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    Custom Trays

    Uploaded by

    bdsnaresh
    Custom trays are made from impressions to improve retention and reduce distortion when making dental impressions, and they are created using various materials like light-cure resins, wax spacers, and extensions to accommodate tissue while blocking undercuts. The document provides instructions for making custom trays, including how to adapt impression materials over casts, add handles, cure the trays, and finish and trim them for accurate border molding impressions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd

    Custom Trays

    Uploaded by

    bdsnaresh
    387 views25 pages
    Custom trays are made from impressions to improve retention and reduce distortion when making dental impressions, and they are created using various materials like light-cure resins, wax spacers, and extensions to accommodate tissue while blocking undercuts. The document provides instructions for making custom trays, including how to adapt impression materials over casts, add handles, cure the trays, and finish and trim them for accurate border molding impressions.

    Original Title

    03. Custom Trays

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    © Attribution Non-Commercial (BY-NC)

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    Custom trays are made from impressions to improve retention and reduce distortion when making dental impressions, and they are created using various materials like light-cure resins, wax spacers, and extensions to accommodate tissue while blocking undercuts. The document provides instructions for making custom trays, including how to adapt impression materials over casts, add handles, cure the trays, and finish and trim them for accurate border molding impressions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    387 views25 pages

    Custom Trays

    Uploaded by

    bdsnaresh
    Custom trays are made from impressions to improve retention and reduce distortion when making dental impressions, and they are created using various materials like light-cure resins, wax spacers, and extensions to accommodate tissue while blocking undercuts. The document provides instructions for making custom trays, including how to adapt impression materials over casts, add handles, cure the trays, and finish and trim them for accurate border molding impressions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 25

    Custom Trays

    • Individualized trays for making


    final impressions
    • Made on a diagnostic cast
    Purpose of a Custom Tray

    • Improve retention (border molded)


    • Minimize:
    – Impression material distortion
    • Uniform thickness
    • Rigid tray
    Purpose of a Custom Tray
    • Minimize:
    – Tissue distortion
    • Less viscous material
    • Accurately adapted tray
    – Costs
    • less impression material used
    Custom Material

    • Light-cure resins (Triad)


    • Auto polymerizing acrylic resin
    (e.g. SR-Ivolin)
    – Fume hood
    • Vacuum-form poly vinyl
    • Thermoplastic materials
    Monomer Hygiene
    • Autopolymerizing resins have a
    liquid monomer that should be
    used in a fume hood
    • Light cure materials for students
    Extension
    • 3-4 mm short of the peripheral role
    • Diagnostic casts usually
    overextended (irreversible
    hydrocolloid)
    Extension
    • Outline the depth of vestibule
    – vertical portion turns toward
    horizontal
    – Through hamular notches
    across vibrating line
    • Provide room for frenal
    attachments
    Block-Out Undercuts
    • Baseplate wax
    • Prevent tray from
    locking onto cast
    • Lubricate cast
    (Petroleum jelly or
    Alcote)
    Wax Spacer
    • One thickness of base
    plate wax over the cast
    • Trim line in vestibule
    • Trim to“butterfly”
    configuration
    glandular tissue
    Wax Spacer
    • Minimizes hydraulic
    pressures
    – Do not place relief
    over blockout
    – Already space from
    tissue
    • Provides room for
    impression material
    Triad Resin

    • Light-cure
    – Heat will melt wax spacer
    – Cure under water
    – Cures on exposure to ambient light
    Triad Resin

    • Exposed surface has air inhibited


    layer
    – Air Barrier Coating
    • Cytotoxic
    • Must be thoroughly removed
    – Cure under water
    Triad Resin

    • Wear gloves to minimize exposure


    to material
    – Hypersensitivity potential minimal
    Tru-Tray Material

    • Remove from wrapper


    • Adapt the resin over the spacer
    • Palatal area adapted first
    Large Casts

    • Use portion of another sheet


    • Adapt well until seam is gone
    • Reclose material in wrapper, tape
    shut
    • Infection control
    Tru-Tray Material

    • Trim excess with a scalpel, then


    readapt
    • Cut down through resin
    • Pulling blade will tear resin
    Trimming the Tray

    Anterior
    , Maxillary
    Tray
    view Lateral
    , Mandibular
    view
    Tray
    Auxillary handle
    Base of Cast

    Narrow Land areaoftoo


    notch
    trimming high
    acrylic - makes
    and Land
    removalarea of
    to
    for labial frenum cast difBroad buccal
    fromficult frenum
    trimming
    removal ficult
    from
    Handle Addition

    • Small vertical handle


    – Does not pull vestibule
    • Add before curing
    Auxiliary Handles
    Mandible
    • For stabilization
    • Orientation the tongue
    • Area of 2nd premolars / 1st molars
    Curing in Water

    • Prevents wax meltdown


    • Water hazard
    • Ensure:
    – Top of container well sealed
    – Outer container surface dry
    Cure Time
    • 4 minutes
    • Cooling effect of water may extend
    cure time
    Finish
    • Arbor-bands and acrylic burs
    • Round and smooth edges
    • Mask and eye protection
    Finish

    • Do not polish - adhesion


    • No holes until border molded
    Tray for Border Molding
    with Partner
    • More difficult than edentulous border
    molding
    – Removal from teeth & undercuts
    – Easier to lock in place
    – Hybrid design
    Tray Design
    ftoirsatlsopw
    aceerasshoul
    d
    yrem ta
    p e
    r abi
    ttowar
    d theo
    cclusal
    ovalfromthesecondspacer.

    N
    O ote l e n g t h o f pe riph e ry isdi
    ffe re n
    t.
    trheneostihdeeriisslsohnogrtfoto
    emoval
    rbaolrodw
    erem
    o
    a
    siledring,
    Acrylicresin
    1stwaxspaceronlyoverteeth
    2ndspacertovestibuleononeside

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