What is the recommended torque value for LOCATOR® Abutments?
- Using a calibrated torque wrench, tighten the Locator Abutment to 30 Ncm or to the torque for an abutment screw recommended by the manufacturer of the implant/abutment system if that recommended torque is 35 Ncm or less.
- Implant Attachments with ≤ 1.4 mm thread (IDENTIFIED BY “≤ M1.4” SYMBOL ON LABEL): Using a calibrated torque wrench, tighten the Locator Abutment to 20 Ncm.
Use of higher torque values than recommended above could causea fracture of the LOCATORR Abutment or Bar Female.
What is the cost for LOCATOR Abutments?
$119.50 per abutment
Do you sell angled LOCATOR Abutments?
No, however the extended range nylon male inserts does accommodate between 10 degrees and 20 degrees per abutment and a combine 40 degrees between two implants.
What information is needed to order a LOCATOR Abutment?
All of ZEST Anchors LOCATOR implant-supported abutments are implant specific. To order a LCOATOR Abutment you will need to provide the following information to a ZEST Anchors Customer Service Representative:
- Name of implant system
- Implant diameter
- Connection type – internal connection or an external hex connection
- The highest point of gingival margin surrounding the circumference of the implant platform
Choose a cuff height equal to the measurement at the point of the highest tissue. If that measurement is 3mm, a 3mm abutment should be chosen. 1.5mm is built in to the abutment to accommodate for the height of the denture cap.
Do you sell assorted packs of the nylon inserts (males)?
No, these are sold in individual colors/retentions in 4 packs and 20 packs
What is the difference between the extended range nylon males and the standard range nylon males?
The standard range nylon males have dual retention and come in the colors clear, pink, and blue. These work with implants that have between 0 degrees and 10 degrees divergence.
The extended range nylon males have a single source of retention and come in colors green, orange and red. These work for implants that have between 10 degrees and 20 degrees of divergence. (Up to 40 Degrees between 2 implants)
What are the retention levels of the different color nylon male replacements?
8558 – Gray – Zero Retention
8524 – Clear – Regular Retention
8527 – Pink – Light Retention
8529 – Blue – Extra Light Retention
8547 – Green – Regular Retention
8915 – Orange – Light Retention
8548 – Red – Extra Light Retention
How do you measure the tissue cuff height?
- First, remove the abutment or healing cap from the implant
- Using a perio probe, place it on the implant platform
- Drag the probe around the circumference of the implant platform to determine the measurement of the highest point of gingival margin surrounding the circumference.
- Provide the ZEST Anchors Customer Service Representative with the measurement
- The ZEST Anchors Customer Service Representative will choose an abutment that accommodates 1.5mm above the highest point of gingiva to engage the denture cap.
Why do you sell only one size Denture Cap Housing for different size LOCATOR Abutments?
The LOCATOR Abutments are implant specific, however the top that engages with the Denture Cap is universal across the entire LOCATOR Attachment System.
Where can customers located in Canada order ZEST Products?
Canadian customers can order through one of the following ZEST Anchors Distribution Partners:
- LHM (Toronto) 800-387-5031
- Excel (Vancouver) 800-881-2932
- Swiss NF 800-382-5031
What are the diameter options for the LODI system?
2.4mm and 2.9mm
What are the length options for LODI system?
10mm, 12mm and 14mm
What are the cuff height options for the LODI Attachments?
2.5mm and 4.0mm
What is the implant packaged with?
One LODI LOCATOR Attachment with Black Processing Male, Denture Cap, Block-out Spacer and 3 Males: Blue, Pink and Red. **All other items need to be ordered separately.
What is the retail price for LODI?
The US retail price is $159.00/implant.
What comes in the LODI Male Processing Pack?
The LODI Male Processing Pack is packaged with a Denture Cap with Black Processing Male, blue, pink and red males and also Block-out Spacer.
Can I use the Extended Range Males with the LODI System?
Yes, the attachment on LODI enables the use of all of the same males as the LOCATOR Attachment System.
Can I use the 30Ncm Torque Wrench that I use for other implant systems?
Yes, as long as you purchase one of the following: a Implant Latch Driver (#7357); or Implant Driver, Short (#7360); or a Implant Driver, Long (#7361)
What material is LODI manufactured from?
The implant material is titanium alloy Ti6A-4V, an industry standard for dental implants.
What is the LODI surface?
The implant features a RBM (Resorbable Blast Media) surface with a 1.5 micron surface roughness, which increases primary stability and bone to implant contact, therefore improving bone anchoring.
What is the RBM surface?
This proven textured surface has been used successfully on implants since the 1990s. The Resorbable Blast Media is calcium phosphate.
Can LODI be used in the maxilla and mandible?
Yes, LODI can be used in both. For NDIs, we recommend placement of 4 LODI in the mandible and 6 LODI in the maxilla.
Are the restorative components and instruments sold sterile?
The LOCATOR Implant is packaged sterile. The restorative components and instruments are not, however may be sterilized per the instructions in the IFU.
When would you choose LODI?
Choose LODI when:
- The patient has a narrow ridge and grafting/bone remodeling is not an option they will consider.
- The patient has financial constraints.
- A minimally invasive surgical protocol is desired.
- The patient desires immediate function.
- The patient is unhappy with existing denture.
Is it true that Narrow Diameter Implants (NDI’s) are for temporary use only?
Ten years ago, smaller diameter implants were considered “temporary”, however extensive data has been collected, and supporting documentation shows smaller diameter implants, when designed and placed correctly, can be effective in treating patients with narrow ridges. RBM machined surfaces have shown to aid in reducing osseointegration time. LODI is designed and cleared for use as a long-term implant for immediate loading.
What’s the difference between LODI and other one-piece o-ball NDIs on the market?
Most ball attachment systems differ from LODI in the following ways:
- Limit the amount of correction attained for divergent implant placement
- O-rings seem to wear more quickly and may require additional chair side maintenance.
- The vertical height of an o-ball is higher (3mm)
- O-ball attachments are not retrievable on one piece implants and revisions require removing the entire implant.
How is LODI different from other SDIs (or NDIs) on the market?
ZEST Anchor’s proven LOCATOR Attachment system is combined with a narrow diameter implant designed with a tapered body and RBM surface. This feature has a lower vertical height than the o-ball attachment, and when comparing LODI with other types of attachments, the LODI LOCATOR Attachment can be easily removed if there are any issues with wear. It also offers Extended Range Replacement Males, which allow for correction of divergent implants. This is not possible with other SDIs.
What is included in the LODI surgical kit?
LODI surgical kits contain: 1.2, 1.6, 2.1 and 2.4mm drills, Drill Extender, Drill Stops, Tissue Punch, Implant Drivers, Torque Indicating Ratchet Wrench, Torque Wrench Insert, LOCATOR Core Tool, Direction Indicators, and the Surgical Kit Tray.
What is the difference between the LODI Standard Surgical Kit and the Premium Surgical Kit?
- The Standard Surgical Kit is a full kit but does not have a Core Tool or a Torque Indicating Ratchet Wrench.
- The Premium Surgical Kit has a Core Tool and a Torque Indicating Ratchet Wrench.
How often should I replace my drills?
The drills were tested for 10 uses in type D1 bone simulant. There is no recommendation for the number of times a drill may be used due to the many factors that may affect wear on the drill (i.e. bone density and composition, the number of autoclave cycle exposures, handling during instrument cleaning, use of irrigation, drilling speed, etc.). It is the responsibility of the clinician to judge the wear of the drill and replace as needed to ensure that the bone is not damaged by excessive heat.
Does ZEST Anchors sell Ridge Mapping Instruments?
ZEST does not sell these; however you can purchase one from most dental instrument companies.
Does ZEST® Anchors have any clinical studies? Replace below w/ Scherer’s PRD article – give link to website and pull text from website
Many cases have been documented showing success with the LODI system.
The LOCATOR Attachment System is one of the most documented resilient, implant-retained overdenture attachments on the market today. A simple PubMed search will reveal these articles. For LODI specifically the following article was recently published by the International Journal of Periodontics and Restorative Dentstry: Flapped or Flapless Surgery for Narrow-Diameter Implant Placement for Overdentures: Advantages, Disadvantages, Indications and Clinical Rationale. Authored by Dr. Michael Scherer, this article reviews principles relating to narrow diameter implants, surgical protocols and indications, as well as highlighting diagnosis, surgical planning and final treatment outcomes. Please visit the News & Events section of the ZEST Anchors Website and click on articles to view a PDF of this article. Int J Periodontics and Restorative Dent 2014;34(suppl):s89-s95
We also have a multi-center evaluation and a university trial being conducted.
Is there a healing cap for the LODI system?
We do not have a healing cap for the LODI system at this time. The system is cleared for immediate loading as long as good primary stability can be achieved. If primary stability is not achieved, we recommend clinicians hand-tighten the LOCATOR Attachment and do a soft reline of the patient’s denture.
What tools are required to remove the LOCATOR Attachment and LODI?
- First use the LOCATOR Core Tool to remove the LOCATOR Attachment.
- Next, use one of the three Implant Drivers in the Surgical Kit to remove the implant depending on accessibility of implant. Refer to the surgical technique for illustrations and more information on removal.
Should I order multiple LODI Attachments for my implant cases?
We highly recommend clinicians order additional LOCATOR Attachments to have on hand in the event the tissue depth is not what was anticipated.
What information is needed by the surgical guide companies to fabricate a guide? (i.e. cast, impressions, etc)
Typically Anatomage will require a CBCT scan of the patient wearing a green-mousse relined complete denture, a second scan of just the complete denture, and a cast/impression of the edentulous arch.
What radiographs are needed for diagnosis and LODI placement?
There are countless numbers of CBCT imaging centers throughout the country. Check out www.conebeam.com, enter your zip code in the box on the right and there are many centers to refer to for CBCT imaging. PAS is insufficient for full arch LODI treatment planning. PAN is the minimum standard.
What acrylic material is used to pick up the abutment attachments in the denture?
Acrylic resin (ZEST Anchors CHAIRSIDE Attachment Processing Material, EZ pickup (Sterngold), Secure (3M), or Quick-Up (Voco)
Do you remove the white Block-out Spacer after the attachments are picked-up when the patient wears the denture home with black retentive caps?
Yes, the Block-out Spacer is only used for picking up the attachments and should be discarded after processing the attachment components. Black processing males are not intended to be worn continuously, only for picking up the attachment. Once the Denture Cap is successfully picked-up, you should change the black processing male to a blue, pink, or clear Replacement Male insert. Red and Orange Extended Range Replacement Males are used if your implant angles require more than 10 Degrees of angle correction.
Does the hand piece come with the kit? If not how much does it cost?
A hand piece does not come with the kit, you can purchase this from Aseptico (www.aseptico.com), W&H (http://www.wh.com/en_global/)or other dental surgical motor company. These are typically bundled with the purchase of a motor kit. Prices vary by manufacturer.
Is it ok to flush the implant site just prior to implant placement with chlorhexidine?
Flushing the site with chlorhexidine may inhibit healing within the osteotomy and therefore, is not recommended.