Millions of Americans wear dentures. Unfortunately, the majority of denture wearers are dissatisfied with their prosthesis — their chief complaints being poor retention, discomfort or difficulty speaking and eating. Supporting and stabilizing dentures with small diameter implants (mini-implant retained dentures) can resolve these problems and significantly improve denture retention — offering long-term clinical success.
The procedure involves creating a removable connection between the implants and the corresponding attachments or secondary components of the denture. The bonding of the attachments can be done by a lab in the indirect procedure, which causes a second appointment and is inconvenient for patient and clinician. As an alternative it can be done directly in the pick up method.
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The direct pick up method has the advantage that it can be done in one appointment and it is more accurate. However, the biggest fear of clinicians is the accidental locking of the denture to the abutment. VOCO is introducing Quick Up, an innovative and complete system that virtually eliminates the risk of interlocking and cuts chair side time in half.
The Quick Up product
With everything in one system, Quick Up improves workflow and chairside efficiency — saving time and money. The system includes Quick Up self-curing composite in the QuickMix syringe. Designed specifically for bonding attachments, such as ball, Locator and telescopic attachments as well as other attachments in acrylic-based dentures, Quick Up Self-curing composite can also be used for reattaching secondary elements in a denture such as bar retainers.
Easy to use, Quick Up self-curing composite demonstrates exceptionally high strength, a physical attribute that’s essential for the long-term stability of denture attachments.
Other components of the system include: Fit Test C&B — used to check whether the openings in the denture base provide enough space to receive the attachments and for blocking out undercuts in the overdenture; Quick Up adhesive — a strong adhesive material that is applied to the underside of the denture to improve composite retention; and Quick Up LC, a light-cure composite used to correct minor surface defects in the denture.
The new Quick Up method
After the mini-implants have been placed into the jaw, a recess is prepared into the denture. The Quick up method does not require vent holes. To ensure that the openings in the denture base provide enough space to receive the attachments the kit includes Fit Test C&B, a control silicone (Fig. 1). This step is optional, but highly recommended for best results.
Fit Test can also be used to block out any undercuts around the attachments, teeth, or implants (Fig. 2). Quick Up adhesive is applied and then recess filled only 2/3 full with the fast-setting Quick Up self-curing composite using the Quick Up automix syringe (Fig. 3).
By under filling the recess the risk of interlocking the denture with the intraoral attachments is virtually eliminated. Furthermore it saves time by eliminating the time-consuming step of removing excess composite material later. After seating the denture in the patient’s mouth the material will set intraorally in only 2.5 minutes.
After removal, any deficiencies can easily filled with the light-cured Quick Up LC (Fig. 4).
Optimized work flow improves the bottom line
The new Quick Up method not only improves the clinical success rate, but furthermore also optimizes the work flow. In difficult economic times it becomes more and more important for clinicians to optimize work flows without compromising quality. The Quick Up method is a great example how a product can not only improve results, but furthermore improves the work flow and saves time and therefore money.
Compared to indirect lab processed bonding of denture housings, the clinician saves impression material, disinfection, chairside time and lab fees. But even if the direct pick up method is chosen there are differences.
The new Quick up method cut the procedure time in half and can save the clinician up to $125 in chair side time for each procedure.
(Source: VOCO)
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