Implant complications, Periimplantitis and Treatment Flashcards
implant tissue is divided into:
soft and hard tissues
soft tissue compartment is called:
peri implant mucosa
the hard tissue compartment forms a contact relationship with:
the implant surface to secure stability
what are the functions of the peri implant tissues
- mucosa protects the underlying bone
- bone supports the implant
- therefore health of the peri implant mucosa is critical
describe the vascular supply in implants
- supraperiosteal blood vessels
- form capillaries to the CT papilla
- vascular plexus of the PDL
- lateral to the JE
- runs coronally and terminates in supraalveolar portion of free gingiva
- implants lack a PDL and PDL plexus
what is the location of the probe tip, distance from bony crest, probing depth, and bleeding of healthy gingiva
- coronal to apical cells of JE
- 1.1-1.2
- 0.7
- negative
what is the location of the probe tip, distance from bony crest, probing depth, and bleeding of implant
- apical to apical cells of JE
- 0.2
- 2
- positive
what is evaluated in dental implants
- presence of plaque and calculus
- clinical appearance of peri implant tissue
- radiographic appearance of implant and peri implant structures
- occlusal status, stability of prostheses and implants
- probing depths and presence of exudate and/or bleeding on probing
- patient comfort and function
successful and stable endosseous dental implants exhibit ___ mobility
no
if there is mobility: a _____ is recommended
radiographic evaluation
what is examined in the implant if there is mobility
- abutment retaining screw
- prosthetic abutment collar interface examined for looseness and breakage
what can occlusal overload cause
loosening of abutment screws, implant failure, and prosthetic failure
occlusion should be evaluated when?
at every maintenance appointment
what is the radiographic protocol for follow up after stable initial integration
variable
what is CBCT used for
- standard of care
- planning
- assessment
what are the peri implant diseases
peri implant mucositis and peri implantitis
what is peri implant mucositis
an inflammation of the peri implant soft tissues and is characterized by edema, change in color (red or red-blue), bleeding and/or purulence on probing, with PD of greater than or equal to 4mm, and no evidence of radiographic peri implant bone loss
what are the general risk indicators for peri implant mucositis
- cigarette smoking
- radiation therapy
- poorly controlled diabetes
cigarette smoking has been established as a risk factor for peri implant mucositis in:
3 years
what HBa1c makes diabetes a risk factor for peri implant mucositis and what happens
- greater than 10.1
- increased bleeding around implant
what are the major risk indicators for peri implant mucositis
- oral hygiene
- compliance/lack of compliance with supportive implant therapy
- material and surface characteristics of implant components
- accessibility of biofilm removal around implant supported prosthesis
- location of the implant margins
- dimensions of keratinized peri implant mucosa
- excess cement
prevalence of peri implant mucositis with plaque was:
62.6%
what is the standard of care for management of peri implant mucosistis
mechanical biofilm control