Comparative Evaluation of the Dimensional Accuracy of Different Putty-Wash Techniques Using Additional Silicon Impression Material In Vitro Study

Abstract

Purpose: The aim of the present study was to evaluate and compare the dimensional accuracy of stone models made by addition silicone impression material using three putty- wash impression techniques: one step putty wash (dual viscosity), two step and modified two step putty wash technique. Material and Methods: A stainless steel master model was constructed simulating a three-unit fixed prosthesis. Fifteen impressions were make of this master model with each impression technique. The first technique, one step dual viscosity was made with putty in the tray and light body on brass dies and impression was make. The second technique, two step putty/wash, the first step using putty on the tray with acrylic spacer on the dies and impression was make then followed by loading wash material on the dies and reseating the first impression in the second step. The third technique, modified two step made using putty/light body as in the first technique then a hole was made at the edge of two abutments in the polymerized impression, then light body was loaded into the tray and over the model and the tray is reseated. Total of forty five impressions were obtained and casts poured using type IV stone. The accuracy of these casts measured using a travelling microscope. Three dimensions diameter, height, and interabutment distances measurements were obtained and statistical analysis was done using paired T-test, One way ANOVA, and Least Significant Difference (LSD) tests. Result: Showed that a significantly larger dimensions of the resultant stone casts of all techniques in comparison to the master model (P<.01). The sequence for highest to lowest deviation from the master model was: one step putty wash, two step putty wash, and modified two step putty wash technique. Conclusion: Modified two step and two step putty wash techniques produced most accurate stone casts dimensions, with the privilege of dimensional accuracy shifted to the modified two step impression technique.