The Use Injectable Polyvinylsiloxane As Medium For Border-Molding Impressions

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The Use of Injectable Polyvinylsiloxane

as Medium for Border-Molding Denture


Impressions
G. Roger Troendle, iWS, DDS" and Karen B. Troendle, DDST
This article describes a technique for making a denture impression using polyvinylsiloxane
material to border-mold a custom tray. This material is more acceptable to both dentist and patient
because it is not as messy or time-consuming as modeling compound. The disadvantage is the initial
cost of the materials.
JProsthod I : 121-123. Copyright 0 1992 by the American College of Prosthodontists.

INDEX WORDS: denture, impression

HE CONCEPT of molding the periphery of a

complete denture prosthesis to the surrounding


musculature has been accepted and taught for about
75 years. The classic technique involves making an
irreversible hydrocolloid impression of the ridge,
pouring a cast, and fabricating a custom tray. The
custom tray is made short of the apparent peripheral
extent of the final prosthesis. The tray is then
sectionally border-molded using a thermoplastic impression conipound to develop the proper peripheral
extent. Once the tray i q border-molded, a wash
impression is made to complete the final impression.
The technique to be described does not vary in
concept from this classic technique. 'The primary
difference between this technique and the classic
technique is the material used to border-mold and
wash the final impression.

4. Place adhesive on the labial flange of the tray.


Place the tray in the mouth, and inject Kerr Stat
B.R. (Kerr Manufacturing Company, Romulus,
MI; Fig 3) arid mold the material to the labial
musculature (Fig 4). If needed, excess material
can be trimmed with a sharp #25 surgical blade
after the material sets.
5. The maxillar). tray is molded in four segments,
the labial flange, right buccal flange, left buccal
flange, and posterior palatal flange. Figure 5
show the complete border-molded impression
tra)-.
6. The remainder of the tray is painted with adhesive, and then medium-viscosity polyvinylsiloxane
impression material is injected in the tray, plact-d
in the patient's mouth, and border-molded. Fig

Technique
Make a custom tray on a cast made from an
irreversible hydrocolloid impression (Fig 1).
Evaluate the custom tray in the patient's mouth
to ensure that it is short of the estimated periphe r y ofthe final prosthesis (Fig 2).
With a no. 8 round bur in a straight handpiece,
perforate the complete periphery of' the tray (Fig

2).
From the Unitenip ofTexas Health Srirnce Center ut San Antonio.
San Antonio. TX.
TAssociate Pmjssor. Dqartment ofliesloratiue Dentirty!.
'Clinical Assm'ate Projfrsor,Drpartmenl qfhktorative Dentisty
Address repint reqimts to Karen H.Troendle. DDS, Dept ofRestorative
Dentisty, The L'niuertip~TexnrHeallh Science Center at San Antonio,
7703Flyd Curl&, San Antonio, 7 X 782847890,
Copyjqht 01992 b))the Am~ricanCollege q/Prosthodontists
I059-Y41X/9210102-0011~5.00~
0

Figure 1. Custom tray made on preliminary cast.

Journal ofProsthodontics, Vol 1,No 2 (December), lYY2:pp 121-12.7

121

Figure 2. The custom tray


is trimmed short of the border
and the holes are drilled in the
periphery of the tray.

Figure 3. The injectable polyvinylsiloxane materials,


Stat B.R. for border molding, and Express medium viscosity for the wash.

Figure 5. The impression after the border has been


molded.

Figure 4. Injecting the Stat


B.R. at the labial border of the
custom tray.

123

December 1992, r(16urne I . i%imber 2

ure 6 shows a completed inipression using this


technique. Figure 7 shows the labial view of the
master cast ponred from this impression.

Discussion
A technique was prcsentcd for border-molding a
custom tray with a quick-set? high-viscosity polyvinylsiloxane material (Stat B.R.; Kerr) and making a
wash with a medium-viscosity polyvinylsiloxane impression material (Express; 3M Dental Products, St
Paul, MN). The technique was described for a maxillary overdenture, but is useful for complete dentures,
both upper and lower. The principle of activating thc
musculature at the periphery of the denture is the
same as when using the classic technique with
thermoplastic compound. However, the technique
using the polyvinylsiloxane material is more acceptable to the patient and dentist.
Figure 6. Thc final impression after being washed with
medium-viscositypolyTinylsiloxane impression material.

Figure 7. Labial view of the


cast porired from the impression showing the labial flange
recorded on the master cast.

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