The dimensional accuracy of polyvinyl siloxane impression materials using two different impression techniques: An in vitro study

Aim of the Study:

To evaluate and compare the linear dimensional changes of the three representative polyvinyl siloxane (PVS) impression materials and to compare the accuracy of single mix with double mix impression technique.

Methodology:

A study mold was prepared according to revised American Dental Association specification number 19 for nonaqueous elastic dental impression materials. Three PVS impression materials selected were Elite-HD, Imprint^™ II Garant, Aquasil Ultra Heavy. Two impression techniques used were single mix and double mix impression technique. A total of 60 specimens were made and after 24 h the specimens were measured using profile projector.

Statistical Analysis:

The data were analyzed using one-way analyses of variance analysis and significant differences were separated using Student''s Newman–Keul''s test.

Results:

When all the three study group impression materials were compared for double mix technique, the statistically significant difference was found only between Imprint^™ II Garantand Elite-HD (P < 0.05). Similarly, using single mix technique, statistically significant difference were found between Elite-HD and Imprint^™ II Garant (P < 0.05) and also between Aquasil Ultra Heavy and Elite-HD (P < 0.05). When the linear dimensional accuracy of all three impression material in double mix impression technique and single mix impression technique were compared with the control group, Imprint^™ II Garant showed the values more nearing to the values of master die, followed by Aquasil Ultra Heavy and Elite-HD respectively.

Conclusion:

Among the impression materials Imprint^™ II Garant showed least dimensional change. Among the impression techniques, double mix impression technique showed the better results.Key Words: Dimensional accuracy, double mix impression technique, impression materials, polyvinyl siloxane, single mix impression technique     

Comparative study of dimensional accuracy of different impression techniques using addition silicone impression material

This study compared dimensional accuracy of the single, double with spacer, double with cut-out and double mix impression technique using addition silicone impression material. A typhodont containing Ivorine teeth model with six (6) full-crown tooth preparations were used as the positive control. Two stone replication models for each impression technique were made as test materials. Accuracy of the techniques were assessed by measuring four dimensions on the stone dies poured from the impression of the Ivorine teeth model. Results indicated that most of the measurements for the height, width and diameter slightly decreased and a few increased compared with the Ivorine teeth model. The double with cut-out and double mix technique presents the least difference from the master model as compared to the two latter impression techniques.     

Effect of impression coping and implant angulation on the accuracy of implant impressions: an in vitro study

PURPOSE

The purpose of this study was to compare the accuracy of the implant master cast according to the type (pick-up, transfer) and the length (long, short) of the impression copings.

MATERIALS AND METHODS

The metal master cast was fabricated with three internal connection type implant analogs (Osstem GS III analog), embedded parallel and with 10° of mesial angulation to the center analog. Four types of impression coping were prepared with different combinations of types (transfer, pick-up) and lengths (long, short) of the coping. The impressions were made using vinyl polysiloxane (one step, heavy + light body) with an individual tray, and 10 impressions were made for each group. Eventually, 40 experimental casts were produced. Then, the difference in the distance between the master cast and the experimental cast were measured, and the error rate was determined. The analysis of variance was performed using the SPSS (v 12.0) program (α = .05), and the statistical significance was set at P < .05.

RESULTS

The ANOVA showed that the pick-up type impression coping exhibited a significantly lower error rate than the transfer type. However, no significant difference was observed with respect to the length of the impression coping. Additionally, no significant difference was observed between the parallel and mesial angulated groups.

CONCLUSION

Within the limitations of this study, the pick-up type impression coping exhibited a more accurate implant master cast than the transfer type in parallel group. The accuracy of the implant master cast did not differ for different lengths of impression coping of at least 11 mm. Additionally, the accuracy of the implant cast was not different for the parallel and 10° mesial angulated groups.     

Effect of disinfectant agents on dimensional stability of elastomeric impression materials

STATEMENT OF PROBLEM: Difficulties in sterilizing impressions by traditional methods have led to chemical disinfection as an alternative, and some studies have shown that disinfectants may adversely affect impressions. PURPOSE: This study investigated the effect of disinfection methods on the dimensional stability of 6 elastomeric materials. MATERIAL AND METHODS: Impression materials were submitted to the following treatments: immersion in 5.25% sodium hypochlorite solution for 10 minutes, immersion in 2% glutaraldehyde solution for 30 minutes, and no immersion (control). After treatments, impressions were poured, and respective stone casts were measured with a Nikon Profile projector and compared with the master model. RESULTS: The elastomeric materials had different reproduction capacities, and the disinfecting treatments did not differ from the control.     

The dimensional changes of elastomeric impression materials under various conditions of humidity.

The dimensional changes of four modern elastomeric impression materials have been investigated under three different relative humidity conditions.It was found that the dimensional changes of these materials could be markedly affected by their storage conditions. Although no material was found to be completely stable, under particular conditions some materials were superior to others. It was also found that the curing system used for polysulphide materials profoundly affects their behaviour, whilst the presence of a thinner in a polyether material also has a strong influence on its behaviour.Recommendations are given on the optimum conditions for the different materials.     

湿度对聚醚橡胶印模精度的影响

目的:评价两种聚醚橡胶Polyjel NFTM(PO)和ImpregumTMSoft(IM)在5种湿度下放置24 h后印模尺寸的变化,并与在同种条件下存放的亲水性硅橡胶ExpressTMXT(EX)进行对比研究。方法:采用国际牙科组织(ADA)推荐使用的标准不锈钢模具制取印模。将印模分别放置于不同湿度下:30%、50%、70%、90%、浸水,温度恒定为23℃。放置24 h后,使用万能工具显微镜测量每个样本中间水平线的长度和标准模具上同一条水平线的长度,计算印模尺寸变化率,衡量印模尺寸变化。结果:在5种湿度下,印模材料间存在显著性差异(P<0.05);每种材料,湿度间差异有统计学意义(P<0.05)。在湿度30%时,3种材料之间的差异无统计学意义(P>0.05)。湿度为50%、70%时,IM和PO无明显差异,两者尺寸变化均明显小于EX。湿度90%、浸水时,尺寸变化顺序:PO>IM>EX。结论:PO、IM在湿度70%的环境下存放,能获得最精确的印模。EX印模浸泡在水中精度最高。     

In vitro study on the dimensional accuracy of selected materials for monophase elastic impression making

PURPOSE: This study evaluated the dimensional accuracy of various impression materials for monophase elastic impression making. To isolate this parameter, a direct measurement of the impressions was made without taking the model material into consideration. MATERIALS AND METHODS: A total of eight materials were tested; six impression materials were addition-curing silicones, and two were polyether impression materials. All materials were processed according to the manufacturers' instructions. A specially developed precision mold made of stainless steel served as basis for measuring the elastomeric impression materials. Using a stereomicroscope at a temperature of 23.0 +/- 1.0 degrees C and with a precision linear adjustment and lathe, sights were set on the marking points of customized posts. The measurement was performed after the earliest time possible for fabricating the model according to the manufacturer (time 1) and after 90 minutes (time 2). In a one-way analysis of variance, multiple average comparisons of dimensional accuracy were made (P < or = .05) between the impression materials under investigation. RESULTS: Under the conditions of this study, the impression materials tested demonstrated a very high dimensional accuracy. The arithmetic means of the dimensional changes ranged from -11 to 19 microns for both measuring times. CONCLUSION: Since as a rule, no significant dimensional changes occurred for the different impression materials between time 1 and time 2, this time interval for fabricating a model can be recommended.     

The dimensional accuracy of four impression techniques with the use of addition silicone impression materials

OBJECTIVE: The aim of this study was to assess the influence of impression technique selection on the dimensional accuracy of the produced casts. METHODOLOGY: Four impression techniques (single-stage, two-stage, monophase, and heavy/wash technique) were used to make addition silicone impressions of a phantom head maxillary jaw. The impression materials used were Aquasil, Extrude, and Imprint. Measurements on casts were made for the inter-abutment distances to assess dimensional accuracy. RESULTS: There was a significant difference (p < 0.05) for the anteroposterior distances with the single-stage technique. The crossarch distances were slightly increased compared with the master model for all techniques, but significant statistical differences were only recorded for the single-stage technique and the monophase technique. The monophase technique demonstrated irregular results. The heavy/wash technique showed no significant differences for all the measurements compared with the standard model. CONCLUSION: The results suggest that the selection of impression technique is an important factor that can affect the dimensional accuracy of the subsequent models which are used for indirect restorations.     

Evaluation of the precision of three implant transfer impression techniques using two elastomeric impression materials

A master cast representing a completely edentulous mandible was fabricated in polyurethane resin and had four implants secured to the anterior interforaminal area. Impressions were made using six technique-material combinations. Ten definitive casts were fabricated for each technique. Linear distances between implants were measured using a traveling microscope. There was no statistically significant difference between the direct unsplinted and splinted techniques (P > .05), while the indirect technique was statistically significantly different from the other two techniques (P < .05). There was no statistically significant difference between the two impression materials.     

Effect of subgingival depth of implant placement on the dimensional accuracy of the implant impression: an in vitro study

STATEMENT OF PROBLEM: In some instances, an implant needs to be placed deep subgingivally, which may result in a less accurate impression of the implant. PURPOSE.: The purpose of this study was to evaluate the effect of subgingival depth of implant placement on the accuracy of implant impressions. MATERIAL AND METHODS: A stone master model was fabricated with 5 implant analogs (RN synOcta analog), embedded parallel to each other, at the center (E) and the 4 corners (A, B, C, and D). The vertical position of the shoulders of the implants was intentionally different among the implants: A and E were flush with the top surface of the model; B was 2 mm below, and C and D were 4 mm below the surface. The horizontal distances of implants A, B, C, and D from E were measured with a measuring microscope. A cross-shaped metal measuring bar was then fabricated and connected to E, with the arms of the casting designed to be 2 mm above the top surface of the model and incorporating a reference mark. With the measuring bar connected to E, the vertical distances from the apical surface of A, B, C, and D to the measuring reference marks were measured with a digital micrometer. The body of the impression coping for implant D was modified by adding 4 mm of additional impression coping, while standard impression copings were used for all other implants. Open tray impressions were made using medium-body polyether material (Impregum Penta) or a combination of putty and light-body vinyl polysiloxane (VPS) material (Elite HD+) (n=15). Then casts were poured with type IV dental stone. The vertical and horizontal distances of the casts were measured with the methods outlined above for the master model. The distortion values that were determined as differences between the measurements of the master model and those of the casts were collected for statistical analysis. Two-way and 1-way repeated measures ANOVA followed by Tukey's HSD test were performed to compare the distortion values (alpha=.05). RESULTS: For vertical measurements, 2-way repeated measures ANOVA showed no significant depth (P=.36), material (P=.24), or interaction effects (P=.06). However, it showed significant depth effect for horizontal measurements (P=.01). Within the polyether group, 1-way repeated measures ANOVA showed significant differences in horizontal measurements among the implants with different depths (P=.03). The post hoc Tukey's test showed that the impression of 4-mm-deep implants with normal impression copings (C) was significantly less accurate than impressions of 0-mm-deep implants (A) (P=.02). Within the VPS group, there was no significant difference among the implants with different depths (P=.09). CONCLUSIONS: There was no effect of implant depth on the accuracy of the VPS group. However, for the polyether group, the impression of an implant placed 4 mm subgingivally showed a greater horizontal distortion compared to an implant placed more coronally. Adding a 4-mm extension to the retentive part of the impression coping eliminated this difference.     

Linear dimensional accuracy of a polyvinyl siloxane of varying viscosities using different impression techniques

Abstract Aim: The present study is an in vitro study to evaluate the linear dimensional accuracy of commercially available polyvinyl siloxanes of varying viscosities using different impression techniques. Methods: Different impression techniques used were: (a) putty wash, with a two‐step technique with polyethylene spacer, using a stock tray; (b) putty wash, with a one‐step technique, using a stock tray; (c) single‐mix technique, utilizing medium viscosity in a custom tray; and (d) multiple‐mix technique, utilizing a heavy‐ and low‐viscosity combination in a custom tray. For each technique, 10 impressions were made of a metallic maxillary dentulous master model. Results: The result of this study dictates that a heavy‐ and low‐viscosity combination, double‐mix technique in a custom tray produced an accurate result in all dimensions, followed by the single‐mix technique, utilizing medium viscosity in a custom tray, and the putty wash two‐step technique with polyethylene spacer, using a stock tray. Group 2 putty wash, one‐step, simultaneous technique produced the least accurate result in all dimensions. Conclusion: The putty wash two‐step techniques were found to be as accurate as the multiple‐mix technique, utilizing a heavy‐ and low‐viscosity combination in a custom tray, and the single‐mix technique, utilizing medium viscosity in a custom tray. Making custom trays is time consuming and costly.     

Pilot study on accuracy and dimensional stability of impression materials using industrial CT technology

Objective

Using computed tomography, scan impressions can be saved and edited as virtual data. The aim of this study was to evaluate the parameters influencing different impression materials and impression trays and their relevance with regard to accuracy and dimensional stability.

Materials and methods

Two alginate impressions (Zhermack Hydrogum?5 and Kaniedenta Tetrachrom?) and a polyether impression (3MEspe Impregum?) were each combined with two acrylic trays (3M Espe Position Tray? and Profimed Opti-Tray) and CT scanned immediately after impression at the Fraunhofer Institute Development Center for X-ray Technology (EZRT) in Fürth, Germany. Each impression was digitized 10 times on the same day, 3 times after 2 days and twice after 6 days, thus determining the dimensional stability of the various materials. An acrylic model was digitized with a high-resolution ??CT research scanner to be used as a reference for assessing the accuracy of the impression materials. For graphic and statistical analysis, VGStudio Max? was used.

Results

Both alginate impressions were less dimensionally stable than the polyether impression material. The Zhermack Hydrogum?5 alginate impression resulted in more deviation (151???m) after 6 days than the Kaniedenta Tetrachrom? impression. The polyether scans showed a mean deviation of 73???m. The accuracy of both alginates was similarly precise (mean value: Hydrogum?5 0.129 ± 0.021?mm, Tetrachrom? 0.137 ± 0.002?mm). The type of tray had limited influence on the results of the alginate impressions, while the accuracy of the Impregum? impression depended on the tray combination chosen.

Conclusion

The accuracy of the alginate impressions is sufficient for clinical use in orthodontics and produced, with correct storage, acceptable results even after 2 days. Hydrogum?5 impressions proved to be slightly more accurate than the reference material but less dimensionally stable than the Tetrachrom? impressions. The 3M Espe Position Tray? seemed to be more practical due to a better retentive effect compared to the Opti-Tray made by Profimed.     

The dimensional stability of elastomeric impression materials following disinfection

Public awareness of infectious diseases has focused attention on the prevention of nosocomial disease. Difficulties in sterilizing impressions have led to chemical disinfection as an alternative. Recent literature indicated a lack of consensus between researchers about distortion caused by disinfection. A polysulfide, polyether, and vinyl polysiloxane were disinfected by immersion in iodophor, sodium hypochlorite, and glutaraldehyde. Distortion was evaluated by use of a stainless steel die (ADA specification No. 19). Linear dimension variations after disinfection were clinically insignificant.     

Linear dimensional stability of elastomeric impression materials over time

The purpose of this study was to evaluate the linear dimensional stability of different elastomeric impression materials over time. A metal mold was designed with its custom trays, which were made of thermoplastic sheets (Sabilex sheets 0.125 mm thick). Three impressions were taken of it with each of the following: the polyvinylsiloxane Examix-GC-(AdEx), Aquasil-Dentsply-(AdAq) and Panasil-Kettenbach-(AdPa), and the polydimethylsiloxane Densell-Dental Medrano-(CoDe), Speedex-Coltene-(CoSp) and Lastic-Kettenbach-(CoLa). All impressions were taken with putty and light-body materials using a one-step technique. Standardized digital photographs were taken at different time intervals (0, 15, 30, 60, 120 minutes; 24 hours; 7 and 14 days), using an "ad-hoc" device, and analyzed using software (Image Tool) by measuring the distance between lines previously made at the top of the mold. The results were analyzed by ANOVA for repeated measures. The initial and final values for mean and SD were: AdEx: 1.32 (0.01) and 1.31 (0.00); AdAq: 1.32 (0.00) and 1.32 (0.00), AdPa: 1.327 (0.006) and 1.31 (0.00); CoDe: 1.32 (0.00) and 1.32 (0.01); CoSp: 1.327 (0.006) and 1.31 (0.00), CoLa: 1.327 (0.006) and 1.303 (0.006). Statistical evaluation showed that both material and time have significant effects. Conclusion: Under the conditions in this study we conclude that time would significantly affect the lineal dimensional stability of elastomeric impression materials.     

A laboratory study of dimensional changes for three elastomeric impression materials using custom and stock trays

Clinical success of fixed prosthodontic procedures is dependent in part upon the dimensional accuracy of elastomeric impression materials and impression procedures. Three elastomeric impression materials were used in custom and stock trays to determine the accuracy of impressions taken from an experimental stainless steel model representing premolar and molar bridge abutment preparations. Horizontal and vertical individual abutment and interabutment dimensions were measured on die stone replicas, and the measurements compared with those obtained from stainless steel master models. The results of this study demonstrate polysulphide is the least accurate impression material for both vertical and horizontal individual abutment dimensions. However, for interabutment horizontal dimensions, no statistical differences were noted between impression material types when using a custom tray. Stock trays produced unreliable results for all the materials tested.     

The effect of tray selection on the accuracy of elastomeric impression materials

This study evaluated the accuracy of reproduction of stone casts made from impressions using different tray and impression materials. The tray materials used were an acrylic resin, a thermoplastic, and a plastic. The impression materials used were an additional silicone, a polyether, and a polysulfide. Impressions were made of a stainless steel master die that simulated crown preparations for a fixed partial denture and an acrylic resin model with cross-arch and anteroposterior landmarks in stainless steel that typify clinical intra-arch distances. Impressions of the fixed partial denture simulation were made with all three impression materials and all three tray types. Impressions of the cross-arch and anteroposterior landmarks were made by using all three tray types with only the addition reaction silicone impression material. Impressions were poured at 1 hour with a type IV dental stone. Data were analyzed by using ANOVA with a sample size of five. Results indicated that custom-made trays of acrylic resin and the thermoplastic material performed similarly regarding die accuracy and produced clinically acceptable casts. The stock plastic tray consistently produced casts with greater dimensional change than the two custom trays.     

Effects of disinfectants on dimensional accuracy of impression materials

There is a continuing concern over the potential for cross-contamination of viral infections such as AIDS by means of dental impressions. This investigation compared the effects of various viricidal agents on the accuracy of irreversible hydrocolloid and silicone impressions made of single-unit and full mandibular arch models. Measurements on casts made from the treated impressions were compared with the corresponding measurements on casts made from untreated impressions. The results of this study led to the conclusions that there was no preferred disinfectant with respect to dimensional stability for the irreversible hydrocolloid, condensation silicone, or vinyl polysiloxane impression materials tested, and there was no difference in the accuracy of the casts obtained either by spraying with or immersion in any of the disinfectants tested. Therefore using the disinfectants described with either the immersion or spray techniques will not significantly affect the dimensional accuracy of cats made from treated impressions.