DENTAL LAB IMPRESSION CHECKLIST: ACCURACY & DETAIL CAPTURE

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--- IMPRESSION MATERIAL & MIXING ---
[ ] Impression Material Type (Alginate, PVS, Polyether)
[ ] Water/Powder Ratio (if applicable)
[ ] Mixing Time (seconds)
[ ] Mixing Technique Notes
[ ] Vacuum Mixing? (Yes, No)
[ ] Material Consistency Notes

--- PATIENT POSITIONING & TRAY PREPARATION ---
[ ] Patient's Weight (lbs)
[ ] Patient's Position (Supine, Semi-reclined, etc.) (Supine, Semi-reclined, Sitting, Prone)
[ ] Tray Type Selected (Alginate, Silicone, Polyvinyl Ether)
[ ] Tray Size (Upper/Lower)
[ ] Any Patient Considerations (e.g., claustrophobia, mobility issues)
[ ] Date of Impression

--- EDGE DETAIL CAPTURE ---
[ ] Gingival Margin Detail (Excellent, Good, Fair, Poor)
[ ] Embrasures Captured? (Yes, No)
[ ] Distance from Gingiva (mm)
[ ] Notes on Margin Detail (e.g., recession, inflammation)
[ ] Undercut Presence (Present, Absent)
[ ] Undercut Location (if present)
[ ] Detail at Proximal Contacts (Excellent, Good, Fair, Poor)

--- GINGIVAL TISSUE DETAILS ---
[ ] Gingival Inflammation Present? (No, Mild, Moderate, Severe)
[ ] Gingival Recession Observed? (No, Mild, Moderate, Severe)
[ ] Describe Gingival Appearance (color, texture, etc.)
[ ] Bleeding on Probing? (No, Yes, Slight, Yes, Moderate, Yes, Severe)
[ ] Note any unusual features (e.g., lesions, cysts, swelling)
[ ] Gingival Contour (Normal, Scalloped, Rolled, Sharp)

--- UNDERCUTS & RETENTION ---
[ ] Presence of Undercuts? (Yes, No, Uncertain)
[ ] Detailed Description of Undercuts (if present)
[ ] Estimated Undercut Depth (mm)
[ ] Handling Strategy for Undercuts (Border Milling, Special Impression Technique, No special action required, Other (specify))
[ ] Specify 'Other' Handling Strategy (if selected)
[ ] Impression Material Elasticity (High, Medium, Low)

--- IMPRESSION HANDLING & STORAGE ---
[ ] Impression Material Type (Alginate, Polyvinyl Siloxane (PVS), Polyether)
[ ] Impression Removal Time
[ ] Impression Storage Temperature (Â°C)
[ ] Storage Method (Room Temperature, Refrigerated, Frozen)
[ ] Impression Delivery Date
[ ] Special Handling Notes

--- DOCUMENTATION & COMMUNICATION ---
[ ] Specific Impression Notes
[ ] Suspected Oral Pathologies Observed (Ulceration, Lesion, Swelling, Color Changes, None)
[ ] Impression Quality Assessment (Lab) (Excellent, Good, Fair, Poor)
[ ] Lab Case/PO Number
[ ] Radiographic Images (if applicable)

--- COMPLETE ARCH CAPTURE ---
[ ] Are all teeth present in the impression? (Yes, No - List Missing Teeth:)
[ ] Missing Teeth (If Applicable):
[ ] Are all four cusps visible on posterior teeth? (Yes, No - Specify which teeth are incomplete:)
[ ] Incomplete Teeth (If Applicable):
[ ] Number of impressions taken:
[ ] Impression Type (Full Arch, Partial Arch)

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