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Questions and Answers

What is an impression tray used for?

The impression tray is a device used to carry the impression material into the mouth, maintaining it in position during setting, and supporting it during removal from the mouth and when casting the impression.

What are the two main parts of an impression tray?

An impression tray is typically made up of a body and a handle.

What parts make up the body of an impression tray?

The body of an impression tray consists of a floor and flanges.

The upper impression tray has lingual flanges and the lower impression tray has palatal flanges.

<p>False</p> Signup and view all the answers

What is one of the most important requirements for an impression tray?

<p>Impression trays should be strong and rigid to avoid distortion of the impression on removal.</p> Signup and view all the answers

Impression trays should always be disposable.

<p>False</p> Signup and view all the answers

What is the purpose of an impression tray in terms of impression material?

<p>The tray confines the impression material, holds it in the correct position, and covers the entire area of the jaw needed for the impression.</p> Signup and view all the answers

Explain the importance of the flanges of the tray in relation to the functional position of the sulci and frena.

<p>The flanges of the tray should reach the functional position of the sulci and frena, but not displace them when the impression is being taken.</p> Signup and view all the answers

Impression trays should never be modified.

<p>False</p> Signup and view all the answers

What are the two main categories of impression trays?

<p>Impression trays are typically classified into two categories: stock trays and special/individual or custom trays.</p> Signup and view all the answers

Describe stock impression trays and their availability.

<p>Stock impression trays are ready-made trays available in different shapes and sizes. They are supplied in small, medium, large and extra large sizes.</p> Signup and view all the answers

How does the shape of a stock impression tray vary?

<p>The shape of the stock impression tray differs according to whether it is used for patients with a full set of teeth (dentulous), no teeth (edentulous), or partially missing teeth (partially edentulous).</p> Signup and view all the answers

Describe the features of the stock impression tray designed for dentulous patients.

<p>Stock trays designed for dentulous patients typically have flat floors, high flanges, and a handle in-line with the floor of the tray. They can be perforated, rim-lock trays or water-cooled trays.</p> Signup and view all the answers

Which type of impression tray is considered more suitable for dentulous patients and why?

<p>The rim-lock tray is often preferred for dentulous patients.</p> Signup and view all the answers

Describe the features of the stock impression tray specifically designed for edentulous patients.

<p>Stock impression trays for edentulous patients typically have a round floor, short flanges, and a handle bent in an L-shape at a right angle to the floor.</p> Signup and view all the answers

Describe the impression tray required for partially-edentulous patients and its key features.

<p>The stock tray for partially-edentulous patients has a combination of features. It typically has a flat floor and high flanges in the areas where there are teeth and a rounded floor and short flanges in the areas where there are no teeth.</p> Signup and view all the answers

What are the different materials used in stock impression trays?

<p>Stock trays are made from various materials, including nickel silver, stainless steel, aluminum tin or plastics.</p> Signup and view all the answers

Stock trays made from plastic are generally reusable.

<p>False</p> Signup and view all the answers

What is the primary purpose of stock impression trays in the dental procedure?

<p>Stock trays are typically used for taking a preliminary impression of the mouth.</p> Signup and view all the answers

What is the crucial requirement when selecting the correct stock tray for a patient?

<p>The tray must be selected to conform nearly to the shape and size of the dental arch.</p> Signup and view all the answers

What can happen if the wrong impression tray is selected?

<p>Incorrect selection of the impression tray results in a distorted impression.</p> Signup and view all the answers

What is the potential outcome of using a tray with long flanges during an impression?

<p>Using a tray with long flanges can cause distortion of the oral vestibules, resulting in over-extended impressions.</p> Signup and view all the answers

Explain what happens when a short impression tray is used.

<p>If a short tray is used, the impression material may not reach the entire area intended and could leave the tissues unsupported, potentially causing discomfort.</p> Signup and view all the answers

Why do some dentists prefer to modify stock trays?

<p>Some dentists modify stock trays to improve their fit and to accommodate individual patients' unique mouth shapes and structures.</p> Signup and view all the answers

What are the common modifications dentists make to stock impression trays?

<p>Common modifications include bending the flanges to provide adequate space for impression material, or cutting the flanges to accommodate labial or buccal frena or to reduce over-extended flanges.</p> Signup and view all the answers

What is the significance of a study cast in dentistry?

<p>A study cast is a positive reproduction of the form of a patient's upper or lower arch, made from a preliminary impression.</p> Signup and view all the answers

What is the difference between a study cast and a working cast?

<p>The study cast is made from the preliminary impression taken with a stock tray, while the working cast is made from the final impression taken with a special/custom tray.</p> Signup and view all the answers

How is a study cast made?

<p>A study cast is made by pouring a mixed plaster of paris into the preliminary impression.</p> Signup and view all the answers

Explain the process of making a study cast.

<p>The plaster mixture is added to one end of the primary impression from the same area to avoid trapped air. Once the impression is filled, excess plaster is poured over a glass slab and the filled impression is carefully inverted over it. The plaster border is then smoothed and shaped with a spatula. After the plaster sets, the impression is removed, and the periphery of the cast is trimmed.</p> Signup and view all the answers

Study Notes

Impression Trays

  • Impression trays are devices used to hold impression material in the mouth.
  • They maintain the material's position while it sets and during removal, as well as during the casting process.
  • Trays consist of a body and a handle.
  • The body comprises a floor and flanges.
  • Upper trays have a palatal portion, while lower trays have lingual flanges.
  • Impression trays must be strong and rigid to prevent distortion during removal.

Requirements of Impression Trays

  • Trays need to be smooth and clean, and sterilizable if not disposable.
  • They must confine the impression material and hold it in the right position to cover the whole jaw area.
  • The trays must allow for equal thickness of impression material.
  • Flanges must reach the sulci and frena without causing displacement.
  • Mechanical locking (rim-lock undercuts or perforations) or adhesives are used to secure elastic impression materials.

Stock Trays

  • Stock trays are pre-made trays available in various sizes and shapes.
  • They are inexpensive and meant for preliminary impressions.
  • Sizes and shapes are adjusted to accommodate different arch sizes and types of patients (dentulous, edentulous, or partially edentulous cases).
  • Stock trays are available in various materials including nickel silver, stainless steel, aluminum tin, and plastics.
  • Plastic stock trays are disposable.
  • Incorrect tray selection results in distorted impressions.

Dentulous Patients (teeth present)

  • Trays designed for patients with teeth have flat floors, high flanges, and the handle aligns with the floor.
  • Perforated or Rim-lock trays are often chosen for these patients.

Edentulous Patients (no teeth)

  • Trays for toothless patients have rounded floors and short flanges that accommodate the ridge shape.
  • Handles are often L-shaped, enabling border moulding in the labial areas of the impression.

Partially Edentulous Patients (some teeth)

  • Trays for these patients have a flat floor and high flanges in the area with remaining teeth, with a rounded floor and short flanges in the toothless areas.

Construction of Primary or Study Cast

  • A cast is a positive reproduction of the upper or lower arch tissue captured in an impression.
  • The study cast is made from a preliminary impression.
  • The working cast is created from the final impression.
  • Denture bases or other dental restorations are fabricated using the working cast.
  • Plaster of Paris mixes need to be poured in stages to avoid air trapping.
  • The casting and finishing processes are often required to complete the cast.

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