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LOCATOR ® Overdenture Direct Cure (chairside) Technique Version 01/2006 John Bain DDS, General Dentist Practice: Farmington, Arkansas [email protected]

LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

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Page 1: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

LOCATOR®

OverdentureDirect Cure (chairside) Technique

Version 01/2006

John Bain DDS, General DentistPractice: Farmington, [email protected]

Page 2: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Remove Healing Abutment

Page 3: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Loosen With Hemostats

Page 4: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Healing Abutments Removed

Page 5: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Locator® Attachment Packets

Page 6: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Locator® Tool

Page 7: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Seat Locator® Abutments

Page 8: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Hand Tighten With Locator® Tool

Page 9: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Torque Driver With Locator DriverTorque To 20 Ncm

Page 10: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Write Down Corresponding Tooth Numbers (no window)

Page 11: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Place White Block-Out Ring Over Abutment

Page 12: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Place Housing Over Abutment

Page 13: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Dispense and Mix Indicator Paste

Page 14: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Indicator Paste Placed In Denture

Page 15: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Inspect For Show-Through

Page 16: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Mark With Indelible Transfer

Page 17: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Remove Indicator Paste

Page 18: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Relieve Marked Areas

Page 19: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Clean Receptor Sites With Alcohol

Page 20: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Important Note !

If any portion of the Locator® abutment shows under the white Block-out Ring,cover that portion of the abutment with

a flexible block-out material.

Page 21: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Apply Bonding Agent To Receptor Sites

Page 22: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Dry Housings

Page 23: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Load Clear or Pink Light Cure Acrylic Gel Into Receptor Sites

Page 24: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Paint Triad VLC Bonding Agent Onto Housings, then

Brush on Light-Cured Gel

Page 25: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Seat Denture & Confirm Proper Occlusion

Page 26: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Light Cure Facial Of HousingsPatient Closes Lightly Into Occlusion

Cure incrementally (5 secs) to control heat generated

Page 27: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Light Cure Lingual Of Housingsincrementally to control heat generated

Page 28: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Remove Denture, Inspect For Voids Fill If Necessary

Page 29: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Final Cure – 1 minute

Page 30: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Remove Black Processing Male

Page 31: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Insert Retentive Male

Page 32: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

Ready For Success

Page 33: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

What if the Patient Can Flip Up the 2-implant Locator Overdenture

with the Tongue?1. Realize that there are ONLY 2 points of

retention – the tongue most likely will always be able to lift it up.

2. Lingual flange extension – too short and the tongue finds it easily.

3. Lingual flange extension – too long and any tongue movement will lift it.

4. Thin the border of the Lingual Flange

Page 34: LOCATOR Overdenture Direct Cure (chairside) Technique Chairside Pickup.pdf · What if the Patient Can Flip Up the 2-implant Locator Overdenture with the Tongue? 1. Realize that there

What if the Patient Can Flip Up the 2-implant Locator Overdenture

with the Tongue?5. Make a depression in the Lingual Flange

midway between the border and the teeth for the tongue to rest in.

6. Increase Retention – The ‘clear’ Locator males are 5 lbs retention apiece.

7. Place acrylic button in anterior as a tongue distraction.

8. Add more implants and Locators.