Primary Impression and Primary Cast -...

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Dr. Barbara Kispélyi Associate Professor Semmelweis University, Faculty of Dentistry Department of Prosthodontics SPECIAL TRAY

Transcript of Primary Impression and Primary Cast -...

Page 1: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Dr. Barbara Kispélyi

Associate ProfessorSemmelweis University, Faculty of Dentistry

Department of Prosthodontics

SPECIAL TRAY

Page 2: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Primary impression Primary cast Special tray

From web

Page 3: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

OUTLINE

Primary impression Primary cast

From: Basker et al.: Prosthetic treatment of the edentulous patient and from web

Dr. Kivovics

Page 4: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

ANATOMICAL LANDMARKS OF THE EDENTULOUS MAXILLA AND MANDIBLE

Page 5: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Muco us m

emb rane

From web

Page 6: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

ANATOMICAL LANDMARKS AND THEIR CLINICAL SIGNIFICANCE IN EDENTULOUS MAXILLARY ARCH

Page 7: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

MAXILLA – LABIAL FRENULUM, BUCCAL FRENULUM

From web

Page 8: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

LABIAL AND BUCCAL VESTIBULE

From web

Page 9: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

DISTO-BUCCAL AREACORONO-MAXILLARY SPACE

Page 10: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

HAMULAR NOTCH

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 11: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

VIBRATING LINE

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 12: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

HARD PALATE

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 13: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

RESIDUAL ALVEOLAR RIDGE

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 14: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

RUGAE AND INCISIVE PAPILLA

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 15: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

MAXILLARY TUBEROSITIES

From web

Page 16: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

ANATOMICAL LANDMARKS AND THEIR CLINICAL SIGNIFICANCE IN EDENTULOUS MANDIBULAR ARCH

From web

Page 17: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

MANDIBLE – LABIAL FRENULUM, BUCCAL FRENULUM, LINGUAL FRENULUM

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 18: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

LABIAL AND BUCCAL VESTIBULE

From web

Page 19: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

RETROMOLAR PAD

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 20: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

EXTERNAL OBLIQUE RIDGE

From web

Page 21: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

BUCCAL EXTENSION

From web

Page 22: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

LINGUAL POUCH

From web

Page 23: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SPECIAL TRAY

- Clinical applications- Parts - Types - Laboratory steps

Page 24: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SPECIAL TRAY:

Completely edentulous patient

Subtotal edentulous patient

Removable partial denture

Special anatomical situations

Implantology

Reconstruction prosthesis

Clinical application:

Page 25: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

PURPOSE OF SPECIAL TRAY:

Minimize: Impression material distortion

Uniform thicknessRigid tray

Tisssue distortion Less viscous materialAccurately adapted tray

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 26: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

AUXILIARY HANDLES:

Intraoral Extraoral

From web

Parts:

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TYPES OF SPECIAL TRAYS:

1. Close fittingUsed with very low viscosity impression materials, since it provide a thin layer after setting:

- Zn-eugenol paste- very low viscosity elastomers

2. SpacedUsed with high viscous impression material (3mm)- alginate- medium or high viscosity elastomers

From web

Types:

Page 28: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

CLOSE FITTING TRAY:

From web

Page 29: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SPACED TRAY:

From web

Page 30: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Thermoplastic materials

- sellak

SPECIAL/CUSTOM TRAYMaterials:

From web

Resins:- Visible light curing resins- Self curing resins- Heat curing resins

Page 31: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

RESINS:

Rigid, retain its shape Not thermoplastic Types

- self-curing (clear)- heat-curing (clear)- visible light curing

Page 32: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Sellak: Breakable (undercuts, wire-reinforcement)

Thermoplastic (green stick, oroplastic impression materials)

Cheap

Page 33: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Sellak Lightcuring

Selfcuring

Heat curing

Precision

Special tray:

Page 34: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELLAK SPECIAL TRAY:

Page 35: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELLAK SPECIAL TRAY:

Page 36: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELLAK SPECIAL TRAY:

Page 37: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELLAK SPECIAL TRAY:

Page 38: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELLAK SPECIAL TRAY:

Page 39: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

FÉNYREKÖTŐ AKRILÁT EGYÉNI KANÁL KÉSZÍTÉSÉNEK LÉPÉSEI:

Page 40: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Sellak Lightcuring

Selfcuring

Heat curing

Precision

Special tray:

Page 41: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

VISIBLE LIGHT CURING RESIN SPECIAL TRAY:

Page 42: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

VISIBLE LIGHT CURING RESIN SPECIAL TRAY:

Page 43: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

VISIBLE LIGHT CURING RESIN SPECIAL TRAY:

Page 44: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

VISIBLE LIGHT CURING RESIN SPECIAL TRAY:

Page 45: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Sellak Lightcuring

Selfcuring

Heat curing

Precision

Special tray:

Page 46: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELF-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 47: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELF-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 48: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELF-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 49: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELF-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 50: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELF-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 51: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELF-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 52: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Molding process:3-6 Bar

40°C20-30 minute

SELF-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 53: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

SELF-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 54: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

Sellak Lightcuring

Selfcuring

Heat curing

Precision

Special tray:

Page 55: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

HEAT-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 56: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

HEAT-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 57: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

100-105°C60-90 minutes

HEAT-CURING RESIN (CLEAR) SPELIAL TRAY:

Page 58: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

HEAT-CURING RESIN (CLEAR) SPECIAL TRAY:

Page 59: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

The best: Heat-curing resin (clear) special tray

CONCLUSION:

Page 60: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

OLD DENTURE - USE AS A SPECIAL TRAY!

RELINE

REBASE

From: Basker et al.: Prosthetic treatment of the edentulous patient

Page 61: Primary Impression and Primary Cast - semmelweis.husemmelweis.hu/fogpotlastan/files/2017/11/Stock-tray.pdf · anatomical landmarks and their clinical significance in edentulous maxillary

THANK YOU FOR YOUR ATTENTION!