Accuracy of three polyvinyl siloxane putty-wash impression techniques☆☆☆

Abstract 

Statement of problem. There is much discussion in the dental literature concerning the effect of the impression technique on the accuracy of cast restorations. Purpose. This study assessed the accuracy of 3 putty-wash impression techniques using the same impression material (polyvinyl siloxane) in a laboratory model. Material and methods. The 3 putty-wash impression techniques used were (1) 1-step (putty and wash impression materials used simultaneously); (2) 2-step with 2-mm relief (putty first as a preliminary impression to create 2-mm wash space with prefabricated copings. In the second step, the wash stage was carried out); and (3) 2-step technique with a polyethylene spacer (plastic spacer used with the putty impression first and then the wash stage). For each technique, 15 impressions were made of a stainless steel master model that contained 3 complete crown abutment preparations, which were used as the positive control. Accuracy was assessed by measuring 6 dimensions (intraabutment and interabutment) on stone dies poured from impressions of the master model. Results. One-way analysis of variance showed statistically significant differences among the 3 putty-wash impression techniques, for all intraabutment and interabutment measurements (P <.001). Overall discrepancies of the 2-step technique with 2-mm relief putty-wash impression technique were significantly smaller than that in the 1-step and polyethylene putty-wash impression techniques. Conclusion. The polyvinyl siloxane 2-step, 2-mm, relief putty-wash impression technique was the most accurate for fabricating stone dies. (J Prosthet Dent 2000;83:161-5.)