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Chairside - Glidewell Dental Labs

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If you walk around just about any dental laboratory<br />

today, you will no doubt find a large number of impressions<br />

for which a vivid imagination is required<br />

to find the margins of the preparations they are<br />

supposed to have recorded. But finding the margins<br />

(and the rest of the preparation) is exactly what we<br />

are asking our technicians to do. Otherwise, our<br />

full-coverage restorations will have only a slight<br />

chance of fitting the preparations adequately. After all of<br />

the new products that have been introduced recently to<br />

make impression taking less treacherous, how is it that<br />

many dentists still struggle with this procedure? Let’s review<br />

the latest developments and I’ll give you my take<br />

on them.<br />

To stop the bleeding and retract the tissue, “all-in-one”<br />

products such as Expasyl (Kerr <strong>Dental</strong>, Orange, CA),<br />

Magic FoamCord ® (Coltene/Whaledent, Inc., Cuyahoga<br />

Falls, OH), and GingiTrac (Centrix, Shelton, CT) are being<br />

touted as being gentle, fast, and effective. These types<br />

of products are supposed to relieve us from the drudgery<br />

of having to utilize the dreaded retraction staple (namely,<br />

the cord), but the sad fact is their performance leaves a<br />

lot to be desired.<br />

– ARTICLE by Michael B. Miller, DDS<br />

– PHOTOS by Sharon Dowd<br />

– CLINICAL PHOTOS by Michael DiTolla, DDS, FAGD<br />

Impression taking<br />

Is it a lost art?<br />

“I learned a long<br />

time ago that paying<br />

attention to the<br />

soft tissue before<br />

prepping subgingivally<br />

is the single most<br />

important aspect of<br />

impression taking.”<br />

Impression Taking — Is It a Lost Art?59

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