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The Historical Evolution of Dental Impression Materials
The Historical Evolution of Dental Impression Materials
The Historical Evolution of Dental Impression Materials
Materials
Ioannis Papadiochos, MD, DDS
Oral and Maxillofacial Surgeon, Athens, Greece
Dental impression making was developed ever century, the prosthetic restorations consisted of ox’s
since humans realized that the basic prerequisite teeth and bone, hippopotamus and sea cow ivory
for successful tooth replacement required capturing tusks and human cadaver’s teeth.4 A widely applied
of the tooth morphology, along with the patient’s practice involved coloring of the edentulous dento-
functional characteristics. However up to mid alveolar ridges through a dye while pressing of ivory
1800s, no official source had been identified blocks or bone was carried out against the painted
indicating the presence of an impression material surface.1,2 Any contact areas were then scrapped
for tooth and/or dental alveolar processes.1-3 This away in order to obtain better adaptation of the
was due to the lack of the concepts for complete anticipated prosthetic restoration. 1,2
dentures fabrication and the lack of awareness of The first officially registered impression
preparing a stone cast for the fabrication of the technique along with the fabrication of dental casts
intended restoration.2,3 Before 1700s, the fabrication in the history of dentistry is dated back in 1756,
of prosthetic restorations in partially edentulous at Berlin and was performed by Philip Pfaff (1713-
persons involved cases with only posterior abutment 1766), a German dentist of King Frederick II of
teeth. These restorations that were made from ivory Prussia.3-6 Bees wax was the material applied in that
or wood and sometimes were fixed in gold plates.2 first impression making process.4
For the fabrication of esthetic restorations, Ancient Τhe introduction of wax in dentistry
Egyptians wired and stabilized artificial teeth has been ascribed to a German surgeon named
with the remaining natural abutments.2 Up to 18th Matthias Gottfried Purmann (1648-1711) in 1711.2
Figure 1. The cover and title page of Pfaff’s textbook “Abhandlung von den Zahnen des menschlichen
Korpers und deren Krankheiten” in 1756.
Dunning who replaced the wax with plaster manufactured by Mr. E.T Starr.33 The design of those
since the impressions produced with wax were dental trays was similar with the current ones.33 The
distorted.26 The fabrication of dental casts implied trays were made of light metal so as to be adjusted
that the surface of the impressions should have been with either fingers or pliers, while the advertisement
coated with a separating agent such as varnish or
goma laca.3 In 1862, Franklin performed the double
impression technique for the first time, using wax
for the primary impression and plaster of Paris in
the second corrective impression (plaster wash).27
A similar double impression technique was also
described by Wescott in 1870, involving wax
and overextended dental trays derived from the
initial impression, while a second final corrective
impression with plaster of Paris followed.26
In 1856-57, an English dentist named Charles
Stent, after experi menting with different types of
dental waxes possessing the ability to solidify in oral
temperature, introduced a thermoplastic material
that bears his name and was composed of synthetic
resin.15,28 (Figs. 4, 5) Presently, the composition of the
material remains similar. In USA, the introduction
of thermoplastic synthetic resins is attributed to
Figure 7. An impression tray included in the
Samuel Stockton White (Fig. 6) (1874).1 The invention
textbook “S. S. White Dental Catalog” in 1876.
of thermoplastic synthetic resins aimed to outplace
(Reprinted from the article of Glenner RA. Dental
both pure wax and plaster of Paris from the existing
impressions. J Hist Dent 1997; 45: 127-130)
dental impression procedures. However, in the late
1870s, the dominating perception among dentists
dictated that the plaster of Paris would remain the included both Dr Thomas’s set of dental trays for
most important impression material during the plaster impression (3 different sizes of mandibular
succeeding years.15,29 dental trays) and the Wardl’s palatal dental tray.33
In 1864, a German dentist from Alsatia, Five years later, in 1876, Samuel S. White appended
named Johann Joseph Schrott described in detail in a Dental Catalog a set of porcelain dental trays in
a new functional impression technique in a various shapes and sizes, with a cost equivalent to
congress of “Central Verein Deutcher Zahnärtze” in the metallic ones, namely 50 cents (American) per
Munich.30,31 The method involved making of wax piece.34 (Fig. 7)
impressions in upper and lower jaw, joining them In 1887, A.G Bennett in the textbook entitled
with springs extra-orally and using gutta-percha “The American System of Dentistry” that a perfect
as intermediate sticking agent in a way similar to impression along with a right mounting of dental
the modern registration rims.29,30 This appliance casts on the articulator represented basic principles
was placed intra-orally, while patient performed in prosthodontics.35 According to Bennett, the
functional movements for 10 minutes.30,31 It can available impression materials at that time period
be assumed that Schrott defined the principles of were the wax, the plaster of Paris, the thermoplastic
functional impressions as we know them today.32 synthetic resins and the gutta-percha.35 As Bennett
In 1871, James W. White published cited, each of the aforementioned had indications,
“Taking Impressions of The Mouth” advertising a while the most recently invented dental impression
set of 15 maxillary and mandibular dental trays, material was thermoplastic synthetic resins
consisted of carmine (deep-red pigment), talk, The upper flange aimed to retract the cheeks,
stearic acid and dammar gum.35 Bennett preferred lips, and tongue and to prevent them from being
thermoplastic synthetic resins over gutta-percha, included into the impression, while the lower flange
since they had no sticky texture and did not contract brought the impression material into contact with
during application.35 He also claimed that although the ridge and bordering tissue.2 A special type of
impression making procedure with Plaster of Paris dental tray possessed an open trough, through
was laborious, it resulted to more precise outcomes which impression plaster was poured in order to
compared with dental wax.35 be distributed throughout the denture bearing
In the 1900s, the advances in the field of area and all crevices of the remaining teeth.2 The
dental impression procedures seemed to come to primary impression trays applied in the double/
an abrupt halt. During the 19th century, as it has corrective method were nonmetal made of gutta-
been cited in the “Index of the periodical Dental percha or vulcanite.2 Finally, porcelain impression
Literature”, over 200 articles had been published in trays had also been constructed, displaying,
the American dental journals about the impression however, the drawback of fragmentation and lack of
materials, impression techniques and the relevant individualization.3
armamentarium.3 In the scientific textbooks of In the beginning of 20th century, the
Harris, White and Essig the terminology used in contribution of the dentists J. H. Greene, P.T.
the fabrication stages of complete dentures were Greene and Rupert Hall to the establishment and
clearly reported.36-38 In particular, these textbooks propagation of thermoplastic synthetic resins was
highlighted the significance of atmospheric crucial.1 During the initial decade, the Greene
pressure, maximum extension of denture base and brothers mentioned for the first time, the term
uniform distribution of pressure and peripheral seal “posterior dam” and introduced the “closed mouth”
of complete dentures.36-38 impression technique combining the applications
The succeeding years after 1845, a transition of plaster and synthetic resin material.1,39,40 The
from a single impression technique towards a aforementioned impression technique is known as
double corrective impression method was seen.37,38 Hall’s method, since Hall made some modifications
The latter implied a first impression made of wax, to improve the technique in 1915.40
gutta-percha or thermoplastic synthetic resin and a In 1925, the Austrian physicist Alphons
second one involving coating of the first one with Poller, from Vienna, invented the first elastomeric
plaster of Paris. At the end of 19th century, the impression material composed of reversible
dental practitioner had the access to various types hydrocolloid agar-agar with the trade name
of dental trays. According to the English dental “Nogacall”. Poller received the British patent award
literature, the terms that had been used in that time for making impressions in-vivo with reversible
period, were the “impression trays” and “impression hydrocolloid material.41 In 1928, since the
cups”.2 Overall, the impression trays were metallic Americans had recognized the patent, Poller sold
so as to display strength, rigidity, durability and the commercial rights of the impression material
light weight.2 The most common metals for the to DeTrey brothers.42 In 1931, the DeTreys released
fabrication of the metallic trays were copper and in the market a modified version of the impression
antimony alloys as well as aluminum in sheets so as material with the trade name “Dentocole”.43 The
to be individualized.2 Other metals applied for the following years, other companies launched in the
construction of the dental trays was the lead, zinc market similar impression materials with various
alloy, pewter, silver, copper, German silver (nickel trade names.43 In 1940 Paffenbarger conducted
silver) and tin.2 With regard to the characteristics scientific studies in order to investigate the
of the impression trays, these involved round or properties of “Dentocole”.44 The use of reversible
square troughs (depending on the material) and hydrocolloid agar-agar was arrested during World
high, short or double (upper and lower) flanges.2 War II, since the production of the raw material
1. Starcke EN. A historical review of complete 16. Harris CA. The Dental Art, Practical Treatise
denture impression materials. J Am Dent Assoc. on Dental Surgery. Baltimore, 1839. Classics of
1975;91(5):1037-1041. Dentistry Library edition. pp. 348-355.
2. Zinner ID. Sherman H. An analysis of the 17. Goddard PB. The Anatomy, Physiology, and
development of complete denture impression Pathology of the Human Teeth. Philadelphia, Carey
materials. J Prosthet Dent. 1981;46(3):242-249. and Hart. 1844. Pp. 170-171.
3. Glenner RA. Dental impressions. J Hist Dent. 18. Ibid #4. p. 267.
1997;45(3):127-130.
19. Maury F. Treatise on the Dental Art. Philadelphia,
4. Hoffmann-Axthelm W. History of Dentistry. Lea and Blanchhard, 1843 Pp. 189-190.
Chicago: Quintessence Pub.Co. 1981.
20. de Loude, L. C. In Boucher, C.O. (ed). Swenson’s
5. Smith M. A short history of dentistry. London, complete dentures, (ed). St. Louis, C.V. Mosby Co.
Alan Wingate (Pub.) Ltd.1958. 1964. p. 702.
8. Heister L. Kleine Chirurgie oder Handbuch der 22. Colburn GF. Gutta percha-its uses. Am J Dent
Wundtartzney, 3rd ed., Nurnberg. 1767. Sci. 8 (old series): 1848.
9. Ibid #4 p. 226. 23. Blake WP. A letter. Am J Dent Sci. 8 (old series):
1848.
10. Pfaff P. Abhadlung von den Zahnen des
menschlichen Korpers und deren Krankheiten, 24. White SS. A History of Dental and Oral Science
Berlin 1756. Reprint ed. Walter Hoffmann-Axthelm, of America. Philadelphia, American Academy of
Hildesheim. 1966. Dental Science. 1876. Pp. 46-47.
11. Weinberg B. An introduction to the History Of 25. Harris CA. A Dictionary of Dental Science.
Dentistry, vol. 2. St. Louis, Mosby. 1942. pp. 225, 253. Philadelphia, Lindsay and Blakiston. 1849. Pp. 385-
386.
12. Greenwood IJ. The Early History of the Profession
in the United States. Dent Reg. 1861;15: 29-37. 26. Wescott A. Use of plaster of Paris for taking
impressions of the mouth. Dent Cosmos. 12:1870.
13. Fitch SS. A System of Dental Surgery, 2nd ed.
Philadelphia, Carey, Lea, and Blanchard. 1835. 27. Franklin BW. Plaster impressions and other
Pp.427-428. things. Vulcanite. 1: 155 1861.
14. Delabarre CF. A treatise on the Mechanical part 28. Ring M. How a dentist’s name became a
of the Art of the Dentist. Paris. 1820. synonym for a life-saving device: The story of Dr.
Charles Stent. J Hist Dent 2001;49:77-80.
30. Schrott JJ. Bericht VI. Jahresvers. Central- 42. British patent No.252, 112, Sept 1925.
Verein dtsch. Zahnarzte. Dtsch. Vjschr.Zanheilk.4.
1864;267-270. 43. Ibid #4, p. 284.
31. Schrott JJ. System den genauesten Abdruck und 44. Paffenbarger GC. Hydrocolloidal impressions
die sicherste Artikulation zu erhulten. Dtsch. Vjschr. materials: Physical properties and a specification. J
Zanheilk. 4. 1864; 296-304. Amer Dent Ass. 1940; 27:273-388.
34. White SS. SS White Dental Catalog. Philadelphia, 47. Cotter SW. Zinc oxide paste- an impression
Pp. 207-317. material. Illinois Dent J. 1938; (Oct)7: 392.
35. Litch WF. ed. The American System of Dentistry, 48. US Patent No.2,077,418. April 20, 1937.
Vol. 2. Philadelphia, Lea Brothers and Co., 1887. Pp.
453-473. 49. Jorgensen KD. Indlaeg og kroner. Odontologiska
Boghandels Forlag Copenhagen 1978 p. 46.
36. Harris CA. The Principles and Practice of Dental
Surgery, ed 2, part 6. Philadelphia, 1845. Lindsay & 50. Pearson SL. A New Elastic Impression Material:
Blakiston, Chaps 2 and 4. A Preliminary report. Br Dent J. 1955; 99:72-76.
37. White JW. Taking Impressions of the Mouth, ed 51. Jorgensen KD. Thermal expansion of addition
2, Philadelphia, Samuel S. White Dental Mfg. Co. polymerization (Type II) silicon impressions
1876. materials. Australian Dent J. 1982;27(6):377-381.
38. Essig CJ. The American Textbook of Prosthetic 52. Wilson N and Gelbier S. The history and impact
Dentistry. Philadelphia, 1896, Henry Kimpton, chap of development in dental biomaterials over the last
6;ed 2, York, 1900, Lea Brothers and Co. 60 years. Brit Dent Assoc 2014. pp. 72-73.
39. A century service dentistry. Philadelphia, S. S. 53. Brown D. An update on Elastomeric impression
White Dental Mfg. Co.1944. P. 435. materials. Brit Dent J. 1981;150(2):35-40.
40. Bremner MDK. The story of Dentistry. New 54. Nassar U, Oko A, Adeeb S, El-Rich M, Flores-
York, Dental Items of Interest Pub.Co. 1958. P. 284. Mir C. An in vitro study on the dimensional stability
of a vinyl polyether silicone impression material
41. Hansson O, Eklund J. A historical review over a prolonged storage period. J Prosthet Dent.
of hydrocolloids and an investigation of the 2013;109(3):172-178.