Escolar Documentos
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For a prosthesis
Learning Objectives
Understand purpose of an impression.
Understand difference of implant level and abutment
level impression.
Understand concept of an implant replica/analogue.
Understand closed tray and open tray impression
concepts and know the respective copings, understand
pick up impression with impression copings.
IMPRESSION
Purpose of Impression ?
To transfer information about one or more implants or
abutments to a working model.
Method
Mold
The 3 Ms of impression making
Material
Plaster
Plaster
Nonelastic
Nonelastic
Impression
Impression Compound
Compound
Zinc
Zinc oxide
oxide Eugenol
Eugenol
Impression
Impression waxes
waxes
Impression
Impression materials
materials
Hydrocolloids
Hydrocolloids
Elastic
Elastic
Non-aqueous
Non-aqueous
elastomers
elastomers
Agar
Agar
Reversible
Reversible
Polysulfides
Polysulfides
Alginate
Alginate
Irreversible
Irreversible
Polyethers
Condensation
silicone
Addition
silicone
1. Abutment screw
2. Abutment
3. Fixture-implant
4. Guide pin
5. Impression coping
6. Fixture replica
(implant analog)
Implant Fixture
Cover screw
Super structures
Method
Indirect / Pick-up
- Closed Tray
- Open Tray
Abutment level
Method
Method
In most implant cases implant level impressions are made where the
impression abutments are inserted into the implant, and after recording
open or closed tray pick-up impression, these impression abutments are
removed from the implant and assembled with the implant analogue.
Method
Mold
IMPRESSION TECHNIQUES
CLOSED TRAY
OPEN TRAY
Open Tray
Versus
Closed tray
impression technique
Open tray
Closed tray
Open tray
Closed tray
Open tray
Closed tray
In both cases, impressions are similar, but for the open tray
type, it is important to locate the screw before the material
sets.
Open tray
Closed tray
With the pick up type, remove the long screw retaining the
coping before removing the impression.
Open tray
Closed tray
The open tray coping remains in the tray while the impression
is removed, and the closed tray type remains on the implant.
Open tray
Closed tray
Open tray
Closed tray
Open tray
Closed tray
Open tray
Closed tray
Open tray
Closed tray
Closed tray
Open tray
Types of copings
SQUARE TAPERED COPING
Indications:
When difficult to unscrew a guide
pin.
In close-bite situations like posterior
regions.
Transfer Cap
CLOSED TRAY
Indications
Limited inter arch distance
Parallelism of implant is equal
In case of primary impression.
Impression copings
Impression tray
Steps
Tray selection.
Attaching impression post to
fixture.
Loading tray & injecting
material around post.
Seating the tray.
Second stage
Exposing implant
and placing
gingival former.
Impression post
Impression post
attached to fixture
impression
Implant analogue
Attaching
implant analogue
to impression post
Reinserted impression
post along with
implant analogue
Abutment is attached
Impression post
attached to fixture
Impression with
impression post &
implant analogue
OPEN TRAY
INDICATIONS
During the lack of implant
parallelism.
In case greater than 25 divergent
of implant
Height of implant level impression
coping below the occlusal plane.
For making master or secondary
impression
Open Tray
STEPS
Custom tray or disposable tray.
Making vents on the tray at
implant sites.
Checking the tray for proper
seating.
Attaching impression post to
fixture.
Loading tray-injecting material
around post.
Seating the tray.
Making impression
Impression
Cast
Use of temporary
coping (plastic) multi
unit in lab.
Fabrication of Prosthesis
Final Prosthesis
CONCLUSION
Whether in an implant restoration or any
other form of restoration, the ultimate esthetic and
functional success purely depends on the initial
negative replica of the intended restorative site.
Thus, making a good impression is not just
an art but a lot of science as well.
Thank yo