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Custom Trays Individualized trays for making final impressions

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Presentation on theme: "Custom Trays Individualized trays for making final impressions"— Presentation transcript:

1 Custom Trays Individualized trays for making final impressions
Made on a diagnostic cast

2 Purpose of a Custom Tray
Improve retention (border molded) Minimize: Impression material distortion Uniform thickness Rigid tray

3 Purpose of a Custom Tray
Minimize: Tissue distortion Less viscous material Accurately adapted tray Costs less impression material used

4 Custom Material Light-cure resins (Triad)
Auto polymerizing acrylic resin (e.g. SR-Ivolin) Fume hood Vacuum-form poly vinyl Thermoplastic materials

5 Monomer Hygiene Autopolymerizing resins have a liquid monomer that should be used in a fume hood Light cure materials for students

6 Extension 3-4 mm short of the peripheral role
Diagnostic casts usually overextended (irreversible hydrocolloid)

7 Extension Outline the depth of vestibule
vertical portion turns toward horizontal Through hamular notches across vibrating line Provide room for frenal attachments

8 Block-Out Undercuts Baseplate wax Prevent tray from locking onto cast
Lubricate cast (Petroleum jelly or Alcote)

9 Wax Spacer One thickness of base plate wax over the cast
Trim line in vestibule Trim to“butterfly” configuration glandular tissue

10 Wax Spacer Minimizes hydraulic pressures
Do not place relief over blockout Already space from tissue Provides room for impression material

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

12 Triad Resin Exposed surface has air inhibited layer
Air Barrier Coating Cytotoxic Must be thoroughly removed Cure under water

13 Triad Resin Wear gloves to minimize exposure to material
Hypersensitivity potential minimal

14 Tru-Tray Material Remove from wrapper Adapt the resin over the spacer
Palatal area adapted first

15 Large Casts Use portion of another sheet Adapt well until seam is gone
Reclose material in wrapper, tape shut Infection control

16 Tru-Tray Material Trim excess with a scalpel, then readapt
Cut down through resin Pulling blade will tear resin

17 Trimming the Tray

18 Handle Addition Small vertical handle Add before curing
Does not pull vestibule Add before curing

19 Auxiliary Handles Mandible
For stabilization Orientation the tongue Area of 2nd premolars / 1st molars

20 Curing in Water Prevents wax meltdown Water hazard Ensure:
Top of container well sealed Outer container surface dry

21 Cure Time 4 minutes Cooling effect of water may extend cure time

22 Finish Arbor-bands and acrylic burs Round and smooth edges
Mask and eye protection

23 Finish Do not polish - adhesion No holes until border molded

24 Tray for Border Molding with Partner
More difficult than edentulous border molding Removal from teeth & undercuts Easier to lock in place Hybrid design

25 Tray Design


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