Accuracy of Gypsum Casts after Different Impression Techniques and Double Pouring

Is a Wiggling-Motion Modified Two-Step Impression Technique as Accurate as Conventional Techniques in Restorative Dentistry?

BACKGROUND

The purpose of this study was to evaluate dental impression accuracy of one-step and two-step techniques compared to a modified two-step technique.

METHODS

Four impression techniques were compared: (1) a one-step double mix (DM) technique, (2) a cut-out (CO) technique, in which space relief was created using a blade and a laboratory bur, (3) a membrane (ME) technique, in which space relief was created by placing a PVC membrane on top of the putty material during the primary impression, and (4) a wiggling motion (WI) technique, in which PVC membrane was placed and additional wiggling movements were performed during the first 20 s when the primary impression was seated upon the master model (MM). Impressions were poured with type IV stone. Casts were scanned with a laboratory scanner and measurements were made for each cast using three-dimensional analysis software.

RESULTS

All groups presented differences compared to MM group, in at least one intra-abutment distance. Groups DM and ME presented the most significant differences, in three and two distances, respectively, whereas CO and WI presented one significant different distance compared to MM. There were no differences between MM and the four techniques for inter-abutment distances.

CONCLUSIONS

WI yielded similar results with CO technique. Both performed better than the other groups.

Disposable plastic trays and their effect on polyether and vinyl polysiloxane impression accuracy-an in vitro study

OBJECTIVES

To evaluate the dimensional accuracy of impressions taken by use of disposable stock plastic trays and to compare performance with that of metal trays.

MATERIALS AND METHODS

From a metallic model incorporating three precision balls and three abutment teeth, one-step dual-phase polyether (PE) and vinyl polysiloxane (VPS) impressions were taken using either metal or disposable plastic trays (n = 10 for each of the resulting four test groups). Respective plaster cast scans were aligned with the reference dataset to evaluate global (distance and angle deviations) and local (trueness and precision) accuracy. Analyses of variance (ANOVA) were conducted to determine group differences.

RESULTS

For all impression tray and material combinations, global accuracy was good (mean distance changes < 100 μm) with greatest deviations being observed for distances exceeding one quadrant of the dental arch. In general, distances measured in the plaster casts were too short. Only VPS impressions with plastic trays showed a different behavior with a large percentage of cross-arch distances exceeding the reference value. Mean local accuracy ranged between 6 and 14 μm (trueness), and 6 and 16 μm (precision). On abutment tooth level, metal trays were associated with a significantly better precision (p = 0.015).

CONCLUSIONS

The observed distortions of the studied impression trays and materials are small and should enable satisfying clinical impression-taking.

CLINICAL RELEVANCE

Cleaning and processing of metal trays before re-use are time-consuming. Especially for patients' management with single crowns and small fixed dental prostheses, disposable plastic trays can be a viable and cost-effective alternative.

Effect of techniques, trays and materials on accuracy of impressions clinically made

Abstract Introduction Making accurate and dimensionally stable impressions to duplicate oral conditions and tooth morphology is an essential step of prosthetic dentistry for fabricating well-fitted indirect restorations and, consequently, ensure the longevity and success of the treatment. Several authors describe pros and cons of different impression techniques, although there is no unanimity among them about the best one. Objective This study evaluated casts’ accuracy made by different impression techniques, trays and materials. Material and method 10 patients were selected and 20 impressions from teeth #13 to #16 were performed using single-step (SS) and two-step techniques, made with metal stock and customized acrylic resin partial trays, vinyl polysiloxane and condensation silicone rubbers. Type IV gypsum was used to pour the casts. Three photographs of each patient (baseline), as their respective gypsum casts, were taken, measured in their interested buccal surface area. Comparisons of area values among experimental groups and baseline were performed. Data showed adherence to normal curve, being submitted to 3-way ANOVA/Bonferroni test (α=.05). Result Technique produced significant differences (P=0.02). SS technique was more accurate than BUR one (P=0.003; 95=1.22 to 5.98), but both resulted in similar casts to PVC, MOV and NR techniques, which were similar to each other (P>0.05). Conclusion SS technique showed the closest absolute values to baseline.

Comparison of double-phase impression technique in 1 step and 2 steps by evaluating dimensional stability and accuracy of condensation silicones

The diverse viscosities of silicone impression materials are suited for their use in various impression techniques, intended to improve the precision of the cast impression in the form of a plaster model. The purpose of this research is to determine the dimensional stability and accuracy of the double-phase impression technique in 1 step and 2 steps by using a condensation silicone impression material. This research was carried out by using a precise stainless-steel master model and an individual aluminum tray. Comparing the abutments of the master model and the abutments of the double-phase impression technique in 2 steps, showed that they are wider on average 81 µm, while the abutments from the double-phase impression technique in 1 step are on average 281 µm wider in diameter. After analyzing the results obtained in relation to the diameter of the abutments, it can be concluded that the double-phase impression technique in 2 steps is dimensionally more stable and accurate compared to the double-phase impression technique in 1 step. This study shows that dimensional stability and accuracy of impression materials also depend on the selection of appropriate impression technique and proper performance in order to obtain a high quality dental impression that will be the basis for an accurate fixed-prosthodontic fabrication. Keywords: silicone impression material, impression technique, fixed partial dentures, dimensional stability and accuracy