A User-Friendly Technique for Replacing Nylon Inserts of a Locator Attachment.

Compend Contin Educ Dent

Postgraduate Resident, Department of Prosthodontics and Crown and Bridge, Christian Dental College, Ludhiana, Punjab, India.

Published: January 2023

Rehabilitation of edentulous patients with implant-supported overdentures has gained prominence over the use of conventional dentures because of the improved quality of life it provides patients. Various attachment systems are available that facilitate the insertion and removal of prostheses, and among them, the Locator attachment system has become popular due to its self-aligning property, simplicity of use, and minimal space requirement of male inserts within the denture. However, the loss of retention of nylon inserts over time requires their removal from the metal housing and subsequent replacement. This article describes an easy alternative technique for replacing the nylon inserts in the denture cap using a simple dental explorer and mirror head.

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  • The study investigates and compares the retention forces of nylon versus PEEK denture attachments over time and exposure to denture cleansers.
  • Two types of attachment materials were tested on models with implants, and dislodgement forces were measured at baseline and after multiple insertion-removal cycles, as well as after soaking in a denture cleanser.
  • Results indicated that the frequency of insertion and removal significantly reduced retention values, while soaking in cleanser did not have a significant impact, with blue nylon showing the lowest retention values across the tests.
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  • * This study outlines a repair method using the Gore Preclude MVP Dura Substitute, a three-layer artificial material that effectively closes the dural opening.
  • * The procedure involved placing a larger piece of MVP in the durotomy area, securing it with nylon yarn, which successfully prevented any leaks and resulted in no complications during the process.
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