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the following video will show you how easy it is to take deep impressions using the matrix image nxt impression system when taking deep impressions we recommend you choose a high quality silicone one that has a shore hardness less than 30 possesses a low to medium viscosity and has good tear strength carefully examine the ear using proper otoscopic procedures follow proper hygiene techniques to ensure there is no contamination between you and your patient or from patient to patient if any of the following conditions are present it may be necessary to refer the individual to a physician for medical evaluation review the procedure with the patient let them know that there may be discomfort involved explain where the otoblock will be placed and let them know what might be expected during removal of the impression they may experience a light scraping of the ear canal some abrasion or blistering its better to review this in advance with them than to have surprises when making impressions