intro to implant prosthodontics Flashcards
What is a dental implant?
an artificial tooth root that is surgically anchored into the jaw to hold a replacement tooth or teeth or denture in place
benefit of tooth implants over other options
they don’t rely on neighbouring teeth for support
parts of a dental implant
titanium implant
abutment
abutment screw
crown
What can an implant restore?
a single tooth
multiple tooth
can secure a denture firmly
- implant over denture
eyes, ears, hearing aids and noses
placing an implant - steps
raise flap
place implant
place cover screw
suture
How long does it take for an implant to become integrated with the bone?
3 months
implant stages once integrated with bone
uncover implant
place abutment
take implant with coping
choose shade
place temporary
cast impression with lab dummy
cement completed crown in next appointment
securing an implant denture firmly - options
locator abutments
ball abutments
gold bar
CAD-CAM titanium bar
common post implant treatment complications
peri-implant mucositis
peri-implantitis
loose/fractured components
late implant failure
role of GDP in implant patients
oral health advice
- ensure patient is able to perform optimum plaque removal around implants
referral of complication to an appropriately trained and competent implant dentist
SDCEP guidelines for maintenance of implants
ensure a that a baseline peri-apical radiograph is retaken one year after
assess level of oral hygiene
- address inadequate plaque removal when necessary
- smoking cessation advice
examine peri-implant tissues for signs of inflammation and bleeding on probing and/or suppuration
- remove supra and submucosal plaque and calculus deposits and any excess residual cement
assign a risk level and schedule recall appointments accordingly
What is peri-implant mucositis?
inflammation of the peri-implant mucosa with no evidence of crestal bone loss
tissues will appear red and swollen and may bleed on probing
What is peri-implantitis?
infection with suppuration and inflammation of the soft tissues surrounding an implant, with clinically significant loss of peri-implant crestal bone after the adaptive phase
tissues will appear red and swollen, may bleed on gentle probing and there will be suppuration
peri-implantitis - diagnosis and management
carry out radiographic examination
- compare peri-implant bone levels to baseline radiograph
if clinically significant progressing crestal bone loss is detected:
- refer to clinician who placed implant
2002 McGill consensus conclusion
a 2 implant over denture should be the first choice of treatment for the restoration of the edentulous mandible over the conventional denture
