Custom Trays

• Individualized trays for making

final impressions
• Made on a diagnostic cast
Purpose of a Custom Tray

• Improve 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-Ivolin)
– 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 to“butterfly”
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
• Infection control
 Tru-Tray Material

• Trim excess with a scalpel, then

readapt
• Cut down through resin
• Pulling blade will tear resin
 Trimming the Tray

Anterior
, Maxillary
Tray
view Lateral
, Mandibular
view
Tray
Auxillary handle
Base of Cast

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 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
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