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Custom Trays

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.

Uploaded by

bdsnaresh
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
492 views

Custom Trays

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.

Uploaded by

bdsnaresh
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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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
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