Soft silicon liner: how long after implant surgery should I wait?
I have a female patient who presented with maxillary and mandibular complete dentures. She wanted a more stable and retentive mandibular denture. I installed 4 implants in her mandible 4 weeks ago and have treatment planned for an implant retained overdenture. How many weeks now should I wait to reline her mandibular denture with a soft silicon liner? I plan to make final impressions for the overdenture in 2 1/2 months.
7 Comments on Soft silicon liner: how long after implant surgery should I wait?
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uzmanhaq
9/3/2014
why do you wish to reline with soft liner?
why not just relieve the denture around the implants wait to integrate then put on locators?
CRS
9/3/2014
Whatever you do keep the pressure off the implants!
shrirang
9/6/2014
In order to avoid pressure on recently inserted implants, I think soft liner is must. My concern is, when to do relining- a week after surgery, two weeks or a month.
CRS
9/7/2014
If that's the case immediately after surgery and watch the healing for any imbalances or sore spots. Viscogel works well if it is a reasonably fitting denture to start. If if is an old poorly fitting denture I woul have taken it away for six weeks or have remade it prior to surgery. Trying to retrofit a poorly fitting, not poorly retained, denture may cause problems with bone resorption during integration. Sort of like a flipper over an implant or bone graft, not wise. Good luck only you can determine if the fit is reasonable and the implants are protected. It' s not like waiting for the sore spots after an immediate denture! You can have the implants at risk.
andrew
9/10/2014
I would use Viscogel straightaway on the day of surgery, and have the patient return 1-2 weekly to change the viscogel over when it starts getting hard. This way, there will always be a soft cushion underneath the denture that minimises the force transfer to the implants while they are integrating. My 2 cents.
CRS
9/11/2014
I think it is worth more than two cents!
mpedds
9/10/2014
Picking up the implants with your final denture impression and having the attachments processed into the new denture is superior to a retrofit. If you feel you need a soft liner now for stability, retention, tissue conditioning, etc. you can do it at any time. Just be sure and relieve it over the implants so no pressure during integration.
