What is the complete guide to cuff height measurement and specifications for proper Locator Fixed placement?
Cuff height is critical for proper Locator placement and requires precise measurement:
Measurement Process
- Remove the healing abutment
- Take a probe and place it on the platform of the implant
- Measure around the entire circumference of that site
- Take the tallest measurement from all sides (mesial, distal, buccal, lingual)
- Order the cuff height based on the largest measurement
Example: If mesial is 2mm, distal is 3mm, buccal is 2mm, and lingual is 2mm, order a 3mm cuff height.
Specifications by Manufacturer
- Range: Most platforms start at 0mm or 1mm and go up to 6mm maximum
- Maximum limit: 6mm is the tallest available (above 6mm requires gingivectomy)
- Whole numbers: Some platforms use whole numbers (0,1,2,3,4,5,6mm)
- Fractional measurements: ZimVie uses 0.75, 2.5, 3.5, 4.5, 5.5mm on some platforms
- Implant stickers: Implant stickers and/or surgery reports are a huge help with implant ID for accurate Locator ordering.
- Torque Specifics: Zest offers Locator drivers to torque the Locator into the implant adequately. A variety of drivers are available depending on the office’s torque wrench system.
ZEST Auto-Calculations
- ZEST automatically adds a 1.5mm "lip" above the ordered cuff height
- Final result: Locator should be exactly 1.5mm above the highest gum tissue
- The lip engages with the insert in the denture cap
Critical Timing
- DO: Measure when ready to restore and healing is completed
- DON'T: Measure from x-rays, surgical letters, or healing abutments during healing
- Reason: Tissue heals, shrinks, and changes from surgery until the restorative time
Additional Resources
For more information concerning the ZEST Locator Fixed:Contact Information
For help with a Locator Fixed solution for your next case, contact ROE Dental Laboratory:
- Phone: (216) 663-2233
- Email: info@roedentallab.com