1/2 point CDT documented scientiﬁc credit. See Page 38.
Modified Special Tray Design
By Jonathan Bill, RDT, C&G (England) Article provided by the Englands’s Dental Lab Journal
34 Journal of Dental Technology February 2007
The dental practitioner can use the ﬁnest available stock trays. For example. in line with that of others. the best impression materials and the most skilled dental technologist to achieve complete accuracy for dental appliances. but occasionally the remake appears because of a poor ﬁt. surgeon and technologist with no one within the dental team being sure how the discrepancy has occurred. Normally. poor packaging. as the impression material is ﬁrmly locked into the stock tray. slots or rim-locking. This article reviews the rationale of a modiﬁed special tray design and the ﬁnancial advantages it can bring to the laboratory owner.
These designs incorporate many different types of retention aids. From our experience within the laboratory. when a practitioner takes an impression and the material
February 2007 Journal of Dental Technology 35
. but the situation is less aggravating if one can pinpoint the problem. In a majority of cases this works well. It may not happen often. to name but a few. Of all the retention aids. with the aid of some impression ﬁxative. these are more than adequate to provide the laboratory with accurate impressions for primary models. this phenomenon is annoying. Our research. While dental companies have sought better and more effective ways of taking primary impressions. but is still an inconvenience to the patient. has concluded that many factors can contribute to impression distortion — for example. Observations over a period of time show that it takes very little to create distortion within an impression. Today.Figure 1
he management and treatment of prosthodontic patients is dependent on the accuracy of the dental impression. The preformed stock trays have improved in design over the years and shapes are available for almost all situations. such as holes. rim-locking is considered by many to be the most effective. very little consideration has been given to the laboratory custom-made special tray. length of time before casting. unsupported heal areas of the impression. we can boast of accurate and more patient friendly impression materials that make life easier for all.
Since the initial trials took place. as soon as they request a special tray. It has been established that no matter how conﬁdent one is that the material has located correctly. so to transfer the rimlock design to special trays is a distinct advantage. which included a range of different chrome designs with different degrees of complexity. With the help of our dental practitioners. The materials used were constant during the trials. we potentially compromise the whole process. the material range has been extended with the same impressive results. especially an alginate impression. When using rim-locked stock trays this is not a problem. Even if the impression material has reseated and fused to the ﬁxative. Whatever retention form is adopted. The results were extremely impressive. we monitored 20 trial cases. the temptation either of the surgeon or technologist is to push it back into place.e. distortion is often still present. All impressions were cast within three hours of being taken. the situation has still been compromised. i. It was found that chrome cobolt dentures were the biggest problem with regard to remake for our laboratory. It is important that no matter how careful a practitioner is in giving an accurate primary impression. with all chromes ﬁtting well and without need for adjustment.Figure 4
pulls away from the tray edge (no matter how small). if there is any difﬁculty in removing the impression. crown stone (C&J Peach) and light-cured blanks (Davis Schottlander Davis Magilight). The cases included complex skeletal designs with multiple rests. The remake count has
36 Journal of Dental Technology February 2007
. the same type of alginate (CA37). the material can quite easily detach itself from the special tray.
the sprue wax is retained within the tray (Figure 9). Please note. ﬁrmly pushed into the sprue wax area and extended slightly onto the model base (Figure 7). Sprue wax (2mm) is required to create the rim-lock design (Figure 5). The 2mm sprue wax is placed 3mm4mm above the periphery area where the model and spacer wax terminate.been reduced dramatically in all types of work and design.
February 2007 Journal of Dental Technology 37
. as this would compromise the rim-lock effect (Figure 6). Once received. Failure to do so will prevent the removal of the tray from the model (Figure 2). the primary impression is cast (Figure 1) and conventional preparation in shaping the model for special tray construction takes place (i. No further sealing is required. The sprue wax is removed from the tray prior to trimming and ﬁnishing. A single layer of spacer wax is placed over the entire impression surface of the primary model and carefully smoothed and ﬁnished (Figure 4). It is advisable to proceed in this way to ensure conformity and control of spacer thickness (Figure 3). The spruing wax is then sealed on the periphery side only. The tray handle is shaped and placed into position prior to light curing the tray (Figure 8).e. the removal of pimples and the carving of the model in the retention areas). Any trimming should be left at least 1mm short of the recess (lock areas) (Figure 10). the tray is removed from the model. The light-cured special tray blank laid over the model. Consideration has to be given to any undercut present and these must be blocked out with wax. The tooth area(s) are blocked out as a separate procedure. Once light cured.
Sibson & Co Ltd. no positive effect is obtained through these additional procedures (Figure 12). for me. press 1 for NBC documents and enter document number 46 to have the quiz faxed to you. in my opinion.org or fax the completed quiz to (850) 222-0053.5 point documented scientiﬁc credit for passing a quiz about this article.org.org/jdtunbound) and click on the CDT link or use the Fax-On-Demand system by calling (877) 355-8029.
38 Journal of Dental Technology February 2007
.bill@ btconnect. Anyone interested in submitting an article or receiving JDT’s writer’s guidelines should contact JDT Editor Cassandra Corcoran at (800) 950-1150 or e-mail cassie@nadl. This quiz is provided to test the technician’s comprehension of the article’s content and does not necessarily serve as an endorsement of the content by NADL or NBC. Many wasted working hours created by distorted impressions have been saved with conﬁdence in accuracy of ﬁt through a full spectrum technical work being achieved. You can e-mail him at jonathan. England.
Do you have a fabulous technique or fascinating case study you want to share with your fellow dental technicians? Have you solved one of the problems that crop up during the day-to-day management of a dental laboratory? If so.
Bill is a dental technologist with Symons. To get the quiz go to JDT Unbound (www. You can enter your answers to this quiz (course code 13461) at http://quizzes. The rim-lock special tray has. transformed and greatly improved the accuracy of the master casts produced from the modiﬁed custom-tray described in this article. the Journal of Dental Technology wants to publish your article.Figure 12
The tray is now ﬁnished in the usual manner (Figure 11).nadl. In Leicester.com.
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Receive .nadl. Additional impression material retention in the form of countersunk retention holes may be used but.