Impression Trays

General Impression Tray Selection Guidelines
Selecting an appropriate tray for the desired technique and materials used is an extremely important, yet often overlooked, part of successful impressions. Full arch perforated metal, rigid plastic or custom trays are recommended for fixed or removable prosthetic restorations involving three or more units (veneers and long span bridges). For all cases involving only one or two simple restorations (single crowns, inlays and onlays), small double-arch impression trays offer the advantage of capturing the restorative impressions, opposing dentition/occlusion and bite registration - all at once. Metal perforated, stock double arch trays are recommended for patients with strong tongues or gag reflexes (these tend to exert undesirable forces, especially on lower posterior impressions).

When selecting a tray, consider the following additional factors and tips:

A. Tray Size

  1. Ensure stock or custom tray allows for a minimum material thickness of 5 mm surrounding the preparation. If it's too thin, compression of the material can result in deformation during removal.
  2. Potential exists for tearing if there is not enough space between the equatorial line of the tooth and the side of the tray. Permanent distortion may also occur due to strong distortion of the lower parts of undercuts.
  3. Double Arch impression trays should be sufficiently sized to encompass the canine tooth, ensuring proper occlusal registration.
  4. Try tray in mouth at full closure to assure proper relationships and adequate space between the restoration pads and hamular notches.
  5. Ensure stock trays closely fit the arch form of the patient (reduces amount of impression material required and facilitates seating the loaded impression tray intraorally).

B. Distortion Resistance

  1. All trays (full arch on quadrant metal or plastic) must be rigid enough to resist deformation. They should also be extensive enough to support the impression material to cover all areas.
  2. Ensure selected tray is not distorted by the weight of stone bending unsupported sections.
  3. If a plastic tray is used, ensure the lingual arm is not flexed by the tongue (can cause distortion by inducing a spring back effect).
  4. Excessive pressure on the tray should be avoided during the final set stage. Doing so might squeeze the material toward the tray wall, which can then spring back after the pressure is removed.
  5. No heavy body material or high durometer putty has the strength to overcome flexural errors caused by the tray.

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