presented by

Product Support Specialist

 Science

current research initiatives

 Science

• AlloDerm®
- regenerative tissue matrix
• Mem-Lok®
- cell occlusive resorbable collagen membrane
• MINEROSS®
- mineralized allograft cortical and cancellous
particles
• GRAFTON® DBM
- osteoinductive demineralized bone matrix with bone
fiber technology
 Innovation

Laser-Lok® microchannels
esthetics enhanced by technology

• only surface shown using human

histology to attract a true physical,
connective tissue attachment1
• superior crestal bone maintenance
when compared to traditional
implants2

1
Based on human histology published in IJPRD, vol 28, no 2, 2008 compared to a pubmed search in
June 2009 on other systems.
2
Based on a 3yr study published in Implant Dentistry, vol 18, no 1, 2009 compared to the 1.5-2mm of
bone loss commonly reported with traditional implants.
 Innovation

VIP 2.1
interactive 2D and 3D
treatment planning software
- intuitive, user-friendly interface
- self-processing DICOM converter
- improved case predictability
and confidence
 Innovation

3inOne abutment
comes packaged with every bone-level implant
1) implant mount
2) impression coping
3) esthetic, gold-hued abutment
 Service

7 direct markets
US, Spain, Canada, UK,
Germany, Australia, Chile
~100 direct reps
~58 distributors
covering the rest of the world
 Service

Worldwide distribution network

United Kingdom
Canada Germany

Spain
United States

Australia
Chile

Countries served
 locator abutment system

• designed for implant-retained,

tissue-supported overdentures
• self-aligning, dual retention with
low profile
• classified as a universal hinge,
resilient attachment
 locator abutment system

• ideal where inter-occlusal

space is limited
• total abutment and attachment
height is only 2.5mm
• 1.68 mm shorter than the next
shortest overdenture abutment
• angle correction up to 20 degrees
per abutment
 full line of sizes

• available for all BioHorizons

prosthetic platforms
• abutment soft tissue cuff
heights from 0 to 6mm in
height
 self-aligning

• offers many advantages

- makes it easy for patients to position and correctly seat their
denture.
- unique design helps guide the housing with nylon liner into the
abutment
- reduces wear of attachment components from improper seating
 flexible retention

• standard male inserts

- 3 levels of retention
∙ 1.5lbs (blue), 3lbs (pink) and 5lbs (clear)
- angle correction up to 10 degrees per abutment
• extended range male inserts
- 2 levels of retention
∙ 1.5lbs (red) and 4lbs (green)
- center portion eliminated to accommodate 20 to 40 degrees
implant divergence
- no need for angled abutment

straight male inserts angled male inserts

 extended range option

accommodates up to 40 degrees of
divergence between implants
 assessing angulation

locator parallel posts are utilized to

evaluate angulations of implants

Case images provided by Dr. J. Bain, Farmington, Arkansas

 assessing angulation

angle measurement guide in use

Case images provided by Dr. J. Bain, Farmington, Arkansas

 packaging options

• locator male processing package

- 2 pack or 10 pack contains
∙ denture caps
∙ black processing male inserts
∙ white block-out spacers
∙ clear nylon male inserts
∙ pink nylon male inserts
∙ blue nylon male inserts
 locator core tool

• three functions
- abutment placement
- seating tool for nylon male inserts
- insert removal tool

nylon male male insertion tool abutment seating tool

removal tool
locator overdenture
direct cure (chair side) technique
John Bain DDS, general dentist
practice: Farmington, Arkansas
drbain@implantsandsmiles.com
 remove healing abutment

remove healing abutment loosen with hemostat

if necessary

Case images provided by Dr. J. Bain, Farmington, Arkansas

remove healing abutment

Case images provided by Dr. J. Bain, Farmington, Arkansas

parts for a typical case

Case images provided by Dr. J. Bain, Farmington, Arkansas

 selecting abutment height

• use a probe to measure the

tissue at the highest point
from the top of the implant
• locator abutment should
extend 1mm above the soft
tissue
seat locator abutments

Case images provided by Dr. J. Bain, Farmington, Arkansas

 seating the abutments

abutment has internal driver has compatible

triangular drive design external triangular
drive design

Case images provided by Dr. J. Bain, Farmington, Arkansas

 seating the abutments

hand tighten with

torque to 30 Ncm
locator tool

Case images provided by Dr. J. Bain, Farmington, Arkansas

 place housing
over abutment

place white block out place housing over

ring over abutment abutment

Case images provided by Dr. J. Bain, Farmington, Arkansas

 IMPORTANT

• note: if any portion of the

locator abutment shows
under the white block-out
ring, cover with a flexible
block-out material

Case images provided by Dr. J. Bain, Farmington, Arkansas

 dispense and mix
indicator paste

Case images provided by Dr. J. Bain, Farmington, Arkansas

 mark denture

place indicator paste inspect for

in denture show-through

Case images provided by Dr. J. Bain, Farmington, Arkansas

 mark denture

mark with
indelible transfer remove indicator paste

Case images provided by Dr. J. Bain, Farmington, Arkansas

 relieve denture

clean receptor sites

relieve marked areas with alcohol

Case images provided by Dr. J. Bain, Farmington, Arkansas

apply bonding agent to
receptor sites

Case images provided by Dr. J. Bain, Farmington, Arkansas

 prepare housings

paint Triad® VLC bonding

dry housings agent onto housings, then
brush on light-cured gel

Case images provided by Dr. J. Bain, Farmington, Arkansas

Triad® is a registered trademark of DENTSPLY
 seat denture

load clear or pink light seat denture and confirm

cure acrylic gel into proper occlusion
receptor sites

Case images provided by Dr. J. Bain, Farmington, Arkansas

 light cure housings

• patient closes softly into • light cure lingual of housings

occlusion • cure incrementally (5 seconds)
• light cure facial of housings to control heat generated
• cure incrementally (5 seconds)
to control heat generated

Case images provided by Dr. J. Bain, Farmington, Arkansas

 final preparation

remove denture, inspect

for voids and fill 1 minute final cure

Case images provided by Dr. J. Bain, Farmington, Arkansas

 replace inserts

remove black insert retentive male

processing male of choice

Case images provided by Dr. J. Bain, Farmington, Arkansas

 denture now ready
for delivery

Case images provided by Dr. J. Bain, Farmington, Arkansas

locator overdenture
fabricating a new denture
 laboratory processed

• for a laboratory-processed case, an

impression of the intraoral locator
abutment is made with the
impression coping locator impression coping
- locator impression copings are placed on
the abutments
- the copings are picked-up in the denture
impression
- the laboratory inserts the locator analogs
in the impression and pours a model
- standard laboratory techniques are
followed to process an existing denture or
while making an new denture
locator lab analogs
 fabricating a new denture

Place Place
locator abutments locator impression coping
 fabricating a new denture

place locator impression syringe impression

coping material around copings
 fabricating a new denture

take an impression place locator analogs

 fabricating a new denture

locator clinically create a working model

 fabricating a new denture

add spacers place denture caps

 question

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 the denture up
2) lingual flange extension – too short, the tongue finds it easily
3) lingual flange extension – too long, tongue movement will lift it
4) thin the border of the lingual flange
 question

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 – each “clear” Locator males have 5 lbs
retention
7) place acrylic button in anterior as a tongue distraction
8) add more implants and Locators
 why choose locator
abutments?

• low profile
• durable
• easy to maintain
• easy for patient
• versatile
• cost effective

Case images provided by Dr. J. Bain, Farmington, Arkansas

 very low profile

• total attachment height as low

as 2.5mm on internal
connection implants (pictured
at right)

• 3.17mm height for external

connection implants

• great for cases with limited

inter-occlusal space
 self-aligning male

• makes it easy for patients to position and correctly seat

their denture
• unique design helps guide the housing with nylon liner
into the abutment
• reduces wear of attachment components from improper
seating
 why choose locator
abutments?

• durable • easy maintenance

- duel-retention provides - durability means fewer
twice the amount of office visits
retention area - metal housing pivots
- ensures longer over nylon male,
retention life reducing wear
- independent laboratory - one tool used for all
testing demonstrated aspects of maintenance
incredible wear - placement torque: 30
resistance through Ncm to minimize
60,000 cycles of abutment loosening
insertion/extraction

a typical case will need:
• abutments
- prosthetic platform
- tissue depth
• processing package (2 each)
- Denture Caps
- Black Processing Males
- White Block-out spacers
- Clear, Pink and Blue Nylon Males
• Core Tool
• 30 Ncm Torque Wrench
• .050” Hex Tool or
Locator Square Drive Tool
getting started
optional
• Parallel Posts to determine
angulation of implants
• Locator Angle Measurement
Guide
• Impression Copings (set of 4)
• Analogs (set of 4)
• additional male inserts for
angled implants or lighter
retention
 disclaimer

• this presentation serves as a reference for using BioHorizons

surgical and/or prosthetic components.
• it is intended solely to provide instruction on the use of the Locator
Abutment as per instructions for use L8002-TM, available at
www.zestanchors.com.
• it is not intended to describe the methods or procedures for
diagnosis, treatment planning, or placement of implants, nor does it
replace clinical training or a clinician’s best judgment regarding the
needs for each patient.
questions?
 thank you

shop online at www.biohorizons.com

MLV136 REV C APR 2010