Implant therapy Flashcards
How should we present a treatment plan to a patient? What are the patient’s main concerns?
- Interview the patient to find out her/his expectations
- Discuss the possible implant treatment in terms of:
- functionality esthetics
- comfort
- cost
- Reach an agreement
Remember! The concerns of various patients differ
Why Osteoporosis is relevant in patients that will be receiving dental implants? Which is more relevant; Primary or Secondary Osteoporosis?
Which is more relevant; Primary or Secondary Osteoporosis?
Secondary, especially when uncontrolled
Is Osteoporosis a contraindication for implant placement?
- Lack of evidence
- A higher rate of implant failure associates with osteoporosis
Primary vs. secondary osteoporosis - relation to causes and control
Name some causes of secondary osteoporosis.
There are numerous causes such as:
- adverse effects of drug therapy,
- endocrine disorders,
- eating disorders,
- immobilization,
- marrow-related disorders,
- disorders of the gastrointestinal or biliary tract,
- renal disease,
- cancer
In diabetes mellitus patients what information (about their condition) would be considered as the most important?
Is their condition a contraindication?
- Control of the disease.
- Uncontrolled diabetes is a contraindication
Diabetes mellitus
What should we request (test) from these patients to provide during initial assessment?
Recent test (over the last 3 months) of glycosylated haemoglobine (HbA1c)
Which medications play a role in assessing the patient’s risk prior to implant therapy? (Bullet points!)
- Bisphosphonates
- Anticoagulants
- Cancer chemotherapy
- Immunosuppressive agents
What complication might occur in patients who take bisphosphonates?
Osteonecrosis of the jaws
Osteonecrosis
Which patients are more at risk?
Cancer patients who were given amino-bisphosphonates i.v
When is craniofacial growth completed? How can this be evaluated?
The growth can be evaluated by the closure of the growth plates through radiographic examination
In aggressive periodontitis patients what would you consider as the most difficult aspect of any treatment plan (with or without the use of dental implants)?
Infection control
Two partially edentulous patients present in your clinic for implant placement. Both are healthy, no use of medications, non-smokers. Patient A has lost teeth due to periodontal disease and Patient B has lost teeth due to caries. What would be the difference in their respective treatment plans, if any and why?
- Patient A: Rigorous assessment of the periodontal status. Maintenance program.
- Patient B: Basic preventive program
A patient with advanced periodontitis presents in your practice. Quite a few teeth have a questionable prognosis. Possible treatment plans are:
- Periodontal treatment and possibly preserve questionable teeth.
- Periodontal treatment and replace questionable teeth with dental implants.
- Periodontal treatment and replace only questionable molars with dental implants.
Periodontal treatment and possibly preserve questionable teeth.
Which of the treatment plans in question 9 has the best prognosis over a 10 year period?
A patient with advanced periodontitis presents in your practice. Quite a few teeth have a questionable prognosis. Possible treatment plans are:
- Periodontal treatment and possibly preserve questionable teeth.
- Periodontal treatment and replace questionable teeth with dental implants.
- Periodontal treatment and replace only questionable molars with dental implants.
- The treatment with no tooth extractions before absolutely necessary
- Tooth extraction is a treatment modality for which there are clear indications.
- In modern dentistry, tooth extraction the last action to do when no other treatment measure works. Tooth extraction causes invalidization
