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Role of dental impression compound in plastic surgery: Know more about it

Identifieur interne : 000244 ( Pmc/Corpus ); précédent : 000243; suivant : 000245

Role of dental impression compound in plastic surgery: Know more about it

Auteurs : Himanshi Aggarwal ; Pradeep Kumar ; Rohan Grover

Source :

RBID : PMC:4147472
Url:
DOI: 10.4103/0970-0358.138989
PubMed: 25190933
PubMed Central: 4147472

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PMC:4147472

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<title xml:lang="en">Role of dental impression compound in plastic surgery: Know more about it</title>
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<name sortKey="Aggarwal, Himanshi" sort="Aggarwal, Himanshi" uniqKey="Aggarwal H" first="Himanshi" last="Aggarwal">Himanshi Aggarwal</name>
<affiliation>
<nlm:aff id="aff1">Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kumar, Pradeep" sort="Kumar, Pradeep" uniqKey="Kumar P" first="Pradeep" last="Kumar">Pradeep Kumar</name>
<affiliation>
<nlm:aff id="aff1">Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grover, Rohan" sort="Grover, Rohan" uniqKey="Grover R" first="Rohan" last="Grover">Rohan Grover</name>
<affiliation>
<nlm:aff id="aff1">Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff>
</affiliation>
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<title xml:lang="en" level="a" type="main">Role of dental impression compound in plastic surgery: Know more about it</title>
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<name sortKey="Aggarwal, Himanshi" sort="Aggarwal, Himanshi" uniqKey="Aggarwal H" first="Himanshi" last="Aggarwal">Himanshi Aggarwal</name>
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<nlm:aff id="aff1">Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kumar, Pradeep" sort="Kumar, Pradeep" uniqKey="Kumar P" first="Pradeep" last="Kumar">Pradeep Kumar</name>
<affiliation>
<nlm:aff id="aff1">Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grover, Rohan" sort="Grover, Rohan" uniqKey="Grover R" first="Rohan" last="Grover">Rohan Grover</name>
<affiliation>
<nlm:aff id="aff1">Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff>
</affiliation>
</author>
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<series>
<title level="j">Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India</title>
<idno type="ISSN">0970-0358</idno>
<idno type="eISSN">1998-376X</idno>
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<name sortKey="Bhandari, Ps" uniqKey="Bhandari P">PS Bhandari</name>
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<name sortKey="Singh, S" uniqKey="Singh S">S Singh</name>
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<analytic>
<author>
<name sortKey="Thadani, Sm" uniqKey="Thadani S">SM Thadani</name>
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<author>
<name sortKey="Ladani, Ps" uniqKey="Ladani P">PS Ladani</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Betharia, Sm" uniqKey="Betharia S">SM Betharia</name>
</author>
<author>
<name sortKey="Kanthamani" uniqKey="Kanthamani">Kanthamani</name>
</author>
<author>
<name sortKey="Prakash, H" uniqKey="Prakash H">H Prakash</name>
</author>
<author>
<name sortKey="Kumar, S" uniqKey="Kumar S">S Kumar</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Seitchik, Mw" uniqKey="Seitchik M">MW Seitchik</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Pani, Sc" uniqKey="Pani S">SC Pani</name>
</author>
<author>
<name sortKey="Hedge, Am" uniqKey="Hedge A">AM Hedge</name>
</author>
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</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Bhattacharya, S" uniqKey="Bhattacharya S">S Bhattacharya</name>
</author>
<author>
<name sortKey="Pandey, S D" uniqKey="Pandey S">S.D Pandey</name>
</author>
<author>
<name sortKey="Chandra, R" uniqKey="Chandra R">R Chandra</name>
</author>
<author>
<name sortKey="Singh, G K" uniqKey="Singh G">G.K Singh</name>
</author>
</analytic>
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<biblStruct>
<analytic>
<author>
<name sortKey="Roguin, A" uniqKey="Roguin A">A Roguin</name>
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<pmc article-type="letter">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Indian J Plast Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Indian J Plast Surg</journal-id>
<journal-id journal-id-type="publisher-id">IJPS</journal-id>
<journal-title-group>
<journal-title>Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India</journal-title>
</journal-title-group>
<issn pub-type="ppub">0970-0358</issn>
<issn pub-type="epub">1998-376X</issn>
<publisher>
<publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25190933</article-id>
<article-id pub-id-type="pmc">4147472</article-id>
<article-id pub-id-type="publisher-id">IJPS-47-273</article-id>
<article-id pub-id-type="doi">10.4103/0970-0358.138989</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Letters to Editor</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Role of dental impression compound in plastic surgery: Know more about it</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Aggarwal</surname>
<given-names>Himanshi</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kumar</surname>
<given-names>Pradeep</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Grover</surname>
<given-names>Rohan</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India</aff>
<author-notes>
<corresp id="cor1">
<bold>Address for correspondence:</bold>
Dr. Himanshi Aggarwal, Room No. 404, E Block, Gautam Buddha Hostel, King George's Medical University, Lucknow, Uttar Pradesh, India. E-mail:
<email xlink:href="drhimanshi84@gmail.com">drhimanshi84@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>May-Aug</season>
<year>2014</year>
</pub-date>
<volume>47</volume>
<issue>2</issue>
<fpage>273</fpage>
<lpage>275</lpage>
<permissions>
<copyright-statement>Copyright: © Indian Journal of Plastic Surgery</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
</article-meta>
</front>
<body>
<p>Sir,</p>
<p>I read with much interest an article entitled ‘dental impression compound as an effective splint for maintenance of ear elevation in microtia reconstruction’[
<xref rid="ref1" ref-type="bibr">1</xref>
] published in your esteemed journal. I was elated to know that the impression compound material, which we routinely use in dentistry to make preliminary intraoral impressions of edentulous jaws; has its valuable application in the field of plastic surgery as well. My inquisitiveness led me to explore more about its uses in plastic surgery. A thorough PubMed search with the keyword dental impression compound revealed 85 articles that included articles from journals of numerous medical disciplines such as plastic surgery, cardiology, radiology, rheumatology, and so on, other than dentistry.</p>
<p>Thadani and Ladani in their article entitled ‘a new method for training of ear framework creation by silicon dental impression material’ published in your journal; have prepared a three-dimensional model of harvested costal cartilage with impression compound cake.[
<xref rid="ref2" ref-type="bibr">2</xref>
] The usefulness of this thermoplastic material in the field of oculoplasty was reported in 1990 by Betharia
<italic>et al</italic>
. who successfully used compound as a postsurgical intraocular stent in the socket reconstruction surgery for maintenance of the proper apposition of the split thickness skin graft to the tissue bed, which besides eliminating the dead space, also gave desired shape to the socket.[
<xref rid="ref3" ref-type="bibr">3</xref>
] Seitchik advocated the use of impression compound as a safe method for external splinting following a rhinoplasty or nasal fracture reduction.[
<xref rid="ref4" ref-type="bibr">4</xref>
] Impression compound is also used as a bite registration material for face-bow mounting to record the spatial orientation of jaws for performing mock surgery prior to orthognathic surgery. Pani and Hedge described a two stage technique utilizing greenstick compound and addition silicone impression material to provide a safe, economical, and accurate method for recording impressions in children with cleft lip and palate.[
<xref rid="ref5" ref-type="bibr">5</xref>
] Bhattacharya
<italic>et al</italic>
. have used this material to document the first web space angle in patients with adduction contracture thumb.[
<xref rid="ref6" ref-type="bibr">6</xref>
] The above examples illustrate the versatility of dental impression compound (popularly known as compo or stent's compound) in regard to its multiple uses in the field of plastic surgery, mandating the need to have a workable knowledge about this material.</p>
<p>Impression compound is a mucocompressive, thermoplastic (i.e., it softens when heated and hardens when cooled) and rigid impression material that was invented by British dentist Charles. T. Stent in 1856. Later, a Viennese surgeon, Johannes F. S. Esser (1877-1946) used it in plastic surgery as a matrix to form tissue in the process of rebuilding a shattered face and popularized it as Stent's mould or Stent's compound.[
<xref rid="ref7" ref-type="bibr">7</xref>
] It is made up of three constituents that include resins (e.g., wax), filler (e.g., talc or soapstone) and lubricants (stearic acid or stearin). Two types of impression compounds are available - Type 1 which is low fusing with a fusion temperature of approximately. Above 45°C and Type 2 which is high fusing with a fusion temperature of approximately above 70°C. It is manipulated in a temperature controlled water bath or air bath or open flame. When the compound is heated, the outside part always softens first and inside part softens last. Adequate time must be allowed for the material to be uniformly heated throughout its mass. Higher the temperature, greater is the flow. However if the temperature is quite high, leaching of plasticizers causes it to become grainy and sticky. Although reusable, it cannot be sterilized and tends to become unhygienic and should not be reused ideally. It is nontoxic and nonirritant to the tissues.</p>
<p>It is available in different colours such as brown, grey, green, red, black and white and is dispensed in many forms such as sheets, cakes, cones, sticks etc., [
<xref ref-type="fig" rid="F1">Figure 1</xref>
]. It satisfies all the criteria for the ideal soft tissue substitute.[
<xref rid="ref3" ref-type="bibr">3</xref>
] However, it can be a potential cause of iatrogenic burn injury if used carelessly and if Bhandari and Singh[
<xref rid="ref1" ref-type="bibr">1</xref>
] would have known that the impression compound is also available in brown (skin shade), they would have definitely used the brown coloured cake instead of red cake, so as to provide better aesthetics in 6 months postoperative period
<fig id="F1" position="float">
<label>Figure 1</label>
<caption>
<p>Different colours and forms of impression compound</p>
</caption>
<graphic xlink:href="IJPS-47-273-g001"></graphic>
</fig>
.</p>
</body>
<back>
<ref-list>
<title>REFERENCES</title>
<ref id="ref1">
<label>1</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bhandari</surname>
<given-names>PS</given-names>
</name>
<name>
<surname>Singh</surname>
<given-names>S</given-names>
</name>
</person-group>
<article-title>Dental impression compound as an effective splint for maintenance of ear elevation in microtia reconstruction</article-title>
<source>Indian J Plast Surg</source>
<year>2013</year>
<volume>46</volume>
<fpage>518</fpage>
<lpage>20</lpage>
<pub-id pub-id-type="pmid">24459342</pub-id>
</element-citation>
</ref>
<ref id="ref2">
<label>2</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thadani</surname>
<given-names>SM</given-names>
</name>
<name>
<surname>Ladani</surname>
<given-names>PS</given-names>
</name>
</person-group>
<article-title>A new method for training of ear framework creation by silicon dental impression material</article-title>
<source>Indian J Plast Surg</source>
<year>2012</year>
<volume>45</volume>
<fpage>134</fpage>
<lpage>7</lpage>
<pub-id pub-id-type="pmid">22754170</pub-id>
</element-citation>
</ref>
<ref id="ref3">
<label>3</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Betharia</surname>
<given-names>SM</given-names>
</name>
<name>
<surname>Kanthamani</surname>
</name>
<name>
<surname>Prakash</surname>
<given-names>H</given-names>
</name>
<name>
<surname>Kumar</surname>
<given-names>S</given-names>
</name>
</person-group>
<article-title>Skin grafting in severely contracted socket with the use of ‘Compo’</article-title>
<source>Indian J Ophthalmol</source>
<year>1990</year>
<volume>38</volume>
<fpage>88</fpage>
<lpage>91</lpage>
<pub-id pub-id-type="pmid">2201626</pub-id>
</element-citation>
</ref>
<ref id="ref4">
<label>4</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Seitchik</surname>
<given-names>MW</given-names>
</name>
</person-group>
<article-title>A “safe” nasal splint lined with dental impression compound</article-title>
<source>Plast Reconstr Surg</source>
<year>1986</year>
<volume>77</volume>
<fpage>164</fpage>
<pub-id pub-id-type="pmid">3941843</pub-id>
</element-citation>
</ref>
<ref id="ref5">
<label>5</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pani</surname>
<given-names>SC</given-names>
</name>
<name>
<surname>Hedge</surname>
<given-names>AM</given-names>
</name>
</person-group>
<article-title>Impressions in cleft lip and palate — A novel two stage technique</article-title>
<source>J Clin Pediatr Dent</source>
<year>2008</year>
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<fpage>93</fpage>
<lpage>6</lpage>
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</element-citation>
</ref>
<ref id="ref6">
<label>6</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bhattacharya</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Pandey</surname>
<given-names>S.D</given-names>
</name>
<name>
<surname>Chandra</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Singh</surname>
<given-names>G.K</given-names>
</name>
</person-group>
<article-title>Documentation of First Web Space Angle — Journal of Hand Surgery (British Volume) (1989) 14B, 298-300</article-title>
<source>Cited in Yearbook of Hand Surgery</source>
<year>1990</year>
</element-citation>
</ref>
<ref id="ref7">
<label>7</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Roguin</surname>
<given-names>A</given-names>
</name>
</person-group>
<article-title>Stent: The man and word behind the coronary metal prosthesis</article-title>
<source>Circ Cardiovasc Interv</source>
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<pub-id pub-id-type="pmid">21505167</pub-id>
</element-citation>
</ref>
</ref-list>
</back>
</pmc>
</record>

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