Fix on Six®

Hi, I’m Dr. Todd Shatkin and welcome to this Monday Morning Minute. Today we’re going to be talking about fix on six, our hottest selling Zirconia restoration for a roundhouse restoration. And it competes directly with the all on four. But ours is simpler, easier, faster, less expensive and very comfortable for your patients.

The way it works is you put anywhere from six to ten mini implants in the upper or lower jaw, and then the lab will fabricate a beautiful zirconia, or resin roundhouse restoration. You can choose if you want resin. The resin is really a transitional type restoration. The Zirconia is the long term perfect solution. So what you’re going to do is once you get the restoration back from the lab, it’ll come to you with holes underneath without any housings in.

Just like you see the one hole there that’s open on this particular restoration. The other housings are already in there, but yours would come with all holes and no O-ring housings. What you’re going to do then you’re going to cut six or eight or ten blockout chimps, whatever the number may be, and you’re going to put them down below the ball on the implant just like this. Once you’ve done that, you’re going to take and try the restoration on and make sure it goes all the way down over the implants before you put the housings on. Once you’ve confirmed that the bite is good, the aesthetics are good and everybody’s happy, you’re going to go ahead and put your O-ring housings onto those implants over the shims, just like that.

You’re going to do that for each one. Once you’ve attached the housings, you’re then going to try the restoration on one more time to make sure it goes over those housings and it’s not hitting or rocking on them. Once you’ve confirmed that the bite is the same, it’s fitting all the way down to the gum line. You’re ready now to pick up those housings. How do you pick up the housings?

You’re going to use the same Shatkin F.I.R.S.T.® resin cement that we use when we cement our restorations to pick up the housings. And what you’re going to do is just squirt that resin cement into the holes that are in the restoration and you’re going to take that restoration, seat it right over the housings on the implants. Don’t forget the housings, otherwise you’re going to lock that bridge on. So you make sure you put the housings all the way around on top of those shims, seat the restoration on there, have the patient bite together, hold it for five minutes. Once the five minutes are up, that restoration says snap right off of the patient’s mouth and you’ll take the shims off, you’ll clean up any extra cement and you’re good to go to put that restoration in permanently.

Now, we do not recommend our patients to take that restoration out. It’s detachable, but it’s detachable at the dental office not at the patient’s home. So make sure you tell the patient they don’t have anything to worry about. They never have to touch it. They just take care of it.

They clean it, they brush it. And we give every one of our patients a water pick, which, if I can have somebody hand that to me, I’ll show you our water pick that we give to each of our patients. The Shatkin F.I.R.S.T.® H2O floss water pick. We include this with every roundhouse we do, whether it’s a cemented or a detachable roundhouse. So make sure you give them that to keep it clean and instruct them how to use it.

I hope this Monday Morning Minute was helpful to you, and I encourage you to start doing your fix on six restorations, because not only will it be a huge practice builder, it’ll make your patients very, very happy and it’ll bring in a lot of money to your practice. Thank you very much. I’ll see you next Monday.