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Impression-Taking Troubleshooting Guide

Continued

Inappropriate Use of Wash Materials

Inappropriate Use of Wash Materials

Although the margins may be clearly communicated, voids in the impression will result in inaccurate restorations and incomplete transfer of critical data. To prevent potential complications, a strong bond should be developed between the putty and wash materials, and no signs of separation should be evident.


Final Impression

Final Impression

An appropriate amount of wash material will further assist precise impression capture and the transfer of clear marginal detail. While various impression materials differ in viscosity and composition, the materials must be properly mixed to ensure appropriate handling and setting.


Contact With Tray

Contact With Tray

Distortion of the final impression may occur due to improper tray positioning. In order to ensure proper fit and capture, care must be taken that:

  • Appropriate tray materials are selected prior to impression taking
  • Correct tray seating procedures are followed
  • Correct tray size and shape are determined preoperatively

Ledges

Ledges

While a dimple in the putty material is often required, care must be taken to avoid development of ledges due to:

  • Incorrect sizing of the dimple
  • Improper tray position
  • Dislodging the tray from the material prior to full setting

Tearing

Tearing

Appropriate setting times must be consistently observed to avoid premature removal of the tray from the mouth and subsequent tearing. Inadequate retraction of the sulcus and the presence of moisture or bleeding around the preparation may also cause some impression materials to tear.


Precise Communication Tools

Precise Communication Tools

Accurate impressions clearly communicate clinical structures. Impression materials should be properly mixed according to the manufacturers' instructions to develop a consistent bond and predictable capture.

A portion of the information discussed herein and the figures of accurate impressions, inadequate margins, voids, contact with tray, and ledges appear courtesy of National Dentex (NDX), Boston, Massachusetts.






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