implant complications Flashcards

1
Q

What are the 4 features included in the success criteria for dental implants?

A
  1. Immobility
  2. No Peri-Implant Radiolucency
  3. Less than 0.2mm vertical bone loss after the first year.
  4. No Pain, Infection, Neuropathy
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2
Q

What are the 4 categories of implant complications?

A
  1. Biological
  2. Mechanical
  3. Aesthetic
  4. Multi-factorial (combination)
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3
Q

When monitoring implant health, which 6 things should be taken into consideration?

A
  1. Symptoms
  2. Visual Inspection of Peri-Implant Tissues
  3. Probing Depth
  4. Bleeding
  5. Supparation
  6. Mobility
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4
Q

What should be taken into account when measuring probing depths around an implant?

A

That it is easier to get deeper probing depths around the implant.

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5
Q

When are deeper probing depths a concern around implants?

A

If the value is increasing.

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6
Q

What would be considered as ‘normal’ with regards to bleeding on probing around implants?

A

Small amounts should be expected but anything other than this should be a warning sign.

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7
Q

What is the general rule when observing suppuration around implants?

A

Suppuration is ALWAYS significant.

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8
Q

What might clinical mobility of an implant be due to?

A

A loss of implant integration or prothetic failure.

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9
Q

What are the 2 biological complications of implants?

A
  1. Peri-implant Mucositis (gingivitis)
  2. Peri-implantitis (perio)
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10
Q

Why do peri-implant mucositis and peri-implantitis occur?

A

Due to the presence of biofilm adjacent to the peri-implant mucosa.

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11
Q

Other than probing depth, how else can bone loss be measured around an implant?

A

By counting the threads of the titanium screw.

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12
Q

What are the 3 main risk factors associated with the development of peri-implant disease?

A
  1. Oral Hygiene
  2. Periodontal Disease
  3. Smoking
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13
Q

Other than risk factors, what else can cause complications following implant placement if not checked correctly?

A

Residual cement.

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14
Q

Which 3 techniques can be used in the management of peri-implant mucositis?

A
  1. Patient Plaque Control
  2. Professional Debridement
  3. Restoration Modification
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15
Q

What are the 6 methods of management for peri-implantitis?

A
  1. Surgical Access
  2. Granulation Tissue Removal
  3. Implant Surface Decontamination
  4. Implant Surface Modification
  5. Bone Regeneration
  6. Implant Removal
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16
Q

What is an Implantoplasty?

A

Smoothing the surface of the implant to decrease plaque retention.

17
Q

What is the optimal distance between the implant and the adjacent tooth to support the interdental papilla?

A

Less than 6mm