Add Myriad Attachment with airSlate SignNow

Add myriad attachment

[Music] hello everyone this is dr. Michael Shearer with a learn locator a free resource on how to treatment plan utilize and maintain locator and locator r-tx attachments for overdenture this laboratory demonstration video is going to be describing how we go ahead and we size the appropriate abutment for either locator or locator r-tx for our patients as you see in front of me here I have everything that we need to demonstrate this example we have our already predetermined locator our TX abutments and then our patient demonstration model with a small hand driver either an O 5 o or o 4 8 X and then a periodontal measure what we want to do is we want to go ahead and we want to size our patient that is if they were coming to us either after we had the implants placed by us or by our surgeon we went ahead and we're going to go ahead and first step this is we want to unscrew the healing abutments as we unscrew the healing abutment it's put away carefully and then we're going to go ahead and measure the soft tissue cuff and if you'd like to follow along you can also see a step-by-step demonstration of how to do this technique in the locator r-tx technique manual also this demonstration also covers the traditional locator abutment system which measuring the soft tissue height is pretty identical between the two so once we've gone ahead and we've removed the healing abutments we can see here we've got our implants in place what we want to do is just want to take our periodontal probe and we want to measure from the top of the implant to the top of the soft tissue and my periodontal probe is giving me a measurement of 3 as I move around that implant I'm probing just the platform all the way around if you're working with an external hex implant this part's easy but an internal connection implant like you see in here and this is just a standard hex type of implant connection we want to measure from the top part the outside portion of the dental implant now you don't want to push too hard you don't want to push too hard cuz that will go down into the soft tissue around the implant potentially injuring the soft tissue you just kind of start from the center and then work our way out until we reach just the edge of the implant now as I move around you'll notice that the soft tissue is perfectly three millimeters on the lingual and then as I come across to the mesial it's more like 3.2 3.5 and as I come here to the distal it might even go to maybe three point four three point three and as I come to the facial it's a solid three looking here on the other side also on the lingual perfectly three millimeters and then right around that three point four three point five mark for each of the proximal areas now some people will say well I want to make sure I choose the largest of those numbers so I'm going to err on the side of caution and say well everything is three point four three point five so maybe I should air in and and get a slightly taller abutment and I caution you against that I really recommend trying to choose the lowest profile height abutment that you can possibly work with so case in point if I measure a three millimeter here on both of the lingual sand then a rate around a three on the facial but it's three point two here on the mesial and then maybe three point four or so here on the distal we're going to go ahead and choose three millimeters and the reason behind that is is is that all you need exposed is just the working portion of the locator or locator RTX abutment and what happens is is is that it's so simple all you do is is you choose that soft tissue measurement and that's what you want to order from zest because when they send you back the abutment everything is all done and connected ready to go this is the packaging the measurement that you've just measured is from the edge of where this platform is not to the top of the abutment but actually to the top part of the working portion that goes below the soft tissue matching the portion above the soft tissue that three millimeters is going to be the measurement from the bottom part which connects to the platform of the implant to just below the portion that needs to be exposed out of the mouth so if you take another look at it I get a little bit closer the portion that needs to be exposed in the mouth is from that line right here on the r-tx abutment everything from here up needs to be supra gingival where this portion from here down can be either at or below the soft tissue and then of course this portion is is where it would meet for the dental implant how we do that is is we take that measurement that I just told you about we have somewhere between 3 and 3.4 and we're going to go ahead over - are either locator or locator r-tx ordering guide our ordering guide is more or less just giving us a description of everything that we would need to purchase for either locator or locator our TX also gives you a reminder of how to measure the soft tissue and then you can go ahead and choose based upon which implant type you have the diameter of your connection or platform and then gives you the ordering number that you would tell zest what you want for your implant alternatively you can order directly from zest or through your dental implant supplier so in this case if we say we have a Zimmer internal connection implant and we have three to three point four millimeters of soft tissue height I'm going to want to choose the 3 millimeter soft tissue height if I had everywhere mesial distal maybe lingual except for the buccal covered by say 3.5 3.6 millimeters of soft tissue maybe the buckle is only 2 I would probably want to err on the side of a little bit taller however if it's only say one out of four of those four potential sites I'd want to err on the side of caution and choose something a little bit shorter so I'm going to choose the 3.0 millimeter cuff height for my 3.5 millimeter platform which would be this number 300 200 oh three when I ordered that from either zester my dental implant company it's going to come in this little package in this vial in a sealed pouch everything you have here is meant to more or less go directly to the patient's mouth however it's recommended that you sterilize this in an autoclave or with a cold sterilant before you place this directly in the mouth now typically in my office that's what I do I place this into a cold sterile and then I irrigate out the implant either using a sterile water or a chlorhexidine type rinse I'm going to take the abutment to the implant and then place and start turning until this blue part just doesn't turn anymore and breaks away at this point I'm going to take out my hand driver and it takes either the Oh 500 or the oh four eight connection so it's essentially a hex driver on top of the locator r-tx abutment for the traditional legacy locator cases you would need to use the little gold tool as part of the core tool now after I've tightened that down all the way you can now see that I've got the perfect height of the locator r-tx abutment all I want exposed is just that top portion so approximately 1.8 to 2 millimeters above the soft tissue just enough for my denture to grab that little edge right underneath that I'm going to repeat for the other side taking my vial open and in this case I'm going to simulate removing that onto my driver and then placing directly onto my implant and tighten until it's snug all the way now at this point what you would want to do is just want to go ahead and torque the abutment down so I recommend the torque values is established by your dental implant company also there are recommendations within the technique manual for either locator r-tx or for a legacy locator so what I'm going to do is I'm going to assemble my torque driver and then I'm going to place the tip of the driver inside of the implant and then tighten until it reaches 30 Newton centimeters in this case for this implant system so now we can go ahead and start working with our locator our TX abutments but this has just been a short clinical and laboratory demonstration just to give you an idea of how we properly sized our locator our TX and locator legacy abutments this is dr. Michael share with a learn locator a free resource and how to treatment plan utilize and maintain locator and locator our TX attachments for over dentures thanks for tuning in [Music]