RESEARCH PAPER
Assessment of final impressions and master casts in
complete denture prosthodontics
– analytical survey
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1
Department of Prosthodontics, LR12ES11, Faculty of Dental Medicine of Monastir, University of Monastir, Tunisia, Tunisia
2
Department of Prosthodontics, LR12ES11,Faculty of Dental Medicine of Monastir, University of Monastir, Tunisia, Tunisia
Submission date: 2025-12-08
Final revision date: 2026-05-21
Acceptance date: 2026-09-17
Publication date: 2026-09-17
Corresponding author
Oumaima Tayari
Department of Prosthodontics, LR12ES11, Faculty of Dental Medicine of Monastir, University of Monastir, Tunisia, Avenue Avicenne, 5019, Monastir, Tunisia
Prosthodontics 2026;76(3):249-258
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ABSTRACT
Background:
The accuracy of final impressions
and master casts is critical for the fit and function
of complete dentures. Discrepancies between
clinical situations, impressions, and master casts
can compromise prosthetic outcomes.
Aim:
This prospective analytical
survey aimed to evaluate criteria of secondary
impressions and master casts, analyse their
validity and application in the subsequent
prosthetic workflow, and compare the consistency
of impression and cast validation criteria
between the clinician investigator and the dental
laboratory technician.
Material and methods:
A total of 101 secondary
maxillary impressions and 84 master casts were
analysed over a four-month period. Impressions
and casts were independently assessed by the
clinician investigator and technician.
Results:
Defects were observed in 99% of
impressions by the clinician investigator and 83.2% by the technician. Most common defects
included compression, air bubbles and voids.
Agreement between clinician investigator and
technician evaluations was 67% for impressions
and 78.6% for master casts. Significant
associations were found between the materials
used and defects such as tissue compression (p =
0.017) and poorly defined anatomical landmarks
(p = 0.042).
Conclusions:
Despite shared evaluation
criteria, clinicians and technicians differed
in their validation decisions, highlighting the
importance of interprofessional communication.