The document provides an overview of elastomeric impression materials. It begins with an introduction and definitions of key terms like elastomer and elastomeric impression materials. It then discusses the history and classifications of impression materials. The document outlines the ideal requirements for impression materials and their clinical applications. It describes the properties and composition of various elastomers like polysulfide, condensation silicone, addition silicone, and polyether. It discusses recent advances in impression materials and effects of mishandling impressions. In conclusion, the document provides a comprehensive review of elastomeric impression materials.
2. Introduction
Definition
History
Classification
Ideal requirements
Clinical application
Properties
Elastomers
Recent advances
Impression making with elastomers
Effects of mishandling
References
conclusion
2
3. Impression materials are used to produce the accurate replicas
of intraoral tissues.
There are a wide variety of impression materials available each
with their own properties, advantages and disadvantages.
Materials in common use can be classified as elastic or non-
elastic according to the ability of the set material to be
withdrawn over undercuts.
3
4. Elastomer : a polymer that has a glass
transition temperature that is below its service
temperature (usually room temperature);
these materials are characterized by low
stiffness and extremely large elastic strains
Elastomeric impression material: a group of
flexible chemical polymers that are either chemically
or physically cross-linked; generally, they can be easily
stretched and rapidly recover their original dimensions
when applied stresses are released
4
5. Historically, impression making was accomplished with
inelastic materials for both soft and hard tissues.
Hydrocolloid was initially introduced to make impressions
of hard tissues in place of inelastic materials.
After World War II (1950s), a group of synthetic rubbery
materials called elastomers Polysulphides and
Condensation Silicones) , which are capable of making
impressions of both soft and hard tissues are developed.
5
6. 1960s : Polyether impression material developed in
Germany
1970s : Addition silicone was introduced as a dental
impression material
1988 : Latest addition and light cure elastomers
1990-2000 : New auto devices and delivery systems
6
7. Sufficiently fluid to adapt to the oral tissues
Viscous enough to be contained in a tray
Able to transform (set) into a rubbery or rigid solid in the mouth in a
reasonable time (less than 7 min),
Resistant to distortion or tearing when removed from the mouth,
Dimensionally stable long enough to allow one or more casts to be
poured
Biocompatible
Cost-effective in terms of time as well as the expense of the associated
processing equipment.
7
8. 1) Impression material for all applications including
- Fixed partial dentures
- Dentulous and edentulous impressions
2) Border moulding of special trays(polyether)
3) Bite registration
4) As duplicating material for refractory casts
8
11. Consistency is measured by pressing 0.5 ml of mixed
material between two flat plates applying a force of
1.5N.
Consistency is defined by average diameter of the
resulting disc of the material.
Diameter viscosity
11
12. 12
Type Description Min Max
0 Very high
consistency
(putty like)
35
1 High
consistency
(heavy
bodied)
35
2 Medium
consistency
(medium
bodied)
31 41
3 Low
consistency
(light
bodied)
36
Consistency of test disc
diameter(mm)
15. Impression
material
23ºC 37ºC 23ºC 37ºC
Polysulfide 6.0 4.3 16.0 12.5
Condensati
on silicon
3.3 2.5 11.0 8.9
Addition
silicon
3.1 1.8 8.9 5.9
Polyether 3.3 2.3 9.0 8.3
15
Mean working time (min) Mean setting time(min)
16. Material %decrease in
working time
when temp
increased
(mean)
%decrease in
setting time
when temp
increased
(mean)
Polysulfide 30 23
condensation
silicon
16 15.5
Addition silicon 38 31
Polyether 31 8.5
16
17. temperature - working & setting time
Curing of polyether is less sensitive to temperature
modification of base/accelarator paste
thinner - WT, slight ST
17
Viscosity
Humidity
18. An impression material sustains some deformation as it
is removed from the mouth but it must rebound to its pre-
removal dimensions.
An impression with a sufficiently high elastic limit should
not sustain permanent deformation.
The elastic properties of these elastomeric impression
materials improve with an increase in curing time in the
mouth
An extra time of 1 or 2 min before removal may be
beneficial.
18
21. Ideally-should flow freely and wet the tissue as it is being
injected to achieve adaptation - then resist flow away
from the intended surface areas.
This will facilitate spreading of heavy-body material on
the impression tray and retain it in the tray. This
phenomenon is called shear thinning
Polyether – rigid – problem preparation on periodontally
weak tooth - # of dies & tearing of impression material at
the sulcus
21
22. Polymerization shrinkage
Loss of byproduct
Thermal contraction from oral temperature to room
temperature
Imbibitions
Incomplete recovery of deformation(visco elastic nature)
Pour within 30 mins – polysulfide & condensation silicon
22
23. The amount of force needed to tear a specified test
specimen divided by the thickness of the specimen is
called the tear strength.
The ranking of tear strength from the lowest to highest of
the impression materials is as follows
23
silicones polyether polysulfide
24. Probability of allergic reactions is low
Polysulfide has the lowest cell death count
Polyether has the highest cell death count ,toxicity and contact
dermatitis among the class.
The most likely problem is lodgment of impression material in
gingival sulcus resulting in severe inflammation,
24
25. o Subgingival regions are very thin – material can tear
o Residual segment of impression material difficult to detect
radio opacity of polysulfide can help
Severe gingival inflammation.
o Examine the gingival sulcus immediately
after impression removal and also the
impression for any evidence of tearing
25
26. polysulfide 2 yrs
Condensation silicon stannous octoate oxidizes
Orthoethyl silicate is not stable in
presence of tin ester
Addition silicon 1-2 yrs
Poly ether > 2yrs
26
Cool, dry environment
Tubes always tightly sealed
Container closed
28. 28
First synthetic elastomeric impression material
Also known as MERCAPTAN or THIOKOL
Mode of supply
Collapsible tubes
One labeled Base paste and
Other labeled Accelerator paste
Consistencies
Light body(syringe or wash)
Medium body (regular)
Heavy body
29. Base paste •Polysulphide
prepolymer with terminal
and pendanthiol (-SH
groups)-80-85%
•Plasticizer – di-n-butyl
phthalate
•Inert filler- possible
chalk or titanium dioxide-
16-18%
Polymerized and cross
linked to form rubber
To control viscosity
To give ‘body’ control
viscosity and modify
physical properties
Catalyst paste •PbO2 / other alternative
oxidizing agent-60-68%
•Sulphur-0.5%
•Inert oil- paraffin type/
di-n-butyl phthalate
To react with thiol
groups- setting
Setting reaction
To form a paste with
PbO2 and sulphur
29
31. working time – 4-7 mins
Setting time – 7-10 mins
Colder climate- ST
A drop of water accelerates the reaction.
Lowest viscosity
excellent reproduction of details
Dimensional stability -
Percent contraction (at 24hrs) – 0.40%-0.45%
Shrinkage is due to loss of polymerization byproduct
such as water
31
32. Deformation on removal
caused by rocking the impression while removal;
it should be removed with a single swift pull
High tear strength – 2500-7000 gm/cm2
Biocompatibility – lowest cell death count
Moderately hydrophilic
Unpleasant odor and taste
Can be electroplated with copper sulphate
32
33. ADVANTAGES DISADVANTAGES
Long working time
Good tear strength
Radiopaque
High flexibility
Lower cost
Good reproduction of surface
details
Requires custom tray
Obnoxious odor
Tendency to run down patient’s
throat
Stains clothing (pbO2) & messy to
work with
Must be poured within 1 hour
Hydrophobic so impression area
has to be dry
long setting time
33
35. 35
First type of silicone impression material
Also known as conventional silicone’
The setting occurs in room temperature so called as RTV
silicones (room temperature vulcanization)
Mode of supply
Collapsible tubes
Base paste
Accelerator paste / liquid
Putty is supplied in jars
low, medium, high, and very high (putty) consistencies
38. Working time- 2.5 – 4 mins
Setting time – 6-8 mins
Tear strength – 2300-2600 N/m
% contraction at 24 hrs- 0.38-0.60% Polymerization
and evaporation of the alcohol
Hydrophobic
Can be electroplated with silver and copper
Stiffer and harder than polysulfide
38
39. ADVANTAGE DISADVANTAGES
Clean and pleasant
Good working time
Easily seen margins
High polymerization shrinkage
Volatile alcohol byproduct
Low tear strength
Hydrophobic
Pour immediately
39
41. Also known as polyvinyl siloxane or vinyl polysiloxane
Mode of supply
Collapsible tubes
Base paste and
Accelerator paste
Putty is supplied in jars
Consistencies
Light body (syringe or wash)
Medium body (regular)
Heavy body
Putty
41
44. Working time – 2-4 mins
Setting time – 4-6.5 mins
Tear strength – 1500-4300 N/m
Percent contraction- 0.14-0.17%
Pseudo plastic
Exhibits lowest permanent distortion
44
45. Sulphur contamination- inhibits setting
Vinyl gloves also – sulphur containing stabilizer used
in the manufacturing process
Even touching the tooth with the gloves before
seating impression – inhibits setting
• Inhibition of polymerization reaction- distortion
• Contact of internal surface of impression with gloved
hands :-
- Failure of the material adjacent to the tray to
polymerize
- Separation of the tray from the
impression material
45
46. 46
Aluminum sulfate and ferric sulfate → gingival retraction
cord → retardation
Residues from acrylics, methacrylates and petroleum
jelly lubricants may interfere with setting reaction of
material
47. Danuta Nowakowska , et al conducted a study on
Polymerization time compatibility index of polyvinyl
siloxane impression materials with conventional and
experimental gingival margin displacement agents
They concluded that all of the evaluated displacement
agents at laboratory and intraoral temperatures induced
changes in the polymerization time of PVS. Therefore,
chemical displacement agents should not come into
direct contact with PVS impression materials.
47
(J Prosthet Dent 2014;112:168-175)
48. ADVANTAGES DISADVANTAGES
Highly accurate
High dimensional stability
Pleasant to use
Short setting time
Auto mix available
If hydrophilic, good
compatibility with gypsum
Hydrophobic
Expensive
Hydrogen gas evaluation in
some materials
Hydrophilic formulations
imbibe moisture
Sulfur contamination by latex
glove
48
50. First elastomer to be developed primarily to function as
an impression material
Mode of supply
Collapsible tubes
Base paste
Accelerator paste
Third tube containing thinner may be supplied
Consistencies
Light bodied(syringe or wash)
Medium bodied (regular)
Heavy bodied
50
51. 51
Base paste
(large tube)
•Imine-terminated
prepolymer
•Inert filler- silica
•Plasticizer-
phthalate
Cross linked to
form rubber
To give body’
control viscosity
and physical
properties
To aid mixing
Catalyst paste
(small tube)
•Ester derivative
of aromatic
sulphonic acid
•Inert filler – silica
•Plasticizer-
phthalate
Initiate cross
linking
To form paste
composition
53. Working time – 3 mins
Setting time – 6 mins
Tear strength – 1800- 4800 N/m
Percent contraction – 0.19 – 0.24%
least amount of distortion
Pseudo plastic
Biocompatibility – contact dermatitis
53
54. ADVANTAGES DISADVANTAGES
Dimensional stability
Accuracy
Shorter setting time
Automix available
Set material very stiff
Imbibition
Short working time.
Allergic hypersensitivity in
some cases.
54
57. • In early 1988, a visible light cured impression was
introduced(Genesis L.D. caulk).
• Two viscosities - Light and heavy bodied
• Composition :-
Polyether urethane dimethacrylate
Photoinitiators (camphoroquinone)
Photoaccelerators (Diethyl amino
ethyl methacrylate)
Silicone dioxide (Filler)
57
58. Properties :-
Long working time and short setting time
Blue light is used for curing with transparent
impression trays
Tear strength-6000-7500 gm/cm2 (Highest among
elastomers)
Dimensional stability, flow, detail reproduction,
permanent deformation, wettability, compatibility with
cast and die materials and electroforming is similar
to addition silicone
58
59. Manipulation :-
Light body is syringed into the sulcus and over the
preparation
Heavy body is loaded onto a clear tray and seated
over the light body
Both are simultaneously cured with a visible light
curing unit having an 8mm or larger diameter probe
Curing time is approximately 3 mins
59
60. ADVANTAGES DISADVANTAGES
Controlled working time
Excellent properties
Ease of cold disinfection
without loss of quality.
The impression material is
also compatible with gypsum
and silver or copper
metallizing baths
Need special transparent
trays
Difficult to cure in remote
area
60
61. • Surfactants are added to reduce the contact angle; dilute
solution of soap
• Most commonly used – non-ionic surfactants
Oligoether or polyether substructure
Hydrophilic part
silicon compatible hydrophobic part
61
62. Diffusion – controlled transfer of surfactant molecules
from PVS to aqueous phase
Reduction in surface tension
Greater wettability
62
63. used for making intraoral or extraoral occlusal bite
registrations for fixed or removable restoration and
implants.
Fast intraoral set time of 20 secs – 1 min
Doesnot slump or drip
Supplied as cartridges to be used
With a caulking gun
Commercial name;
Exabyte – Gc
Jet bite – Coltene whaledent
63
64. This latest technique consists of a double barrel caulking
gun with mixing tip. The tip contains spirals on the inside.
Forcing of the base & accelerator results in its mixing.
e.g. Volume mixer (Kerr), Pentamix(3M ESPE)
64
Advantages :-
More uniform mix
Less air bubbles
Reduced working time
65. Hybrid polyether / polysiloxane material that has both
hydrophilicity and dimensional accuracy, before,during
and after set.
65
66. Specialised addition silicone
Used for checking errors in the internal surface of crowns
and fpd
Available as two paste system
Areas of premature contacts are revealed as bare areas,
which are marked and removed
Commercial name
Fit Checker - GC
66
67. 1. Preparing a tray
2. Managing tissue
3. Preparing the material
4. Making an impression
5. Removing the impression
6. Preparing stone casts and dies
67
70. Polysulfide
Butyl rubber
Styrene / acrylonitrile
Dissolved in volatile solvent such as
chloroform or ketone
Silicones
Polydimethyl siloxane / similar reactant like silicon & ethyl
silicate
Hydrated silica forms of ethyl silicate – bonds with the
tray
Chemical bond between tray material and Polydimethyl
siloxane.
70
71. A. Peregrina et al, conducted a study on the effect of
different adhesives on vinyl polysiloxane bond strength to
two tray materials .
Conclusion : The use of GC paint-on universal adhesive
provided significantly higher adhesive values than those
obtained with the adhesives supplied by the
manufacturers of the impression materials tested, with
the exception of the Kerr impression and adhesive
material combination where no significant differences
were found
71
(J Prosthet Dent 2005;94:209-13.)
72. Gingival retraction cord
double-cord technique is used when the margin is very
close to the gingival attachment.
Retraction cords - impregnated with a hemostatic agent
(epinephrine)
An electrosurgical unit
Or a soft tissue laser
72
79. 79
Only one mix is made- Part of it is placed in the tray
Another portion is placed in syringe for injection
Medium viscosity of addition and polyether can be used.
81. Giuseppe Varvara et al, conducted an invitro study on
Evaluation of defects in surface detail for monophase, 2-
phase, and 3-phase impression techniques
They concluded that the 3-phase, 2-step impression
injection technique provides improved defect-free
reproduction of detail, showing fewer defects than other
impression techniques.
(J Prosthet Dent 2015;113:108-113)
81
82. All elastomeric impression materials are viscoelastic, and
it is necessary to use a quick snap to minimize plastic
deformation
82
83. Debubblizers, a dilute solution of soap - wettability of
the silicone impression material for the stone slurry
Excellent dimensional stability of addition silicone and
polyether impression - construct two or three casts or
dies
83
84. • Immersion
• Gluteraldehyde , chlorine compounds,
iodophors, phenolics
• Disinfectants requiring more than 30
mins are not recommended
Polysulphide
Silicones
• Immersion with caution
• Chlorine compounds , iodophors
• Short term exposure – avoid distortion
Polyether
84
85. Young S. Kang , et al conducted a study on Effects
of chlorine-based and quaternary ammonium-based
disinfectants on the wettability of a polyvinyl siloxane
impression material
They concluded that
1. A QAB disinfectant product is more effective at
removing surfactant than a CLB disinfectant product.
Therefore, a CLB disinfectant provides more time
and control.
2. A wetting agent can reverse the hydrophobicity of
a disinfected PVS impression material if the duration
of cold disinfection is less than 6 hours.
85
(J Prosthet Dent 2017;117:266-270)
86. 86
Property Polysulphide
s
Condensation
silicones
Addition
silicones
Polyethers
Viscosity 3
viscosities (no
putty)
4
viscosities
including
putty
4 viscosities
including putty
single
viscosity(regul
ar) + diluent +
putty
Tear
resistance
Adequate Adequate Adequate Adequate
Elasticity Visco elastic
material
Very good Very good Adequate
Accuracy Good with
special trays
Acceptable
with stock
trays
Good with
stock trays
Good with
special trays
Dimensional
stability
Adequate Poured as
quickly as
possible
Very good Very good in
low humidity
Comparison of properties of elastomers
87. 1. Rough / uneven surface
Premature removal
Improper mixing ratio
Too rapid polymerisation
Excessive high accelerator / base
ratio – condensation silicon
87
88. 2. Bubbles
Too rapid polymerisation preventing
flow
Air incorporation
88
90. 4.Rough / chalky stone cast
Inadequate cleaning
Excess water left on surface
Excess wetting agent
Premature removal
Improper manipulation
Failure to delay pour
90
91. 5.Distortion
Resin tray not aged sufficiently
Lack of adhesion
Lack of mechanical retention
Premature development of elastic
properties
Excessive bulk
Insufficient relief
Continued pressure
Movement of tray
Premature/improper removal from mouth
Delayed pouring
91
92. 6. Faulty electroplating
Dimensional change in the elastomer – continued
polymerisation during electroplating
Electrodeposited metal tend to contract during deposition
Flat surface tend to become curved and sharp angles
rounded
Improper adherence of the electroformed metal to
impression material – greater distortion
92
93. Philips science of dental materials 12th edition
Craig’s restorative dental materials 13th edition
Mc Cabe and walls’ applied dental materials 9th edition
William J O'Brien Dental materials selection 3rd edition
Effects of chlorine-based and quaternary ammonium-
based disinfectants on the wettability of a polyvinyl
siloxane impression material (J Prosthet Dent
2017;117:266-270)
Evaluation of defects in surface detail for monophase, 2-
phase, and 3-phase impression techniques (J Prosthet
Dent 2015;113:108-113)
The dimensional stability of a vinyl polyether silicone
impression material over a prolonged storage period (J
Prosthet Dent 2013;109:172-178)
93
94. Elastomers since their introduction have revolutionised the art of
impression making hence allowing the operator to provide
acuurate fitting restorations
Addition silicones and polyethers account for major portion of
the current practice.
Condensation silicones, Polysulfides – more sensitive with
respect to handling considerations , mix-and-pour techniques,
which may affect accuracy.
94
95. The understanding of basic knowledge of the impression
materials and their behavior during handling are
important for their use in the oral environment and clinical
success.
The selection of the material best suited for a particular
clinical situation and technique rests with the operator.
95