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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