Pressure from a removable temporary can cause “dehiscence” which is the incision line opening in the bone graft becoming exposed…YIKES!! This is the worst thing that can happen to any type of bone graft whether it be a sinus lift bone graft, block bone graft, GBR with membrane, socket extraction preservation graft.
Types of fixed temporaries include:
- Temporary fixed bridge (example on this post)
- Temporary Maryland bridge
- Screw retained directly to implant (immediate tooth)
Removable temporaries include:
If you have a removable temporary over a dental implant bone graft, you must remove it nightly…and DONT CHEW ON IT!!
For this case I removed and existing fixed bridge which had problems and extracted 2 teeth. With my trios digital scanner I fabricated a virtual workup and milled/printed teeth to be used for several months while the implant/bone graft process is being done. These are made of PMMA which is strong and durable especially for a long span temporary like this. They can keep you looking good throughout the process.
I have noticed that many dental implant practitioners use the flipper/stayplate all the time. This is my at least favorite although sometimes I have to use it but it is definitely my at least used!
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry