Custom-Trays prostho

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prosthodontics

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  • Custom TraysIndividualized trays for making final impressionsMade on a diagnostic cast

  • Purpose of a Custom TrayImprove retention (border molded)Minimize: Impression material distortion Uniform thicknessRigid tray

  • Purpose of a Custom TrayMinimize:Tissue distortion Less viscous materialAccurately adapted trayCosts less impression material used

  • Custom MaterialLight-cure resins (Triad)Auto polymerizing acrylic resin (e.g. SR-Ivolin)Fume hoodVacuum-form poly vinylThermoplastic materials

  • Monomer HygieneAutopolymerizing resins have a liquid monomer that should be used in a fume hoodLight cure materials for students

  • Extension 3-4 mm short of the peripheral roleDiagnostic casts usually overextended (irreversible hydrocolloid)

  • ExtensionOutline the depth of vestibulevertical portion turns toward horizontalThrough hamular notches across vibrating lineProvide room for frenal attachments

  • Block-Out UndercutsBaseplate waxPrevent tray from locking onto castLubricate cast (Petroleum jelly or Alcote)

  • Wax SpacerOne thickness of base plate wax over the castTrim line in vestibuleTrim tobutterfly configuration glandular tissue

  • Wax SpacerMinimizes hydraulic pressures Do not place relief over blockout Already space from tissueProvides room for impression material

  • Triad ResinLight-cureHeat will melt wax spacer Cure under waterCures on exposure to ambient light

  • Triad ResinExposed surface has air inhibited layerAir Barrier CoatingCytotoxicMust be thoroughly removedCure under water

  • Triad ResinWear gloves to minimize exposure to materialHypersensitivity potential minimal

  • Tru-Tray MaterialRemove from wrapperAdapt the resin over the spacerPalatal area adapted first

  • Large CastsUse portion of another sheetAdapt well until seam is goneReclose material in wrapper, tape shutInfection control

  • Tru-Tray MaterialTrim excess with a scalpel, then readapt Cut down through resinPulling blade will tear resin

  • Trimming the Tray

  • Handle AdditionSmall vertical handleDoes not pull vestibuleAdd before curing

  • Auxiliary HandlesMandibleFor stabilization Orientation the tongueArea of 2nd premolars / 1st molars

  • Curing in WaterPrevents wax meltdownWater hazard Ensure:Top of container well sealedOuter container surface dry

  • Cure Time 4 minutesCooling effect of water may extend cure time

  • FinishArbor-bands and acrylic burs Round and smooth edgesMask and eye protection

  • FinishDo not polish - adhesionNo holes until border molded

  • Tray for Border Moldingwith PartnerMore difficult than edentulous border moldingRemoval from teeth & undercutsEasier to lock in placeHybrid design

  • Tray Design