Fabrication of a custom-made impression tray for making preliminary impressions of edentulous mandibles

Severe mandibular alveolar ridge resorption is usually observed in patients with long-term edentulism and/or ill-fitting dentures. In some of these patients, the genial tubercles project into the floor of the mouth as a high point in the anterior area of the mandibular residual ridge. The lingual flanges of mandibular stock impression trays usually impinge on the most prominent areas of the resorbed mandibular edentulous ridge (i.e., internal oblique lines and genial tubercles). It is suggested that a preliminary custom tray be made in such cases to pour an initial impression so that individual custom trays can be fabricated. An efficient method for constructing such a custom impression tray from readily available materials is described.     

The influence of the impression tray on the accuracy of impressions for crown and bridge work--an investigation and review

OBJECTIVE: To evaluate the accuracy of working casts for crown and bridge restorations made from twin mix putty/wash silicone elastomeric impression materials using different types of stock tray. DESIGN: A master cast was made from ivorine teeth in a mandibular model. Three teeth were prepared for full crown restorations to simulate a single unit and a three unit bridge. Impressions were taken using four different types of impression tray and two different viscosities of silicone putty, together with a wash. Full metal crowns were constructed and seated on duplicate master casts and measurements made of the marginal discrepancies. SETTING: The work was carried out in a dental technology laboratory in a university department of restorative dentistry in 1995/1996. RESULTS: Metal and rigid plastic impression trays showed the least discrepancy (about 50 microns), the latter slightly greater with the normal putty than the soft one. Impressions taken with flexible plastic trays produced considerable discrepancy with both putties, approximately 210 microns and 180 microns respectively. CONCLUSIONS: Metal and rigid plastic stock trays give greater accuracy in the putty/wash silicone twin mix impression technique compared with flexible plastic ones for crown and bridge work. Those using the latter should be aware of their shortcoming in this respect.     

Complete denture impressioning technique

This article describes a technique that simplifies the making of an edentulous arch impression before the fabrication of a complete denture. Making an impression of an edentulous arch requires a unique combination of managing movable soft tissue commensurate with integrating different materials and a technique for accurate reproduction. The technique described requires a two-phase approach using a syringeable addition silicone during the border molding process and a condensation silicone wash material to capture the soft tissue while the functional border molding is repeated. These more recently developed products allow us to achieve similar results and are easier, faster, and more predictable than those products used previously.     

Influence of various impression procedures for removable partial denture on displacement of soft mucosal tissue

In the impression-taking procedure for the distal extension removable partial denture, the pressure produced at the interface of the soft mucosal tissue and the impression material is the most important factor for the stability of the saddle under functional load. However, a review of the literature revealed little information about the displacement of the soft tissue caused by the impression pressure. In the present study, to investigate the influence of various impression procedures on the magnitude of the soft tissue displacement more precisely, a new three-dimensional deformation measurement system was devised. Compared to the previous studies, the greatest advantage of the system is that the hardened impression material can be surveyed directly without substituting a dental stone. It was found that, in the investigation using a partially edentulous simulated model, the amount of the subsidence in the soft tissue was increased as the thickness of the spacer of the impression tray was reduced or the seating speed of the tray was fast. Especially in the buccal area, a large amount of vertical displacement was present compared to the midridge and lingual area. Thus it was suggested that many factors are associated with the form of soft tissue under impression loading.     

Comparative clinical evaluation of removable partial dentures made from impressions with different materials

Impressions for removable partial dentures (RPDs) should provide an accurate and detailed record of the teeth and soft tissues. Removable partial denture casts should be exact replicas of the mouth to ensure that RPD frameworks fit accurately and are fully adjusted to oral structures. A comparative clinical evaluation was performed on the oral fit of RPDs made from impressions with either irreversible hydrocolloid (alginate) or condensation silicone. The difference between the two groups was found to be statistically significant.     

Toxicity of metal mixtures to chick embryos

A method of incorporating vertical and horizontal tissues in an obturator impression using an open palate impression tray is presented. The laboratory technique of obturator construction from this impression allows for a definitive (heat-cured) or interim (cold-cured) prosthesis for an edentulous or dentulous patient.     

Interleukin-2 regulates monoamine and opioid peptide release from the hypothalamus

The purpose of this investigation was to evaluate the tensile bond strength of one type of impression material adhesive to three different custom tray materials: one autopolymerizing (Fastray) and two light-polymerizing (Triad and Extoral). The effect of different surface treatments was evaluated for each of the materials. No significant difference in impression material adhesive mean tensile bond strengths was exhibited for any of the materials as the result of variations in the surface treatment. It was observed that the Triad tray material groups, with different surface treatments, exhibited significantly higher impression material adhesive mean tensile bond strengths than the autopolymerizing tray resin and the Extoral light-polymerizing material.     

A modified occlusal registration and implant transfer technique

The technique for the transfer of implant and abutment position to a working cast has been hindered by multiple transfers and record reproductions. These serve only to delay completion of the patient's prosthetic requirements. A transfer technique that uses custom impression trays fabricated from surgical templates allows for a single-visit transfer of centric occlusion, vertical dimension, tooth position, and implant or abutment location in one procedure. This streamlines treatment and allows for quicker delivery of final prostheses.     

Pressure control for complete denture impressions

Pressures produced during a final impression have been discussed from the standpoint of where they should be applied and where they should be reduced. Areas of the edentulous mouth requiring little pressure are: the palate, residual ridges, and areas of easily displaced gingiva. More pressure is needed in the border seal, on the buccal shelf, and against the retromylohyoid fossa. A clear processed acrylic resin tray with escape holes has been shown to meet the requirements for selective pressure application. Zinc oxide paste is the final impression material of choice in most instances.     

Mutation analysis and expression of the mottled gene in the macular mouse model of Menkes disease

OBJECTIVES: The purpose of this study was to evaluate the ability of two different panoramic imaging systems to produce cross-sectional images with accurate vertical dimensions of the posterior mandible. STUDY DESIGN: Three partially edentulous human cadaver mandibles were used for this study. On each mandible, three potential implant sites were arbitrarily identified in an area between the mental foramen and the ascending ramus. Each site was imaged using two different panoramic machines. Using each image, the mandible's outline, cortical thickness, and position of the mandibular canal were traced on clear acetate film. The mandibles were then sectioned at each site to serve as a gold standard. The cadaver sections and tracings (corrected for magnification) were measured, recording the overall mandibular height, distance from the crest of the ridge to the superior aspect of the mandibular canal, and the thickness of the cortical bone at the most inferior aspect of the mandible. RESULTS: There were no significant differences between either of the system's image measures and the gold standard when considering the distance between the crest and the mandibular canal. Differences were noted between the systems measures and the gold standard in the assessment of the cortical bone thickness and the overall mandibular height. CONCLUSIONS: Both imaging systems can be useful for vertical measurements of a potential implant site in the posterior mandible.     

Summation in the chimpanzee (Pan troglodytes).

In this research, we asked whether 2 chimpanzee (Pan troglodytes) subjects could reliably sum across pairs of quantities to select the greater total. Subjects were allowed to choose between two trays of chocolates. Each tray contained two food wells. To select the tray containing the greater number of chocolates, it was necessary to sum the contents of the food wells on each tray. In experiments where food wells contained from zero to four chocolates, the chimpanzees chose the greater value of the summed wells on more than 90% of the trials. In the final experiment, the maximum number of chocolates assigned to a food well was increased to five. Choice of the tray containing the greater sum still remained above 90%. In all experiments, subjects reliably chose the greater sum, even though on many trials a food well on the "incorrect" tray held more chocolates than either single well on the "correct" tray. It was concluded that without any known ability to count, these chimpanzees used some process of summation to combine spatially separated quantities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dentistry''s role in obstructive sleep apnoea. Review and case report

Percentage dose at the surface and at 1 mm depth for megavoltage photon beams are increased through the influence of block trays. This represents a decrease in skin sparing properties for both the epidermal and dermal layers. The increase in percentage dose varies with type and thickness of block tray material. At 6MVp, 20cm x 20cm field size, the percentage surface dose is 26%, 26.5%, 33% and 35% for open, steel honeycomb tray, 6mm perspex and 10 mm perspex block trays respectively. At 1 mm depth these values are 52%, 52.5%, 61%, 60% respectively. A similar effect is seen at higher energies. Results show that care should be taken when selecting an appropriate block tray if skin sparing is of importance.     

Object sorting in chimpanzees (Pan troglodytes): Classification based on physical identity, complementarity, and familiarity.

In 3 experiments, 5 chimpanzees (Pan troglodytes) were tested in an object-sorting task. In Exp. 1, a triad of objects and 2 trays were presented, and the subjects were trained to place 2 identical objects onto the same tray and an odd object onto the other tray. All of the subjects were able to learn this type of sorting. In Exp. 2, the 2 complementary parts of 2-part objects were presented along with 1 neutral object. The frequency of placing the complementary parts onto the same tray significantly increased after the subjects had learned to assemble the 2 parts into 1 object. In Exp. 3, test triads consisted of familiar objects and objects there were novel to the subjects. Each subject showed a significantly high frequency of placing 2 familiar objects on the same tray although all the subjects had learned to place the same objects on separate trays in Exp. 1. The object-sorting tasks may be effective for studies of classification abilities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of the International Classification of Diseases for disability insurance in Switzerland: study of reproducibility]

Our earlier studies on edentulous elderly subjects have shown associations of severe resorption in the mandibular residual ridge with female gender and systemic diseases. The aim of this study was to examine whether other factors also were related to residual ridge resorption (RRR). Among 177 edentulous elderly subjects effects on RRR were investigated with regard to history of edentulousness and denture-wearing, the condition of the dentures and soft tissues, dental status of the opposing jaw, and oral hygiene habits. No significant association was found between degree of resorption and duration of edentulousness in either the mandible or the maxilla. RRR was related to denture quality (P < 0.05); however, severe resorption was not. In the maxilla previous use of removable partial dentures was a factor contributing to the resorption (odds ratio (OR), 2.4); flabby ridge was related to the severity of the resorption (OR, 2.4). This study showed local factors related to RRR more often in the maxilla than in the mandible, thus suggesting that severe resorption in the mandible is influenced more by systemic factors than by those investigated in this study.     

Patellar tracking after total knee arthroplasty. The effect of tibial tray malrotation and articular surface configuration

The effect of total knee arthroplasty (TKA) with neutrally aligned and malrotated tibial trays was studied in five fresh anatomic specimen knees. Patellar shift, tilt, and rotation, and the rotational position of the tibia were measured in normal knees and after TKA with the Ortholoc Modular knee system. Both semiconstrained and unconstrained articular surfaces were assessed in the neutral position and at anatomic, 15 degrees internal, and 15 degrees external rotation of the tibial tray. After TKA, the patellae shifted slightly medially in the early phase of knee flexion because the anterior lateral flange of the femoral component was longer than the lateral trochlea of the femur and because the tibia rotated internally. The raised lateral flange on the femoral component tilted the patella medially at full extension after TKA. The semiconstrained tray allowed minimal tibial rotation because of its articular configuration. As much as 15 degrees malrotation of the unconstrained tibial tray did not affect patellar tracking. The semiconstrained tibial tray in the neutral position had almost the same patellar tracking as the unconstrained tray, but at 15 degrees external rotation, the semiconstrained tray internally rotated the tibia, leading to medial shift of the patella. Although 15 degrees internal rotation caused external rotation of the tibia, the patella did not shift as much laterally, despite the increase in the Q angle.     

Accuracy, detail reproduction, and hardness of gypsum casts produced from silicone impressions treated with glow discharge

Plasma treatment has been reported to improve the wettability of silicone impression materials. This study investigated whether plasma treatment of silicone impressions influenced the linear dimensional accuracy, detail reproducibility, and surface hardness of models produced from a type IV dental die stone. Five silicone impressions materials were used in this study. Linear dimensional accuracy and detail reproduction were tested according to ISO standards. Surface hardness was evaluated with a Vickers hardness test. The results indicated that plasma-treated impressions from Xantopren and Provil silicone impression materials had significantly smaller dimensional change than their respective controls, and the other materials were not influenced. The detail reproduction was superior in casts produced from plasma-treated impressions from President silicone. Surface hardness was not influenced by the treatment. Plasma treatment of silicone impressions has no negative influence on the tested physical properties of die stone models.     

Cloning, characterization, and chromosomal localization of human superillin (SVIL)

The specific aim of this study was to determine the response of alveolar bone after it was augmented vertically using distraction osteogenesis and subsequently loaded with implant restorations. Four dogs each had four implants placed horizontally into an edentulous mandibular quadrant and, after integration, a distraction osteogenesis device was fabricated in the laboratory. An osteotomy was made to allow the crest of the alveolar ridge to be distracted vertically. After 10 mm of vertical distraction, the device was stabilized with light cured resin. Following bone fill confirmation of the distraction gap at 10 weeks, two implants were placed into the ridges, one in distracted bone and one in nondistracted bone. After 4 months for implant integration, freestanding prostheses were fabricated. Crestal bone levels were evaluated throughout the period of function. Animals were sacrificed after 1 year of loading, for histologic evaluation of the bone. The vertical ridge augmentation averaged 8.85 +/- 1.05 mm after 10 weeks of healing following distraction, without change over 1 year of implant loading. Histologic examination showed that bone had formed between the distracted segments, creating an augmented ridge. The average thickness of the labial cortex in the distraction gap was significantly thinner than the lingual cortex in distracted bone and the lingual and labial nondistracted cortical bone. The presence of the dental implant did not significantly affect cortical bone thickness. Serial sections showed that implants remained integrated and functional without soft tissue inflammation. Dental implants placed into alveolar ridges augmented with the technique of distraction osteogenesis maintained bone and were functional for the length of this study.     

A visual method for analysing bucco-lingual position of artificial posterior teeth. Part 1: use of the ridge crest

We have developed a visual analysis method to examine the spatial relationship between the edentulous ridges and the bucco-lingual position of the artificial posterior teeth in complete denture fabrication. In this system, a non-contact type shape measurement system is used. We applied this system to the plaster models and the wax dentures of an edentulous patient. Using the measurement data on the upper and lower plaster models, we reconstructed their shape three-dimensionally and determined the points regarded as the ridge crests and the inter-alveolar crest lines in the frontal sections. To generate the upper and lower ridge crest lines which consisted of the points of the ridge crests, interpolation by B-spline curves was applied. Furthermore, the loft surfaces that we regarded as the consecutive inter-alveolar crest lines, were generated between the upper and lower ridge crest lines. The surface models of the plaster models and artificial teeth were displayed on the cathode-ray tube display unit, and the ridge crest lines and the consecutive inter-alveolar crest lines were superimposed on the surface models. This method could be utilized to visualize and examine the bucco-lingual position of the artificial posterior teeth in reference to the inter-alveolar crest lines.     

Interpositional bone grafting technique to widen narrow maxillary ridge

A narrow edentulous alveolar ridge, less than 6 mm in the buccopalatal aspect, can prevent restoration by means of endosseous implants. A widening technique using alveolar ridge splitting and interpositional autogenous bone grafting is described. Accurate imaging of the alveolar bone shape and size was assessed with computerized tomography in a 1:1 scale. Following 6 months of healing, osseointegrated Br?nemark implants were placed in the grafted sites.     

Effects of impression management and self-deception on the predictive validity of personality constructs.

This study tests whether 2 types of response distortion (self-deception and impression management) affect the predictive validity of 2 of the "Big 5" personality dimensions, conscientiousness and emotional stability, in 2 applicant samples of long-haul semitruck drivers (n?=?147 and n?=?139). As hypothesized, conscientiousness (p?=?–.26 and –.26) and emotional stability (p?=?–.23 and –.21 ) were valid predictors of voluntary turnover in the 2 samples. Also as hypothesized, conscientiousness was a valid predictor of supervisory ratings of performance (p?=?.41 and .39 ) in the 2 samples. Although not hypothesized, emotional stability was also significantly related to supervisor ratings of performance (p?=?.23 and .27). Results from structural equations modeling indicated that applicants did distort their scores on both personality dimensions and the distortion occurred both through self-deception and impression management; however, neither type of distortion attenuated the predictive validities of either personality construct. (PsycINFO Database Record (c) 2010 APA, all rights reserved)