* 

Dr Erica Yates

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The decontaminated impression has been rinsed and stored with damp
paper towels to provide the humid environment to preserve the integrity
of the alginate impression.

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A laboratory slip (form) has the patient’s and operator ID details listed.
It also details the pouring up of the impression and creation of the study model
for diagnostic purposes or a cast for fabrication of a special tray or mouth guard

Patient’s name: Mary SMITH

TEMP number: 005324
Operator’s name: Yates
Operator’s ID: D-1234

Request:
Please pour up impression in Type 2 stone: (Buff),
using a dual pour technique.
Trimming: orthodontic
Due date: 14/2/16

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The impression may need to be trimmed to remove any unwanted
impression material overhanging the tray.
Damp paper towels can be used to support the impression to allow
an ~ horizontal area for the stone.
Instruments; plaster knife, spatula

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•  Water is measured and placed in the bowl first
•  The stone powder is then placed in the bowl
•  The spatula is used to gently stir the mix to allow wetting of the ingredients.
•  Then there is a more vigorous mixing, using the spatula against the side of
the bowl to remove lumps and create a smooth creamy mix
•  After 3 mins of spatulation, a creamy mix is achieved – mix does not
drop from spatula
The bowl is tapped on the bench or use of a vibration mat to remove bubbles
•  The bowl can be rotated to allow bubbles to come to the surface

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DUAL POUR
The first layer of stone is added in SMALL increments
Time is allowed for the stone to flow over the surface without including air bubbles
•  The aim is to have model/cast with a bubble free surface to achieve a high level
of accuracy and durability
The increments are encouraged to flow over the surface by tilting and tapping
the impression.

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The process continues so that the whole surface of the impression is
covered in a thin layer of stone
The impression is still tilted and tapped to encourage the stone to flow
Watch for the change in gloss at ~ 4minutes
This process continues until the teeth have been filled up to the “gingivae”

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The impression is then turned over and held over the bowl.
It is then firmly tapped to allow the excess stone mix to flow back into the bowl
The aim is to get a thin layer of stone mix over the entire impression surface.
NO bubbles should be seen

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The impression is then supported on paper towels to adjust the angel to allow
the stone mix to stay in the impression.
The well area of the impression is then filled with the stone mix.
Tapping as needed.
Aim to avoid air bubbles being formed with the pour.

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Two options:

•  SINGLE POUR
Pour base with original stone mix
•  DOUBLE POUR
Mix a second batch of stone for base
Once the original pour has achieved an initial set
When “loss of gloss” is apparent
The second mix needs ~ 5 mins to achieve sufficient body/thickness
to support the impression

Strongly recommend the double pour technique initially

Once proficiency is achieved, then can used single pour method

If your attempt to pour up your impression is not satisfactory,

you will need to return to the clinic and take another impression.
It really is better to be safe than sorry initially!

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If using a dual pour method:
You need to add stone “tags” to allow integration and
strength with join to the second pour.

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POUR BASE
The mix is then used to pour the base of the model/cast.
Which ever pour technique is used:
The base is created by using a dollop of stone mix that is thick enough to
hold the weight of the impression
The stone mix has some thickness now, however it can still flow.

•  Single mix method

This occurs ~ 7 minutes after starting mix
•  DUAL mix method
The second mix needs to
be ~ 5 mins into setting
action

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The base is formed on a wet paper towel to avoid
loss of moisture from the stone during setting.
A plaster knife is used to shape it.

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The impression (with its set or setting stone) is everted and placed onto
the prepared base. Aim to avoid bubbles being trapped.

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The impression tray is gently rocked into place
Aim to have the occlusal table horizontal.
•  Occlusal table is the line of occlusion of the aligned in the mouth
Press down gently so that the stone extrudes slightly
Excess materials is removed with the plaster knife

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Shaping the model/cast
By using the plaster knife vertically, the sides of the model can be fashioned.
This significantly reduces the trimming needed later.
One hand steadies the impression whilst the uses the knife
Vertical walls are needed

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There is about 5-6 mins to tidy and shape the model before the stone has
become rigid.
Plenty of time to adjust and shape the model
Small voids can be filled with the excess stone from the mix
Make sure that the stone does not lock the tray in place

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 S M ITH
: M ary
n a me 0 5 3 2 4
t i e nt’s ber: 0 Yates
Pa n um ame:
E M P ’s n 2 3 4 : ( Buf
T tor ID: D- 1 one
e ra st
Op ator’s
r Ty pe 2
Ope i on in
: m p ress que.
e q uest ur up i techni
R e po ou r t ic
a s l p
Ple a dua thodon
g r
usin ing: o /2/16
m
Trim ate: 14
d
Due
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After 24 hours:
Remove excess impression and stone material
This is when you will realise if your impression tray is locked in!!!

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The plaster knife is wedged under the edge of the impression tray and
then the tray is levered off the set model/cast
The knife is used around the whole circumference to loosen the tray.
Thwn, the final leverage action will displace the tray

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SAFETY ISSUES
Both hands are used to support the model
Use finger rests to steady the model/cast whilst trimming
Water must be used on the blade to avoid clogging of the abrasive surface
Goggles must be worn

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Model must be washed to remove the slurry of stone from the trimmer.
Failure to do so will mean the the detail of the model will be obscured
and inaccuracies will occur.
Avoid this error!

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Helpful hints:

Dentistry has many procedures to learn

•  If you learn them along the way, one at a time, then it gets easier to understand
what is needed and happening in each session.
•  It is also helpful to understand if you do each step to the best of your
ability, then the outcome will be more likely to be of a good standard.
If you delay understanding the steps needed, you will eventually hit a road block!!

Some times you may not understand that an early error then causes
the the end result to be unsatisfactory.
Trying to “cut corners” often leads to having to repeat the whole process.

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