Indirect and Direct Restorative Protocols - Caulk

››“Data transfer is critical to the fabrication of any restoration;
use of a reliable impression material like Aquasil Ultra Smart
Wetting allows development of models with precise
margins devoid of undercuts and voids.”
Nelson Rego, CDT
Laboratory Technician and Owner, Rego Smiles, Santa Fe Springs, CA.
Figure 5. A repeatable impression-making technique and Aquasil Ultra
(DENTSPLY Caulk, Milford, DE) facilitate the fabrication of accurate
restorations in the dental laboratory.
Figure 6. Postoperative appearance demonstrates harmonious integration
that was only possible due to precise data transfer and thorough
communication with the laboratory.
››Achieving Predictable Impression Capture
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Ensure proper tissue retraction and hemostasis.
Properly dry the prepared tooth structures prior
to impression capture (but do not desiccate).
Apply B4 ® Pre-Impression Surface Optimizer to the
prepared tooth, then air-thin, taking care not
to rinse or dry the applied material.
Fully load Aquasil Ultra Smart Wetting ® Impression
Material prior to syringing Aquasil Ultra wash
material around the final preparations.
Begin expressing Aquasil Ultra wash material
at the tissue margin and then cover the entire
tooth surface.
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When coverage of the marginal area is complete,
proceed coronally and circumferentially, keeping
the syringe tip in the material as it is expressed.
Align the First Bite ® impression tray parallel to the
occlusal plane for proper vertical seating.
Seat the impression tray using firm, steady pressure
until Aquasil Ultra Smart Wetting ® Impression
Material overflows from the tray within approximately
1 minute from the beginning of syringing.
Verify proper marginal detail prior to
forwarding to the laboratory.
adequate dimensional stability to withstand the subsequent
transfer to the laboratory prior to model fabrication. This
required dimensional stability, a defining characteristic of
Aquasil Ultra, will also influence the technician’s ability to
produce multiple refractory models following delayed pouring.
Additional occlusal data can be sent to the laboratory in the
form of a rigid bite registration (eg, Regisil® Rigid, DENTSPLY
Caulk, Milford, DE) (Figure 4). To ensure that the occlusal
data being sent is clearly communicated, excess material that
extends onto the soft tissue region or to the height of the tooth
contour should be removed using a scalpel blade or sharp scissors
when seating the registration onto the model.
Impression materials and techniques can vary depending
on the type of restoration or clinical environment. Thus, it is
beneficial that materials such as Aquasil Ultra and repeatable
impression-making techniques enable dental professionals to
deliver a well-integrated restoration for either the anterior or
posterior region (Figures 5 and 6). n
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