Limited available evidence suggests that a one-step impression technique is sufficient for the majority of edentulous patients

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Obtaining an accurate impression of the potential denture supporting area is a key stage in the construction of complete dentures.  Traditionally a two-stage procedure has been recommended.  The aim of this review was to assess the effectiveness of different impression materials and techniques used in complete denture construction.

Medline/PubMed and the Cochrane Library were searched together with the reference lists of included studies.  Studies in edentulous patients comparing methods and materials using clinical outcomes in English, German or Scandinavian language were included.

Five relevant randomized controlled trials were identified and a qualitative summary was presented.

The authors concluded

There was no support for the frequent textbook statement that the two-step procedure is necessary and superior to the one-step method. While some special clinical situations may benefit from other combinations of materials and techniques, the results suggest that the simple and inexpensive one-step procedure can serve the needs of the majority of edentulous patients.

Comment

This review discusses a number of elements of impression technique for complete denture construction and links it with the evidence identified.  However, few high quality studies are available to support the methods recommended in textbooks, teaching and specialist practice.

Links

Carlsson GE, Ortorp A, Omar R. What is the evidence base for the efficacies of different complete denture impression procedures? A critical review. J Dent. 2012 Dec 3. doi:pii: S0300-5712(12)00317-X. 10.1016/j.jdent.2012.11.015. [Epub ahead of print] PubMed PMID: 23219617.

 

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Derek Richards

Derek Richards is the Director of the Centre for Evidence-based Dentistry, Editor of the Evidence-based Dentistry Journal, Consultant in Dental Public Health with Forth Valley Health Board and Honorary Senior Lecturer at Dundee & Glasgow Dental Schools. He helped to establish both the Centre for Evidence-based Dentistry and the Evidence-based Dentistry Journal. He has been involved with teaching EBD and a wide range of evidence-based initiatives both nationally and internationally since 1994.

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