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•Infection risk: diabetes, immunocompromised
•Bleeding risk: therapeutic blood thinning
•Coughing reflex: vagus nerve stimulation (Arnold's
nerve)
•Surgery: mastoidectomy, fenestration, tubes
•Active infection: bacterial or fungal
•Congenital or other malformation [ Ans: ] What are some
things we should watch out for in case history pertaining
to making ear mold impressions?
Explain to them what you are going to do and why you are
going to do it.
Materiel typically takes 6-10 minutes to set
Tell them that you will take 2 impressions of each ear [
Ans: ] Explain ear mold impression process to the patient
poor fit
patient discomfort
,feedback problems [ Ans: ] What happens if you make ear
mold from poor impressions?
•Vinyl polysiloxane (addition-cure silicone)
•Silicone (condensation-cure silicone/traditional silicone)
•Acrylic (ethyl-methacrylate) [ Ans: ] Three types of
impression making materials
•Consists of two putty-like materials
•Contains sulfur = will react to hand lotions and latex
-Wash hands prior to mixing when mixed by hand
-If using gloves, use non-latex
-If use latex gloves, material will never set up! L
-Splay technique
(The singles are this material)
Best in most cases [ Ans: ] Vinyl polysiloxane impression
matieral
Consists of one putty and one paste
Good for long-term user [ Ans: ] Silicone impression
material
, •Liquid and powder
•Comes in pre-measured or in bulk
Good for surgical ears [ Ans: ] Acrylic impression material
viscosity
stability
tensile strength [ Ans: ] Three properties to consider
regarding impression materials
Defined as resistance to flow; how does it come out of
syringe?
-Low viscosity materials are easy to syringe
-Least likely to expand or distort the ear canal
-Not good when you need a tight fit [ Ans: ] What is
viscosity
Ability to maintain shape over time
•Impressions can shrink between the time they are made
and the time they are processed
•Labs often apply a coat of wax to the impression to
compensate