Dental Sales Flyer - March 2021 - 79

SOLUTIONS FOR

CLINICAL EXCELLENCE

Simplifying the Process
of Full Arch Implant
Impressions Without
Compromise to Accuracy
By Chad C. Duplantis
DDS, FAGD

I

mplant impressions can create undue stress in the
mind of a clinician. This is especially true for full arch
implant impressions as these demand an incredible
amount of accuracy and minimal room for error. Prior
to taking these impressions, the clinician must answer a
few questions: What type of impression material should
I use? Should I take an open or closed tray impression?
What trays are available to help me accomplish the best
impression possible?

THE MATERIAL
Chad C. Duplantis
DDS, FAGD
Dr. Duplantis received his
D.D.S. degree from the
University of Texas Health
Science Center at San
Antonio Dental School in
1999. He then continued with
Post Doctorate training at
Baylor College of Dentistry,
earning a Certificate in
Advanced Education in
General Dentistry in 2000.
He is also a Fellow of
the Academy of General
Dentistry. Dr. Duplantis has
been in private practice
since 2000 in the North
Fort Worth, TX area with an
emphasis on restorative and
aesthetic dentistry.

In the past, many clinicians would choose a polyether
impression material. These materials provided great
accuracy, yet they had a rather extensive set time. They
also presented the patient with an unpleasant taste. Today,
there are newer polyvinylsiloxane materials available that
are more hydrophilic, set faster with no taste, and provide
a very accurate impression. The light body materials flow
very nicely into the details of the tooth or implant, and the
heavier bodied tray materials provide the support and detail
needed as well. For a full arch implant impression, the tray
material is perhaps the most important component of these
impressions. Affinity™ InFlex (Clinician's Choice®) is a
very unique material that has several desirable properties:
low viscosity to prevent tissue displacement, it's also rigid
enough to prevent pouring distortion due to its 80 durometer
reading. This material has been extremely beneficial for
both my dual arch and my full arch implant impressions.
Additionally, it is available in 120mL cartridges (along with
50mL and 380mL). The benefit of the 120mL cartridges
is that it can be used in the PowerMix dispenser. The
PowerMix is a small handheld automixer that creates a
consistent mix for faster tray filling and without placing
strain on the assistants hands when delivered.

THE IMPRESSION TECHNIQUE
Open or closed tray impressions are truly a preference of
the operator. Regardless of the preferred technique, the
key is that all impression components are fully seated
prior to taking the impression. In a review of the literature,
no difference is found in accuracy of an open or closed
tray technique. I prefer an open tray technique. The
main advantage in my opinion is that I can visualize the

15

| Winter 2021 |

CLINICAL LIFE | clinicianschoice.com

impression copings upon insertion of the tray and verify
that no problems have occurred in my impression. With this
being said, I feel that an open tray technique provides me
with more confidence.

THE TRAYS
Several stock trays can be modified to accommodate an
open tray impression. Custom trays can also be fabricated
that would perform nicely as well but take a lot of time to
fabricate. I believe that the Heatwave™ trays (Clinician's
Choice®) perform very nicely with their anatomical design
which requires less impression material. By introduction of
these trays to warm water, they can be customized to fit the
patient and capture a quality impression. The tray is further
modified by the use of an acorn or round acrylic bur in the
area of the impression copings to retrieve the screw and
coping.

THE WORKFLOW
In this case, an open tray impression was taken. Once the
appropriate Heatwave tray is selected using the calipers
and chart provided, the tray is immersed in hot water
(70°C/158°F) for 1 minute. (Fig.1) The tray is then
molded to the desired shape and then allowed to cool.
The impression copings have already been seated on the
implants. The tray is relieved in the area of the copings
and baseplate wax is placed to help contain the impression
material in the tray. (Fig.2) Adhesive is then applied to the
tray. While the doctor is placing the light body (Affinity™
Light Body HF, Clinician's Choice®) around the impression
copings and on the ridge, InFlex is placed into the tray
using the PowerMix by the assistant. (Fig.3) The tray is
inserted and the access screws puncture the baseplate upon
seating. Following complete set of the material, the screws
are loosened, and the tray is removed with the impression
copings in the impression. Utilizing analogs, the impression
is poured. Following set of the stone, the model is then
verified using the patient's interim prosthesis.

CONCLUSION
There are many ways to take a final impression
on a full arch implant retained prosthesis.
This workflow has proven to be accurate
and efficient in my practice. I feel that
Affinity™InFlex provides the support
that is needed to maintain accuracy.
Additionally, the PowerMix provides
an effective way to place the tray
material into the tray with minimal
effort.


http://www.clinicianschoice.com

Dental Sales Flyer - March 2021

Table of Contents for the Digital Edition of Dental Sales Flyer - March 2021

Dental Sales Flyer - March 2021 - Cover1
Dental Sales Flyer - March 2021 - 2
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Dental Sales Flyer - March 2021 - Cover4
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