Professional Documents
Culture Documents
Presented by:
Mujtaba Ashraf
MDS 2nd
Department of Prosthodontics
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Contents
Introduction
Materials used
Technique
Advantages
Disadvantages
Discussion
Conclusion
References
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Introduction
Patients presenting for immediate denture therapy might
have remaining teeth that are extremely mobile and/or
misaligned.
Challenges during immediate denture impression
procedures in such patients include preventing accidental
exfoliation of mobile teeth during the impression
procedure and capturing in detail the teeth and buccal
tissues adjacent to remaining teeth, which frequently have
very different long axes.
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Gardner LK, Parr GR, Rahn AO. Modification of immediate denture sectional impression technique
using vinyl polysiloxane. J Prosthet Dent 1990;64: 182-4.
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Soni A. Use of loose fitting copper bands over extremely mobile teeth while making impressions for immediate
dentures. J Prosthet Dent 1999.
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Lee
H, Park
C. A method to make a preliminary impression of mobile teeth. J Prosthet Dent 2009;102:52-3.
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Lee H, Park C. A method to make a preliminary impression of mobile teeth.J Prosthet Dent 2009;102:52-3.
Materials Used
The impression is made with a stock tray and a
combination of
Low viscosity Polyvinyl Siloxane (PVS) and
Polyether(PE)
Irreversible hydrocolloid impression materials.
These materials quickly polymerize and do not adhere to
each other intraorally.
The impression is then separated in 3 different directions to
prevent any movement of the mobile teeth and reassembled
extraorally before pouring.
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TECHNIQUE
1. Select a stock tray and evaluate for proper fit in the
patients mouth. Modify with utility wax if needed until
appropriate extensions are achieved.
2. Inject low viscosity PVS impression material (Imprint 3M
ESPE) on the buccal aspects of mobile teeth
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10. After the dental stone sets, separate the cast from the
tray. The 2 pieces of PVS and polyether materials will
still be engaged on the cast in the proximal areas and/or
undercuts.
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DISCUSSION
This technique addresses some of the limitations of
previously described methods for obtaining an
accurate impression of mobile and/or misaligned
teeth.
Although the sectional tray technique described in the
literature captures the edentulous and dentate areas
accurately, its use is limited in patients with
hypermobile periodontally involved teeth where the
risk of extraction during separation of either the
preliminary or the secondary impression is
significant.
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Advantages
1. Minimal risk of accidental tooth extraction
during the impression procedure.
2. Patient discomfort due to gag reflex is
minimal.
3. After the production of the stone cast, the
stock tray can be easily separated without the
risk of fracturing the stone.
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Disadvantages
This technique is the use of 3 different impression
materials and their total setting time. Thus the total
time of this impression procedure is more than when a
single impression material is used.
The potential error caused by reassembling the PE and
PVS pieces in the tray with the irreversible
hydrocolloid material or by dislodging those 2 pieces
while pouring stone using a vibrator.
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Conclusion
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References
1. Lee H, Park C. A method to make a preliminary impression of mobile teeth. J
Prosthet Dent 2009;102:52-3.
2. omut AA. Tray modification for making impressions of mobile teeth. J
Prosthet Dent 2013;109:341-2.
3. Cupero HM. Impression technique for complete maxillary immediate denture.
J Prosthet Dent 1978;39:108-9.
4. Goldstein GR. An alternative immediate complete denture impression
technique. J Prosthet Dent 1992;67:892-3.
5. Gardner LK, Parr GR, Rahn AO. Modification of immediate denture sectional
impression technique using vinyl polysiloxane. J Prosthet Dent 1990;64:182-4.
6. Soni A. Use of loose fitting copper bands over extremely mobile teeth while
making impressions for immediate dentures. J Prosthet Dent 1999;81:638-9.
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