The LOCATOR FIXED® system is a novel fixed full-arch treatment approach that shares the foundational abutments and workflow with the established LOCATOR® Removable attachment system. The key departure lies in the utilization of rigid inserts and a distinctive high-retention gold housing, differentiating it from the flexible nylon insert and silver housing characteristic of the removable solution3.
The following clinical case report highlights the seamless transition facilitated by LOCATOR FIXED®, allowing patients with existing LOCATOR® Removable overdentures to effortlessly adopt a permanent fixed prosthesis. Beyond the technical aspects, it's noteworthy that this transition significantly contributes to an enhanced quality of life for patients, particularly those with financial constraints4. In our practice, we have experienced that an improved permanence and functionality of a fixed prosthesis positively impact patients' daily lives, offering a lasting solution that aligns with their financial considerations.
Initial situation
A systemically healthy 55-year-old woman arrived at our clinic expressing her primary concern, stating: "Doctor, I appreciate my overdenture, but I would love to have one I don’t have to remove.” From our clinical experience, patients often convey a nuanced sentiment, expressing modest satisfaction while subtly indicating a desire for further improvement in the quality of life.
According to her dental history, the patient was treated with a maxillary overdenture several years prior to the recent appointment. The prosthesis was supported by four implants located in the first molar and canine regions.
The extraoral assessment revealed a prosthesis in a modest condition (Fig. 1).