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Published byClarence Merritt Modified over 9 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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Custom Material Light-cure resins (Triad)
Auto polymerizing acrylic resin (e.g. SR-Ivolin) Fume hood Vacuum-form poly vinyl Thermoplastic materials
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Monomer Hygiene Autopolymerizing resins have a liquid monomer that should be used in a fume hood Light cure materials for students
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Extension 3-4 mm short of the peripheral role
Diagnostic casts usually overextended (irreversible hydrocolloid)
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Extension Outline the depth of vestibule
vertical portion turns toward horizontal Through hamular notches across vibrating line Provide room for frenal attachments
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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 One thickness of base plate wax over the cast
Trim line in vestibule Trim to“butterfly” configuration glandular tissue
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Wax Spacer Minimizes hydraulic pressures
Do not place relief over blockout Already space from tissue Provides room for impression material
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Triad Resin Light-cure Heat will melt wax spacer Cure under water
Cures on exposure to ambient light
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Triad Resin Exposed surface has air inhibited layer
Air Barrier Coating Cytotoxic Must be thoroughly removed Cure under water
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Triad Resin Wear gloves to minimize exposure to material
Hypersensitivity potential minimal
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Tru-Tray Material Remove from wrapper Adapt the resin over the spacer
Palatal area adapted first
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Large Casts Use portion of another sheet Adapt well until seam is gone
Reclose material in wrapper, tape shut Infection control
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Tru-Tray Material Trim excess with a scalpel, then readapt
Cut down through resin Pulling blade will tear resin
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Trimming the Tray
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Handle Addition Small vertical handle Add before curing
Does not pull vestibule Add before curing
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Auxiliary Handles Mandible
For stabilization Orientation the tongue Area of 2nd premolars / 1st molars
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Curing in Water Prevents wax meltdown Water hazard Ensure:
Top of container well sealed Outer container surface dry
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Cure Time 4 minutes Cooling effect of water may extend cure time
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Finish Arbor-bands and acrylic burs Round and smooth edges
Mask and eye protection
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Finish Do not polish - adhesion No holes until border molded
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Tray for Border Molding with Partner
More difficult than edentulous border molding Removal from teeth & undercuts Easier to lock in place Hybrid design
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Tray Design
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