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    Impression Techniques in Implant Dentistry (1) (Autosaved) D

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    An accurate implant impression is essential for creating a well-fitting prosthesis. There are several impression techniques and materials that can be used. The direct technique involves preparing and impressing the final abutment. Indirect techniques use impression posts and include closed tray, which is easier but less accurate, and open tray, which more precisely transfers angulated implants. Recent approaches involve digital impressions using intraoral scanners for increased accuracy and convenience.

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    Impression Techniques in Implant Dentistry (1) (Autosaved) D

    Uploaded by

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    262 views7 pages
    An accurate implant impression is essential for creating a well-fitting prosthesis. There are several impression techniques and materials that can be used. The direct technique involves preparing and impressing the final abutment. Indirect techniques use impression posts and include closed tray, which is easier but less accurate, and open tray, which more precisely transfers angulated implants. Recent approaches involve digital impressions using intraoral scanners for increased accuracy and convenience.

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    Impression Techniques in Implant Dentistry (1) (Autosaved) d

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    Impression Techniques in Implant Dentistry (1) (Autosaved) d

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    An accurate implant impression is essential for creating a well-fitting prosthesis. There are several impression techniques and materials that can be used. The direct technique involves preparing and impressing the final abutment. Indirect techniques use impression posts and include closed tray, which is easier but less accurate, and open tray, which more precisely transfers angulated implants. Recent approaches involve digital impressions using intraoral scanners for increased accuracy and convenience.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    262 views7 pages

    Impression Techniques in Implant Dentistry (1) (Autosaved) D

    Uploaded by

    passer by
    An accurate implant impression is essential for creating a well-fitting prosthesis. There are several impression techniques and materials that can be used. The direct technique involves preparing and impressing the final abutment. Indirect techniques use impression posts and include closed tray, which is easier but less accurate, and open tray, which more precisely transfers angulated implants. Recent approaches involve digital impressions using intraoral scanners for increased accuracy and convenience.

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    © All Rights Reserved
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    of 7

    Impression techniques in Implant

    Dentistry

    Introduction:
    An accurate impression of the implant as well as the
    surrounding hard and soft tissue structures is known to be
    the backbone to deliver a desired implant prosthesis with an
    accurate fit and in harmony with the marginal soft tissues.
    Fabrication of implant restorations requires accurate
    impression transfer, good laboratory support, and
    effective communication between the dentist and the
    laboratory technician.

    Implant Impression:
    A dental impression is a negative imprint of hard and soft
    tissues in the mouth from which a positive reproduction (or
    cast) can be formed.

    Tools for Implant impression:


    Impression posts or coping is the component that is used to
    transfer the implant Hex position and orientation from the
    mouth to the working cast.
    Implant Analogue: Implant analogue screw into the apical
    portions of implant impression copings via the impression
    coping screws.

    Prof. Dr. Wahib Moussa


    Abutment Analogue: Abutment analogues are exact replicas
    of implant abutments.

    Impression materials:

    The impression of the implant should be made using rubber


    based impression materials as dimensional accuracy is
    required in the impression, to achieve predictable results in
    the fit and for precision in the implant prosthesis.

    Polyether
    Being hydrophilic in nature, this is the material of choice for
    the implant impression, to accurately record and transfer the
    implant position and orientation from the patients mouth to
    the working cast.

    Polyvinylsiloxane (addition silicon)


    This is a material which is widely used to make implant
    impressions because of its dimensional accuracy, stability,
    increased strength and tear resistance, repeated pourability
    and long storage life without any distortion in dimensions.

    Impression techniques:
    A. Direct abutment impression technique
    B. Indirect impression techniques
    a. Closed tray (Transfer) technique
    b. Open tray (pick up) technique

    A. Direct abutment impression technique:

    Prof. Dr. Wahib Moussa


    The final abutment is fixed on top of the implant in
    the patients mouth and prepared with a normal crown
    and bridge technique, using a diamond or carbide bur.
    Once the abutment is finally prepared, an impression is
    made and poured with a high-strength stone material.
    The prosthesis is fabricated and cemented in the mouth
    by following crown and bridge technique steps.

    Indications:
    Single-body/one-piece implant.
    Implant in non-esthetic posterior region.
    Cement-retained prosthesis where high precision is
    not a concern.

    B. Indirect impression techniques:

    This is the most common impression technique, as it


    precisely and accurately transfers the implant position
    and orientation from the patients mouth to the working
    cast.

    This impression can be made using either a closed tray


    technique or an open tray one.

    a. Closed tray technique

    Steps:

    The gingival former is removed from the implant in


    the patients mouth and a closed tray impression
    transfer abutment is inserted onto the implant using
    a connection screw.

    The accurate and complete seating of the impression


    abutment on the implant should be checked with a
    radiograph.

    Prof. Dr. Wahib Moussa


    An impression of this impression abutment using
    polyether or addition silicon material is made.

    The impression abutment is removed from the


    implant and assembled with an appropriate implant
    analogue.

    The impression abutmentanalogue assembly is


    reinserted at the corresponding location in the
    impression with the same orientation as in the
    mouth.

    The impression is sent to the dental laboratory to


    fabricate the working model.

    It is recommended to pour a soft tissue replicating


    material around the implant analogue as it:
    Facilitates the removal of the impression abutment after the
    stone die is poured.
    Provides ease of working to the laboratory technician, to the
    level of implant abutment connection.

    Indications:
    Limited inter arch space.
    Tendency to gag.
    Difficult access in the posterior region of the
    mouth.

    Advantages:
    Easier.
    Suitable for short inter arch distance.
    Visual fastening of the analog to the coping is more
    accurate.

    Disadvantages
    Inaccuracies with recovery and subsequent
    deformation of impression material may be
    encountered with nonparallel implants.
    Not Suitable for deeply placed implants.

    Prof. Dr. Wahib Moussa


    b. Open tray technique

    The open tray technique transfers the implant position


    and orientation more precisely and accurately than the
    closed technique and thus should be followed when a
    higher level of accuracy is required.

    This technique should also be followed in cases of


    multiple implants inserted at different angulations, as
    the closed tray technique may tear the impression in
    such cases on removal from the mouth.

    Steps:

    The gingival former is removed from the implant.

    An open tray impression post is inserted on top of the


    implant.

    The screw holes are blocked using wax.

    Try-in, for complete and passive seating of the special


    tray, is done.

    The impression is made using polyether impression


    material with the post screws emerging out and above
    the impression.

    All the connection screws should be unscrewed from


    the implants before removing the impression from the
    patients mouth.

    On removing the impression from the patients mouth,


    the open tray posts come out firmly engaged within
    the impression.

    Prof. Dr. Wahib Moussa


    The analogues are assembled with the posts and
    connection screws are tightened.

    A soft tissue replicating material should be poured


    around the post analogue connections in the
    impression followed by the pouring of the impression
    using high strength stone material.

    Again the post screws should be unscrewed from the


    analogues before removing the impression from the
    cast.

    Indications:
    Multiple number of implants which are not parallel to
    each other.
    Full arch implant supported fixed prosthesis.
    Joint screw-retained prosthesis over multiple implants.
    Deep seated implants.

    Advantages
    Reduces the effect of the implant angulation.
    Reduces the deformation of the impression material.
    Removes the concern for replacing the coping back
    into its respective space in the impression.

    Disadvantages
    The movement of impression copings inside the
    impression material during clinical and laboratory
    phases may cause inaccuracy.

    Recent Approaches:
    Digital impression:
    Digital dental impressions have potentially eliminated
    the need for taking conventional impressions for
    crowns and other fixed prostheses.
    Intraoral digital impression systems have gained
    acceptance due to high accuracy and ease of use.

    Prof. Dr. Wahib Moussa


    The use of intraoral digital impressions enables the
    clinician to produce accurate restorations without the
    unpleasant aspects of traditional impression materials
    and techniques.
    Instead of a traditional implant transfer coping a
    scannable coping is used.
    Once the scannable coping is placed into the implant,
    proper seating is confirmed with a radiograph.
    Next, the scanning is performed and a 3-dimensional
    (3-D) model of the region is visualized on the screen.

    Advantages:
    Elimination of the unpleasant taste and gagging
    sensation that the patient experiences with a
    traditional impression.
    Digital impressions resulted in a more efficient
    technique than conventional impressions.
    Digital impression systems save time in the chair
    during the impression stage, but, moreover, they also
    reduce the number of retakes.
    Digital data sharing with the lab saves additional time
    and eliminates further sources of errors.

    Prof. Dr. Wahib Moussa

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