Dental Implants Patient Assessment Flashcards
patient related factors for patient assessment for implants
oral hygiene
compliance
patient medical factors for patient assessment for implants
medical fitness
medication
radiation treatment
growth
site related factors for patient assessment for implants
periodontal status
access
pathology at implant site
previous surgeries at site
surgical complexity for implants
timing of implant placement
simultaneous or staged grafting procedures
number of implants
tool for complexity of implant
iti tool
anatomical factors for patient assessment for implants
- anatomy of bone
- anatomy of soft tissue
- site
- adjacent teeth
- aesthetic risk assessment
Soft tissue factors
keratinised mucosa
soft tissue quality/ thickness/ biotype
site factors for implants
proximity to vital anatomical structures, inferior alveolar canal and mental foramen
adjacent teeth factors for implants
papillae
recession
interproximal attachment
aesthetic risk assessment
facial support
labial support
upper lip length
buccal corridor
smile line
maxillomandibular relationship
What is the classification of bone
class I to class IV
Class I - cortical bone - very dense
then more trabecular bone
Class IV - exclusively trabecular bone
class I and II - good stability of implant
class III and IV - spongey - less stable
what needs to be included in the photographs
resting lip line and smiling lip line
position of midlines
occlusion
gold standard radiograph
CBCT
- small field of view
- can be taken with radiographic stent (has markers)
what is the safety zone for IDC and mental foramen
coronal aspect of the mental foramen is 2mm above the inferior alveolar / mental nerve
minimum distance from implant shoulder to the adjacent tooth
1.5mm
minimum distance between two adjacent implant shoulders
3mm
7mm from centre of each implant
what can be done to change bone levels
recontouring
onlays grafts
inter-positional grafts
PRF sticky bone
sinus lift techniques
