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Implementation of a Structured Preclinical Simulation Tool for Locator Housing Pick-Up Training
Po-Hsu Chen1, Chin-Chuan Fu1, Daniel A Givan1
1Department of Restorative Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, AL 35233, USA.
Abstract:
Background/Objectives: Delivering consistent preclinical instruction for implant attachment procedures can be challenging in large dental cohorts. This report describes the development and implementation of institutionally produced training tools designed to support Locator housing pick-up exercises for second-year predoctoral dental students. Methods: Modified typodont-based simulation tools were integrated into the preclinical curriculum. Clear dentures and gypsum models were fabricated to allow visualization of seating relationships and identification of common interferences. Complete seating of the denture was verified using inspection windows, flange evaluation, and polyvinylsiloxane disclosing materials before housings were incorporated with autopolymerizing acrylic resin. After each session, components were collected, inspected, and prepared for reuse in subsequent cycles. Learner perceptions were obtained through an anonymous voluntary survey. Results: The configuration enabled visualization of seating conditions and identification of misalignment during the exercise. Removal of anterior teeth reduced material use and emphasized posterior stabilization during the pick-up procedure. Of 83 learners, 28 completed the survey (34% response rate), with responses tending toward agreement across items (mean range: 4.5-4.9/5), indicating favorable learner perceptions of the exercise and its organization within the scheduled laboratory period. Across three academic cycles, six dentures required replacement, whereas all gypsum models remained serviceable and no additional fabrication was necessary. Conclusions: This structured simulation approach provided an alternative method for delivering Locator housing pick-up training in a high-volume preclinical environment. The model allowed repeated implementation of the exercise across academic cycles.
