Implant Pros

Question 1

What is the definition of dental implant?

Answer 1

• Artificial tooth root that is surgically anchored into the jaw to hold a replacement tooth or teeth or a denture in place. The benefit of using implants is that they don’t rely on neighbouring teeth for support.

Question 2

What can an implant restore ( not just dentistry related)?

Answer 2

• A single tooth
• Multiple teeth
• Can secure a denture firmly (implant overdenture)
• Eyes, ears, hearing aids & noses

Question 3

What is the role of GDP for maintenance of dental implants according to SDCEP guidelines?

Answer 3

• OHI
• Ensure pt can peform optimal plaque removal around implant
• Examine peri-implant tissues for signs pf inflam and BOP and/or suppuration and remove supra and submucosal plaque and calculus deposits and XS residual cement
• Radiographic examination when clinically indicated

Question 4

Is the BPE important for dental implants?

Answer 4

• Not appropriate

Question 5

What is Peri-implant mucositis?

Answer 5

• Inflammation of the peri-implant mucosa with no evidence of crestal bone lone
• Tissues will appear red and swollen and may bleed on gentle probing

Question 6

What is the management of peri-implant mucositis according to SDCEP guidlines?

Answer 6

• Radiographic examination to assess peri-implant bone levels compared to baseline radiograph to exclude peri-implant mucositis
• Treat as previous SDCEP maintence
• Re-assess at future visit that inflammation has settled and stable situation been achieved

Question 7

What is Peri-implantitis?

Answer 7

• Infection with suppuration and inflammation of the soft tissues surrounding implant
• Clinically significant loss of peri-implant crestal bone after adaptive phase
• Tissues appear red and swollen and may bleed on gentle probing and will be suppuration

Question 8

What is the management of peri-implantitis according to SDCEP guidelines?

Answer 8

• Radiographic examination to evaluate peri-implant bone levels compared with baseline radiograph
• If clinically sig progressing crestal bone loss detected refer back to clinician who placed implant
• If cant refer then treat as maintenance section and arrange follow up 1-2 months , where no improvement seek advice from secondary care
• If inflammation settled and stable situation achieved, arrange radiograph follow up 6-12 months

Question 9

What are some common post implant txt complications?

Answer 9

• Peri-implant mucositis
• Peri-implantitis
• Loose/fractured components
• Late implant failure

Question 10

What is the basic technique for implants?

Answer 10

• Diagnose
• Plan
• Place - Raise flap, place implant, place cover screw, suture
• 3 months and implant is integrated into bone
• Uncover implant
• Place abutment
• Take imp with coping and putty wash
• Take opposing arch impression
• Chose colour
• Place temp
• Cast imp and lab creates cement crown for the implant like any other crown

Question 11

When you have multiple teeth what are the two options for implants?

Answer 11

• Cement retained
• Screw retained

Question 12

What do you use to secure a denture firmly when the pt has implants?

Answer 12

• Locator abutments
• Abutment has internal and external component
• Denture clips onto external component in mouth
• Ease of fit

Question 13

What are some different types of methods for securing a denture firmly?

Answer 13

• Ball abutments
• Locator abutments
• Gold bar (more expensive)
• CAD-CAM titanium bar
• Novaloc abutment (less common)
• Magnetic retention (less common)