What are the limitations and key clinical considerations for flippers?
While flippers are an excellent interim solution, it is important to counsel patients and plan cases around their inherent limitations:
- Limited retention: Support comes primarily from tissue adaptation and clasps, not a rigid framework. Retention is lower than other partial designs.
- Not for heavy function: Flippers provide basic functional restoration (limited chewing ability and speech support). They are not designed to withstand the forces a metal-framework partial can handle.
- Lowest strength and wear ratings: They carry the lowest strength (★★) and wear (★★) ratings of ROE's partials, consistent with their interim purpose.
- Not for long-term use: They are intended for transitional periods, such as while healing occurs or a definitive restoration is planned or fabricated.
- May require more frequent maintenance: Because they are mucosa-supported acrylic, they can need more frequent adjustment, relining, or repair over time, particularly as tissue heals and remodels after an extraction.
- Shortest warranty: The flipper carries a 6-month warranty, the shortest in ROE's partial lineup.
On the positive side, these same characteristics make flippers easy to modify, reline, and repair chairside, lightweight and comfortable for short-term wear, and ideal for delivering immediate aesthetics (often the same day as an extraction) so a patient is never without front teeth.
Strength versus wear: As ROE notes, strength (resistance to breaking or deforming) and wear (gradual surface deterioration) are distinct but related qualities. Balancing both is essential for a durable appliance, and the flipper intentionally prioritizes economy and speed over both, which is why it is positioned as a temporary solution. For full details, review the Removable Solutions eBook.
Additional Resources
For more information concerning the digital dentures:
Contact Information
For help with a digital denture solution for your next case, contact ROE Dental Laboratory:
- Phone: (216) 663-2233
- Email: info@roedentallab.com