IMPRESSION
Prof. Dr. Ingy T. Lebshtien
Professor of Prosthodontics
Chairman of Prosthodontic
Department
IMPRESSION IS NEGATIVE
REPRESENTATION OF AN OBJECT
FROM WHICH POSITIVE LIKENESS
.COULD BE MADE (CAST)
IN THE PROCESS OF DENTURE
:CONSTRUCTION THIS IS FULFILLED BY
I- Preliminary impression and II. Secondary
.impression
Objective of an impression
Retention .
Stability.
Support.
Providing impression lip support .
maintaining the health the oral
tissue .
. Retention
• Maximum coverage of the
denture bearing.
• Perfect peripheral seal peripheral.
• Intimate tissue contact.
. Retention
Stability
• Stability can be provided by an impression that
equalize the pressure distribution.
• Selective placement of pressure during impression
making.
Support
• Wide tissue coverage.
• Directs most of occlusal forces to the primary
stress bearing areas.
• Selective placement of pressure .
. Providing lip support
Maxillary limiting structures
Selection of the tray
I- Preliminary impression for completely
.edentulous arch
I- Preliminary impression for completely
.edentulous arch
Adjustment of the tray.
Adjustment of the tray.
Addition of alginate into inaccessible
areas
Positioning of the tray.
Positioning of the tray.
Border molding.
Border molding.
The final upper impression.
Masseter muscle influencing area
Lingual limiting structures
.Posterior fibers of mylohyoid muscle
.Movement of the tongue
.Selection of the tray
.Selection of the tray
Adjustment of the tray.
.Positioning the tray
.The final lower impression
Preliminary compound impression
Preliminary compound impression
Causes of inaccurate impression
Impression made on inflamed -1
tissues.
2- Improper selection of the tray.
3- Improper positioning of the tray.
4-The presence of voids on the
.impression
.Impression made on inflamed tissues-1
.Improper selection of the tray -2
.a- The use of short tray
.b- The use of too large tray
.c- The use of too small tray
.d- The use of too long tray
.e-Excessive space between the tray and the oral tissues
.Improper selection of the tray
.Improper positioning of the tray-3
.a- Incorrect centralization
b- Upper tray placed too forward in relation
.to the ridge
.c- Upper tray placed too for backward
.d- Excessive seating pressure
The presence of voids on the-4
.impression
a. The use of too soft impression mix.
b. Labial and buccal tissues are trapped
between the impression.
c. The use of insufficient seating
pressure.
Factors that complicate the
:impression
.Amount and consistency of saliva -1
.Thick cheeks -2
.Tone of the facial muscles -3
.Muscular control -4
.Gagging -5
.The presence of undercuts -6
The presence of undercut areas interferes
with the insertion and removal of the tray.
This requires suitable path of insertion and
.the use of elastic impression material
Gagging during impression
making
• Dorsal surface of the tongue.
• Base of the tongue.
• Soft palate.
II- The final impression (Secondary
impression)
.Muco-static or minimal pressure impression -1
.Muco-compression -2
.Selective pressure impression technique -3
Mucostatic impression technique-1
or minimal pressure impression
:technique
It is made by providing holes and large
amount of space between the tray and the
soft tissues of the basal seat and the use
of an impression material with high flow
. and low viscosity
This technique considers interfacial surface
.tension as the only impression retentive
Muco-static Impression Technique
Minimal pressure impression technique
It is the negative representation of •
denture supporting area under static load.
So the tissues are recorded under static
.condition with minimal displacement
It is made by special tray constructed over •
.spacer with stopers
The material used have high flow property •
as impression plaster
Special tray with wax spacer and
without stops
Primary cast
Spacer
Special tray
Muco-static impression technique
using special tray with spacer
Perforations of the tray for minimum
pressure
:A-Disadvantages
1. The mucosal topography (contour) is not
static over the day.
2. This technique causes un-even loading
of the denture bearing.
3. Peripheral seal in retaining the denture.
4. Intimate contact between the finished
denture and the oral is impossible.
Definite pressure impression -2
.technique
The impression is made under pressure
while the impression material sets. Is carried
out under fitting forces in a closely fitted
.special tray with occlusion rim
Muco-compressive Impression Technique
Definite impression Technique
It is called also functional impression or closed •
.impression technique
It is a negative representation of denture •
supporting area under functional pressure while
the impression material sets. So it is carried
.under biting force
It is recorded by closely fitting special tray with •
.bite blocks
The material used have low flow property as •
.zinc- oxid impression material
Special trays with occlusion rims for muco-
compressive (functional impression)
technique
Functional
impression
Denture can be used for definite pressure impression
)functional impression (
:B- Disadvantages
1. Dentures do not fit well at rest as the
compressed tissues tend to rebound.
2. An overextended denture may result
due.
3. It interferes with blood supply.
Selective pressure impression -3
.technique
This technique combines considerable
pressure on certain areas and minimal
pressure transmits more pressure from the
denture on favorable parts of the bone
transmit less pressure on unfavorable
.parts, incisive papilla area
This impression technique fullfils all
.the requirement
• Maximum extension of the denture.
• Adequate peripheral seal and
• Selective placement of the occlusal
pressure.
Steps ofof
Steps
AA sectional
sectional impression
impression technique
technique
))Two
Two part
part impression
impression technique
technique((
A close fitting tray is constructed in cold-
curing acrylic resin and designed so that
flabby area of the ridge is uncovered
Step 2
The tray is tried in •
the mouth and
checked to make
sure that it is not
displacing the
flabby tissue. The
borders are
corrected in normal
.way
Step 3
Impression is •
taken of the firm
area using zinc
.oxide paste
If this impression •
proves to be
satisfactory . It is
replaced in the
. mouth
Step 4
An impression of •
the flabby tissue
left uncovered by
the tray is obtained
by applying a thin
mix of impression
plaster using a
spatula ,brush or
.syringe
.The final impression tray
.The final impression tray
.The final impression tray
.Over extended lower tray
:Border molding the special tray
Border molding is the process by which the
shape of the borders of the tray is made
in harmony with the physiologic action of
.the limiting anatomic structures
Border molding is classified
Sectional border molding One step border molding
Sectional border molding
One step border molding
Border molding the final maxillary
.impression tray
Border molding the final maxillary
.impression tray
Posterior Border molding the final
.maxillary impression tray
Posterior Border molding the final
.maxillary impression tray
.Scraping the Border molding
Buccal vestibular area
.The final upper impression
.The final upper impression
.The final upper impression
Border molding the final mandibular
.impression tray
Border molding the final
.mandibular impression tray
Border molding the final
.mandibular impression tray
.The final mandibular impression
.Secondry impression for flabby ridge
.Secondry impression for flabby ridge
.Secondry impression for flabby ridge
.Secondry impression for flabby ridge
.Secondry impression for flabby ridge
Thank you
