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Published byEmerald Pitts Modified over 7 years ago
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Custom Trays Individualized trays for making final impressions
Made on a diagnostic cast
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Purpose of a Custom Tray
Improve retention (border molded) Minimize: Impression material distortion Uniform thickness Rigid tray
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Purpose of a Custom Tray
Minimize: Tissue distortion Less viscous material Accurately adapted tray Costs less impression material used
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Extension 3-4 mm short of the peripheral role
Diagnostic casts often overextended (irreversible hydrocolloid)
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Block-Out Undercuts Baseplate wax Prevent tray from locking onto cast
Lubricate cast (Petroleum jelly or Alcote)
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Wax Spacer Minimizes hydraulic pressures
Do not place relief over blockout Already relief in those areas Provides room for impression material
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Auxiliary Handles Mandible
For stabilization Orient the tongue Area of 2nd premolars / 1st molars
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Finish Do not polish - adhesion No holes until border molded
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Custom Tray Videos Outlines for Custom Trays Custom trays
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Border Molding Performed with Thermoplastic modeling compound Waxes
Impression materials
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Heat Source for Compound
Hanau Torch for resoftening of borders already on tray Bunsen Burner or Butane Torch for Initial Softening of stick
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Tray Wax Spacer Remains in place during border molding procedures
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Wax Spacer Keep out of hot water bath to prevent melting
Difficult to replace tray intraorally in the same position Results in uneven border molding
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Tempering Compound Temper in a water bath ( °F) for several seconds Prevent burning Hot water bath will keep compound soft for an extended period
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After Removal Chill in cold water
Trim excess over wax spacer or external material that is thicker than 4-5 mm Clean debris from tray
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Assessing Peripheral Role
Proper thickness No overlap
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Mandible More difficult Changing position of the floor of the mouth
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Posterior Buccal Areas
Pull cheek upward while holding tray in place Have patient suck cheeks inward while holding tray in place
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Retromolar Pad Should be covered (at least partially) to provide a seal and comfort to the patient
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External Oblique Ridge
Don’t extend past Palpate cheek at angle of the mandible Smooth transition between mandible & border - not palpable
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Buccal Extension Look for fold in vestibule
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Retromylohyoid Space Distolingual border can extend
Straight down from the retromolar pads Anteriorly to varying degrees Almost never angles posteriorly from retromolar pads
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Posterior Lingual Areas
Denture should not lift with normal tongue movements
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Border Molding Video
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