Perio Implants Flashcards
What is peri-implant disease?
Inflammatory reaction of tissues surrounding osseointegrated implants.
2 types= peri-implant mucositis/peri-implantitis
What is peri-implantitis?
Inflammation of hard and soft tissues surrounding osseointegrated implant
Cause of peri-implant disease
Poor OH
Status of tissue surrounding implant
Immunocompromised
Excessive mechanical forces
Implant design
Peri-implantitis diagnosis
BPE probes through epithelial barrier to alveolar bone + BOP
Pain/tenderness
Crestal bone loss
Supparation- necrosis
Mobility
What is peri-implant mucositis
Reversible inflammation affecting peri-implant soft tissues without any bony involvement
How do u diagnose peri-implant mucositis
Inflammation of mucosa in implant area + BOP
Possible increased pocket depth
Pain/tenderness
No crestal bone loss
Peri-implant mucositis management
PMPR
CHX MW
Peri-implantitis management
Explant
Mild/moderate= removal of abutment/instrumentation/CHX
Severe= removal of abutment/surgical access/instrumentation/AB+/- surgery
Dental implant- post op instructions
OHI specific to implant type/site
CHX MW
Soft toothbrush over site
IDB/superfloss daily
Smoking cessation
Implant- post op monitoring
Periodontal status- OHI, BOP
Peri-implant pocket depths- <3mm
Preventative regime based on risk
Implants- common causes of compromised tissue site
Post extraction defects
Hypodontia
Periodontal disease
Trauma
Thin biotype
Implant prosthesis types
Removable prosthesis- stud, bar, magnet retained
Fixed prosthesis- screw/cement retained
Placement protocols for implants
Immediate
After soft tissue healing
After partial bone healing
After full bone healing
What guidance should u follow for assessing risk factors for implant success
SAC assessment tool
Gingival phenotype factors for implants
Thin/thick biotype affects risks of aesthetic failure
Use of probe visibility through gingival sulcus
