Functional impression technique

Dr. Click to edit Master subtitle style Dalaya M V

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Introduction

The distal extension removable partial denture does not have the advantage of total tooth support or more bases are extensions covering the residual ridge for a portion of its support distal extension removable partial denture should also obtain some retention from its base retention to prevent the denture from lifting away from the residual ridge, should also be incorporated in the design the tooth- support base is secured at either end by the action of a direct retainer and 4/28/12 supported at either end by a rest, this degree of

One The

Indirect

Whereas

 Since

the ridge must supply some support for the partial denture functional / dual / physiologic impression technique is used equalize as much as possible, the support derived from the edentulous area and that received from the abutment teeth impression of the teeth should be made in its anatomic form teeth do not change position under function to any measurable degree impression of the soft tissue, on the other hand, must be made in such a manner as to record the tissues in a functional form
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To

The

Normally The

Factors influencing the support of a distal extension base ridge become more Support from the residual
important as the distance from the last abutment increases and will depend on the following several factors:
Contour Extent

and quality of the residual ridge

of residual ridge coverage by the denture base Type and accuracy of the impression Accuracy of the fit of the denture base of the partial denture framework
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Design Total

occlusal load applied

Functional impressions

The form of the residual ridge recorded under some loading, whether by occlusal loading, finger loading, or the consistency of the recorded medium, in specially designed individual trays is called the functional form is the surface contour of the ridge when it is supporting a functional load

This

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Functional impressions
The

objectives of any functional impression technique are:

Equalize as much as possible the support derived from the edentulous area, and that received from the abutment teeth Provide maximum support for the removable partial denture base, thereby distribute the load over as large an area as possible Direct more occlusal forces to the primary stress bearing regions of the ridge which are more capable of withstanding the forces Minimize movement of the base which
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Methods for obtaining functional impression

I. II. III.

Mclean's and Hindel's physiologic impression Fluid wax method Functional reline method

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Mclean's and Hindel's physiologic impression

i.
.

Mcleans physiologic impression

The residual ridge that supports a distal extension base is recorded in its functional or supporting form, and then related to the remainder of the arch by an overall hydrocolloid impression First impression is held in position with finger pressure For this impression technique, a selectively relieved acrylic individual 4/28/12

. .

Free flowing zinc oxide impression material is used to make an impression in the tray over the distal extension base only The patient applies steady biting forces during setting of the impression Then an overall hydrocolloid impression of the dental arch is made with a full arch tray, while the first impression is held in position with finger pressure
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ii. Hindels Physiologic impression technique

The main change introduced to Mclean's original technique was that the impression of the edentulous ridge was not recorded under biting forces, but was an anatomic impression of the ridge at rest with a free flowing zinc oxide eugenol paste(tray with no occlusion rim) establish the relationship between the teeth and the mucosa to a displaced state, a perforated full arch tray that has been provided with two circular openings 4/28/12

Made To

Special tray with no occlusal rim

Overall impression tray with 2 holes in the molar region

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As

the hydrocolloid second impression is being made, finger pressure is applied through the holes in the tray, to the first anatomic impression pressure should be maintained until the alginate impression has hardened finished impression will be a reproduction of the anatomic form of the ridge and the surfaces of the teeth two are related to each other, as if masticating forces are taking place on the denture base 4/28/12

This

The

The

Fluid wax functional impression technique, Altered cast, split cast impression technique
An

impression of the displaced edentulous ridge is made by using an impression tray attached to the metallic framework master cast is then altered to accommodate the new ridge impression, for this reason the technique is often referred to as the altered cast or split cast technique term fluid wax is used to denote, waxes that are firm at room temperature and have the ability to flow sufficiently at mouth temperature prevent over displacement of the 4/28/12 tissues and permit equalization of pressure

The

The

They

Fluid wax functional impression technique, Altered cast, split cast impression technique
The The

frequently used fluid waxes are Iowa wax and Korrecta was No. 4 procedure for making this impression requires the construction of an individual acrylic tray attached to the acrylic resin, minor connector of the framework tray is selectively relieved for the lower arch since, the crest of the ridge is not considered to be a pressure bearing area undersurface of the tray is relieved addition holes are drilled opposite to the residual ridge and retromolar pad to allow 4/28/12 escape of excess impression material as the

The

The In

After softening the impression wax in a water bath, the wax is painted on the tissue surface of the tray, the tray is seated in the patients mouth maintains his mouth half open for about 5 minutes with the dentists three fingers placed on the two principal occlusal rests and the indirect retainer
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Patient

The

framework is held in its terminal position as the impression is being made peripheral extensions are developed by tissue movements is moved downward, outward, and upward the distobuccal border the patient must move to a wide-open-mouth position, to activate the masseter muscle fibers and pterygomandibular 4/28/12

The

Cheek For

The

distolingual extension is obtained by having the patient press the tongue against the lingual surface of the anterior teeth tray is removed and the wax examined for evidence of tissue contact tissue contact is present the wax surface will be glossy, 4/28/12

The

Where

After

the impression evidences complete tissue contact, and the anatomy of the border limiting structures is evident, a new cast is poured as soon as possible to prevent distortion of the wax impression regions of the master cast are eliminated impression are

Edentulous

Framework and 4/28/12

Functional reline method

This

procedure is accomplished before the insertion of the partial denture, or it may be done later for the purpose of perfecting the fit of the denture base to the residual ridge because of bone resorption partial denture is constructed on a master cast made from a single impression usually irreversible hydrocolloid the time of denture insertion, a space is provided on the tissue surface of the denture base to allow room for the impression material
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The

At

Functional reline method

Thin

layer of modeling compound is painted on the tissue surface of the denture base, and borders compound is tempered in water bath and placed in patient's mouth procedure is repeated until base seat tissues are not displaced in the patient's mouth and framework is correctly positioned are perfected by manipulating cheeks, and having patient form lingual borders by tongue movement
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Modeling This

Borders

Functional reline method

Borders

of compound are shortened, and whole inside of impression are relieved with exception of buccal region final impression is made with free-flowing zinc oxide paste or rubber base patient must maintain the mouth in a partially open position while the border modeling, and impression are being accomplished in all reline procedures, occlusal discrepancies must be corrected after the denture base has been processed.
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The The

As