LOCATOR OVERDENTURE IMPLANT SYSTEM
LOCATOR OVERDENTUREIMPLANT SYSTEMTECHNIQUE MANUAL
The LOCATOR Insert self-aligns and pivots insidethe Denture Housing providing a genuine resilientconnection that holds-up to patient masticationforces while providing attachment durability.Affordably bundled in all-in-one packagingmakes ordering and inventory as easy as1-2-3.This two piece system features a removableLOCATOR abutment that is available in 2.5,3, 4, 5 and 6mm cuff heights for attachmentinterchangeability, soft tissue height flexibilityand serviceability should abutment wear occurover time.Single 2.9mm prostheticplatform for all implantsizes enabling a platformswitch for standard ridgedesigns.THE LOCATOR OVERDENTUREIMPLANT SYSTEMFour decades of overdentureattachment knowledge nowin overdenture implants.2Self-tappingdesign for easeof implantinsertion andincreasedimplant stability.
Proven RBMsurface.8Custom tip designbased on implantdiameter for ease ofplacement.Progressivethread designthat widensat the coronalportion providingprimary stabilitywhen immediateloading may beindicated.9Reduced neckdiameter is designedto reduce stress onthe crestal bone.The LOCATOR Overdenture Implant System is comprised of 2.4, 2.9, 3.5,3.9, 4.4 and 4.9mm diameter dental implants (available in 8, 10, 12 and14mm lengths) with a detachable LOCATOR Abutment that is available ina 2.5, 3, 4, 5, or 6mm cuff height. LOCATOR Implants are used to restoremasticatory function for the patient and may be suitable for immediateload if sufficient primary stability of the implant is achieved at the timeof placement. The final treatment option may be determined at the timeof surgery as the clinician must consider the quality of supporting boneand initial insertion torque values of the implants. Immediate function isdetermined on a case-by-case basis and at the discretion of the clinician.3
IMPORTANT: THIS DOCUMENT CONTAINS THE MOST CURRENTTECHNICAL GUIDELINES. PLEASE READ AND RETAIN.4
TABLE OF CONTENTSLOCATOR IMPLANT SYSTEM DIMENSIONS. 6PRODUCT ORDERING INFORMATION. 8LOCATOR CORE TOOL & RETENTION INSERTS. 10LOCATOR IMPLANT SURGICAL KIT. 11DRILLING PROTOCOL. 12PRE-OPERATIVE TREATMENT PLANNING.14MANDIBULAR IMPLANT PLACEMENT.16LOCATOR HEALING ABUTMENT & LOCATORABUTMENT PLACEMENT. 20IMMEDIATE LOADING PROTOCOLS. 21PROCESSING LOCATOR DENTURE HOUSING & INSERTS.23TISSUE MANAGEMENT RECOMMENDATIONS.29OVERDENTURE INSERTION, REMOVAL, ANDCLEANING GUIDELINES. 30THE ZEST DENTAL SOLUTIONS 10 YEAR WARRANTY.315
LOCATOR IMPLANT SYSTEM ngle LeadThread le 2.9mm prosthetic platform fits all implants.Zest recommends 7mm between implants.
LOCATOR IMPLANT SYSTEM DIMENSIONS hDiameterPlatformReduced EngagementDeduct 0.25mm for actual full implant length (A).Single 2.9mm prosthetic platform fits all implants.HexConnectionEngagement2.11mm2.51mm7
PRODUCT ORDERING 4mm0738110mmImplant Only0738610mmImplant Only07501-058mm5mm0738212mmImplant Only0738712mmImplant Only07502-0510mm5mm0738314mmImplant Only0738814mmImplant Only07503-0512mm5mm07504-0514mm5mm075018mmImplant Only0750210mmImplant Only0750312mmImplant Only0750414mmImplant OnlyALL-INCLUSIVEPACKAGE1 Implant1 LOCATOR Abutment1 Processing PackEach Processing Pack has what you needto select retention levels and addressdraw correction; improving ease of dentureplacement and removal8
PRODUCT ORDERING INFORMATION mmImplant Only075098mmImplant Only075138mmImplant Only0750610mmImplant Only0751010mmImplant Only0751410mmImplant Only0750712mmImplant Only0751112mmImplant Only0751512mmImplant Only0750814mmImplant Only0751214mmImplant Only0751614mmImplant OnlyPROCESSING PACKDentureHousingBlue StandardRange InsertLow RetentionPink StandardRange InsertMedium RetentionRed ExtendedRange InsertLow RetentionBlock-OutSpacer9
LOCATOR CORE TOOL & RETENTION INSERTSSTANDARD INSERTSEXTENDED RANGEINSERTSDual retention to maximizestability and pivotingaction that accommodatesup to 20 of total divergencebetween twoimplants.Blue LowRetentionPink MediumRetentionPivoting actionaccommodates up to 40 of total divergence betweentwo implants.Clear HighRetentionGray ZeroRetentionRed LowRetentionOrange MediumRetentionGreen HighRetention3-IN-1 CORE TOOLREMOVAL TOOLUse the sharp edge on theend of the removal tool toengage and remove theinsert from the DentureHousing.INSERTION TOOLUse the tip of the insertiontool to seat the insert.Loosen the Removal Tool a full 3turns counter clockwise (you will seea visible gap).To remove a LOCATOR Insert fromthe Denture Housing, simply insertthe tip into the Housing/Insertassembly and push straight into thebottom of the Insert. Then, tilt thetool so that the sharp edge of thetip will grab hold of the Insert andpull it out of the Denture Housing.To disengage the Insert from the tipof the Removal Tool; point the tooldown and away from you and tightenthe Removal Tool clockwise back ontothe Core Tool. This will activate theremoval pin and disengage the Insertfrom the tip of the Removal Tool.ABUTMENT DRIVER &SLEEVEUse the abutment drive withthe abutment sleeve to carryand securely place yourabutment onto the implant.10Separate the Removal Tool sectionfrom the LOCATOR Core Tool anduse the Seating Tool end to place anew Insert into the empty DentureHousing.NOTE THE GAP ONCETURNED COUNTER CLOCKWISE
LOCATOR IMPLANT SURGICAL 7557*0746307558*07559**Optional07414 - 0741907548 - 0755308393Included only inthe premium kit.07362The LOCATOR Standard and Premium Implant Surgical Kits offer simplified surgical kit designwith convienent color coded drill protocol for reference and ease-of-use during procedures. TheLOCATOR Implants Surgical Kit makes implant procedures simpler, easier, and worry-free allowingclinicians to focus more energy on the clinical and esthetic goals of the case. With LOCATOR Implantsyou get everything thats expected from a premium system in a bundled solution at a value price thatsaffordable for clincians and patients.11
DRILLING PROTOCOLDRILL LASER DEPTH MARKINGSDRILL mmDepthDRILL COLOR .6
DRILLING PROTOCOL Ø3.9mmØ4.4mmØ4.9mmTIPSFull CircleHalf CircleDrill to full implantlength.Drill 4mm short ofimplant length.Implant Insertion - A LOCATOR Overdenture Implant can be placed with a torqueindicating ratchet or a surgical hand piece. The speed of insertion should not exceed50rpm. Implant insertion torque should not exceed 70Ncm.Follow the D2/D3/D4 drilling sequence prior to following the D1 drilling sequence.This offers the flexibility to adapt the drilling protocol to the patient’s bone quality.For D1 bone density, an optional cortical drill may be used as the final drillingsequence step for the 3.5, 3.9, 4.4, or 4.9mm diameter implant.If strong resistance occurs before the implant reaches its final desired position,rotate the implant counterclockwise and then continue to insert. Repeat until thefinal desired position is obtained. The next drill size up or cortical drill (if available)may also be used if strong resistance occurs before the implant reaches its finaldesired position.NOTERecommended drilling speed is 800-1200RPM. Do not exceed a maximum of800 RPM when utilizing tissue punch.13
PRE-OPERATIVE TREATMENT PLANNINGEvaluate available bone width at desired implantpositions by using the index finger/thumb technique ora ridge mapping instrument (which can be purchasedthrough most dental instrument companies).Measure gingiva height at each planned implantlocation using a periodontal probe to determine theproper LOCATOR Abutment cuff height.3A-3BA panoramic radiograph or CBCT withradiographic markers may be used to evaluatethe bone topography and determine the appropriateimplant positions.AB14
PRE-OPERATIVE TREATMENT PLANNING CONT.Choose the appropriate implant size for thepatient. Zest recommends placement of the LOCATOR Overdenture Implants where patients have at least1mm of available bone around the circumference of theimplant.TIP: Digital implant libraries are available. Formore information, contact a Zest Dental Solutionsrepresentative or visit www.zestdent.com.Determine if the patient’s existing overdenture(s)will be used or if new ones will be fabricated. If anew overdenture is fabricated, follow the standardoverdenture fabrication protocols.Optional: A surgical guide for implant placement maybe fabricated prior to surgery.15
MANDIBULAR IMPLANT PLACEMENTAfter patient selection and evaluation protocols have been completed, determine the number of implantsrequired and discuss all treatment options with the patient. Zest Dental Solutions recommends a minimumof four implants to be placed in the mandible (option of two implants when all standard ridge implants areplaced) and up to six in the maxilla for optimal retention.TIPSIt is recommended to follow the D2/D3/D4 drilling sequence prior to following the D1 drillingsequence. This offers the flexibility to adapt the drilling protocol to the patients bone quality.For D1 bone type, an optional cortical drill may be used as the final drilling sequence step.The cortical drill may be used to a depth of 2-4mm.MANDIBULAR PLACEMENT OF FOUR 2.9MM X 12MM IMPLANTSUsing a surgical guide or by free hand, mark theimplant osteotomy locations using the Starter Drill to drillthrough the gingiva and into the bone crest 6mm. Notethe gingival height. The recommended drilling speed is800-1200rpm.FPO16654321MMMMMMMMMMMMRemove the gingival cores ateach site using the appropriateRotary Tissue Punch (07373,07534). Place the guide pin portionof the Rotary Tissue Punch into thePilot Drill osteotomy and advancethe drill unit to cut away the gingiva.Advance the Rotary Tissue Punch tothe laser depth mark correspondingto the gingival height measurement.The recommended drilling speed isbetween 200-500rpm.
MANDIBULAR IMPLANT PLACEMENT CONT.Place the large diameter end of the DirectionIndicator (07365) into the Starter Drill osteotomies toverify the proper alignment. Attach the proper lenghtDrill Stop onto the Starter Drill according to the desiredrilling depth. The recommended drilling speed is 8001200rpm. Continue osteotomy preparation to the desiredepth at each implant site.TIPS: Alternatively, drill to the proper laser depth markingon the drill calculated by adding the implant lengthplus the gingival tissue height. If divergence is shown to be undesirable basedon the Direction Indicator, use a tool, such as aLindemann drill, to correct.Place the proper length Drill Stop onto the 1.6mmdrill according to the desired drilling depth. Therecommended drilling speed is 800-1200rpm. Continueosteotomy preparation to the desired depth at eachimplant site.Place the 1.6mm diameter (large) end of theDirection Indicator into the osteotomies to verifyproper alignment. Place the proper length Drill Stoponto the 2.1mm drill (07539) according to the desireddrilling depth. Drill 4mm short of the full implantlength. The recommended drilling speed is 8001200rpm. Continue osteotomy preparation to the desireddepth at each implant site.17
MANDIBULAR IMPLANT PLACEMENT (FLAPLESS)Remove the implant package fromthe box and peel back the seal from the plastic tray.Place the sterile implant vial on the sterile surgical tray.The contents of the plastic tray are sterile and shouldonly contact components within the sterile field.B7A-7BRemove the Housing from the implant vialand do not discard. The LOCATOR Abutment isincluded in the Housing. Set the drilling unit speed at30rpm and the placement torque at 35Ncm. Place theImplant Latch Driver (07357) in the handpiece. Seat itonto the hex on the top of the implant and press downto engage securely. The bottom of the driver shouldcontact the abutment seating surface and fully engagethe entire length of the implant hex.AB8A-8BRemove the implant from the vial. Carrythe implant to the mouth, place it into the osteotomyand insert at 30rpm. Use the Latch Driver to drivethe implant three quarters (3/4) of the way intothe osteotomy and finalize insertion with a TorqueIndicating Ratchet Wrench (07362).TIP: Do not use an implant that comes intocontact with any non-sterile area. Replace with a newsterile implant.A18B
MANDIBULAR IMPLANT PLACEMENT CONT.9A-9B Assemble theRatchet Insert and theTorque Indicating RatchetWrench (07362) to finalizeseating. Short and LongImplant Drivers are availablein the surgical kit (07360,07361).BA10 Engage the Implant Driver onto the hex on the topFPOof the implant and verify that it is fully engaged. Slowlyratchet the implant to full depth. If final seating torquemeasures 30Ncm or above, the implant may be placedinto immediate function at the discretion of theclinician, with the patient adhering to recommendedpost-surgical hygiene and care protocols.If the final seating torque measures below 30Ncm,relieve the overdenture acrylic and place a soft liner inthe overdenture around the LOCATOR Abutmentsduring the implant integration period. If 70Ncm oftorque is reached prior to full seating, rotate theimplant counterclockwise and then continue to insert. Repeat until the final desire position is obtained. Thenext drill size up may also be used if strong resistanceoccurs before the implant reached its final desiredposition.NOTEImmediate load protocol is not recommeded unless all implants achieve at least30Ncm of torque. Implant insertion torque should not exceed 70Ncm.19
LOCATOR HEALING ABUTMENT & LOCATORABUTMENT PLACEMENTHEALING ABUTMENT PLACEMENT1Optional: If the implant does not reach a finalseating torque of 30Ncm, a LOCATOR HealingAbutments (07339 or 07340) are available. Use a0.050 inch (1.25mm) Hex Driver and thread the HealingAbutment with the appropriate cuff height on theimplant until finger tight. Relieve the overdentureacrylic and place a soft liner in the overdenture aroundthe LOCATOR Healing Abutments during the implantintegration period.LOCATOR ABUTMENT PLACEMENT2A-2BOpen the flip Housing on the top of thevial Housing and remove the LOCATOR Abutment.Place the Abutment Holder Sleeve onto the LOCATORAbutment Driver and insert into the triangular channelof the LOCATOR Abutment.AB3A-3BAThread the LOCATOR Abutment ontothe implant until finger tight. If the implant placementtorque was 30Ncm or greater, the Abutments maybe tightened to the recommended torque level of30Ncm. If the implant placement torque did not reach30Ncm, the Abutment should only be hand tightened.Assemble the LOCATOR Abutment Ratchet Insert andthe Torque Indicating Ratchet Wrench (07362) withLOCATOR Square Torque Driver (08926) to torque theattachments to 30Ncm.B4If the implant placement torque was less than30Ncm, relieve the overdenture acrylic and place asoft liner in the overdenture around the LOCATORAbutments during the implant integration period.FOR IMMEDIATE LOADING20Proceed with proper precautions: If the implantplacement torque was 30Ncm or greater for allimplants, follow the steps for processing the LOCATORDenture Housing and Inserts into the overdenture.
IMMEDIATE LOADING PROTOCOLSDuring the placement of LOCATOR Overdenture Implants, a clinician may wishto utilize the implants for immediate function. Immediately after placement ofthe implants, the Abutment may be connected to the prosthesis by embeddingthe Housing within the prosthesis. This process results in converting a completedental prosthesis into an implant-retained, tissue-supported prosthesis and willresult in the dental implants in immediate function.While there are many factors involved with successful immediate loading, theoverriding concern is to ensure minimal functional and parafunctional forces arepresent. Minimizing these forces, known as micromovement, is critical to thelong-term health and success of LOCATOR Overdenture Implants. 1-2Un-splinted, free-standing implants with LOCATOR abutments have shown ahigh success rate when used immediately after placement in short-term andlong-term studies.3-4 A prospective clinical study show LOCATOR OverdentureImplant System implants used in immediate function shows a high degree ofsuccess.5Immediate function results in instant gratification and improvement inmasticatory function, enhanced retention of the prosthesis, and improvementin patient quality of life.6 When possible, flapless implant placement can greatlyfurther enhance patient comfort, enhance blood supply to the implant site, and issuccessful long-term.2, 7-9NOTEImmediate loading of implants should be done with caution and proper evaluation asimmediate loading can increase the rate of implant failure.1. Esposito M, Grusovin MG, Maghaireh H, et al. Interventions for replacing missing teeth: different times for loading dental implants. Cochrane Database Syst Rev. 2013;3:CD003878.2. Schere
Implant System implants used in immediate function shows a high degree of success.5 Immediate function results in instant gratification and improvement in masticatory function, enhanced retention of the prosthesis, and improvement in patient quality
The LOCATOR Implant Attachment with patented pivoting technology is the premier system for implant-retained overdentures. According to recent studies, a two implant-retained, tissue-supported overdenture restoration is considered the new minimum standard of care fo
the locator in the other hand). Keep the locator away from your shoes, since they might contain magnetic material. To obtain maximum area coverage, the locator should be swept from side-to-side. When the locator comes within range of an object, you will hear an increase in the frequency of the output signal. Figure 3. Searching with the locator
Using the Core Tool and torque wrench, tighten the Locator abutments to the appropriate torque per manufacturer instructions. Deliver the final denture (Fig. 6). Confirm the fit, retention and occlusion (Fig. 7). Make adjustments as necessary. Figure 5: Final overdenture with Loca
9. Straumann PURE Ceramic Implant Monotype 35. 9.1 Design 37. 10. Surgical procedure for Straumann PURE Ceramic Implant Monotype 38. 10.1 Preoperative planning 38 10.2 Basic implant bed preparation 42 10.3 Fine implant bed preparation 45 10.4 Implant insertion 46. 11. Prosthetic procedure for Straumann PURE Ceramic Implant Monotype 49
mandibular two-implant retained overdenture was suggested and accepted by the patient. us, the relined mandibular denture was duplicated to make a surgical stent for one stage Astra (Astra Tech AB, Sweden)
overlay template shows all sizes of One-piece 3.0 and Overdenture implants in 100% and 125% scale. L0110 ML0103 This four-fold brochure helps the implant candidate understand the rationale and the advantages of implant therapy compared to traditional treatment methods. The message focuses o
Dental Implant Options Available. Sparkle Dental offer a range of dental implant options: All-on-X, single tooth implant, multiple tooth . implant and implant dentures. Dr Alex will explain to you how they work below. All-on-X Implants. All-on-X is a dental implant option provided by Sparkle Dental used to replace a full arch of teeth.
All implant placements were performed via freehand insertion and in accordance with the implant system protocol [12]. e Straumann φ 4.1 mm (standard plus implant, bone level tapered implant, Basel, Switzerland) implant system was used in this study. All implant sur-geries were performed using the two-stage method, and
