Escolar Documentos
Profissional Documentos
Cultura Documentos
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
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
@ 張大嘴 下頷左右動
Setting 後 tray 拿出
British Dental Journal 187, 423 - 426 (1999);The design and use of special trays in prosthodontics: guidelines to improve clinical effectiveness