Implant Symposium Flashcards
1
Q
Medical issues that may affect implant survival
A
- Smoking
- Poorly controlled diabetes
- On bisphosphonates
- On steroids
- Radiotherapy
- CVD
2
Q
How does smoking affect implant prognosis?
A
Affects vascularity, fibroblasts/osteoblast function
3
Q
What is a high smile line characterised as?
A
> 2mm ST
4
Q
High risk factors for implants
A
High smile line
Smoker
Thin biotype
More than 2 teeth
Restored dentition
5
Q
Cases where compromised tissue sites are to be expected (5)
A
- Post Xla
- Trauma
- Hypodontia
- Periodontal disease
- Thin biotype
6
Q
Name 2 types of peri-implant disease
A
- Peri-implant mucositis
- Peri-implantitis
7
Q
Define peri-implant mucositis
A
- Reversible
- Gingival inflammation
- No bone loss
- BOP, suppuration, red swollen gingival inc pocket depth
8
Q
Define peri-implantitis
A
- Irreversible
- Gingival inflammation
- Marginal bone loss
9
Q
How to prevent peri-implantitis?
A
> 1mm buccal plate thickness
10
Q
Risk factors for peri-implant disease (5)
A
- Hx of periodontal disease
- Poorly controlled diabetes
- Smoker
- Occlusal forces
- Poor OH
11
Q
Post op advice post implant placement
A
- Use CHX mw
- Soft brush
- ID tools: superfloss
- Smoking cessation if required
12
Q
Why does suppuration occur in peri-implant disease?
A
Collagen being destroyed and tissue necrosis occurring
