INTRODUCTION A chemist from Scotland noticed that certain brown sea weed (algae) yielded a peculiar mucous extraction. He named it "algin" . In England 40 years later another chemist S.Willing Wilding received a basic patent for the use of algin as a dental impression material. TYPES • 1. Type I - fast setting • 2. Type II - Normal setting ADVANTAGES 1) It is easy to mix and manipulate 2) Minimum requirement of equipment 3) Flexibility of the set impression 4) Accuracy if properly handled. 5) Low cost 6) Comfortable to the patient. 7) It is hygienic, as fresh material must be used for each impression 8) It gives a good surface detail even in very wet mouths. DISADVANTAGES It is not accurate enough for crown and bridge final impression It cannot be corrected Distortion may occur if the material is not held stationary in relation to the tissues throughout its setting period. MANIPULATION Selection of a Stock Tray 5 -7 mm between tray & tissues Just short of vestibule Slightly beyond vibrating line Compound on peripheries if needed Extension only to provide coverage of critical anatomy Handling the Material Do not leave containers open in a humid environment • Humidity & high temperatures cause deterioration Recommend shaking the sachet or the jar well before using the material • – homogenizing the material COLOUR INDICATION Mixing Working 30-45 s Working time 1:50 min Setting in the mouth MIXING RATIO 1:1 (9g of powder :20 ml of water) + 10 Preparing - Dosage 1. water 2. powder Upper jaw 3 scoops + 3 cups (powder) (water) Lower jaw 2 scoops + 2 cups (powder) 11 (water) Preparing - Mixing 1. VIOLET phase – MIXING 30-45 s the mixing is done by long strokes with a plastic spatula along the mixing jar walls. Smooth creamy consistency . No lumps or powder should remain. Preparing - Application 2. DARK PINK phase – Application of substance to the impression tray fill the impression tray to the edge optimum impression layer is 4 – 6 mm 13 Impression – Tray insertion 3. LIGHT PINK phase – Inserting the tray into patient’s mouth 14 Impression - Fixing 4. WHITE phase Fixing the impression in the mouth – setting in the mouth Wait to remove impression until the material is firm Approximately one minute after initial set 15 Removal Lift lip up to break the seal against tissues Remove rapidly, to prevent significant permanent deformation Impression – Disinfection Rinse the impression Place in zip lock bag, pour in disinfectant to cover all surfaces Seal for 10 minutes Remove and rinse prior to pouring stone Regulating Set Time Regulate with water temperature • recommended temperature is 23 ºC Water/powder ratio can affect tear strength & viscosity Impression Storage Wrap in a damp towel Pour within 12 minutes ; Minimizes distortion Support impression by handle or tray until cast poured Evaluating Irreversible Hydrocolloid Impressions • Tray not centered over ridge • Large voids in the impression Evaluating Irreversible Hydrocolloid Impressions • All critical anatomy not recorded • No significant tissue/tooth contact – Hamular notches – Retromolar pads – Vestibules, etc. Mixing Stone • Weigh powder • Measure water • Vacuum mix – Less time to complete than hand mixing – Stronger cast Two pour technique Pour stone into impression, Use vibrator to flow. Slowly wait for stone to set (~ 30 min) Invert impression with set first pour onto base stone. Trimming Casts Model moist for trimming • Debris from trimmer will not attach Soak the model by immersing • in slurry water • just base of cast contacting tap water • Prolonged immersion in tap water can lead to erosion of the cast Trimming Diagnostic Casts Cast thickness; 10-12mm (0.5 inch) in thinnest part Trim the base parallel to ridges 10-12 mm Leave the mucous membrane reflection intact for making a custom tray. Boxed and trimmed with a 3mm wide by 3mm deep land area Diagnostic casts (no land area) • Used for making custom trays • Land area omitted so material is easier to trim & remove from the cast 3mm 3mm Land 10-12 Area mm Outline of Bases for Trimmed Casts Mandibular Maxillary Follow the contour of the ridges, with rounded angles. A diagnostic cast is an accurate replication of the anatomic form of the maxillary or mandibular dental arch showing the relationships of the remaining teeth and the surrounding tissues. Importance of diagnostic cast. Diagnostic casts are supplement to the oral examination, They permit inspection from perspectives that are impossible to obtain when looking in the patient’s mouth. Diagnostic casts permit extended observations and comparasions in patients. Diagnostic casts are used in educating the patient about his/her dental needs and corresponding treatment plan. Student ____________________ Preliminary Alginate Impressions Date / q q / Initials_______ Instructor #_____ Unacceptable Unacceptable q q q q q q q Correctable Correctable q q Acceptable Student Acceptable Instructor __________ Accurate recording of all critical anatomy Material properly mixed as indicated by impressions Minimum of voids Trays properly selected and centered over the ridges Minimal areas where trays have contacted tissues Diagnostic Cast Evaluation Date q q q q q q q / / Initials_______ Instructor #_____ Unacceptable Unacceptable q q Correctable Correctable q q Acceptable Student Acceptable Instructor __________ No significant bubbles or flaws in stone Base approximately parallel to ridge and approximately l/2 inches thick (minimum) Evidence of a dense stone surface Clean and well trimmed Includes all anatomical surfaces THANK YOU