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Flipper Hitting the Dental Implant
Rod, a dental implant patient, asks us:
I recently went to my dental implant dentist to check to see if my implant had fused enough to add the tooth. He was quite upset because the flipper that I had been using was hitting the dental implant and the dental implant hadn't fused well yet (4months since implant).
Is this just matter of fixing the flipper and waiting more time or is this a real problem with the dental implant?
July 17, 2006 in Flipper, Patient Questions | Permalink
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Comments
No, the implant will fail!!
Posted by: | Jul 18, 2006 2:16:10 PM
Unfortunately this is an all too common mistake in the fabrication and fitting of a flipper. The implant will fail to integrate if it is micro-moved by contact with the flipper.
Posted by: | Jul 18, 2006 3:49:12 PM
if it's true that micro movement will doom an integrating implant to failure, how are people doing immediate loading of implants?
Posted by: | Jul 18, 2006 7:31:28 PM
dental implant initial stability is the key element in successful osseo-integration. also bone type,and quality is important for initial stability. for example: posterior maxilla with poore cancellus bone, no load should be apply . if dental implant subjected to a movement without initial stability, implant will fail,that is hway case selection for immediat load is important to prevent failure.in case of having flipper as a temporary restoration, 1-it should be relined with a soft lining material. 2-it should not be used for function, only for esthetic, 3- it should be adjusted to eliminate any occlusal contact ,in centric and other movements. 4- premature contact and para functional habits should be eliminated. good luck from DR.ALI
Posted by: DR.MAHMOUD ALI DDS. MS | Jul 18, 2006 9:20:46 PM
You are confusing micromovement within and beyond physiologic load. In our histology of immediately provisionalized or immediately loaded implants,the consensus in the literature indicates that bone will actually mineralize faster if load moment is kept under 150 microns. Beyond that (probably the case with the transitional appliance) the failure rate goes up dramatically. Unless it is a full arch implant supported case where we would put the implants into full immediate function, try to err on the side of minimal force.
Posted by: Robert J. Miller | Jul 22, 2006 2:30:26 PM
Had a case where refering Dentist relined without my knowledge and left it impacting the implant which had been fine for 3 months.THe implant was subsequently lost could there also be an effect of a pumping action forcing bacteria down between the implant and the gingiva ? As Pof. Chanavaz says best not to use any form of removable prosthesis..
Posted by: Peter Fairbairn | Jul 24, 2006 5:15:40 AM
With new technology it is possible to avoid even fabricating a flipper. This in turn makes your life easier and the patient a lot happier. 3i has a provisional abutment that is tooth colored and is specifically designed to be a temporary abutment. It is made of PEEK and cuts very nicely in the mouth (you also avoid fireworks b/c you're not prepping titanium). These abutments are called PreFormance and work great with Immediate Placement and Immediate Load cases, especially in the aesthetic zone.
Posted by: | Jul 24, 2006 9:20:14 AM
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