GINGIVAL RETRACTION
1.Proper horizontal displacement of the tissues at the coronal
margins.
2.Vertical displacement of marginal tissues to expose undercuts
apical to the finish line.
3.Gingival bleeding must be arrested.
4.Complete dry field.
◦Not needed for supragingival margins
Methods of retraction
◦Electrosurgery
◦Placement of retraction cord (Mechanical)
◦Retraction cords can be soaked in hemostatic or astringent
solution (chemo mechanical)
Epinephrine
Aluminium chloride
Ferrous sulphate
◦Blasts of air from triple syringe over impression
material to flow material into crevices
Braided cords are preferred than twisted
retraction cords
Available in various thickness
Should be placed for 2-3mins for sufficient
retraction
Double cord technique
Impression
material
viscositiesadvantages disadvantages
Silicone based
(additon )
Putty
Heavy body
Regular
Light body
Wash
accuracy,
dimensional stability
Non toxic ,non
allergic
Cost
Hydrophobic
material
poly ether Regular accuracy
Non toxic ,non
allergic
Cost
hydrophobic
polysulphide Light
Heavy body
Longer working time
accuracy
Offensive smell
Longer setting
time
Difficult
handling
Reverrsible
hydrocollide
------------Hydrophobic
Fine detail recording
Difficult
handling
Poor
Dimensional
stability
Single stage technique
Two stage techniques
◦Unspaced technique
◦Spaced technique
Recording putty impression before preparation and light
body impression after preparation
Use of polythene spacer while recording putty
impression and final impression with light body
Gouging away putty impression around prepared tooth
impression and relining impression with light body
impression material.
Polymer material
Wax interocclusal record
Zn Oxide eugenol paste record
•Difference between provisional crown and
temporary crown
•Temporization is important for
–Protection of prepared dentin
–Maintain appearance
–Prevent tilting,overeruption by maintaining contact
points and occlusion
–Maintain ginigival and pulpal health
–Maintain function
1.Checking of fit of crown and margin on die
2.Check for seating of crown
3.Check for margin defects ( Negative ledges,
positive ledges or overhang margins).
4.Check for fit of inner surface of crown by
disclosing agents (colloidal graphite spray)
5.Check for tightness of contact with floss
1.Check for retention of crown ( not too tight ,
no pivoting)
2.Check for buccal and lingual contours
3.Check for shade matching
4.Check and adjust occlusion
Crown should be cemented quickly
Firm pressure by dentist or patient by biting on
a cotton roll
Maintain isolation till the cement is set
Excess cement is removed by probes on the
buccal and lingual surface. Interproximal
surfaces are cleaned using dental floss while
assistant applies digital pressure on the crown.