Impression's

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Types of Impression in
Prosthodontics

• Complete Denture Impressions

• Partial denture Impressions
RPD
FPD
• Implants
• Maxillo Facial Prosthesis

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
STEPS IN DENTURE MAKING-
CLINICAL

EXAMINATION AND CASE SHEET

PRIMARY IMPRESSION

SECONDARY IMPRESSION

JAW RELATION

WAX TRIAL

DENTURE INSERTION

REVIEW
30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture
DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 STEPS IN DENTURE
MAKING- (LAB )

PRIMARY CAST FABRICATION AND
SPECIAL TRAY FABRICATION

SECONDARY or MASTER CAST FABRICATION

DENTURE BASE & OCCLUSAL RIM FABRICATION

K

ARTICULATION AND TEETH SETTING

WAX UP AND PROCESSING

REVIEW AND OCCLUSAL ADJUSTMENT

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 STEPS IN DENTURE MAKING-
CLINICAL LABORATORY

EXAMINATION AND
PRIMARY CAST FABRICATIO A D
SPECIAL TRAY FABRICATIO
CASE SHEET

PRIMARY
SECO DARY or MASTER CAST
FABRICATIO
IMPRESSION

SECONDARY
DE TURE BASE & OCCLUSAL RIM
FABRICATIO
IMPRESSION

ARTICULATIO A D TEETH

JAW RELATION SETTI G

WAX TRIAL
WAX UP A D PROCESSI G

DENTURE INSERTION
REVIEW A D OCCLUSAL

REVIEW ADJUSTME T

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 IMPRESSION

• An impression is a negative registration of dental

and associated structures.

• A complete denture impression is negative

registration of the entire denture bearing,
stabilizing, and border seal areas present in the
edentulous mouth

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Impression

• Definition: It is the negative replica of the

denture bearing ,border sealing and the
stabilizing areas which is recorded with the
help of a semi solid or a plastic material
which becomes relatively hard or set when
in contact with the oral tissues.

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 PRIMARY IMPRESSION

• Definition: An impression made for the purpose

of diagnosis or construction of a tray.

• PRIMARY CAST : A positive reproduction of

the upper or lower jaw tissues that is made with
an impression and over which coustom/special
trays may be fabricated.

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Making of impression

• To evaluate the anatomical structures and

limits in the oral cavity with our eyes and
fingers, then to shape and mold the
impression material in to a negative likeness
of those structures.

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
Requirements of Good Impression

It is very important to gain the following

requirements for mastering the art of impression
making:
Knowledge of the oral anatomy
Knowledge of a reliable technique
Understanding of materials
Skill
Patient management
30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture
DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
Types of Impression

• Impression may be :
A) to obtain study cast
B) to obtain primary cast
C) to obtain final or working cast
D) to be used as an index

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Armamentarium

• Impression trays

• Impression Material

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 IMPRESSION TRAYS

Definition : A receptacle or device used to

used to carry the impression material to the
mouth, confine the material in apposition to
the surfaces to be recorded , and control the
impression material while it sets to form the
impression.

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 IMPRESSION TRAYS
Requirements :
1) Rigid but not thick
2) Retain shape
3) Accommodate material in
uniform thickness
4) Easy to trim or adjust
5) Smooth without sharp edges

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Impression Trays

• Stock Trays
Perforated Trays
Non Perforated Trays
Water cooled trays
Rim lock Trays
• Special Trays / Custom made Tray

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
Trays Classification

• Dentulous Trays

• Edentulous Trays

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Edentulous Trays- perforated

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Edentulous Trays-perforated

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 RIM LOCKED TRAYS
-perforated

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Edentulous Trays-
non-perforated

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Dentulous Trays

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Dentulous Trays-
Rim locked

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 WATER COOLED TRAYS

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
Impression Materials

• Inelastic / Rigid
• Elastic

• Reversible
• Irreversible

• Thermoplastic
• Thermoset
30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture
DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Complete Denture Impressions
• Muco Static

• Muco Compressive

• Selective Pressure

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Impression Techniques

• Open Mouth

• Closed Mouth

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 BASIC PRINCIPLES OF
IMPRESSION MAKING

1) PRESERVATION OF ALVEOLAR RIDGE

2) SUPPORT
3) RETENTION
4) STABILITY
5) ESTHETICS

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Types of Impression

• Impression for
A) Edentulous
B) Dentulous
C) Partially Edentulous
D) Maxillo-Facial
E) Implant

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute
 Impressions for Complete
Denture

• Primary Impression

• Secondary Impression

30-10-07 Dr. Vinamra Dhariwal Pre-Prosthetic lecture

DEPARTME T OF PROSTHETICS @ Chettinad Hospital & Research Institute