Physical factors.Therefore, it is important to observe them to guarantee the passivity of the penetration of the component in the implant chamber. Possible factors:
1) Fragments inside the implant preventing the component to go all the way down. Solution: irrigate the interior of the implant under pressure and aspirate with an endodontic cannula (be especially careful when the implant installed is associated with gap filling).
2) Excess liquid (blood, saline solution) inside the implant. Solution: irrigate the interior of the implant with pressure and aspire with an endodontic cannula.
3) Correct selection of the transmucosal height, so that it allows for the component to go down to its final course inside the implant without interfering with the bone crests or soft tissues. Solution: adapt the transmucosal height to avoid pressure of soft tissues over the component and verify if there is passivity in the course of the component down the implant. If there is contact with the bone crest, it is necessary to ream the area to guarantee the passivity of the seating.
4) Activation of the Installation Device according to the instructions. Solution: align the device to the implant axle according to the use instructions, activate the trigger correctly (holding in the specified area) and apply at least three complete strokes.
5) Contact spots in the prosthetic portion forbidding the prosthesis/component set to go all the way down when placed together. Solution: check the contact spots of the prosthesis and alleviate if necessary. Check with the dental floss.
6) Occlusal adjustment (when there are no de-occlusion guides). Solution: adjust the anterior and lateral guides. In a case of light occlusion (MIH), the prosthesis should not show a mark with Accufilm. In forced occlusions, the prosthesis will show a light mark. That should be due to the absence of the periodontal ligament.