Titach is indicated as a removable attachment of a full arch in prosthesis when used in pairs and for a partial arch prosthesis singly. Due to high retention of these attachments maximum of two attachments are indicated per arch.
The TiTachTM prosthetic system (patent pending) was developed by Dental Evolutions, Inc. as a superior solution for implant-retained, full-arch removable restorations by offering the following features:
1. TiTachTM can be used for indications requiring up to 30 degrees divergence for a single implant, or 60 degrees divergence between two contralateral implants.
2. TiTachTM employs a metal-to-metal interface between the cap and abutment unlike nylon attachments such as Zest’s Locator®
3. TiTachTM allows for up to 0.2 mm of vertical cushioning, allowing for:
a. Compression of mucosa during function & parafunction
b. Gradual seating of prosthesis in between relines due to bone resorption
4. TiTachTM is able to resist between 7 lbs to 10 lbs of force.
5. TiTachTM includes a special medical grade silicone sleeve that doubles as a block-out during pick-up of the cap
Vertical clearance of 4.5mm and a diameter of 6mm is necessary to accommodate Titach cap.
– Make sure the implant is fully integrated at the time you attempt to install the Titach cap in the prosthesis.
– The retention of Titach™ is greater than the conventional and traditional attachment system therefore, only two Titach™ attachments are recommended per arch.
– The retention is about 10 lbs. per attachment.
– The special feature of this attachment is its ability to function at 30 degrees angle to the axis of the implant. This means that the two implants can be placed 60 degrees to each other and the Titach™ functions exactly the same as if they were perfectly parallel.
Each Titach™ attachment is supplied with its abutment and silicone sleeve.
- After the implants have been integrated place the Titach™ abutments over the implants and torque them to 20Ncm
- Place the silicon sleeve on the Titach attachments so that it does not cover the attachment surfaces. Position them more or less parallel to each other.
- Place the cap-sleeve assembly over the abutment and firmly in place until you get a definite seated position.
- Gently move the cap around making sure the cap moves over the abutments freely.
- IMPORTANT: The sleeve must cover the entire abutment neck that is extruding from the gingival area.
- This is necessary to prevent the acrylic from locking around the abutment.
- If part of the abutment body is exposed that opening must be covered by appropriate blocking resin.
- Place the prosthesis over the Titach™ caps and make sure the caps do not touch the prosthesis when fully seated. You can use an articulating paper to mark the tight spots that need to be relieved.
When the denture can be seated without interfering with the Titach™ caps, the silicone sleeves need to be pulled over the caps so that it covers the cage (see figure 4) and extend over the body of abutment.
*Important. Failure to apply the sleeve in this manner will lock the prosthesis around the abutment making its removal impossible without destruction of the appliance.
– Make sure the top of the sleeve is below the upper edge of the cage and it does not cover the retentive fins.
– Completely dry the inside of the prosthetic housings and carefully blow dry between the fins of the Titach™ caps.
– Place a drop of the acrylic pickup material over the fins of the Titach™ caps and work the material in between the fins by twirling movements.
– Then place a drop or 2 of the pickup material at the bottom of the housings and place the prosthesis over the Titach™ attachments.
– Hold the prosthesis in place for the duration of the setting of the material in use (4-7 minutes).
– It’s important for you not to attempt removal of the prosthesis until you are completely sure of the setting of the material.
– After such period firmly hold the prosthesis with both hands and affect its removal taking care not to hit the opposing arch.
– The silicone sleeves most likely will come out with the prosthesis.
– For appropriate hygiene of the Titach™ caps the silicone sleeves must be cut in half and inserted between the cap and the cap housing so that it locks under the outer edge of the Titach™.