Date post: | 16-Mar-2016 |
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Impressions
Accu-Dent Impression System•Irreversible hydrocolloid (hydrophilic)
•Two viscosities
•Non-slumping
•Premeasured sealed packaging
•Syringe delivery
•Temperature controlled
•Unique tray design
•Single entry impression system
Accu-Dent Impression SystemSystem 1
(edentulous) System 2
(dentate)
Accu-Dent System 1 Impression System
Accu-Dent System 1 Impression System
• System one Accu-gel materials are specially formulated to make impressions of edentulous arches dentate arches
• The trays are specifically designed for this purpose
• It features a syringe system that facilitates the delivery of impression material into the buccal and labial flange areas
Impressions for the maxillary edentulous arch
Syringe Gel
The syringe gel mixes quickly and smoothly
Use the “System 1” side of the measuring vial to proportion the exact
amount of water for the syringe gel
Syringe Gel
Remove the plunger and back load the
syringe
Engage the plunger and press material into
the syringe tip
Tray Gel
Again use the “System 1” side of the vial to measure the appropriate amount of
water for the tray gel
Tray Gel
Note that the tray gel appears dry at the start of mixing. Do not add
water. In several seconds it will develop
into a creamy mix.
Loading the TrayRub the surface of the loaded tray material
with water
Note the tray material is loaded heaviest in the
anterior section of the tray
Loading the Tray
Apply a small amount of material on the initial
loading of the tray. This allows the material to be pressed into the retentive
holes of the tray
After all the retentive holes have been engaged
add the remaining material to the tray
Making the Impression
Begin injecting the material directly into the hamular notch area on
one side of the arch
Continue injecting (keeping the tip of the syringe imbedded into the material) up to the labial frenum and stop
Making the Impression
Inject into the hamular notch of the opposite
side and continue forward to the labial
frenum
Making the Impression
Inject some material to anterior hard palate area
Note how the material “attaches (hydrophilic)” to
the tissue and does not “drip (non-slumping)”
Taking the Impression
Gently seat the tray in the patient’s mouth
(do not overseat”
As soon as material extrudes from the back
of the tray “stop” seating
Border Molding
Gently hold the lower border of the upper lip
and pull forward
Have patient slowly open wide
Border Molding
Gently massage the right and left cheeks of
the patient
Tray Removal
Carefully remove the impression by breaking the
seal at the perpheral borders (Do not remove impression by tugging on the handle of
the tray)
Thoroughly rinse impression of saliva
Tray Removal
Disinfect impression using materials and
techniques appropriate for irreversible
hydrocolloid materials
Support the impression using the Accu-dent tray holder (do not lay impression
on counter)
Final Impression
Note the accuracy of the peripheral border
registrations
In particular note the detailed registration of the hamular notch area
Final Impression
Border molded final maxillary impression
Impressions for the mandibular edentulous arch
The mandibular Accu-dent impression is not a border molded like the maxillary impression
The intent of the mandibular impression is to obtain a “fully extended impression” to facilitate the identification of the anatomical landmarks that will guide the outline of
the denture border extensions
Tray Selection (distal rise)Moderately resorbed
ridges gradually incline to the ramus
This gradual incline (low distal rise) is reflected in the
mandibular trays #25-29
Tray Selection (distal rise)Severely resorbed ridges
have a more abrupt incline to the ramus
This high distal rise is reflected in the mandibular
trays #20-24
Tray Selection (size)The “tray selection tool” facilitates the proper size
selection for the mandibular impression tray
Measure approximately where the first molars are located on patients existing denture or on
their ridge and select a tray that lines up to the center of the retentive holes of the tray
Making the Impression
The syringe gel material is first injected first over the retromolar pad area and
than pulled forward up to the midline area
Making the ImpressionThe opposite retromolar pad is covered and the material
is pulled forward to meet the contra-lateral side
Insert the loaded tray asking the patient to place their
tongue between the lingual flanges of the tray
Fully extended mandibular impression
Fully extended mandibular impression options
If the anatomy is accurately identified
and marked this impression can serve
as the final impression
Fully extended mandibular impression options
….or this impression can
serve as preliminary
impression for the fabrication of a
custom impression tray
Fully extended mandibular impression options
….or this impression can serve to fabricate a interim
denture that will be functionally relined several
weeks after delivery
Impressions for the partially edentulous arch
Accu-Dent System 2 Impression System
Accu-Dent System 2 Impression System
• System two Accu-gel materials are specially formulated to make impressions of dentate arches for partial dentures, crown & bridge opposing casts, occlusal splints, diagnostic casts, etc.
• The trays are specifically designed for this purpose
• It features the Pre-Sure tip that attaches to the syringe that virtually guarantees bubble free impressions of tooth surfaces
The “Pre-Sure tip” facilitates the delivery of the Accu-gel material directly to the teeth and surrounding gingiva and
virtually guarantees a bubble free impression
The tip is flexible and can be pressed against the teeth and gingiva without discomfort to
the patient
The tip provides an excellent vehicle to
accurately deliver the syringe gel
Place the Pre-Sure tip firmly against the last tooth in the arch and drag forward while
injecting
Turn the syringe at a 45 degree angle in the anterior area and press firmly against the labial surfaces of the teeth
Do the same to the opposite side of the arch
Inject directly onto the lingual surfaces of the
anterior teeth
Remove the Pre-Sure tip and inject into the
buccal and labial sulcus
Inject some material onto the anterior hard
palate area
Note the “clarity” of the teeth and
surrounding gingiva
Final Impression
Final Impression
Note the accuracy and extension of the peripheral borders
System 2 cast preparationDouble pour
technique
Optional Die Stonespsi exp
cost• Milestone* Heraeus 18,000 .08 55• Resin Rock* Whip mix 11,000 .08 45• Die stone Heraeus 15,000 .07 38• True stone Heraeus 15,000 .09 34• Die keen Heraeus 18,000 .18 54
*Milestone & Resin Rock are resin reinforced and therefore provides strength in thin areas
Note: Fugi Rock (GC) & Vel Mix (Kerr) are not compatible with Accu-dent
Wait until the cast appears to be “dry” before
inverting
Always support the cast into the impression
holder that comes with the Accu-Dent kit
Prepare second mix of stone and invert
impression to form the base
These impression were poured using die stone. Note the “retentive tabs” left on the surface which
will mechanically retain the plaster base
The “retentive tabs” will allow the plaster base to be
poured later in the day
It is economical to make the second pour
in plaster
Also the plaster is much easier to trim
Note the absence of occlusal and
surrounding gingival defects
Final Impressions
Accurate impressions replicate patient’s
occlusion
Final Impressions