Peri-Implant Disease

Question 1

what is peri-implant health

Answer 1

absence of clinical signs of inflammation
absence of bleeding or suppuration on probing
no increased pocket depth
absence of bone loss beyond crestal bone level

Question 2

what is the diagnosis if there is a single bleeding spot around the implant

Answer 2

peri-implant health

Question 3

what is peri-implant mucositis

Answer 3

inflammatory lesion of peri-implant mucosa in absence of continuing marginal bone loss

Question 4

what are the signs of peri-implant mucositis

Answer 4

bleeding on gentle probing
erythema
swelling and/or suppuration
increased probing depth

Question 5

what is the definition of peri-implant mucositis

Answer 5

presence of bleeding and/or suppuration on gentle probing without increased PD compared to previous examinations
absence of bone loss beyond crestal bone level changes resulting from initial bone remodelling

Question 6

what is the prevalence of peri-implant mucositis

Answer 6

43%

Question 7

what is peri-implantitis

Answer 7

peri-implant biofilm associated pathological condition occurring in tissues around dental implants and characterised by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone

Question 8

what are the signs of peri-implantitis

Answer 8

presence of bleeding and/or suppuration on gentle probing
increased PD compared to previous examinations
presence of bone loss beyond crestal bone level changes resulting from initial bone remodelling

Question 9

what do you do for peri-implantitis in the absence of previous examination data

Answer 9

presence of bleeding and/or suppuration on gentle probing
PDs of >6mm
bone levels >3mm apical of the most coronal portion of the intraosseous part of the implant

Question 10

what is the prevalence of peri-implantitis

Answer 10

22%

Question 11

what are the predisposing factors for peri-implant disease

Answer 11

severe periodontitis
poor plaque control
no regular supportive care
smoking
diabetes

Question 12

what are the local factors for peri-implant disease

Answer 12

submucosal cement
positioning of implants limiting access to oral hygiene and maintenance
absence of peri-implant keratinised mucosa
occlusal overload
presence of titanium particles within peri-implant tissues
bone compression necrosis, overheating, micromotion or biocorrosion

Question 13

what is the role of the GDP with peri-implant diseases

Answer 13

regular routine holistic care
patient preparation
information resources
make referral
aftercare and ongoing maintenance

Question 14

how do you decide who is a good implant dentist/know which dentist to send to

Answer 14

check the specialist register on the GDC list

Question 15

what are the problems after placement of implants

Answer 15

planning and placement
restoration and function
mucositis and implantitis
patient not happy

Question 16

what do you assess when looking at an implant

Answer 16

inflammation or infection
check oral hygiene
prove around implant restoration and compare depths
check restoration for cracks/loosening
radiograph of fit crown on implant and bone levels

Question 17

what do you look for when assessing an implant and its restoration

Answer 17

coronal restoration intact
occlusal contacts
deep implants
minimal keratinised tissue
red, swollen marginal soft tissue
presence/absence of plaque on implant and soft tissues
radiographic signs of bone loss
long contact points
wide emergence points