over denture

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

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over denture

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Page 1: Over Denture

LOCATOR® Overdenture

Direct Cure (chairside) Technique

Version 01/2006

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

Page 2: Over Denture

Remove Healing Abutment

Page 3: Over Denture

Loosen With Hemostats

Page 4: Over Denture

Healing Abutments Removed

Page 5: Over Denture

Locator® Attachment Packets

Page 6: Over Denture

Locator® Tool

Page 7: Over Denture

Seat Locator® Abutments

Page 8: Over Denture

Hand Tighten With Locator® Tool

Page 9: Over Denture

Torque Driver With Locator DriverTorque To 20 Ncm

Page 10: Over Denture

Write Down Corresponding Tooth Numbers (no window)

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Place White Block-Out Ring Over Abutment

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Place Housing Over Abutment

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Dispense and Mix Indicator Paste

Page 14: Over Denture

Indicator Paste Placed In Denture

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Inspect For Show-Through

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Mark With Indelible Transfer

Page 17: Over Denture

Remove Indicator Paste

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Relieve Marked Areas

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Clean Receptor Sites With Alcohol

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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.

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Apply Bonding Agent To Receptor Sites

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Dry Housings

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Load Clear or Pink Light Cure Acrylic Gel Into Receptor Sites

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Paint Triad VLC Bonding Agent Onto Housings, then

Brush on Light-Cured Gel

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Seat Denture & Confirm Proper Occlusion

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Light Cure Facial Of HousingsPatient Closes Lightly Into Occlusion

Cure incrementally (5 secs) to control heat generated

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Light Cure Lingual Of Housings incrementally to control heat generated

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Remove Denture, Inspect For Voids Fill If Necessary

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Final Cure – 1 minute

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Remove Black Processing Male

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Insert Retentive Male

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Ready For Success

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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: Over Denture

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.