Impression Trays in Prosthodontics
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Questions and Answers

What is the recommended thickness for the base plate wax when adapting it to the diagnostic model?

  • 5 to 7 mm
  • 1 to 2 mm
  • 2 to 4 mm (correct)
  • 4 to 6 mm
  • What method is used to achieve stability when creating occlusal stops?

  • Creating triangular shapes
  • Forming square shapes (correct)
  • Applying a soft wax
  • Using a flat blade
  • How many minutes should the custom tray undergo polymerization in the light-curing unit?

  • 15 minutes
  • 3 minutes
  • 5 minutes (correct)
  • 10 minutes
  • What additional step is taken to improve the retention of the impression material?

    <p>Making perforations in the tray (D)</p> Signup and view all the answers

    What area of the cast should not be covered with the wax spacer during the custom tray preparation?

    <p>Posterior palatal seal area (D)</p> Signup and view all the answers

    What is the primary purpose of custom trays in prosthodontics?

    <p>To make more accurate impressions than stock trays. (D)</p> Signup and view all the answers

    Why are custom trays discarded after use?

    <p>They are specifically designed for one patient's impression. (C)</p> Signup and view all the answers

    What is a significant advantage of using custom trays over stock trays?

    <p>Less impression material is used with custom trays. (B)</p> Signup and view all the answers

    What is the goal when making a final impression with a custom tray?

    <p>To create an exact replica of the denture bearing area. (D)</p> Signup and view all the answers

    What must be considered when outlining the tray for a custom impression?

    <p>The outline must follow specific anatomic landmarks. (A)</p> Signup and view all the answers

    Which aspect is NOT considered an advantage of using custom trays?

    <p>They require less time to prepare. (D)</p> Signup and view all the answers

    How do custom trays contribute to the retention and stability of dentures?

    <p>By creating a denture/tissue interface with intimate contact. (D)</p> Signup and view all the answers

    What kind of variations do edentulous ridges exhibit?

    <p>Significant differences in shape and size. (A)</p> Signup and view all the answers

    What is the primary use of the single thickness shellac base plate?

    <p>Base plate construction (B)</p> Signup and view all the answers

    How can the cast be treated to prevent adhesion of the shellac base plate?

    <p>Dusting it with talcum powder or applying vaseline (A)</p> Signup and view all the answers

    What is the purpose of inverting the bunsen burner when adapting the shellac base plate?

    <p>To soften the shellac material (A)</p> Signup and view all the answers

    Which form of modeling compound is primarily used as a tray material?

    <p>Cake form (C)</p> Signup and view all the answers

    What is the disadvantage of using modeling compound impressions?

    <p>They do not record details accurately (C)</p> Signup and view all the answers

    What technique is used to adapt the borders of the shellac base plate?

    <p>Heating and rolling the edges (A)</p> Signup and view all the answers

    Why are perforations made in the tray when using alginate impression material?

    <p>To enhance adhesion of the impression material (B)</p> Signup and view all the answers

    What is one advantage of using modeling compound impressions as custom trays?

    <p>They reduce the number of visits to the dentist (A)</p> Signup and view all the answers

    What is the purpose of a spacer in a custom tray?

    <p>To accommodate the thickness of impression material (B)</p> Signup and view all the answers

    When using zinc oxide-eugenol impression paste, what type of tray is required?

    <p>A close-fitting tray without spacer (A)</p> Signup and view all the answers

    Which of the following materials is considered thermoplastic for custom tray construction?

    <p>Modeling compound (A)</p> Signup and view all the answers

    What is true about metallic custom trays?

    <p>They are produced by casting or swaging methods (B)</p> Signup and view all the answers

    What type of impression material requires a spacer of double thickness of baseplate wax?

    <p>Alginate or plaster (A)</p> Signup and view all the answers

    Which material is unsuitable for custom impression trays because it can warp in the mouth?

    <p>Metallic materials (C)</p> Signup and view all the answers

    What can be used as a custom tray in making zinc oxide-eugenol impressions for relining dentures?

    <p>An old denture of the patient (C)</p> Signup and view all the answers

    Which of the following is NOT a type of resin used for custom trays?

    <p>Film resin (A)</p> Signup and view all the answers

    What temperature range allows hydroplastic tray material to reach an easy moldable consistency?

    <p>65-85 degrees C (A)</p> Signup and view all the answers

    What is one of the primary advantages of using self-curing acrylic for making custom trays?

    <p>It is easily constructed (D)</p> Signup and view all the answers

    What should be done first when constructing a custom tray using self-curing acrylic?

    <p>Block out undercuts with base plate wax (B)</p> Signup and view all the answers

    At which stage of the custom tray construction is the dough checked for consistency?

    <p>During the mixing of powder and liquid (D)</p> Signup and view all the answers

    What action must be avoided to prevent thin areas in the custom tray?

    <p>Excessive pressure during adaptation (C)</p> Signup and view all the answers

    When using light-cured resins, when is it ideal to use the fabricated tray clinically?

    <p>Immediately after curing (B)</p> Signup and view all the answers

    What should be drawn with an indelible pencil before the impression procedure?

    <p>The boundaries of the wax spacer, custom tray, and occlusal stops (B)</p> Signup and view all the answers

    What is required to remove the tray from the cast after curing?

    <p>Inserting a knife and gently lifting (A)</p> Signup and view all the answers

    Flashcards

    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?

    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?

    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?

    The tray outline should encompass the denture-bearing area, which includes the supporting tissues and minimal extension into movable tissues and muscle attachments.

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    Why is an exact replica important for a final impression?

    A final impression should capture the exact replica of the denture-bearing area, creating an intimate contact between the denture and tissues.

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    What are the benefits of an accurate final impression?

    An exact replica ensures excellent retention, stability, and support for the denture.

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    How do custom trays improve the impression material?

    The bulk of the impression material is reduced, resulting in less dimensional changes and minimal tissue compression.

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    How are custom trays made?

    They are made on a preliminary cast, which is a replica of the patient's teeth, allowing for a custom fit.

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    Custom tray fabrication

    A process of shaping and solidifying a light-cured material over a spacer on a diagnostic model to create a custom tray.

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    Spacer

    A thin, pre-shaped material placed on the diagnostic model to define the thickness and shape of the custom tray.

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    Posterior palatal seal

    The area on the back of the upper jaw where the tray needs to have a seal to prevent air bubbles from entering the impression.

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    Perforations

    Making small holes in the tray to improve the retention of the impression material.

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    Vacuum or pressure forming

    A method of making custom trays using plastic sheets and a vacuum or pressure forming machine.

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    Maxillary Tray Extension

    The area where the tray should extend on the maxillary arch. It's located posterior to the vibrating line, which is the area where the soft palate meets the hard palate.

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    Mandibular Tray Extension

    The area where the tray should extend on the mandibular arch. It includes the retromylohyoid space, which is the area behind the last molar.

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    Zinc Oxide-Eugenol Impression Paste

    A type of impression material that requires a close-fitting tray without a spacer. It sets quickly and is often used for relining dentures.

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    Polysulfide Rubber or Silicone Impression Material

    A type of impression material that requires a single layer of baseplate wax as a spacer. It allows more time for manipulation compared to ZOE.

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    Alginate or Plaster Impression Material

    A type of impression material that requires a double layer of baseplate wax as a spacer. It is quick and easy to use, but less accurate than other materials.

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    Thermoplastic Tray Construction

    The process of creating a customized impression tray using a moldable material that softens when heated and hardens when cooled. Examples include shellac baseplate, modeling compound, and hydroplastic tray material.

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    Resin Tray Construction

    The process of creating a customized impression tray using a resin that sets chemically or with the use of light. Examples include self-cure, heat-cure, and light-cure resins.

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    Shellac base plate

    A material used for dental base plate construction. It is available in sheets of two thicknesses, single for base plates and double for custom trays.

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    Treating a cast for shellac baseplate adaptation

    A technique used to prepare a shellac base plate for use. Dusting the cast with powder or applying a light coat of vaseline prevents the material from adhering to the cast.

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    Adapting a shellac base plate

    Process of shaping the shellac base plate to the cast by heating and pressing it.

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    Rolling the borders of a shellac base plate

    Thickening the borders of a shellac base plate by heating and rolling the edges to create a double layer.

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    Modeling compound

    A thermoplastic material used in dentistry. It comes in cake form (primarily for tray material) and stick form (for impression material).

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    Modeling compound impression technique

    A type of impression technique using modeling compound. The custom tray is created from a modeling compound impression with a specific thickness removed. This tray is used for a final impression with plaster or paste.

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    Advantage of modeling compound impression technique

    The advantage of using a modeling compound impression technique is that it requires fewer patient visits.

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    Perforated tray

    Holes drilled in an impression tray made from modeling compound or shellac, allowing for air escape during impression taking.

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    Hydroplastic Tray Material

    A type of tray material that softens when heated to 65-85 degrees Celsius and hardens when cooled in water. It is available as small beads in yellow, pink or white.

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    Self-Curing Acrylic Resins

    Modified methyl methacrylates, widely used for making custom trays because of their ease of construction, rigidity, accuracy, and ability to accept border tracing materials.

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    Blocking Out Undercuts

    The process of preparing a cast for impression tray fabrication by covering undercuts with base plate wax to prevent the tray material from adhering.

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    Separating Medium

    A liquid or paste applied to a cast before tray fabrication to create a barrier between the tray material and the cast, ensuring easy separation.

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    Mixing Acrylic Resin

    The process of mixing acrylic powder with liquid according to manufacturer instructions, achieving a dough-like consistency suitable for forming a tray.

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    Wafer of Tray Material

    A thin layer of tray material placed on a form to create a base for the impression tray, ensuring uniform thickness.

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    Adapting Tray Material to the Cast

    The process of shaping the tray material around the cast with light finger pressure, ensuring proper fit and avoiding thin areas.

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    Tray Handle

    A handle attached to the tray, designed to facilitate removal and prevent interference with the patient's lip movement during impression procedures.

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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.
    • 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.

    • 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.

    • 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.
    • Plastic sheets: A vacuum or pressure forming machine is used. The materials are supplied by the machine manufacturer in uniform clear plastic sheet form.

    • 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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    Impression Trays PDF

    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.

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