February 2012, Volume 8, Issue 2
Published by AEGIS Communications
New method eliminates the risk of accidental locking of dentures to the implant and cuts procedure time in half.
Stabilizing dentures with small-diameter implants (ie, mini-implant retained dentures) can help to significantly improve denture retention and resolve these problems, and in turn help improve long-term clinical success. The mini-implant procedure involves creating a removable connection between the implants and the corresponding attachments of the denture. The laboratory can bond the attachments in an indirect procedure, but this prompts a second appointment and can be inconvenient for both the patient and the clinician. Alternatively, it can be done in the direct pick-up method, which has the advantage of being done in one appointment as well as being more accurate. However, clinicians’ biggest fear is accidentally locking the denture to the abutment. To avoid this, VOCO has introduced Quick Up, an innovative and complete system that virtually eliminates the risk of interlocking and cuts chairside time in half.
The complete system includes Quick Up self-curing composite in the QuickMix syringe. Specifically designed for bonding ball, Locator®, and telescopic 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. Quick Up self-curing composite demonstrates exceptionally high strength, a physical attribute that is essential for the long-term stability of denture attachments. Other components of the system include: Fit Test C&B, which can be 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, which can be applied to the underside of the denture to improve composite retention; and Quick Up LC, a light-cure composite which can correct minor surface defects in the denture.
The New Quick Up Method
After the mini-implants have been placed, a recess is prepared in 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. This is an optional step, but it is highly recommended for best results. Fit Test can be used to block out any undercuts around the attachments, teeth, or implants (Figure 1 and Figure 2). Quick Up adhesive is applied and the recess filled only two-thirds full with the fast-setting Quick Up self-curing composite using the Quick Up automix syringe (Figure 3). Underfilling the recess virtually eliminates the risk of interlocking the denture with the intraoral attachments. It also saves time by eliminating the step of removing excess composite material later. The material will set intraorally in only 2.5 minutes. After removal, any deficiencies can be easily filled with the light-cure material, Quick Up LC (Figure 4).
Optimized Workflow, Improved Bottom Line
Not only does the new Quick Up method improve the clinical success rate, but it also optimizes workflow to save time and money. Compared to indirect laboratory-processed bonding of denture housings, the clinician saves on impression material, disinfection, chairside time, and laboratory fees. But even if the direct pick-up method is chosen, there are differences. The new Quick Up method cuts the procedure time in half and can save the clinician up to $125 in chairside time for each procedure (Table 1).
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The preceding material was provided by the manufacturer. The statements and opinions contained therein are solely those of the manufacturer and not of the editors, publisher, or the Editorial Board of Inside Dentistry.