A quality-made dental impression is a prerequisite for successful fixed-prosthodontic fabrication and is directly dependent on the dimensional stability, accuracy and flexibility of the elastomeric impression materials, as well as on the appropriately used impression techniques. The purpose of this paper is to provide a literature review of relevant scientific papers which discuss the use of various silicone impression materials, different impression techniques and to evaluate their impact on the dimensional stability and accuracy of the obtained impressions. Scientific papers and studies were selected according to the materials used, the sample size, impression technique, storage time, type of measurements and use of spacer for the period between 2002 and 2016. In the reviewed literature several factors that influence the dimensional stability and accuracy of silicone impression molds, including the choice of the type of viscosity, impression material thickness, impression technique, retention of the impression material on the tray, storage time before the casting, number of castings, hydrophilicity of the material, release of byproducts, contraction after polymerization, thermal contraction and incomplete elastic recovery were presented. The literature review confirmed the lack of standardization of methodologies applied in the research and their great diversity. All findings point to the superiority of the addition silicone compared to the condensation silicone.
The diverse viscosities of silicone impression materials are suited for their use in various impression techniques, intended to improve the precision of the cast impression in the form of a plaster model. The purpose of this research is to determine the dimensional stability and accuracy of the double-phase impression technique in 1 step and 2 steps by using a condensation silicone impression material. This research was carried out by using a precise stainless-steel master model and an individual aluminum tray. Comparing the abutments of the master model and the abutments of the double-phase impression technique in 2 steps, showed that they are wider on average 81 µm, while the abutments from the double-phase impression technique in 1 step are on average 281 µm wider in diameter. After analyzing the results obtained in relation to the diameter of the abutments, it can be concluded that the double-phase impression technique in 2 steps is dimensionally more stable and accurate compared to the double-phase impression technique in 1 step. This study shows that dimensional stability and accuracy of impression materials also depend on the selection of appropriate impression technique and proper performance in order to obtain a high quality dental impression that will be the basis for an accurate fixed-prosthodontic fabrication. Keywords: silicone impression material, impression technique, fixed partial dentures, dimensional stability and accuracy
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