Prosthodontics & Occlusion · single question

When preparing a custom tray for a final impression, which of the following is an EXCEPTION (not recommended)?

  1. Extend tray flanges to adequate vestibular depth
  2. Leave 1 mm of space for impression material over soft tissue
  3. Leave 2 mm of space for impression material over soft tissue
  4. Adapt material directly to the gingiva without space for impression material
Show answer and explanation

Correct answer: D. Adapt material directly to the gingiva without space for impression material

  • A. Extending flanges to proper vestibular depth is correct custom tray design.
  • B. Leaving ~1 mm of relief space for impression material is an acceptable/recommended spacing.
  • C. Leaving ~2 mm of relief space is also an acceptable spacing range (1-2mm) for impression material.
  • D. Correct (the exception/incorrect technique). Adapting the tray material directly onto tissue without any relief space prevents adequate flow/thickness of impression material, leading to distortion and inaccurate impressions.

Note: There must be 1-2 mm of space for impression material to flow without distortion, and flanges must cover the entire vestibular area.

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