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Perio 2 > Implant complications, Peri-implantitis, and Tx > Flashcards

Implant complications, Peri-implantitis, and Tx Flashcards

1
Q

How does the epithelium attach to an implant?

A

basal lamina and hemidesmosomes

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2
Q

How long is the junctional epithelium adjacent to an implant?

A

2 mm

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3
Q

How long is coneective tissue around an implant?

A

1-1.5 mm

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4
Q

How are the fibers of the connective tissue around an implant oriented?

A

Parallel, circular “cuff-like” fiber bundles

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5
Q

What is the Supracrestal connective tissue attachment
for Implants?

A

3-4 mm

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6
Q

Is there more or less papilla fill next to an implant?

A

Less papilla fill

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7
Q

Is there higher or shorter papilla height in an implant?

A

Shorter papilla fill

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8
Q

Where is the source of vascularity around implants?

A

connective tissue and alveolar bone

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9
Q

How many mm between an adjacent tooth and implant needs to be present?

A

1.5 mm

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10
Q

How many mm between an implant and implant needs to be present?

A

3 mm

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11
Q

How much buccal bone must. be present for implant?

A

1.8 mm

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12
Q

How much biologic wideth must be present on an implant from crest of bone to bone contact?

A

3-4 mm

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13
Q

What % of patients have peri-implant mucositis?

A

79%

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14
Q

What % of implants have peri-implant mucositis?

A

50-90%

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15
Q

Caused by plaque accumulation.
Presence of inflammation.
Reversible condition.
Precursor of peri-implantitis.

A

Peri implant mucositis

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16
Q

What % of patients have peri-implantitis?

A

20%

17
Q

What % of implants have peri-implantitis?

A

10-56%

18
Q

Caused by plaque accumulation.
Presence of inflammation.
Loss of supporting bone.
Non-reversible condition.

A

Peri implantitis

19
Q

______ inflammatory response was
around implants than teeth; need
______ time to complete reverse
peri-mucositis than gingivitis

A

Stronger; longer

20
Q

Peri-implantitis contained ______
proportions of neutrophil granulocytes
and osteoclasts than in periodontitis

A

larger

21
Q

Successful and stable
osseointegrated implants
exhibited ____ mobility

A

NO mobility

22
Q

How much KERATINIZED TISSUE WIDTH
MUCOSA THICKNESS
INITIAL TISSUE THICKNESS must be present?

A

2 mm

23
Q

How much bone loss is acceptable after loading of implant?

A

less than 0.2 mm a year
less than 2 mm overall

24
Q

What types of materials can be used for mechanical debridment of implant surfaces?

A

Plastic, titanium, stainless steel, and anything softer than titanium

25
Q

What types of drugs are used in anti-infective therapy?

A

Tetracycline
Doxycycline
Monocycline (arrestin)

26
Q

If an implant loses osseointegration, how is it treated?

A

Removal

27
Q

How often are implants evaluated radiographically w/pathology?

A

every 6 months

28
Q

Interproximal brushes can effectively
penetrate up to __mm into a gingival
sulcus and may effectively clean a
peri-implant sulcus

A

3 mm

29
Q

What is the recare interval for implants w/ hx of periodontitis?

A

3 month

30
Q

What is the recare interval for implants w/ no systemic or local risk factors?

A

6 month

31
Q

What should be done if implants has the following:
PD < 3mm
no bop
no plaque

A

No Tx needed

32
Q

What should be done if implants has the following:
PD < 3mm
bop
plaque

A

Mechanical debridement and polishing

33
Q

What should be done if implants has the following:
PD 4-5mm

A

Antiseptic cleansing and mechaincal debridement and polishing

34
Q

What should be done if implants has the following:
PD > 5mm
bop
No bone loss

A

Antiseptic cleansing and mechaincal debridement and polishing

35
Q

What should be done if implants has the following:
PD > 5mm
bop
bone loss < 2mm

A

Antiseptic cleansing and mechaincal debridement and polishing + systemic or local abx

36
Q

What should be done if implants has the following:
PD > 5mm
bop
bone loss > 2mm

A

Antiseptic cleansing and mechaincal debridement and polishing+
Systemic or local abx + resective or regenerative surgery

Perio 2 (13 decks)

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