Impression Materials
Impression Materials
Impression Materials
Pavel Bradna
Purpose
To prepare accurate and true replicas of oral
structures (teeth, mucosa)
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
1
Requirements
1. Capable of plastic to rigid body transformation
2. Acceptable for a patient
- non-toxic, non-irritant, tasteless, reasonable
setting time up to 5-7 min
3. Good handling properties – easy to prepare/mix
plastic before set, but viscous enough not to flow
out of a tray (thixotropic), adequate working and
setting times
After being set:
4. Accuracy and detail reproduction (25-50µm),
5. Dimensionally stable
6. Resistant to mechanical stress - elastic and rigid
7. Compatible with model materials
8. Resistant to disinfectant solutions
9. Cost effective
Important terms
• Elastic/plastic deformations
• Strength
• Pseudoplastic/thixotropic
• Hydrophilic/hydrophobic
• Working time
• Setting time
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
2
Elasticity/plasticity
elastic/plastic deformation
Describes behaviour of material under load
Region of elastic
deformations,
Hook‘s law applies
stress (force/m2)
Region of plastic
deformations
Maximum load at
fracture – ultimate
strength
Deformation
Slope – Young‘s modulus, Proportional limit
modulus of elasticity
When unloaded
!fully recovers!
No load Unloaded
Deformation
5N
Loaded
t1 t2
loaded unloaded
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
3
Mechanical model of plastic behaviour
A dashpot – ideally plastic behaviour
Plastic =
permanent/irreversible
Deformation
deformation
Permanent
deformation
t1 t2
When unloaded loaded unloaded
!No recovery!
Pouring after
material
relaxation
t1 < t2
Time
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
4
The effect of recovery from deformation
on the accuracy of a model
deformation
Time
Plastic
deformation
Pseudoplasticity/thixotropy of fluids
Gradually unloaded
Stress τ
Thixotropic (structure is
„broken“ under shear
Gradually unloaded
Pseudoplastic
.
τ = ηγ .
Rate of deformation γ
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
5
Hydrophilic/hydrophobic
Contact
angle
Impression
material
Prepared
Compromised flow in small
tooth details - too high viscosity
Fracture and lost detail due
to low strength
and hydrophobicity
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
6
Working time – a period from the start of mixing to
the final time at which the impression can be seated
in the mouth without its distorsion
Irreversible Reversible
Inelastic/rigid ZnO-eugenol (ZOE) Impression com-
Impression plaster pounds
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
7
Inelastic/rigid impression
materials
A. Irreversible
Setting reaction:
chelate structure
-OH and methoxy groups
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
8
Comparison of viscosity changes during ZOE setting
ZOE
rigidity
Edentulous ridges - low
viscosity is favourable to
avoid displacement of Silicone
tissues
Advantages:
1. Low viscosity – no compression of soft tissues
2. Dimensional stability (shrinkage less than 0.1 %)
3. Good surface detail reproduction
4. Low price
Disadvantages:
1. Cannot be used in deep undercuts
2. Eugenol allergy in some patients (o-ethoxy
benzoic acid [EBA] to replace eugenol)
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
9
2. Impression plaster
Main indication: impression of edentulous ridges
Setting reaction:
CaSO4.0.5H2O + 1.5H2O CaSO4.2H2O + heat +expansion
Advantages:
1. Cheap and long shelf life, easy to prepare
2. Very good surface detail reproduction
3. Excellent dimensional stability
Disadvantages:
1. Very rigid – often need to be fractured when
removed from the mouth
2. Fractures if undercuts are present
3. Non-toxic but may dry soft tissues - unpleasant to
patients
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
10
B. Reversible
3. Impression compounds
(Kerr‘s, Stent‘s impression compounds)
Composition:
1. Resins (wax, shellac, guttapercha)
2. Filler (talc)
3. Lubricants (stearic acid, stearin)
Advantages:
1. Can be reused, easy to use
2. Non-irritant and non-toxic
Disadvantages
1. Poor dimensional stability
2. Easy to distort when withdrawn from the
mouth
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
11
Elastic impression materials
A. Hydrocolloid impression materials
B. Elastomeric impression materials
Irreversible
Hydrocolloid
Reversible
Polysulfide
Polyethers
Setting reaction
Cooling
reversible/agar sol Heating gel
Coagulation
irreversible/alginate sol gel
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
12
B. Irreversible hydrocolloid
Alginate impression materials
(Irreversible hydrocolloid impression material,
preliminary, orthodontic impressions etc.)
Constituent units
Setting/gelation reaction:
H2O
NanAlg + CaSO4 nNa2SO4 + CanAlg2
powder gel
Egg-box structure
Cross-linked structure of alginate gels
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
13
Composition:
1. Na/K alginate
2. Calcium sulfate (CaSO4.2H2O, CaSO4.1/2 H2O)
3. Diatomaceous earth (amorphous SiO2)
4. Retarder – phosphates prolonge working time
2Na3PO4 + 3CaSO4 3Na2SO4 + Ca3(PO4)2
5. Setting accelerator - K2TiF6 (makes also stone surface
hard)
6. Additives – glycol, paraffin oils – to agglomerate particles
and make material „dustless“
Properties:
1. Set after mixing with water
2. Shrink due to loss of water by Syneresis –
expression of water from the surface of
impression (if contains Na2SO4 – decreased
quality of stone surface); by Evaporation of
water from the surface
3. Imbibition – sorption of water causing a
dimensional change
4. Chromatic phase indicator may be incorporated to
signal the impression setting
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
14
Store in a closed
container with a
towel saturated
with water
0.60
0.40
Prolonged
pouring
0.20 time
0.00
0 5 10 15 20 25
Time /hours
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
15
Dependence of pH and rigidity on time
8.5 150
Blue - violet
7.5 Pink
White 100
r ig id ity
6.5
Setting
pH
50
5.5
4.5 0
0:00 2:00 4:00 6:00 8:00 10:00 12:00 14:00
time [min]
Acid-base colour indicators (phenolftalein/thymolphtalein)
5 sec 35 sec
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
16
Most frequently used impression material
Advantages:
1. Very good biological tolerance
2. Easy to use and mix
3. Fast setting
4. Low price
Disadvantages:
1. Poor dimensional stability
2. Setting dependent on water temperature and water
hardness
3. Although 100 h pouring time is also recommended they
should be poured as soon as possible
4. Sometimes problems with a model stone compatibility
B. Reversible hydrocolloid
Agar impression materials
(Reversible hydrocolloid impression material)
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
17
Gelation:
Agar sols form gels upon cooling of a hot solution to (30 – 40)°C
Composition:
1. Agar
2. Borax to increase the gel strength
3. Potassium sulfate as a gypsum hardener
4. Water – dispersion medium
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
18
100oC 65oC 45oC
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
19
C. Elastomeric (non-aqueous)
impression materials
Synthetic polymers with rubber properties after setting
Polysulfide
Polyethers
Main indications
· impressions for partial prostheses (removable)
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
20
Polysulfide impression materials
(Thiokol rubbers, mercaptan rubbers)
The very first elastomeric impression material
Setting reaction:
Linear polysulfide polymer
HS SH HS HS
SH O HS
SH HS
SH HS
SH HS
Catalyst -H2O -S – S-
PbO2 PbO + O
Cross-linked
Water released polymer
increases
contraction
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
21
Composition:
Base paste:
polysulfide polymer, filler, plasticizer
Catalyst paste:
lead dioxide, sulfur, inert oil
Advantages:
1. Low price
2. Long working time
Disadvantages:
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
22
Polyether impression materials
Initiation:
+ R+
SO3R SO3-
Propagation:
Hydrophilic part
Linear polymer (ethylene oxide units)
CH3-CH-CO-O-[CHR-(CH2)n –O]m-O-CO-CH-CH3
N Ring opening N
+ R+
CH2 CH2 CH2 CH2
aziridine - N-R
rings +CH CH2
N + 2
CH2 CH2
Cross-linked structure
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
23
Composition:
Supplied in a two-paste system
Base paste:
• Polyether
• Filler, plasticizer
Catalyst paste:
• Sulphonic acid ester
• Inert oil
• Filler
Advantages:
1. Naturally hydrophillic
2. Accurate and high dimensional stability
3. Good elastic recovery
4. Low setting contraction
5. Excellent surface detail reproduction
Disadvantages:
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
24
Silicone impression materials
…
…
O O O O
…..O Si OH HO Si …..O 4C2H5OH …..O Si O O Si …..O
O + Si(OC2H5)4 O O Si O
…..O
Si OH DBTD HO Si …..O …..O Si O O Si …..O
O O O O
…
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
25
Composition:
Supplied as a two-component system
Base paste:
• Hydroxyterminated polysiloxane polymer
• Filler (cristobalite, talc, starch)
Catalyst:
Liquid catalyst:
• Cross-linking agent (e.g tetraethoxy silane) +
activator (dibutyl-tin dilaurate)
Paste catalyst:
• Cross-linking agent, activator, inert oil
• Filler
Advantages:
1. Accurate impressions when poured soon
2. Good elastic recovery
3. Lower price
Disadvantages:
1. Hydrophobic
2. Shrinking of impression over time, pouring time till 4 h
3. Catalyst may cause allergic reaction
4. Difficult to dispense proper volumes of both
components
5. Usually hand-mix version only
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
26
A-silicone impression materials
(addition silicones, vinyl siloxane, poly(vinyl siloxane))
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
27
Composition:
Supplied as a two-component 1:1 system
Base paste:
1. Vinyl terminated polysiloxane polymer
2. Pt catalyst
3. Filler (cristobalite, talc)
4. Surfactant (hydrophilic agent)
Catalyst:
1. Vinyl terminated polysiloxane polymer
2. Cross-linking agent
3. Filler, silicone oil (adjust viscosity of
duplicating materials)
Advantages:
1. Accurate impressions, very low shrinkage
2. Very good surface detail
3. Highly elastic
4. Perfect elastic recovery
5. Dimensionally stable
6. Non-toxic and non-irritant
Disadvantages:
1. Hydrophobic – necessary to add a surfactant
2. Setting inhibited by latex gloves or some
adstringents (sulfur, heavy metals)
3. Hydrogen release – surface bubbles – pouring time
1 h after removal from the mouth
4. High price
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
28
Typical properties of elastic impression materials
*Hydrophilic types
Partly from Phillips‘ Science of dental materials
Putty Light
Light
(C) Institute of Medical Biochemistry, 1st Fac. Med., Charles University, and Institute of Dental Research in Prague
29