Indirect and Direct Restorative Protocols - Caulk

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“By combining the use of the B4 Surface Optimizer and
the Aquasil Ultra Smart Wetting Impression Material,
even ultra thin margins are maintained, allowing multiple
pours for increased communication with the laboratory.”
Robert G. Ritter, DMD
Private practice, Palm Beach Gardens, FL.
Table. Clinical Considerations for Impression Capture
Clinical Requisite
Adequate
gingival health
Biologic space
requirement
Rationale
Gingival inflammation may complicate hemostasis and moisture control; gingival
assessment and transfer can also be compromised. Impressions should not be taken
if inflammation cannot be controlled.
Approximately 2 mm of distance is required between the restoration’s finish line and the
alveolar crest to maintain the crestal bone level in comparison to the gingival margin.
Appropriate
tissue retraction
Regardless of the specific technique selected, it is advisable to create a lateral space of
approximately 1 mm and an apical extension beyond the finish line of approximately 1 mm.
Bilateral cheek
retraction
Patients may bite asymmetrically if the cheek is retracted on one side only as the
impression is taken; this technique may help to ensure proper centric occlusion is captured.
Proper patient
education
Once the tray is seated, patients should refrain from any movements that could shift the
position of the tray, thereby distorting the impression maintained.
Figure 3. The impression is made using Aquasil Ultra Smart Wetting ®
Impression Material (DENTSPLY Caulk, Milford, DE). Note its precise
marginal detail.
Figure 4. A centric bite registration should be captured for precise
laboratory communication.
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