Implant Maintenance and Disease Prevention
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Transcript of Implant Maintenance and Disease Prevention
![Page 1: Implant Maintenance and Disease Prevention](https://reader030.fdocuments.in/reader030/viewer/2022012311/58a1726f1a28ab04278b5265/html5/thumbnails/1.jpg)
Implant Maintenance and Disease Prevention
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Implant ChecklistHealth history, pharmacology, and dental
healthAssess Patient Self CareEvaluate Clinically and Radiographically Review and Document
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What Do We See?Tissue consistency, form and colorInflammationBleedingExudateBone level (radiographic)Occlusion and parafunctional habitsMobility Patient hygiene adequacy
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Peri-implant Mucositis
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Signs of Peri-implant MucositisRed, shiny tissueSensitivityPresents of plaque and calculusBleedingInvolves soft tissue only
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Peri-implantitis
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Tissue Appearance In The Presence Of Peri-implantitisRed, purple, cyanoticGlossy, fibroticEnlarged, crateredBleedingExudate
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Probing ConsiderationsPeri-mucosal sealPenetration of junctional epitheliumCloser to proximal bone than around a
natural toothDifficult to get the probe parallel to the long
axis of the implantSix sites are usually not attainableAnatomical situation is differentPocket ContaminationPotential for damage
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Probing ParametersGentle PressureIn the 1st year all sites; evaluate color, form,
consistency, BOP, depthAfter 1 year of stable probing use
radiographs to check M/DCompare
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Radiographs
•Monitor M/D Bone•Diagnostically Acceptable•Slight change from baseline•Capture most apical bone•Vertical BW offers the least degree of distortion
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Implant MaintenanceRegular hygiene protocol (3-6 month
intervals)Scaling only in the presence of plaque or
calculusPolish with a fine paste onlyYearly radiograph of implant(s)
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Patient EducationReview Homecare•Flossing Implants•Floss Threaders•Interdental brushes•Tapered end tuft brush•Antimicrobial Rinse
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Auxiliary Aids