Custom Trays

I ndividualized trays for making

final impressions
Made on a diagnostic cast
Purpose of a Custom Tray
I mprove retention (border molded)
Minimize:
Impression material distortion
Uniform thickness
Rigid tray
Purpose of a Custom Tray
Minimize:
Tissue distortion
Less viscous material
Accurately adapted tray
Costs
less impression material used
Custom Material
Light-cure resins (Triad)
Auto polymerizing acrylic resin
(e.g. SR-I volin)
Fume hood
Vacuum-form poly vinyl
Thermoplastic materials
Monomer Hygiene
Autopolymerizing resins have a
liquid monomer that should be
used in a fume hood
Light cure materials for students
Extension
3-4 mm short of the peripheral role
Diagnostic casts usually
overextended (irreversible
hydrocolloid)
Extension
Outline the depth of vestibule
vertical portion turns toward
horizontal
Through hamular notches
across vibrating line
Provide room for frenal
attachments
Block-Out Undercuts
Baseplate wax
Prevent tray from
locking onto cast
Lubricate cast
(Petroleum jelly or
Alcote)
Wax Spacer
One thickness of base
plate wax over the cast
Trim line in vestibule
Trim tobutterfly
configuration
glandular tissue
Wax Spacer
Minimizes hydraulic
pressures
Do not place relief
over blockout
Already space from
tissue
Provides room for
impression material
Triad Resin
Light-cure
Heat will melt wax spacer
Cure under water
Cures on exposure to ambient light
Triad Resin
Exposed surface has air inhibited
layer
Air Barrier Coating
Cytotoxic
Must be thoroughly removed
Cure under water
Triad Resin
Wear gloves to minimize exposure
to material
Hypersensitivity potential minimal
Tru-Tray Material
Remove from wrapper
Adapt the resin over the spacer
Palatal area adapted first
Large Casts
Use portion of another sheet
Adapt well until seam is gone
Reclose material in wrapper, tape
shut
I nfection control
Tru-Tray Material
Trim excess with a scalpel, then
readapt
Cut down through resin
Pulling blade will tear resin
Trimming the Tray
a
Broad buccal frenum
Land area too high - makes
trimming of acrylic and
removal from cast difficult
Lateral view, Mandibular Tray Anterior view, Maxillary Tray
Base of Cast
Narrow notch
for labial frenum
Land area too high - makes
trimming ofacrylic and removal
from cast difficult
Auxillary handle
Handle Addition
Small vertical handle
Does not pull vestibule
Add before curing
Auxiliary Handles
Mandible
For stabilization
Orientation the tongue
Area of 2nd premolars / 1st molars
Curing in Water
Prevents wax meltdown
Water hazard
Ensure:
Top of container well sealed
Outer container surface dry
Cure Time
4 minutes
Cooling effect of water may extend
cure time
Finish
Arbor-bands and acrylic burs
Round and smooth edges
Mask and eye protection
Finish
Do not polish - adhesion
No holes until border molded
Tray for Border Molding
with Partner
More difficult than edentulous border
molding
Removal from teeth & undercuts
Easier to lock in place
Hybrid design
Tray Design