IMPLANT MAINTENNACE
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Questions and Answers

What is the effect of using metal instruments on polished titanium?

  • Decreases surface roughness
  • Has no effect on surface roughness
  • Removes hard deposits
  • Increases surface roughness (correct)
  • What is the purpose of selectively polishing the prosthesis and abutments?

  • To evaluate implant stability
  • To remove hard deposits
  • To smooth out the surface (correct)
  • To increase surface roughness
  • What is the significance of implant mobility?

  • Is highly specific for the detection of implant failure (correct)
  • Indicates implant stability
  • Indicates osseointegration
  • Is not a reliable measure of implant stability
  • What is the purpose of impact resistance and resonance frequency analysis?

    <p>To measure implant stability</p> Signup and view all the answers

    What does an increase in RFA value indicate?

    <p>Increased implant stability</p> Signup and view all the answers

    What is the cardinal sign of implant failure?

    <p>Mobility of the implant</p> Signup and view all the answers

    What is the primary focus of long-term success of implants?

    <p>Long-term maintenance of peri-implant hard and soft tissues</p> Signup and view all the answers

    What is the recommended frequency of recall maintenance visits for the first year after treatment?

    <p>3-month intervals</p> Signup and view all the answers

    What is included in the clinical examination step of implant maintenance?

    <p>Both extraoral and intraoral clinical examination</p> Signup and view all the answers

    What is the purpose of routine maintenance, recall evaluations, and radiographs?

    <p>To insure the long life of the implant restorations</p> Signup and view all the answers

    What is evaluated during the dental implant examination?

    <p>All of the above plus implant stability, occlusal evaluation, and other signs and symptoms of disease</p> Signup and view all the answers

    What is the purpose of medical and dental history in implant maintenance?

    <p>To look for changes in systemic risk factors</p> Signup and view all the answers

    What is the primary goal of peri-implant oral hygiene during the early postoperative phase of healing?

    <p>To remove biofilm from healing abutments or provisional restorations</p> Signup and view all the answers

    What is the characteristic of peri-implant mucosal health?

    <p>Pink, firm, and well-adapted gingival tissue</p> Signup and view all the answers

    What is the purpose of the rubber tip stimulator in peri-implant maintenance?

    <p>To stimulate blood flow</p> Signup and view all the answers

    What is the significance of keratinized, attached gingiva in peri-implant health?

    <p>It is not a requisite for peri-implant health if biofilm is well controlled</p> Signup and view all the answers

    What is the purpose of AIRFLOW® with PLUS powder in peri-implant maintenance?

    <p>To provide efficient and safe biofilm removal</p> Signup and view all the answers

    What is the indication of bleeding on probing at implant sites?

    <p>Inflammation in the peri-implant tissues</p> Signup and view all the answers

    What is the typical indication of a solid resonating sound from implant percussion?

    <p>Osseointegration of the implant</p> Signup and view all the answers

    What is the primary purpose of evaluating implant restorations after delivery?

    <p>To remove residual excess cement</p> Signup and view all the answers

    Why are periapical radiographs taken during different stages of implant treatment?

    <p>To monitor marginal or peri-implant bone changes</p> Signup and view all the answers

    What is the primary difference between peri-mucositis and peri-implantitis?

    <p>Peri-mucositis involves only soft tissue inflammation, while peri-implantitis involves bone loss</p> Signup and view all the answers

    Why are occlusal guards recommended in patients with oral parafunctions and heavy occlusal forces?

    <p>To protect the implant and restorations from excessive forces</p> Signup and view all the answers

    What is the significance of embrasure spaces in implant restorations?

    <p>To allow for the passage of a proxy brush and facilitate oral hygiene</p> Signup and view all the answers

    What is the primary characteristic of peri-implantitis?

    <p>Destructive inflammatory process</p> Signup and view all the answers

    What is the primary goal of peri-implant mucositis treatment?

    <p>Complete removal of biofilm and deposits</p> Signup and view all the answers

    What is the role of antimicrobials in peri-implant mucositis treatment?

    <p>Enhancing treatment outcome</p> Signup and view all the answers

    What is a surgical intervention for peri-implantitis?

    <p>Full-thickness flap elevation</p> Signup and view all the answers

    What is the consequence of untreated peri-implantitis?

    <p>Progressive loss of supporting bone</p> Signup and view all the answers

    What is the primary objective of treating peri-implantitis?

    <p>Prevention of further bone loss</p> Signup and view all the answers

    What is the primary purpose of using non-metal ultrasonic tips and Teflon-coated curettes on titanium implants?

    <p>To remove hard deposits from the implant surface</p> Signup and view all the answers

    Which of the following techniques is originally designed to evaluate tooth mobility quantitatively?

    <p>Periotest</p> Signup and view all the answers

    What is the significance of detecting implant mobility?

    <p>It is a sign of implant failure or lack of osseointegration</p> Signup and view all the answers

    What is the primary advantage of using a rubber cup and non-abrasive polishing paste for polishing the prosthesis and abutments?

    <p>It promotes a smooth and clean implant surface</p> Signup and view all the answers

    What is the primary difference between impact resistance and resonance frequency analysis?

    <p>One measures the reaction to a defined impact load and the other measures the response to a steady-state signal</p> Signup and view all the answers

    What is the primary factor that determines the frequency of recall maintenance visits after the first year of treatment?

    <p>The patient's needs and oral hygiene</p> Signup and view all the answers

    What is the purpose of evaluating the occlusal relationships during the implant examination?

    <p>To identify any changes that may affect the implant</p> Signup and view all the answers

    What is the primary focus of the dental team's administration of professional prophylaxis procedures?

    <p>Long-term maintenance of peri-implant hard and soft tissues</p> Signup and view all the answers

    What is the significance of evaluating the presence of plaque and calculus during the dental implant examination?

    <p>To identify any risk factors for peri-implant disease</p> Signup and view all the answers

    What is the primary goal of the medical and dental history evaluation during implant maintenance?

    <p>To look for changes in systemic risk factors</p> Signup and view all the answers

    What is the primary characteristic of peri-implantitis?

    <p>Destruction of the supporting bone</p> Signup and view all the answers

    What is the most critical factor in preventing peri-implant disease?

    <p>Good oral hygiene practices</p> Signup and view all the answers

    What is the goal of treatment for peri-implant mucositis?

    <p>Complete removal of supramucosal and submucosal biofilm</p> Signup and view all the answers

    What is the primary benefit of using AIRFLOW with PLUS powder in peri-implant maintenance?

    <p>Minimally invasive biofilm removal with no risk of scratching</p> Signup and view all the answers

    What is the role of antimicrobials in peri-implant mucositis treatment?

    <p>To enhance mechanical debridement</p> Signup and view all the answers

    What is the characteristic of peri-implant mucosal health?

    <p>Pink, firm, and well-adapted gingiva</p> Signup and view all the answers

    What is a surgical intervention for peri-implantitis?

    <p>Full-thickness flap elevation</p> Signup and view all the answers

    When should biofilm control begin for implants?

    <p>As early as possible after implant exposure to the oral cavity</p> Signup and view all the answers

    What is the consequence of untreated peri-implantitis?

    <p>Progressive loss of supporting bone</p> Signup and view all the answers

    What is the indication of bleeding on probing at implant sites?

    <p>Inflammation in the peri-implant tissue</p> Signup and view all the answers

    What is the purpose of evaluating implant restorations after delivery?

    <p>To check for heavy contacts and fractures</p> Signup and view all the answers

    What is the significance of a dull sound during implant percussion?

    <p>It indicates fibrous encapsulation</p> Signup and view all the answers

    What is the primary tool for detection of failed or failing implants in routine clinical evaluations?

    <p>Radiographic examination</p> Signup and view all the answers

    Why are occlusal guards recommended in patients with oral parafunctions and heavy occlusal forces?

    <p>To prevent implant overload and fractures</p> Signup and view all the answers

    What is the primary difference between peri-mucositis and peri-implantitis?

    <p>Presence or absence of signs of supporting bone loss</p> Signup and view all the answers

    Study Notes

    Instrument Selection for Titanium Implants

    • Metal instruments, including metal curettes and scalers, and ultrasonic scalers increase the surface roughness of polished titanium.
    • Plastic, Teflon-coated, and carbon and gold-coated curettes and non-metal ultrasonic tips are recommended for titanium implant scalers.

    Polishing

    • The prosthesis and abutments may be selectively polished with a rubber cup and non-abrasive polishing paste such as aluminum oxide, tin oxide, acidulated phosphate sodium fluoride (APF)-free prophy paste, and low-abrasive dentifrice after hard deposits have been removed.

    Stability Measures

    • The assessment of implant stability or mobility is an important measure for determining whether osseointegration is being maintained.
    • Mobility is highly specific for the detection of implant failure or lack of osseointegration.
    • Two non-invasive techniques for evaluating implant stability are impact resistance (e.g., Periotest) and resonance frequency analysis (RFA).
    • Periotest is a non-invasive electronic device that provides an objective measurement of the reaction of the periodontium to a defined impact load applied to the tooth crown.
    • Resonance frequency analysis uses a transducer attached to the implant or abutment to measure the response to a steady-state signal.

    Implant Maintenance

    • Periodic evaluation of implants, surrounding tissue, and oral hygiene is vital to the long-term success of the dental implant.
    • Recall maintenance visits should be scheduled at 3-month intervals for the first year after treatment, and then adjusted to suit the patient's needs.

    Examination of Implant

    • Patient history: look for changes in systemic risk factors (e.g., diabetes, smoking, medications).
    • Clinical examination: extraoral and intraoral examination, oral soft tissue evaluation, tooth mobility, fremitus, occlusion, and caries restorative factors.
    • Investigation and X-ray: radiographic examination to assess peri-implant crestal bone level.

    Step-by-Step Implant Examination

    • Presence of plaque and calculus
    • Probing depths
    • Bleeding on probing
    • Implant stability
    • Occlusal evaluation
    • Other signs and symptoms of disease

    Evaluation of Biofilm Control

    • Poor biofilm control is associated with peri-implant disease.
    • Visualization of plaque and calculus is essential for effective biofilm control.
    • Methods for patient oral hygiene:
      • Cotton tip, cotton gauze, or soft toothbrush to gently remove biofilm from healing abutments or provisional restorations.
      • Avoid using powered toothbrushes before implant osseointegration.
      • The rubber tip stimulator can be used to stimulate blood flow.
      • AIRFLOW with PLUS powder is minimally invasive and does not scratch implant surfaces, abutments, or prosthesis.

    Evaluation of Peri-Implant Health and Disease

    • Peri-implant mucosal health is characterized by pink, firm, and well-adapted gingival tissue.
    • Peri-implant disease is associated with clinical erythema, edema, and loss of tissue tightness around the implant.
    • Peri-implant probing: bleeding on probing at implant sites can indicate inflammation.

    Scaling and Implant Percussion

    • Removal of dental biofilm and calculus from implant components exposed to the oral environment.
    • Tapping an implant's healing abutment or restoration with an instrument produces a sound that can help determine its osseointegration.

    Evaluation of Implant Restorations

    • Implant superstructures and restorations should be fabricated to accommodate and facilitate oral hygiene.
    • After delivery, cement-retained implant restorations should be thoroughly evaluated for residual excess cement, which must be removed.
    • During follow-up visits, implant restorations should be carefully examined for heavy contacts, fractures, loose screws, and occlusion should be adjusted accordingly to prevent implant overload and fractures.

    Radiographic Examination

    • Intraoral periapical radiographs should be taken at implant placement, abutment connection, and final restoration.
    • Radiographic examination remains one of the primary tools for detection of failed or failing implants in routine clinical evaluations.

    Peri-Implant Mucositis and Peri-Implantitis

    • Peri-implant mucositis is the inflammatory reaction of the soft tissues surrounding an implant, with no signs of loss of supporting bone.
    • Peri-implantitis is a destructive inflammatory process around an osseointegrated implant that leads to peri-implant pocket formation and progressive loss of supporting bone.
    • Treatment of peri-implant mucositis and peri-implantitis includes nonsurgical and surgical interventions.

    Instrument Selection for Titanium Implants

    • Metal instruments, including metal curettes and scalers, and ultrasonic scalers increase the surface roughness of polished titanium.
    • Plastic, Teflon-coated, and carbon and gold-coated curettes and non-metal ultrasonic tips are recommended for titanium implant scalers.

    Polishing

    • The prosthesis and abutments may be selectively polished with a rubber cup and non-abrasive polishing paste such as aluminum oxide, tin oxide, acidulated phosphate sodium fluoride (APF)-free prophy paste, and low-abrasive dentifrice after hard deposits have been removed.

    Stability Measures

    • The assessment of implant stability or mobility is an important measure for determining whether osseointegration is being maintained.
    • Mobility is highly specific for the detection of implant failure or lack of osseointegration.
    • Two non-invasive techniques for evaluating implant stability are impact resistance (e.g., Periotest) and resonance frequency analysis (RFA).
    • Periotest is a non-invasive electronic device that provides an objective measurement of the reaction of the periodontium to a defined impact load applied to the tooth crown.
    • Resonance frequency analysis uses a transducer attached to the implant or abutment to measure the response to a steady-state signal.

    Implant Maintenance

    • Periodic evaluation of implants, surrounding tissue, and oral hygiene is vital to the long-term success of the dental implant.
    • Recall maintenance visits should be scheduled at 3-month intervals for the first year after treatment, and then adjusted to suit the patient's needs.

    Examination of Implant

    • Patient history: look for changes in systemic risk factors (e.g., diabetes, smoking, medications).
    • Clinical examination: extraoral and intraoral examination, oral soft tissue evaluation, tooth mobility, fremitus, occlusion, and caries restorative factors.
    • Investigation and X-ray: radiographic examination to assess peri-implant crestal bone level.

    Step-by-Step Implant Examination

    • Presence of plaque and calculus
    • Probing depths
    • Bleeding on probing
    • Implant stability
    • Occlusal evaluation
    • Other signs and symptoms of disease

    Evaluation of Biofilm Control

    • Poor biofilm control is associated with peri-implant disease.
    • Visualization of plaque and calculus is essential for effective biofilm control.
    • Methods for patient oral hygiene:
      • Cotton tip, cotton gauze, or soft toothbrush to gently remove biofilm from healing abutments or provisional restorations.
      • Avoid using powered toothbrushes before implant osseointegration.
      • The rubber tip stimulator can be used to stimulate blood flow.
      • AIRFLOW with PLUS powder is minimally invasive and does not scratch implant surfaces, abutments, or prosthesis.

    Evaluation of Peri-Implant Health and Disease

    • Peri-implant mucosal health is characterized by pink, firm, and well-adapted gingival tissue.
    • Peri-implant disease is associated with clinical erythema, edema, and loss of tissue tightness around the implant.
    • Peri-implant probing: bleeding on probing at implant sites can indicate inflammation.

    Scaling and Implant Percussion

    • Removal of dental biofilm and calculus from implant components exposed to the oral environment.
    • Tapping an implant's healing abutment or restoration with an instrument produces a sound that can help determine its osseointegration.

    Evaluation of Implant Restorations

    • Implant superstructures and restorations should be fabricated to accommodate and facilitate oral hygiene.
    • After delivery, cement-retained implant restorations should be thoroughly evaluated for residual excess cement, which must be removed.
    • During follow-up visits, implant restorations should be carefully examined for heavy contacts, fractures, loose screws, and occlusion should be adjusted accordingly to prevent implant overload and fractures.

    Radiographic Examination

    • Intraoral periapical radiographs should be taken at implant placement, abutment connection, and final restoration.
    • Radiographic examination remains one of the primary tools for detection of failed or failing implants in routine clinical evaluations.

    Peri-Implant Mucositis and Peri-Implantitis

    • Peri-implant mucositis is the inflammatory reaction of the soft tissues surrounding an implant, with no signs of loss of supporting bone.
    • Peri-implantitis is a destructive inflammatory process around an osseointegrated implant that leads to peri-implant pocket formation and progressive loss of supporting bone.
    • Treatment of peri-implant mucositis and peri-implantitis includes nonsurgical and surgical interventions.

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    implant maintenance.pptx

    Description

    Learn about the effects of metal and non-metal instruments on polished titanium and the use of various polishing materials and techniques in dental implants.

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