The following workflow is applicable for patients who are having their dentition extracted and replaced with an implant supported locator overdenture where a surgical guide is being used.
The outline below highlights the key steps necessary for our implant supported locator overdenture and surgical guide workflow.
Key Workflow Steps
- Scan and Order - The doctor takes chairside scans and CBCT scans of the patient.
- Surgical Guide - Dandy provides a treatment plan and surgical guide to the Doctor.
- Implant Surgery - Implant Surgery and Tooth Extraction.
- Seat Immediate Denture - Immediate Denture seated.
- Seat Final Overdenture - Final Implant supported Overdenture seated.
Pre-Surgery
Appointment 1
If the patient cannot establish a bite with their existing dentition:
- Follow Wax Bite Rim Workflow to fabricate the patient a new denture.
- Follow Fully Edentulous CBCT Workflow.
If the patient can establish a bite with their existing dentition:
- Follow Immediate Denture Workflow.
- Scan upper/lower arches and bite.
- Perform CBCT Scan.
- Submit scans, CBCT, and implant / case information in the Dandy Portal.
If the patient can establish a bite through their current denture:
- Follow Reference/Copy Denture Workflow.
- Scan upper/lower arches and bite.
- Follow Fully Edentulous CBCT Workflow.
- Submit scans, CBCT, and implant / case information in the Dandy Portal.
Implant Treatment Planning
- Dandy provides a surgical plan for doctor review and approval via live review or video.
- Dandy fabricates an Immediate Denture.
Surgery
Appointment 2
- Place Implants.
- Seat Immediate Denture.
Post Osseointegration
Appointment 3
Before Chairside Pickup
- Remove implant healing caps and place locator abutments; Verify abutments are above the tissue.
- Apply blockout spacers to abutments.
- Seat denture housings with black nylons onto each abutment to confirm passive fit of the prosthesis over the housing.
- Verify reliefs by test fitting denture (using pip paste and a bur, reduce material if needed). Check the occlusion against the opposing arch.
- Dry and clean denture thoroughly before adding material for chairside pickup to ensure material bonds properly.
Chairside Pickup
- Place chairside auto-polymerizing material inside denture reliefs.
- Guide denture in mouth, being sure to seat the denture all the way down. Have patient close into bite.
- Remove once auto-polymerization is complete (follow manufacturer’s instructions).
- If there are voids around the abutments, place additional material carefully so as not to get any inside the abutments.
- Using a carbide bur, clean up any excess material on the intaglio and/or lingual areas.
- Polish as needed for a smooth finish.