Flipper Hitting the Dental Implant

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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?

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7 Responses to “ Flipper Hitting the Dental Implant ”

• Anonymous July 18th, 2006

  
  

  No, the implant will fail!!

• Anonymous July 18th, 2006

  
  

  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.

• Anonymous July 18th, 2006

  
  

  if it’s true that micro movement will doom an integrating implant to failure, how are people doing immediate loading of implants?

• DR.MAHMOUD ALI DDS. MS July 18th, 2006

  
  

  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

• Robert J. Miller July 22nd, 2006

  
  

  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.

• Peter Fairbairn July 24th, 2006

  
  

  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..

• Anonymous July 24th, 2006

  
  

  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.

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