Podcast
Questions and Answers
What is the recommended thickness for the base plate wax when adapting it to the diagnostic model?
What is the recommended thickness for the base plate wax when adapting it to the diagnostic model?
What method is used to achieve stability when creating occlusal stops?
What method is used to achieve stability when creating occlusal stops?
How many minutes should the custom tray undergo polymerization in the light-curing unit?
How many minutes should the custom tray undergo polymerization in the light-curing unit?
What additional step is taken to improve the retention of the impression material?
What additional step is taken to improve the retention of the impression material?
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What area of the cast should not be covered with the wax spacer during the custom tray preparation?
What area of the cast should not be covered with the wax spacer during the custom tray preparation?
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What is the primary purpose of custom trays in prosthodontics?
What is the primary purpose of custom trays in prosthodontics?
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Why are custom trays discarded after use?
Why are custom trays discarded after use?
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What is a significant advantage of using custom trays over stock trays?
What is a significant advantage of using custom trays over stock trays?
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What is the goal when making a final impression with a custom tray?
What is the goal when making a final impression with a custom tray?
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What must be considered when outlining the tray for a custom impression?
What must be considered when outlining the tray for a custom impression?
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Which aspect is NOT considered an advantage of using custom trays?
Which aspect is NOT considered an advantage of using custom trays?
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How do custom trays contribute to the retention and stability of dentures?
How do custom trays contribute to the retention and stability of dentures?
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What kind of variations do edentulous ridges exhibit?
What kind of variations do edentulous ridges exhibit?
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What is the primary use of the single thickness shellac base plate?
What is the primary use of the single thickness shellac base plate?
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How can the cast be treated to prevent adhesion of the shellac base plate?
How can the cast be treated to prevent adhesion of the shellac base plate?
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What is the purpose of inverting the bunsen burner when adapting the shellac base plate?
What is the purpose of inverting the bunsen burner when adapting the shellac base plate?
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Which form of modeling compound is primarily used as a tray material?
Which form of modeling compound is primarily used as a tray material?
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What is the disadvantage of using modeling compound impressions?
What is the disadvantage of using modeling compound impressions?
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What technique is used to adapt the borders of the shellac base plate?
What technique is used to adapt the borders of the shellac base plate?
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Why are perforations made in the tray when using alginate impression material?
Why are perforations made in the tray when using alginate impression material?
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What is one advantage of using modeling compound impressions as custom trays?
What is one advantage of using modeling compound impressions as custom trays?
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What is the purpose of a spacer in a custom tray?
What is the purpose of a spacer in a custom tray?
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When using zinc oxide-eugenol impression paste, what type of tray is required?
When using zinc oxide-eugenol impression paste, what type of tray is required?
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Which of the following materials is considered thermoplastic for custom tray construction?
Which of the following materials is considered thermoplastic for custom tray construction?
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What is true about metallic custom trays?
What is true about metallic custom trays?
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What type of impression material requires a spacer of double thickness of baseplate wax?
What type of impression material requires a spacer of double thickness of baseplate wax?
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Which material is unsuitable for custom impression trays because it can warp in the mouth?
Which material is unsuitable for custom impression trays because it can warp in the mouth?
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What can be used as a custom tray in making zinc oxide-eugenol impressions for relining dentures?
What can be used as a custom tray in making zinc oxide-eugenol impressions for relining dentures?
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Which of the following is NOT a type of resin used for custom trays?
Which of the following is NOT a type of resin used for custom trays?
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What temperature range allows hydroplastic tray material to reach an easy moldable consistency?
What temperature range allows hydroplastic tray material to reach an easy moldable consistency?
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What is one of the primary advantages of using self-curing acrylic for making custom trays?
What is one of the primary advantages of using self-curing acrylic for making custom trays?
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What should be done first when constructing a custom tray using self-curing acrylic?
What should be done first when constructing a custom tray using self-curing acrylic?
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At which stage of the custom tray construction is the dough checked for consistency?
At which stage of the custom tray construction is the dough checked for consistency?
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What action must be avoided to prevent thin areas in the custom tray?
What action must be avoided to prevent thin areas in the custom tray?
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When using light-cured resins, when is it ideal to use the fabricated tray clinically?
When using light-cured resins, when is it ideal to use the fabricated tray clinically?
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What should be drawn with an indelible pencil before the impression procedure?
What should be drawn with an indelible pencil before the impression procedure?
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What is required to remove the tray from the cast after curing?
What is required to remove the tray from the cast after curing?
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Flashcards
What are custom trays?
What are custom trays?
Custom trays are made individually for each patient to provide a more accurate and detailed impression. They're designed to accurately fit the patient's arches and are discarded after use.
Why are custom trays important?
Why are custom trays important?
Custom trays are designed to capture a specific impression detail for a specific patient. This allows for a more accurate representation of the denture bearing area.
What is the ideal tray outline?
What is the ideal tray outline?
When making a final impression, the tray outline should be about 2 mm short of the vestibular depth. This ensures capturing the denture-bearing area without extending into movable tissues.
What is the denture-bearing area?
What is the denture-bearing area?
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Why is an exact replica important for a final impression?
Why is an exact replica important for a final impression?
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What are the benefits of an accurate final impression?
What are the benefits of an accurate final impression?
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How do custom trays improve the impression material?
How do custom trays improve the impression material?
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How are custom trays made?
How are custom trays made?
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Custom tray fabrication
Custom tray fabrication
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Spacer
Spacer
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Posterior palatal seal
Posterior palatal seal
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Perforations
Perforations
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Vacuum or pressure forming
Vacuum or pressure forming
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Maxillary Tray Extension
Maxillary Tray Extension
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Mandibular Tray Extension
Mandibular Tray Extension
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Zinc Oxide-Eugenol Impression Paste
Zinc Oxide-Eugenol Impression Paste
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Polysulfide Rubber or Silicone Impression Material
Polysulfide Rubber or Silicone Impression Material
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Alginate or Plaster Impression Material
Alginate or Plaster Impression Material
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Thermoplastic Tray Construction
Thermoplastic Tray Construction
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Resin Tray Construction
Resin Tray Construction
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Shellac base plate
Shellac base plate
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Treating a cast for shellac baseplate adaptation
Treating a cast for shellac baseplate adaptation
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Adapting a shellac base plate
Adapting a shellac base plate
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Rolling the borders of a shellac base plate
Rolling the borders of a shellac base plate
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Modeling compound
Modeling compound
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Modeling compound impression technique
Modeling compound impression technique
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Advantage of modeling compound impression technique
Advantage of modeling compound impression technique
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Perforated tray
Perforated tray
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Hydroplastic Tray Material
Hydroplastic Tray Material
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Self-Curing Acrylic Resins
Self-Curing Acrylic Resins
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Blocking Out Undercuts
Blocking Out Undercuts
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Separating Medium
Separating Medium
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Mixing Acrylic Resin
Mixing Acrylic Resin
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Wafer of Tray Material
Wafer of Tray Material
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Adapting Tray Material to the Cast
Adapting Tray Material to the Cast
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Tray Handle
Tray Handle
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Study Notes
Impression Trays
- Impression trays are special trays used in preclinical prosthodontics.
- Custom trays are made on preliminary casts, created from a preliminary impression.
- Custom trays are constructed for a specific impression procedure for one patient and are discarded after use.
- Edentulous ridges have wide variations in shape and size.
- Stock trays only fit some ridges arbitrarily.
- Custom trays enable a more accurate and detailed impression than stock trays.
- Benefits of custom trays include:
- Ensures that the custom tray conforms precisely to the unique contours and dimensions of the patient's dental arches.
- Reduced amount of impression material used.
- Reduced dimensional changes
- Reduced tissue over-compression.
- Increased patient comfort.
- General considerations for tray outlines:
- Follow specific anatomical landmarks.
- Stay approximately 2mm short of the vestibular depth.
- Goal of a final impression:
- Create an exact replica of the denture bearing area.
- Have maximum coverage of supporting tissues and minimal extension into movable tissues and muscle attachments.
- The impression must be used to create a master cast that demonstrates the same characteristics as the denture bearing area
- The impression should replicate tissues perfectly to create a strong denture/tissue interface, leading to optimal retention, stability, and denture support.
- Tray extensions (outline):
- Approximately 2mm above the depth of the vestibules, including muscle and frenulum attachments, along the labial, buccal, and lingual.
- Posterior to the vibrating line on the maxillary arch and extending to the full extent of the retromylohyoid space on the mandibular arch.
- Providing a spacer:
- Custom trays sometimes have a spacer to allow even thickness of impression material between the tray and tissues.
- The type and technique of the final impression material determines the spacer's necessity and thickness.
- Zinc oxide-eugenol impression paste: Close-fitting tray without a spacer is needed.
- Polysulfide rubber or silicone impression material: A single layer of baseplate wax is required.
- Alginate or plaster impression material: A double thickness of baseplate wax is desirable. A wax spacer with three or four stops is essential for even impression material thickness.
- Custom impression tray materials:
- Special tray materials vary according to the selected impression technique.
- Materials shouldn't warp in the mouth.
- Metallic and plastic materials are used.
- Thermoplastic materials and resins are commonly used due to ease of rapid manufacturing.
- Shellac base plates
- Modeling compound
- Hydroplastic tray material
- Resins (additional information):
- Self cure (cold cure)
- Heat cure
- Light cure
- Plastic sheets
- Modified stock trays:
- Stock trays can be modified by cutting, bending, or adding.
- Old dentures as custom trays:
- The patient's old denture can be used as a custom tray for zinc oxide eugenol impression for relining.
- Metal trays:
- Usually not used due to lengthy and expensive casting or swaging processes.
Methods of Construction
-
Thermoplastic materials:
- Shellac base plates: Made from a resinous material that softens upon heating and hardens upon cooling. Most often used with plaster of Paris or alginate impressions. Supplied in two thicknesses: single for baseplates and double for trays. The cast must be treated to prevent adherence.
- The base plate is centered then softened with a Bunsen burner, then pressed into place by hand.
- The edges can be heated, rolled, excess trimmed, shaped, or smoothed.
- You can also trim shellac with an acrylic bur, or use a scalpel, scissors or roll the borders.
- Shellac base plates: Made from a resinous material that softens upon heating and hardens upon cooling. Most often used with plaster of Paris or alginate impressions. Supplied in two thicknesses: single for baseplates and double for trays. The cast must be treated to prevent adherence.
-
Modeling compound: A thermoplastic material that can be formed in a cake or stick form. The cake form is used for trays; the stick is used for impressions material. Requires high heat to soften, and doesn't record details well.
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Hydroplastic tray material: A single-component resin that molds easily at 65-85 degrees Celsius, and hardens quickly when placed in cold water. It is reusable by reheating and is supplied in yellow, pink, or white beads.
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Self-curing acrylic: Modified methyl methacrylates commonly used for custom trays. Easy to construct, more rigid than shellac, can be precisely altered, and can accept border tracing material.
- Acrylic resin powder and liquid are mixed according to manufacturer's instructions.
- The mixture should reach dough stage. The polymer to monomer ratio is 3:1 by volume.
- The dough is placed in a form or between two wet sheets.
- The tray is placed on the former and gently adapted to the cast by applying slight pressure.
- A warm knife is used to trim the edges.
- The excess material is shaped into a handle. 3-4mm thick, 8-10 mm long, and 8-10 mm wide.
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Plastic sheets: A vacuum or pressure forming machine is used. The materials are supplied by the machine manufacturer in uniform clear plastic sheet form.
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Heat-cured resin: Also used for trays
Other Considerations
- Patient Visit #2: Procedure steps for making custom impression trays from beginning to end.
- Tray extensions, including the desired thickness & shape.
- Occlusal stops: Stops of 2-4mm side, square, created from a scalpel blade or carver that give tripod-like stability to orient/position tray and create a uniform impression thickness.
- Perforations: Adding holes will improve material retention if using alginate.
- Finger rests: Placed near the second premolar/first molar teeth that help maintain proper tray position for patient impressions. Help stabilize the tray in the mouth, equally distributing pressure, and reducing pressure on soft tissues.
- Preparing diagnostic model for trays: Undercuts are blocked out with baseplate wax, exposed areas are covered with separating medium.
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Description
This quiz covers the essential concepts of impression trays used in preclinical prosthodontics. Focus is given to the differences between custom and stock trays, their benefits, and the anatomical considerations necessary for accurate impressions. Test your knowledge on how custom trays enhance patient comfort and the precision of dental impressions.