RPD Manual 11 - Removable Prosthodontics - Dalhousie University
RPD Manual 11 - Removable Prosthodontics - Dalhousie University
RPD Manual 11 - Removable Prosthodontics - Dalhousie University
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Irreversible Hydrocolloid Preliminary Impressions<br />
Preliminary Impressions - <strong>11</strong><br />
Selection of a stock tray:<br />
1. A space of 5 -7 mm should exist between the tray and the tissues to provide bulk for strength<br />
and accuracy of the material.<br />
2. The tray should be just short of the labial vestibule and slightly beyond the vibrating line<br />
3. Compound may be placed on peripheries of stock tray to extend borders if needed.<br />
Extension should be made only to provide coverage of critical anatomy, not for the purpose<br />
of displacing or distorting the vestibular tissues, which should be registered accurately to<br />
obtain a peripheral seal on a denture.<br />
Handling the Material:<br />
1. Pre-measure material – do not take containers to your operatory. Do not handle containers<br />
with contaminated gloves/hands. This makes infection control easier.<br />
2. Do not leave containers open in a humid environment - humidity and high temperatures can<br />
cause deterioration of the powder.<br />
3. Do not mix in a bowl contaminated with dental stone - gypsum can cause acceleration of the<br />
alginate. Conversely alginate contamination of a bowl used to mix stone can diminish the<br />
strength of the cast or model produced. Keep separate bowls and spatulas for alginate and<br />
stone.<br />
Measuring and Mixing alginate<br />
1. Fluff the powder before measuring, making sure there are no large voids in the scoop. Do<br />
not tap the scoop more than once or twice, since this will compact the powder, and result in a<br />
thicker mix.<br />
2. Measuring by weight is more accurate than by volume.<br />
3. Ratio of 1 scoop powder : l measure water.<br />
4. 3 scoops of powder is sufficient for most arches.<br />
5. For adjusting the setting time, regulate water temperature rather than the water/powder ratio,<br />
which can affect strength of the impression.<br />
6. Mix for up to 45 seconds, until a smooth creamy consistency is reached. No lumps or<br />
powder should remain visible in the mix.<br />
Making the impression<br />
1. Lightly dry the teeth and mucosa. Don’t desiccate the teeth or the alginate may stick to<br />
them.<br />
2. Wipe alginate onto the occlusal surfaces of any teeth.<br />
3. When seating the tray, don't bottom out on the teeth or the residual ridge, as this will result in<br />
distortions of the tissue or movement of the teeth.<br />
4. Wait to remove the impression until the material is firm (approximately one minute after<br />
initial set).<br />
5. Pull the lip up to allow air to break the seal with the tissues. This will make the impression<br />
easier to remove. Several drops of water placed in the vestibule can also aid in breaking the<br />
seal. Remove rapidly, to prevent significant permanent deformation.