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    Negative: Quadrant Tray Section Tray

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    Impression materials and trays are used to create negative reproductions of teeth and oral tissues. Impression trays must be sufficiently rigid to carry impression material into the mouth and hold it close to the teeth without breaking during removal. Primary impressions are used to make diagnostic models and custom trays, while secondary impressions make the most accurate reproduction for indirect restorations. The selective pressure technique applies variable compression of tissues in different areas to achieve an accurate impression. Factors such as health of tissues and complaints by patients like inability to swallow are considered for recall appointments involving removable partial dentures.

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    Negative: Quadrant Tray Section Tray

    Uploaded by

    api-19967864
    88 views10 pages
    Impression materials and trays are used to create negative reproductions of teeth and oral tissues. Impression trays must be sufficiently rigid to carry impression material into the mouth and hold it close to the teeth without breaking during removal. Primary impressions are used to make diagnostic models and custom trays, while secondary impressions make the most accurate reproduction for indirect restorations. The selective pressure technique applies variable compression of tissues in different areas to achieve an accurate impression. Factors such as health of tissues and complaints by patients like inability to swallow are considered for recall appointments involving removable partial dentures.

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    Impression materials and trays are used to create negative reproductions of teeth and oral tissues. Impression trays must be sufficiently rigid to carry impression material into the mouth and hold it close to the teeth without breaking during removal. Primary impressions are used to make diagnostic models and custom trays, while secondary impressions make the most accurate reproduction for indirect restorations. The selective pressure technique applies variable compression of tissues in different areas to achieve an accurate impression. Factors such as health of tissues and complaints by patients like inability to swallow are considered for recall appointments involving removable partial dentures.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    88 views10 pages

    Negative: Quadrant Tray Section Tray

    Uploaded by

    api-19967864
    Impression materials and trays are used to create negative reproductions of teeth and oral tissues. Impression trays must be sufficiently rigid to carry impression material into the mouth and hold it close to the teeth without breaking during removal. Primary impressions are used to make diagnostic models and custom trays, while secondary impressions make the most accurate reproduction for indirect restorations. The selective pressure technique applies variable compression of tissues in different areas to achieve an accurate impression. Factors such as health of tissues and complaints by patients like inability to swallow are considered for recall appointments involving removable partial dentures.

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    Download as doc, pdf, or txt
    of 10

    ‫بسم ال الرحمن الرحيم‬

    Impression materials are used to obtain an impression


    of teeth and/or the surrounding oral tissues , negative
    .reproductions of dental structures

    Impression trays
    :Must be sufficiently rigid to
    .Carry the impression material into the oral cavity
    .Hold the material in close proximity to the teeth
    .Avoid breaking during removal
    .Prevent warping of the completed impression

    : Types of special tray


    Quadrant tray
    .Covers one half of the arch
    Section tray
    Covers the anterior portion of the
    .arch
    Full arch tray
    .Covers the entire arch
    Perforated tray
    Holes in the tray create a
    mechanical lock to hold the
    .material in place
    Smooth tray
    Interior of the tray is painted or sprayed with an adhesive to hold the
    impression material

    Tray Selection Criteria


    .Feel comfortable to the patient
    .Extends slightly beyond the facial surfaces of the teeth
    Extends approximately 2 to 3 mm beyond the third molar, retromolar,
    .or tuberosity area of the arch
    Is sufficiently deep to allow 2 to 3 mm of material between the tray and
    .incisal or occlusal edges of the teeth
    : Impression techniques

    mucocompressive-1
    mucostatic-2
    selective pressure technique (the one that we use in the-3
    (clinic
    the selective pressure technique is based on the selective pressure theory, which was
    proposed by Boucher. It combines the principles of both pressure and minimal pressure
    technique. The philosophy of selective pressure technique is that certain areas of the
    maxilla and the mandible, by anatomy, are better suited to withstand loads from the
    forces of mastication and at the same time there are certain areas, which cannot
    .withstand such forces due to its underlying anatomy and thereby need to be relieved

    Selective pressure can be achieved either by scraping of the primary impression in


    selected areas or by fabrication of a custom (special) tray with a proper spacer design
    and escape holes (relief). The latter is more reliable because of the accuracy with which
    we can achieve variable thickness of impression material (because of variable thickness
    of wax spacer) and thereby achieve variable compression of tissues at different areas
    .((selective pressure at selected areas

    Primary impressions : (Used to make (1) diagnostic models, (2) •


    custom trays, (3) provisional coverage, (4) orthodontic appliances, and
    .pretreatment and post-treatment records (5)

    alginate : that needs 6 mm's spacer-1


    Alginate is the irreversible hydrocolloid most widely used for
    .preliminary impressions

    Makeup of Alginate
    Potassium alginate 
    Comes from seaweed; is also used in foods such as ice •
    .cream as a thickening agent
    Calcium sulfate
    .Reacts with the potassium alginate to form the gel •
    Trisodium phosphate
    .Added to slow down the reaction time for mixing •
    Diatomaceous earth
    .A filler that adds bulk to the material •
    Zinc oxide
    .Adds bulk to the material •
    Potassium titanium fluoride
    Added so as not to interfere with the setting and surface •
    .strength

    Water-to-Powder Ratio
    An adult mandibular impression generally requires two scoops of
    .powder and two measures of water
    An adult maxillary impression generally requires three scoops of
    .powder and three measures of water
    :Explain the procedure to the patient
    The material will feel cold, there is no unpleasant taste, and the
    .material will set quickly
    Breathe deeply through your nose to help you relax and be more
    .comfortable
    .Use hand signals to communicate any discomfort

    An Acceptable Alginate Impression


    .The impression tray is centered over the central and lateral incisors
    There is a complete "peripheral roll," which includes all of the vestibular
    .areas
    The tray is not "overseated," which would result in exposure of areas of
    .the impression tray
    .The impression is free from tears or voids
    .There is sharp anatomic detail of all teeth and soft tissues
    The retromolar area, lingual frenum, tongue space, and mylohyoid ridge
    .are reproduced in the mandibular impression
    .The hard palate and tuberosities are recorded in the maxillary impression
    impression compound  stock tray-2
    The compound disc is completely immersed in a water bath at 55-60 oC for about 4-5
    minutes to ensure complete softening. Gauze is placed at the bottom of the water bath
    to prevent adherence. However if it is left in too long some of the constituents may be
    leached out into the water bath, altering the properties of the material (it is often the
    plasticiser stearic acid that is leached out). If the compound is kneaded water will
    become incorporated and act as a plasticiser. The compound is loaded on to the tray and
    firm pressure is used to seat the tray home in the mouth. After the impression has been
    taken it is carefully examined, a common mistake is not softening the compound
    enough. In this is the case the impression can be reheated in a separate bowl of water
    (cross infection control) and the impression is repeated.

    1) An impression compound disc 2) An impression compound impression


    taken in an upper edentulous stock tray

    3) Upper and lower impression compound impressions

    2ary impressions : (Used to make the most accurate reproduction of


    .the teeth and surrounding tissues
    .Used to make indirect restorations, partial or full dentures, and implants •

    plaster of paris  mucostatic method -1


    rubbers  3 mm's spacer-2
    ZOE  0.5 mm spacer-3
    **1ary and 2ary pressure areas
    …These are detailed In boucher

    in jaw relation (Make a reproduction of the occlusal ** •


    .relationship between the maxillary and mandibular teeth
    Provide an accurate registration of the patient’s centric •
    (.relationship between the maxillary and mandibular arches
    : try in, and delivery sessions we have to check ,
    retention and stability -1
    buccal fullness-2
    labial fullness-3
    anterior labial show-4
    anterior plane-5
    anterio-posterior plane-6
    esthetic lines-7
    (phonetics (s sound -8

    But the only change is in the try in stage where we


    …delineate the post dam area
    The soft tissues along the junction of the hard and soft palates on which pressure within
    the physiologic limits of the tissues can be applied by a denture to aid in the retention
    of the denture.

    Significance Of PPS
    .Prevents air passage between the tissues and denture base
    Serves Primarily in denture retention by making contact with
    .anterior portion of soft palate
    Reduces patients awareness about the area hence decrease gag
    .reflex
    Prevents food accumulation between posterior border of denture
    .and the soft palate
    Compensates for polymerization shrinkage of denture base resin

    This is something I got from the internet

    The following is a laboratory technique only. Clinically the posterior limit and the
    dposterior palatal seal are determined intra-orally using vision, palpitation and patient
    response.

    1. Locate the left and right hamular notches and draw U-shaped outlines
    into each which extend 3mm buccal to the mid-point of each hamular notch.
    2. Draw a small line perpendicular to the mid-palatal suture line ad the
    midline, posteriorly on the palate, 4mm. from the inside of the land area.
    3. From the distal line of the left hamular notch "U" draw a gracefully
    curving line medially to the mid-palatal line. Repeat this procedure on the right
    side.
    4. The following illustration shows the curved line which will determine
    the anterior aspect of the pot dam. From the anterior line of the left hamular
    notch "U" it will curve anteriorly over the area of the minor palatine glands,
    curve posteriorly to the area which is approximately 3mm to the left of the mid-
    palatial suture. The line will continue across the mid-palatal suture creating a
    thin isthmus over this landmark. The line continues identically on the right side.

    5. Using a #8 round burr, at either high or low speed, and the discoid
    carving instrument, relieve the master cast along the entire length of the distal
    aspect of the post damn line from the end of one hammular notch "U" to the
    other. When using the burr, rest the shank of the burr on the surface of the cast
    so as not to cut too deeply into it. Create a channel 1 1/2 to 2mm. deep from the
    edge of one hamular notch "U" to the other. Using the cleiod carving
    instrument, square the posterior aspect of this channel.
    6. Using the cleoid carver and a laboratory knife scrape the posterior
    palatal seal (post dam) into the master cast. This relief should extend from the
    depth created posteriorly to the anterior outline of the post dam where it comes
    to a feather edge.
    :At recall appointment
    : Most complaints (specific) present by the patients are
    pt cannot swallow  a-overextended lingual pouch-1
    b- overextended post dam area

    pt feels gag reflex :upper post dam area overextended-2

    WARNING: never take 2ary impression while the pt is


    having
    fungal infection-1
    recent extraction-2
    ulcers-3

    And take the impressions while the tissues are


    (; …healthy

    : Types of RPD
    transitional (if the pt is proceeding from an RPD to a-1
    (CD
    (provisional (that we did in the clinic-2
    treatment RPD-3
    (definitive (CR-CO, or vitralium-4

    Razan alshehab
    Underlined : dr moh'd abu alheija wrote them

    .Not underlined : added by me from handouts and the internet

    Not every thing was included (but I concentrated on the topics


    (mostly asked by prosthodontists in the clinic

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