Peri-Implant Disease/Maintenance for Patients with Advanced Perio and Implants

Question 1

Diagnosis statements of peri-implant health:

Answer 1

• absence of clinical signs of inflammation
• absence of bleeding or suppuration on gentle probing
• no increase in pocket depth compared to previous examinations
• absence of bone loss beyond crestal bone lebel changes resulting from initial bone remodelling

Question 2

How does the gingiva appear surrounding implants?

Answer 2

gingival fibres run parallel to the implant

Question 3

If you do not have previous baseline readings, what probing pocket depths around implants are acceptable?

Answer 3

Up to 5mm
(however if bleeding present assume something is wrong)

Question 4

What is peri-implant mucositis?

Answer 4

Inflammatory lesion of the peri-implant mucosa, in the absence of continuing marginal bone loss

Question 5

How does peri-implant mucositis present clinically?

Answer 5

• bleeding on gentle probing
• erythema
• swelling
• suppuration
• with or without increased probing depth

Question 6

What is peri-implantitis?

Answer 6

Associated pathological condition occuring in tissues around dental implants characterised by inflammation and progressive loss of supporting bone

Question 7

What are the clinical presentations of peri-implantitis?

Answer 7

• inflammation
• BoP
• and/or suppuration
• increased probing depths
• recession of mucosal margin

Question 8

What are the clinical presentations of peri-implantitis in the absence of previous examination data?

Answer 8

• presence of bleeding and/or suppuration on gentle probing
• PDs of >/=6mm

Question 9

What is the prevalence of peri-implant mucositis?

Answer 9

43% of patients with implants

Question 10

What is the prevalence of peri-implantitis?

Answer 10

22% of patients with implants

Question 11

What should you ALWAYS do when you see an implant in a pt mouth?

Answer 11

6 point chart of the implant [not BPE as useless]

Question 12

Give some things that predispose a patient to peri-implant disease:

Answer 12

• history of severe periodontitis
• poor plaque control
• no regular supportive peri-implant care
• smoking
• diabetes

Question 13

What are some LOCAL factors that can predispose a patient to peri-implant disease?

Answer 13

• submucosal cement
• poorly positioned implants that are hard to clean
• occlusal overload
• absence of peri-implant keratinised mucosa

Question 14

What is the role of