L51 Peri-Implant Disease

Question 1

Where does acceptable bone loss go to

Answer 1

First thread

Question 2

Ailing
Failing
Failed

Answer 2

Ailing: peri-implant mucositis
Failing: Peri-implantitis, progressive bone loss, pocket, BOP
Failed: Peri-implantitis, hopeless, nonfunctional, mobility

Question 3

Slide 9

Answer 3

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Question 4

Treatment of failing implants

Answer 4

Resolve inflammation
Correct pseudopockets w/ flap or gingivectomy
Re-osseointegrate w/ GBR

Question 5

Classifications of peri-implantitis

Answer 5

1: slight horizontal
2: Moderate horizontal w/ isolated vertical
3: Moderate/advanced horizontal w/ circular defects
4: Advanced horizontal, circumferential vertical defects, loss of wall

Question 6

Class 1 treatment

Answer 6

Surgically reduce pocket depth
Apical reposition
Clean implant surface
Implantoplasty if threads exposed

Question 7

Class 2 treatment

Answer 7

More apical repositioning than 1
GTR if vertical w/ 3 or more walls
Osteoplasty if 1 or 2 walls

Question 8

Treatment for vertical vs horizontal defects

Answer 8

Vertical: GTR
Horizontal: implantoplasty

Question 9

Class 3 and 4 treatment

Answer 9

GTR

Question 10

Treatment of failed implants

Answer 10

Remove implant
Remove implant, GBR, Place new implant
Remove implant from function, decontaminate and submerge