Questions and Answers
Which systemic condition is associated with a 70% higher risk of implant failure?
Smoking
Which medical condition may not be an absolute contraindication for implant therapy?
Diabetes with poor glycemic control
Which factor has a strong influence on the outcome of dental implants?
Bone turnover alteration
Which condition may modify the treatment plan for dental implants?
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What is the impact of smoking on dental implant failure?
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What is the importance of thorough periodontal examination before implant therapy?
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What are patients with a history of periodontitis, poor oral hygiene, or certain mucogingival conditions at higher risk for?
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What is associated with lack of keratinized mucosa around implants?
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What is necessary for standard implant placement?
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What should be performed for site-specific examination before implant placement?
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What should be considered for esthetic analysis of an implant patient?
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What should be carefully evaluated for implant sites in close proximity to anatomical structures?
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What is crucial for careful evaluation in the mandible?
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What aid in diagnosis and treatment planning for dental implants?
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Study Notes
Dental Implant Therapy Considerations
- Smokers have double the risk of dental implant failure compared to nonsmokers, and they also have higher rates of peri-implantitis.
- Clinicians must communicate the increased risk of implant failure to current smokers, despite smoking not being an absolute contraindication for implant therapy.
- Thorough periodontal examination before implant therapy is crucial for assessing periodontal disease status, oral hygiene, and mucogingival parameters.
- Patients with a history of periodontitis, poor oral hygiene, or certain mucogingival conditions are at higher risk for implant failure.
- Lack of keratinized mucosa around implants is associated with plaque buildup, inflammation, and mucosal recession.
- Adequate bone volume both buccopalatally/-lingually and apico-coronally is necessary for standard implant placement.
- Site-specific examination, including bone height and width evaluation, should be performed using digital palpation and imaging techniques.
- Guidelines for safe implant placement include specific mesiodistal space, bone thickness, distance from adjacent teeth, and space between adjacent implants.
- Esthetic analysis of an implant patient should consider various elements including smile line, gingival phenotype, tooth size and space distribution, and occlusal assessment.
- Implant sites in close proximity to anatomical structures such as maxillary sinuses, nasal cavities, and the nasopalatine canal should be carefully evaluated.
- Careful evaluation of the buccolingual and apico-coronal location of the inferior alveolar canal in the mandible is crucial, typically achieved through CBCT.
- Adjunctive diagnostic assessments such as imaging, diagnostic wax-up, and clinical photographs aid in diagnosis and treatment planning.
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