Management/ Failure Implants Flashcards
Common pt complaints with implants?
Bad taste Feel loose Gums bleeding Chipped tooth Clicking when bite Can see metal Grey gum
What to consider if pt says feels loose?
How long has it been like this - is fatigue issue?
What is peri-implantitis?
Periodontal disease of the implant
How tx peri-implantitis?
PMPR to remove sub-gingival deposits - pt maintenance and OH crucial
How to examine implants?
Take thorough hx Look at soft tissue and implant Check mobility Check pocketing Check pus - palpate ridge
Ideal way to take radiograph of tooth?
Take perpendicular to ensure threads in focus
What is basic structure of implant?
Implant/ fixcture Abutment screw to hold core in place Abutment - like post and core Prosthetic screw Crown that fits on abutment
What do pt expect post-surgery?
Often expect full tooth
Need to understand 3 elements and crown will be fitted later
Adv of screw > cement
Screw allows crown to be placed w/o cement - avoids excess which can cause peri-implantitis
What are some mechanical/ material failures?
Fractures porcelain
Screw loosen
Worn/ broken clips
If pt has bruxism what should consider?
Reinforced metal surface
What are biological issues with implants?
Gingival issues: inflammation, recession, bleeding, bone loss, peri-implantitis
Failure to integrate
Damage nerve
What can be aesthetic issues with implants?
Poor shape, colour or position
Recession - metal showing/ black triangle
What can be functional issues with implants?
Can’t chew
Lisp
Pain/ discomfort
Loss proprioception
