Impression C D
Impression C D
Dr. M A Abdullah M.D.S. Associate Professor of Prosthodontics, College of Dentistry, King Saud University. Saudi Arabia. References. Heartwell C M , Rahn A O ,Text book of complete Dentures,5th ed., Williams & Wilkins Co. Philadelphia, 1993.
Impression Techniques
CLOSE MOUTH OR PRESSURE IMPRESSION TECHNIQUE: Records impression in a condition that assumes under masticatory load. NON PRESSURE OR MUCOSTATIC IMPRESSION TECHNIQUE : Records impression of the tissue in an anatomical form without pressure. SELECTIVE COMPRESSION IMPRESSION TECHNIQUE : Records impression with more compression on the tissue in certain selected areas than on other areas.
This technique believes that occlusal loading during impression will record the tissues in a functional form as during swallowing and eating
Advocates of this technique believe that the periphery of dentures must be established during function
Dentures will fit well during mastication ,and will lift up at rest due to tissue rebound. This results in premature contacts. Due to constant pressure on the tissues, mucosal tissue reaction and resorption may result.
Graf H. Dent Clin North.1969;13:659-665
Short flanges are used to prevent the dentures moving in lateral direction and NOT for border seal.
Examine the posterior extension of the tray by dropping the handle down . It must cover the hamular notches and vibrating line
Draw the outline of wax spacer in pencil on the diagnostic cast. Do not cover the post palatal seal area with wax spacer ( arrow). Provide tissue stops at the molar and incisal regions.
Advantages of Not Covering the Post palatal Seal Area with Wax Spacer
Completed custom tray will contact the post palatal seal area Additional stress can be placed at this area during impression making
Border molding
The shaping of the border areas of an impression tray by functional or manual manipulation of the tissue adjacent to the borders to duplicate the contour and size of the vestibule
Place T on the crest ridge ,move posteriorly until it dips into hamular notch. Join the hamular notches with pencil across the fovia palatinae. Confirm the vibrating line by asking the patient to say series of short AH sounds. The junction between the movable and immovable soft palate through the foveae palatinae is called vibrating line
The posterior border of the custom tray must cover the hamular notches and extend approximately 2 mm posterior to the vibrating line across the palate
Border Molding
Soften the modeling plastic impression compound over the alcohol torch flame, and place it over the border of the tray.
Re-soften the compound and repeat this procedure to establish proper border molding.
With the tray in place, have the patient open mouth widely and move the jaw laterally to establish the width of the sulcus
Mark vibrating line and post palatal seal area with indelible pencil
Seat the tray again firmly in the mouth for the indelible pencil mark to be transferred to the tray . Remove excess of modeling compound .
Practice Positioning Border Molded Tray in Mouth Before Making Final Impression
Place the tray in mouth with labial fremum in the labial notch. Place index fingers at first molar region and seat the tray until the posterior border of the tray fits into hamular notches and across the palate Hold the tray in position with fingers placed in the palatal region
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soften the impression borders using alcohol torch , temper it in water bath.
Reintroduce it in the mouth and activate the tissues to refine the impression.
Advantages
Completed custom try will contact the buccal shelf areas Additional stress can be placed at these areas during the final impression The part of the tray in contact with buccal shelf areas act as tissue stops
In the region of labial sulcus , the lower lip is lifted outward, upward and inward.
Border Molding The Labial and Buccal Flange of Lower Tray Anatomical Considerations The mandibular labial frenum contains a band of fibrous connective tissue that is attached to orbicularis oris. Therefore , the labial frenum is active.
nstruct the patient to protrude the tongue to stablish the length of the sulcus
B. Slight pressure on mucosa overlying lingual slope ensures a broader seal when tongue is at rest
Step 4.Repeat step 3 and have the patient move the tongue laterally and touch the corners of the mouth
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Final Rubber Base Impression Place the tray with impression material in patients mouth. Manipulate lips and cheeks . Have the patient move the tongue and keep it in protruded position till the impression sets.
Defects in Impression
In correct tray position in mouth resulting in under extended impression Pressure Voids
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The End