Individual Tray

國泰汐止分院
牙科第一年住院醫師
楊舒涵
 Object

Improves the accuracy of an elastometric impression
by limiting the volume of the material

Opposite is true for reversible hydrocolloid
 Tray material
1.Autopolymerizing acrylic resin
2.Thermoplastic resin
3.Photopolymerized resin
Autopolymerizing materials

Ostron

Tray resin
 Thermoplastic resin

Easy Tray:
soften in water bath and adapted
manually to the spaced cast


Vacuum formed tray:
much more thicker and more rigid
than those used for make provisional
restorations
Light-polymerized materials

Triad VLC resin custom tray material:
adapted to the spaced cast
Triad Visible Light Cure System
 Outline for relief wax may be
drawn on the cast, usually 2 to 3
mm short of tray border
 Block out undercuts on the cast
with wax or molding compound
 Baseplate wax is adapted to the
edentulous or partially
dentulous cast for tissue relief
and trimmed to the desired
outline.
http://trubyte.dentsply.com/pro/prod_triadcustomtray.shtml
Triad Visible Light Cure System
 Paint TRIAD Model Release
Agent (MRA)
 TRIAD TruTray or Original
Blue Tray Material. Carefully
adapt it to the cast and trim
with a sharp blade
 attach a handle by moulding
excess material

http://trubyte.dentsply.com/pro/prod_triadcustomtray.shtml
Triad Visible Light Cure System

http://trubyte.dentsply.com/pro/prod_triadcustomtray.shtml
 Evaluation

Tray rigidity is important

Resin thickness of 2~3mm are needed for adequate
rigidity

Clearance of tray and the teeth should also be
2~3mm

Greater clearance is necessary for the more rigid
polyether
Custom tray for FPD
 Tray border

On diagnostic cast, using a pencil:
approximately 5mm apically to the
crest of the free gingiva

Maxilla:
covering the entire palate is not
necessary (but necessary if
removable appliance is planned)

Posterior border should not extend
farther than the junction of hard and
soft palate
 Space for impression
material

Baseplate wax 2.5mm thick, trim wax margin back
to pencil line just visible

Or dripping cast in molten wax 3~4 times
 Stopper placement

Three stops maintain even space for
the impression material

On non-centric cusp of teeth that will
not be prepared

If all teeth are involved, use larger soft
tissue stop: Crest of alveolar ridge;
Center of the hard palate

Made by removing wax at an angle of
45 degrees to the occlusal surface
 Tray fabrication

Tinfoil on wax prevent melt

Gently adapt resin with
consistent thickness to the cast

Handle made; buccal ridges
can also be added

After polymerizing, trim with
bur
 Evaluation

Rigid; thickness 2~3mm

3~5mm cervical to gingival margin

Shaped to allow frenum, muscle attachments

Stable on cast; stoppers maintain impression
thickness 2~3 mm

Handle fit between pt's lip

Pressure to prevent lifting while setting

Made 9 hours before using; or 5minutes in boiling
water then cool to room temperature
Custom tray for CD
 Tray border
 Preliminary impression
outlined with marker on the preliminary
impression or poured cast
impression material and tray
 ZOE:
close fitting tray
 elastomer, alginate:
Spaced custom tray
 maxillary
 provide space :
(not used if ZOE as impression material)
baseplate wax; 1 mm thick; within outlined
border ;posterior seal should not covered by wax
spacer
 tray: 2-3 mm thick; a stepped handle at anterior
region
 Premise:
all denture-bearing area reflected in the tray's
extension
 border molding – tray
preparation
 Wax left when border molding
 Space for border molding
custom tray reduced to 2mm shorter of the
reflections
 Tray contains hamular notch and extend 2mm
posterior to the vibrating line
 Border molding
 Record all simultaneously - polyether
reduced insertion number
avoid errors
 Record in sections – stick impression compound
 Section:
labial =>buccal vestibule=>posterior palatal
area
 Border molding with
polyether
Adhesive


留下 wax spacer, 但把靠近 border 的修掉



混 polyether 但 catalyst 少一點



用 syringe 加在 border 和 palatal seal( 用沾水



的手塑型 )

lip 拉高 ,tray 放入
檢查 border 如果材料不夠就用手沾口水把旁


邊的材料移過來
 Border molding with
polyether(maxillary) 
@lip 上外下內拉


@frenum 外下內前後拉


@buccal flange 外下內拉



@ 張大嘴 下頷左右動


Setting 後 tray 拿出


檢查 border: 應為 rounded, 小缺陷以 polyether



補 ,tray 的過度延伸會透出 polyether. 應調整

 preparing tray for final
impression
 remove wax , excess material
 Buccal frenum 間 , flange 厚不要超過
2,5~3mm 進入 undercut 的也拿掉
 最後除了 posterior area , 再均勻拿掉 0.5mm
 Holes :
palate of tray ( if soft tissue mobile, relief
residual ridge)
 Mandibular
 wax spacer:1 mm
 below the mylohyoid ridge; on
crest and slopes of the residual
ridge
 buccal shelf uncovered
Handles:
 20 mm height
 anterior teeth
 1st molar region
 border modeling
 wax left Movements,
 tray trim to 2 mm  lip: 外上內
Shorter than  buccal frenum : 外上內前後
limiting Structure  Cheek 頰上內
 閉口
 舌 : 伸、頂 palate
 開口
 Evaluation
 必須能舌舔 vermilion border 時 , tray 無明顯
移位。
 移除 wax 和修掉 0.5mm molding material
 alveolar groove 和 retromolar pad 上每 10mm
打洞
Custom tray for RPD
 Diagnostic cast

A new impression in a rigid stock tray must be
made if extensive surgery and extractions were
performed after making the diagnostic cast

A duplicate of the diagnostic cast should be
made, on which the individual tray can be
fabricated
 maxillary
 Outline tray border
 Wax spacer 2~3 m shorter than outline
no wax over posterior palatal seal
expose incisal edges of central incisor
bevel wax
 block undercut
 If use alginate=>additional wax on teeth
If rubber base or silicone=> 省略
 Release agent
 maxillary
 Tray fabrication with handle
 Peel wax out
 rounding border of the tray
 Holes:
alginate:
at 5 mm interval ; throughout tray except
alveolar groove area (for lock material)
mercaptan rubbers (polysulfide):
(polysulfide)
only median raphe and incisive papilla
(for relief)
 mandibular
 Wax spacer does not cover the buccal
shelf region
(these areas provide the primary
support for the mandibular RPD)
 Holes:
alginate=>throughout
alginate tray
mercaptan rubber(polysulfide) =>
only alveolar groove (for relief)

如果不使用 secondary impression technique, 則
使用 individual tray 印模可視為做活動假牙的
必要步驟
 Tray
design

British Dental Journal 187, 423 - 426 (1999);The design and use of special trays in prosthodontics: guidelines to improve clinical effectiveness