DENTAL LAB IMPRESSION CHECKLIST: ACCURACY & DETAIL CAPTURE Created by ChecklistGuro (https://checklistguro.com) --- 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 (°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) --- END OF TEMPLATE --- Transform this text into a digital, automated, and trackable mobile app! Visit: https://checklistguro.com/templates/dental-management/dental-lab-impression-checklist-accuracy-detail-capture (Click "Install Template" to launch your digital inspection tool immediately)