Elastomeric Impression Materials
Elastomeric Impression Materials
Elastomeric Impression Materials
MATERIALS
PRIYANKA MURALIDHARAN
PG 1ST YEAR
PROSTHODONTICS – CROWN AND BRIDGE
Contents
• Definition
• History
• Requirements
• Classification
• Hydrocolloids
• Elastomers
• Recent Advances
DEFINITION OF IMPRESSION
• Impression is a negative likeness or copy in reverse of a surface of an object, imprint of
the teeth for the use in dentistry. (GPT9)
• Impression is negative registration of the entire denture bearing, denture stabilizing, and
border seal area. (Levin)
• Impression is a record of negative form of the tissues of the oral cavity that forms the
basal seat of the denture. (Boucher)
History of Impression Materials
• Wax was the only impression material used in dentistry until the mid-19th century when gutta-percha first appeared.
• Then in 1857, Charles Stent created a thermoplastic modeling compound similar to today's impression compound. Still,
the problem with this material was that it was rigid and could not reproduce undercut areas.
• All the impression materials used until that date became rigid after setting and could not copy the oral tissues accurately.
• Thus, there was always a need for an impression material that could remain elastic even after setting. That is when agar,
a reversible hydrocolloid manufactured from algae, was introduced in dentistry. Although this jelly-like material was
elastic, it required a complicated procedure to be used as an impression material.
• When the algae used to manufacture agar was unavailable during the second world war, Americans used local algae to
manufacture another elastic impression material known as alginate, which has gained popularity since then.
• Alginate and agar have disadvantages, like dimensional instability and low tear strength, which led to the manufacture
of elastomeric (also known as rubber-based) impression materials.
• First came polysulfide, then condensation silicone followed by polyether, and then addition silicones
• loading a conventional impression tray with alginate material and syringing reversible
hydrocolloid around the region of the mouth to be recorded.
7. Moist field is ok
Disadvantages
1. Dimensionally unstable.
3. Difficult to sterilize.
4. Poor shelf life if stored
Modified Alginate
• Alginates modified by the incorporation of silicone polymers
• Supplied in two paste
• They show marginally better fine-detail reproduction and tear resistance
• but have poor dimensional stability.
Disinfection
• Household bleach (1-10) dilution
• Iodophors
• Synthetic phenols
• Wrap the impression for 10 minutes
Failures in Alginate impression
• Grainy material
Improper mixing
Prolonged mixing
Excessive gelation
• Tearing
Inadequate bulk
Moisture contamination
Premature removal from mouth
Prolonged mixing
• External bubbles
Undue gelation preventing flow
Air incorporated during mixing
• Irregularly shaped voids
Moisture or debris on tissue
• Rough or chalky stone model
Inadequate cleaning of impression
Excess water left in impression
Premature removal of the impression
Model left in impression too long
Improper manipulation of stone
• Distortion
Impression not poured immediately
Movement of tray during gelation
Premature removal from mouth
Improper removal from mouth
Recent Advances in Alginate
Dustless Alginate
• Developed to eradicate silicosis
• An attempt was made to increase the density of siliceous fibers by coating them with
dedusting agents like glycerin, glycol, polyethylene glycol, and polypropylene glycol
• Sepiolite (natural mineral fiber containing magnesium silicate 20%) was added to the
alginate materials that helps in holding alginate particles together to prevent the leaping
of dust particles.
• 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
(GPT-9)
Elastomers
• Group of synthetic polymer based impression materials that are chemically crosslinked
when set and that can be stretched and rapidly recover to their original dimension when
applied stress is relieved
• ANSI/ADA specification no. 19
• Four types
• Polysulphides;
• Silicone rubbers (condensation curing type);
• Silicone rubbers (addition curing type);
• Polyethers.
Classification of elastomeric impression materials
General Properties
• Working and Setting Time
• Reproduction of details
• Rheological Properties
• Elasticity and Viscoelasticity
• Tear strength
• Dimensional Stability
• Wettability
• Biocompatibility
• Shelf Life
Working Time and Setting Time
• Working time begins at the start of mixing and ends just before elastic properties have
developed
must be greater than mixing time
• Setting time elapsed from beginning of mixing until curing process is sufficiently
advanced.
• Polymerization may continue even after setting.
• Decreases with increase in temperature
• Avoid changing base/catalyst ratio
• Decreases with increase in filler content
Rheological Properties
• It is the study of deformation and flow characteristics of matter
• Shear thinning – less viscous when stressed and recovers when at rest
• 2 categories of this phenomenon are
Pseudoplasticity
Thixotropicity
• Pseudoplastic - increasing shear stress leads to decreasing viscosity, and recovers
viscosity after stress is removed
• Thixotropic - does not flow until a sufficient/threshold level of energy in the form of
impact or vibration force is applied to overcome yield stress of the material. (At rest it
takes a specific time to recover previous viscous state)
• Drip/run-off tests
Elasticity and Viscoelasticity
• Deformation is seen when is removed from mouth
• Recovery of elastic deformation occurs over time
• Elastic solid + viscous liquid
• High elastic limit means minimum deformation
• Permanent deformation
Polysulfide > polyether > condensation silicone > addition silicone
Tear Strength
• Amount of force needed to tear, divided by thickness.
• It is the resistance of an elastomer to fracture when
subjected to tensile force acting perpendicular to a
surface flow
• Polysulfide highest, silicones lowest
• Influenced by consistency and manner of removing
materials
• Thinning agent will reduce tear strength but increase the
flexibility
• Polysulfides > Polyether > Silicones
Dimensional Stability
• Dimensional stability
• Dimensional Accuracy
• Reasons
1. condensation reaction by-product
2. thermal contraction
3. polymerization shrinkage
4.viscoelastic behaviour
6. plastic deformation
Wettability and Hydrophilization
• Low contact angle means more wettability
• Silicones have high contact angle 100 degree
• Leads to voids
• Use of surfactant
Biocompatibility
Shelf Life
• Store in a dry, cool environment to avoid deterioration
• If liquid expressed with material it is indication of
plasticizer segregation
manufacturing error
temperature extremes during storage
Disinfection
Polysulfide
• Two-paste – base and catalyst paste
Component Function
Base Polysulphide prepolymer with terminal and pendant This is further polymerised and cross-linked
to form rubber
thiol (–SH) groups
Plasticizer-di-n-butyl phthalate To control viscosity
Inert filler – possibly chalk or titanium dioxide To give ‘body’, control viscosity and modify
physical properties
Catalyst Lead dioxide or other alternative oxidizing agent
Inert oil – normally paraffinic type or di-n-butyl To form a paste with PbO2 and sulphur
phthalate
• Base paste
HS(C2H4 − OCH2 − OC2H4 − SS)23 − C2H4 −OCH2 − OC2H4 − SH
• light-bodied
regular-bodied and
heavy-bodied
Setting Reaction
Advantages
• Long working time
• High tear resistance
• Margins easily seen
• Moderate cost
Disadvantages
• Requires custom tray
• Stretching leads to
• Distortion
• Compatible with stone
• Stains clothing
• Obnoxious odor
Condensation Silicone
• Supplied as
base paste
low viscosity catalyst paste or
two putty system
Composition
Composition Function
Paste Hydroxyl-terminated Undergoes cross-linking to form rubber
polydimethylsiloxane (liquid silicone
prepolymer)
Inert filler such as silica Gives ‘body’, controls viscosity and
modifies physical properties
Liquid Alkyl silicate such as tetraethylsilicate Acts as cross-linking agent
Tin compound such as dibutyl tin Acts as a reaction catalyst
dilaurate
Setting Reaction
Advantages
1. Putty for custom tray
2. Volatile by-product
4. Hydrophobic
Addition Silicone
• Also known as Polyvinyl siloxane (PVS) or Vinyl polysiloxane.
• Base paste – Polymethylsiloxane + Divinylpolysiloxane+ fillers
• Catalyst paste – Divinylpolysiloxane + Platinum salt (chloroplatinic acid)+ fillers
Setting Reaction
Clinical application
• crown and bridgework or denture manufacture
• heavy-bodied materials used to support light body in
stock trays for crown and bridge impressions,
Advantages
1. Superior dimensional stability.
•
Disadvantages
1. Hydrophobic (No flow if sulcus is moist)
8. Expensive.
Problems associated
• Distortion while removing the impression
solution – 1. rigid metal stock trays
2. initial putty impression can be recorded with a polythene spacing sheet
between the putty and the teeth.
• Platinum catalyst easy to poison, inhibiting the set of the material.
solution- 1. rubber gloves should not be used
Polyethers
• Introduced in Germany in late 1960s
• Two types
1. based on ring opening polymerization of aziridine rings
2. based on acid catalyzed condensation polymerization of polyether polymer with
alkoxysilane terminal groups.
Composition
Component Function
Base Paste (Large Tube ) Imine-terminated prepolymer Becomes cross-linked to form rubber
Inert filler – silica To give ‘body’ control viscosity and
physical properties
Plasticizer – e.g. phthalate To aid in mixing
Catalyst Paste (Small Tube) Ester derivative of aromatic sulphonic acid Initiates cross-linking
Inert filler- silica To form paste
Plasticizer - pthalate
Setting Reaction
Advantages
1. Finish line easily read.
3. Fast setting.
Disadvantages
1. Custom tray required.
2. Very stiff.
5. More expensive.
Mechanical Properties of a New Vinyl Polyether Silicone in Comparison to Vinyl Polysiloxane and Polyether Elastomeric Impression Materials ,
Pragya Pandey, Sneha Mantri, Abhilasha Bhasin, and Suryakant C. Deogade
Polyether urethane dimethacrylate photoinitiated
elastomeric impression material
• Composition
Polyether urethane dimethacrylate resin that contains a diketone initiator
Amine accelerator
Silica filler 40-60%
Plasticizer, coupling agents, pigments, and flavoring are added
• Polymerization is photoinitiated by blue light in the wavelength range of 400 to 500 nm
• Available in
Light body and Heavy body
Properties
• Tear Strength- light body 5900gm/cm
heavy body 7400 gm/cm
• Hydrophilic (<90 degree), good wettability
• Dimensionally stable
• Detailed reproduction
• Working time – 25 minutes
• short setting time
Properties of a new polyether urethane dimethacrylate photoinitiated elastomeric impression material Robert G. Craig, Ph.D.,* and Pamela H. Hare, B.T.*
Digital Impressions
• material and armamentarium used in analog impressions are avoided (e.g., impression
trays, impression material, gypsum);
• the communication between the clinician and laboratory technician is improved
• a soft copy can be stored;
• Cross infections can be minimized due to absence of physically stored casts.
References
• Science of Dental materials Phillips 12th Edition
• Princinples and applications materials in dentistry Jack L Ferracane 2nd edition
• Applied dental materials 9th Edition John F Mc Cabe
• Restorative Dental Materials Robert G. Craig 11th edition
• Dental Impression Materials Ranjan Gupta; Melina Brizuela.
• International Journal of Dental Materials 2019; 1(2) Advances in alginate impression materials: a review
• Mechanical Properties of a New Vinyl Polyether Silicone in Comparison to Vinyl Polysiloxane and Polyether
Elastomeric Impression Materials ,Pragya Pandey, Sneha Mantri, Abhilasha Bhasin, and Suryakant C. Deogade
• Evaluation of the Elastic Properties of Thirteen Silicone Interocclusal Recording Materials
• Properties of a new polyether urethane dimethacrylate photoinitiated elastomeric impression material Robert G.
Craig, Ph.D., and Pamela H. Hare, B.T.