runny consistency, perfect for capturing detail and flowing into small spaces.

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High-viscosity material

Impression material with a thick consistency, used for bulk support and overall shape.

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Optical impression

A digital impression taken using a camera, eliminating the need for traditional materials.

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Intra-oral scanning

Taking a digital impression of teeth and gums using a handheld device.

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Polyether Impression Material

A type of dental impression material known for its high accuracy, dimensional stability, and hydrophilic nature.

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Polyether Advantages

Polyether impression materials offer several advantages, including high accuracy, dimensional stability, good elastic recovery, compatibility with gypsum, and long shelf life.

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What is a single-phase impression technique?

A single-phase impression technique uses only one type of impression material, usually of medium viscosity, for both tray and syringe applications.

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Why are addition silicones and polyethers well-suited for single-phase techniques?

Both addition silicones and polyethers are well-suited for single-phase techniques because they exhibit shear thinning, meaning their viscosity decreases under pressure (when syringed).

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What are the disadvantages of polyether impression materials?

The main disadvantages of polyether impression materials include their rigidity, potential for allergic reactions, high cost, and short working and setting times.

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Dual-phase impression technique

A two-step impression technique that uses two different viscosities of impression material, typically a heavier putty for the tray and a thinner wash for the details.

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What is the difference between spaced and unspaced impression techniques?

Spaced impression techniques use a spacer to create a gap between the teeth and the tray, while unspaced techniques do not utilize a spacer.

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What is shear thinning?

Shear thinning is a property of some materials where their viscosity (resistance to flow) decreases under pressure or force.

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Study Notes

Introduction to Prosthetic Impressions

  • A set impression is a negative reproduction of oral tissues.
  • A positive reproduction is used to recreate the form of teeth and surrounding tissues.
  • Impression material is placed inside the mouth in a plastic state, maintained in position until set, and then removed.
  • When poured with dental stone, a positive replication of the mouth ("dental cast") is created.
  • This process allows for dental work even without the patient present.

Desirable Properties for Impression Materials

  • Adequate shelf life: Materials should last a reasonable amount of time.
  • Acceptable odor and taste: The impression material shouldn't have an unpleasant scent or taste.
  • Biologically acceptable: No toxic or irritating components.
  • Easily manipulated: Easy to use with minimal equipment is preferred.
  • Setting characteristics: A suitable working time and setting time are needed. Ideal materials offer longer working times for professionals and minimize setting time for patients.
  • The material should readily wet oral tissues, not be affected by oral fluids, and avoid releasing gas during setting.
  • Properties of the set material: Adequate mechanical strength to avoid breakage or tearing during removal. Elastic properties with no permanent deformation after strain, and good dimensional accuracy. Stable over varying temperatures and humidity conditions.

Classification of Impression Materials

  • Method of setting:
  • Thermoset: Hardening by chemical reaction (e.g., plaster of Paris, alginates, rubber impressions.). These are irreversible.
  • Thermoplastic: Softening and hardening by heat (e.g., impression compounds). These are reversible.
  • Based on setting and elasticity:
  • Rigid: (e.g., impression plaster, zinc oxide eugenol).
  • Elastic: (e.g., alginate, polysulfide, polyether, silicone, agar hydrocolloid)
  • Behavior after setting:
  • Non-elastic: Used when no undercuts exist (e.g., plaster of Paris, zinc oxide eugenol).
  • Elastic: Used when undercuts exist (e.g., hydrocolloids, rubber impressions)
  • Materials:
  • Waxes: Different types used for various applications.
  • Plaster: (Plaster of Paris) - a rigid material.
  • Zinc oxide-Eugenol: A rigid material.
  • Impression materials: A variety of materials, some in powder form, used to take impressions.
  • Alginate: An elastic material.
  • Hydrocolloids: (agar-agar and alginate). These are reversible or irreversible.
  • Elastomers: (polysulfides, silicones, polyethers). These are chemically cross-linked and have good tear resistance and dimensional stability.
  • Poly(vinyl siloxanes) are a type of silicone

Impression Materials (Specifics)

  • Alginate:

  • Advantages: Ease of mixing, minimal equipment, flexibility, accuracy, low cost.

  • Disadvantages: Limited detail reproduction, poor dimensional stability, unsuitable for high-accuracy cases (e.g., fixed partial dentures), short shelf life.

  • Uses: Preparing study casts, creating models, removable partial dentures, athletic mouth protectors.

  • Storage: 100% relative humidity, to avoid syneresis and imbibition.

  • Manipulation: Specific equipment (powder/water cups, mixing bowls, spatulas)

  • Agar:

  • Advantages: Excellent detail reproduction, well tolerated by patients, good dimensional recovery,

  • Disadvantages: High setup costs, special equipment needed (temp ranges),

  • Characteristics: reversible and involves a sol-gel transformation during impression taking.

  • Elastomers:

  • Types: Polysulfides, Silicones, Polyethers.

  • Advantages: High accuracy, great dimensional stability, ease of manipulation, can use undercuts.

  • Disadvantages: Shrinkage if not cast immediately.

  • Mixing types: Hand mixing, Static auto mixing, Dynamic mechanical mixing

  • Impression techniques: Simultaneous dual-viscosity technique, single-viscosity technique, putty-wash technique.

  • Optical impressions:

  • Advantages: No need for materials or trays, can be stored digitally, 3D/360-degree view of preparation, and no disinfection required.

  • Disadvantages: High start-up costs, requires training, and more equipment.

  • Intra-oral scanning: Modern technique offers a time-saving procedure.

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