T3: Introduction to Implant Pros

Question 1

What are dental implants?

Answer 1

• artificial tooth root that is surgically anchored into jaw to hold a replacement tooth or a denture in place
• they do not rely on adjacent teeth for support

Question 2

Implants labelling

Answer 2

Question 3

What can an implant restore?

Answer 3

• a single tooth
• multiple teeth
• secure denture firmly- implant overdenture
• eyes, ears, hearing aids and nose

Question 4

How to secure a denture firmly?

Answer 4

• using locator abutments
• using ball abutments
• gold bar
• CAD-CAM titanium bar
• Novaloc abutment: magnetic retention

Question 5

Post- Imp treatment complications

Answer 5

• peri- implant mucositis
• peri-implantitis
• loose/ fractured components
• late implant failure

Question 6

Role of GDP in implant

Answer 6

• OHI
• triage and diagnosis of a complication
• referral of the complications to an appropriately trained, competent implant dentist
• manage taking acc of SDCEP guidelines

Question 7

SDCEP Guidelines on Maintenance of Imp

Answer 7

Question 8

What is peri-implant mucositis?

Answer 8

• inflammation of peri-implant mucosa with no evidence of crestal bone loss
• tissues appear red and swollen and may bleed on gentle probing

Question 9

What to do if there are signs of peri-implant mucositis?

Answer 9

• exclude presence of peri-implantitis by carrying out radiographic examination to assess peri-implant bone levels
• treat as described in maintenance
• reassess at future visit to ensure inflammation has settled and a stable situation has been achieved

Question 10

What is Peri-implantitis?

Answer 10

• infection with suppuration and inflammation of soft tissues surrounding implant
• clinically significant loss of peri- implant crestal bone after adaptive phase
• tissues appear red and swollen
• bleed on gentle probing

Question 11

What to do when there are signs of peri-implantitis?

Answer 11

• radiographic examination to evaluate peri- implant bone levels
• if clinically significant progressing crestal bone is detected, refer back to clinician who placed implants
• if not possible, then treat as described in maintenance plus:
• follow up appt after 1-2 months to assess outcome
• seek advice from secondary care if no improvements
• if inflammation settled, arrange radiographic follow up in 6-12 months