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Questions and Answers
What should be done first when preparing the mixture?
What should be done first when preparing the mixture?
What is the purpose of mixing the powder with water?
What is the purpose of mixing the powder with water?
What tool is used to mix the water and powder?
What tool is used to mix the water and powder?
How should the mixture be applied after it is prepared?
How should the mixture be applied after it is prepared?
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What happens after the tray is placed in the patient's mouth?
What happens after the tray is placed in the patient's mouth?
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What is a consequence of storing substances in hot water for an extended period?
What is a consequence of storing substances in hot water for an extended period?
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What materials are commonly used for final impressions in complete denture work?
What materials are commonly used for final impressions in complete denture work?
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What is the recommended thickness for the acrylic tray used with the material?
What is the recommended thickness for the acrylic tray used with the material?
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What happens when a compound is overheated in hot water?
What happens when a compound is overheated in hot water?
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Which type of tray is utilized for taking impressions of partially edentulous ridges?
Which type of tray is utilized for taking impressions of partially edentulous ridges?
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Which impression materials are mentioned for use in stock trays?
Which impression materials are mentioned for use in stock trays?
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Which important constituent is mentioned as being affected by leaching in hot water?
Which important constituent is mentioned as being affected by leaching in hot water?
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What is the percentage of dimensional changes during the setting of the material?
What is the percentage of dimensional changes during the setting of the material?
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What characteristic is NOT applicable to the type of stock tray used for taking impressions?
What characteristic is NOT applicable to the type of stock tray used for taking impressions?
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What practice can help maintain the quality of a compound when using hot water?
What practice can help maintain the quality of a compound when using hot water?
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Which of the following statements about the dimensional stability of the material is true?
Which of the following statements about the dimensional stability of the material is true?
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When taking a final impression for complete dentures, which of the following is typically used?
When taking a final impression for complete dentures, which of the following is typically used?
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What type of tray is recommended for optimal use of the material?
What type of tray is recommended for optimal use of the material?
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To prevent the compound from becoming difficult to handle, what should be avoided?
To prevent the compound from becoming difficult to handle, what should be avoided?
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How is the dimensional stability of the material quantitatively expressed during setting?
How is the dimensional stability of the material quantitatively expressed during setting?
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How long is the mixing process supposed to last?
How long is the mixing process supposed to last?
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What tool is used to combine the strips during the mixing process?
What tool is used to combine the strips during the mixing process?
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At what point are the strips combined together?
At what point are the strips combined together?
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What is the next step after mixing the strips for about 60 seconds?
What is the next step after mixing the strips for about 60 seconds?
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How many strips are mentioned to be combined during the mixing process?
How many strips are mentioned to be combined during the mixing process?
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What is the primary role of resinous balsam in the mentioned mixture?
What is the primary role of resinous balsam in the mentioned mixture?
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What does the chemical reaction of ZnO and eugenol produce?
What does the chemical reaction of ZnO and eugenol produce?
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What is included in the set material after the reaction?
What is included in the set material after the reaction?
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What is the percentage of the coloring agent used in the mixture?
What is the percentage of the coloring agent used in the mixture?
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What does the unreacted ZnO represent in the set material?
What does the unreacted ZnO represent in the set material?
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Study Notes
Impression Materials
- A dental impression is a negative record of the tissues in the mouth. It is used to create a positive reproduction of the teeth and surrounding structures.
- A positive reproduction is made by pouring a suitable material (like dental stone) into the impression, allowing it to harden.
- A single tooth reproduction is called a die, while several teeth or a whole arch is called a cast or model.
- Impression material is placed in a tray, which can be a stock tray or a special tray.
Classification of Impressions
- Preliminary impressions
- Final impressions
- Bite registrations
Impression Trays
- Quadrant tray: Covers half of the arch.
- Section tray: Covers the anterior portion of the arch.
- Full arch tray: Covers the entire arch.
- Perforated tray: Has holes to hold the impression material in place.
- Smooth tray: The interior is coated with adhesive to hold the impression material.
Requirements of an Ideal Impression Material
- Accurate reproduction of surface details, depending on low viscosity for soft tissue prevention of displacement.
- Compatibility with moisture and saliva (hydrophilic).
- Dimensional accuracy and stability, depending on the type of tray and material shrinkage.
- Permanent set and storage stability.
- Freedom from toxic or irritant constituents.
- Easy manipulation, appropriate setting time, and adequate strength.
- Compatibility with cast and die material.
- Easy disinfection.
Key Properties
- Accuracy: Ability to replicate intraoral surface details.
- Dimensional stability: Ability to maintain its size over time.
- Tear resistance: Ability to resist tearing.
Classification of Impression Materials (According to Elasticity)
- Elastic materials: Return to their original shape after removal from the mouth. They can engage undercuts and are used in partially and fully edentulous patients.
- Rigid materials: Do not return to their original shape. They cannot engage undercuts and are used for edentulous patients only.
Classification of Impression Materials (According to Setting Reaction)
- Physical reaction (reversible, thermoplastic): Softens when heated and hardens when cooled (e.g., impression compound, agar, wax).
- Chemical reaction (irreversible): Chemical changes occur during setting (e.g., impression plaster, zinc oxide eugenol, alginate, polysulfide, silicones, polyether).
Classification of Impression Materials (According to Reaction with Saliva)
- Hydrophilic: Compatible with moisture and saliva, completely absorbing it.
- Hydrophobic: Does not absorb saliva; saliva will repel off the surface.
Classification of Impression Materials (According to Viscosity Before Setting)
- Mucostatic: Does not compress tissue during setting.
- Mucocompressive: Compresses tissue during setting (more viscous).
- Pseudo-plastic: Viscous materials that become fluid under low stress.
Methods of Making Impressions
- Stock tray with pressure: Primary impressions for complete dentures using impression compound.
- Resin custom tray without pressure: Final impressions for complete dentures using Zinc oxide-eugenol or impression plaster.
- Stock tray (rim-lock, perforated or adhesive): Partially edentulous impressions using hydrocolloids or elastomers.
- Custom Resin trays: Crown and bridge impressions or partial dentures, using regular or heavy/light body elastomers.
Impression Plaster
- Presentation: Powder mixed with water (w/p=0.6).
- Composition:Calcium sulfate beta hemihydrate, potassium sulfate, borax, pigments (like alizarin).
Starch in Impression Plaster
- Added for easier separation of the cast from the impression.
- Hot water softens the starch grains for easy separation.
Zinc Oxide-Eugenol
- Reaction of zinc oxide and eugenol creates a hard mass, with mechanical and medical properties (used in certain dental fields).
- Various types (I and II), with different setting times.
Impression Materials: Advantages and Disadvantages
- Advantages:*
- High accuracy for soft tissue impressions
- Good surface detail reproduction
- Inexpensive
- Disadvantages:*
- Messy material
- Variable setting time (dependent on temperature and humidity)
- Non-elastic, susceptible to fracture in undercuts
- Eugenol is irritating to soft tissues.
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Description
This quiz covers essential techniques in dental impression making, focusing on the preparation and application of mixtures for final impressions in complete denture work. It addresses materials, tools used, and the effects of temperature on dental compounds. Test your knowledge on the important steps and considerations in this crucial dental procedure.