LOCATOR Overdenture Direct Cure (chairside) Technique

Version 01/2006

John Bain DDS, General Dentist Practice: Farmington, Arkansas drbain@implantsandsmiles.com

Remove Healing Abutment

Loosen With Hemostats

Healing Abutments Removed

Locator Attachment Packets

Locator Tool

Seat Locator Abutments

Hand Tighten With Locator Tool

Torque Driver With Locator Driver Torque To 20 Ncm

Write Down Corresponding Tooth Numbers (no window)

Place White Block-Out Ring Over Abutment

Place Housing Over Abutment

Dispense and Mix Indicator Paste

Indicator Paste Placed In Denture

Inspect For Show-Through

Mark With Indelible Transfer

Remove Indicator Paste

Relieve Marked Areas

Clean Receptor Sites With Alcohol

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.

Apply Bonding Agent To Receptor Sites

Dry Housings

Load Clear or Pink Light Cure Acrylic Gel Into Receptor Sites

Paint Triad VLC Bonding Agent Onto Housings, then Brush on Light-Cured Gel

Seat Denture & Confirm Proper Occlusion

Light Cure Facial Of Housings

Patient Closes Lightly Into Occlusion Cure incrementally (5 secs) to control heat generated

Light Cure Lingual Of Housings

incrementally to control heat generated

Remove Denture, Inspect For Voids Fill If Necessary

Final Cure 1 minute

Remove Black Processing Male

Insert Retentive Male

Ready For Success

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

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.