Podcast
Questions and Answers
Which systemic condition is associated with a 70% higher risk of implant failure?
Which systemic condition is associated with a 70% higher risk of implant failure?
- Smoking (correct)
- Intake of anticoagulants
- Uncontrolled hypertension
- Diabetes with poor glycemic control
Which medical condition may not be an absolute contraindication for implant therapy?
Which medical condition may not be an absolute contraindication for implant therapy?
- Patients on bisphosphonate therapy
- Uncontrolled hypertension
- Intake of anticoagulants
- Diabetes with poor glycemic control (correct)
Which factor has a strong influence on the outcome of dental implants?
Which factor has a strong influence on the outcome of dental implants?
- Immune system suppression
- Uncontrolled hypertension
- Bone turnover alteration (correct)
- Oral microbial profile
Which condition may modify the treatment plan for dental implants?
Which condition may modify the treatment plan for dental implants?
What is the impact of smoking on dental implant failure?
What is the impact of smoking on dental implant failure?
What is the importance of thorough periodontal examination before implant therapy?
What is the importance of thorough periodontal examination before implant therapy?
What are patients with a history of periodontitis, poor oral hygiene, or certain mucogingival conditions at higher risk for?
What are patients with a history of periodontitis, poor oral hygiene, or certain mucogingival conditions at higher risk for?
What is associated with lack of keratinized mucosa around implants?
What is associated with lack of keratinized mucosa around implants?
What is necessary for standard implant placement?
What is necessary for standard implant placement?
What should be performed for site-specific examination before implant placement?
What should be performed for site-specific examination before implant placement?
What should be considered for esthetic analysis of an implant patient?
What should be considered for esthetic analysis of an implant patient?
What should be carefully evaluated for implant sites in close proximity to anatomical structures?
What should be carefully evaluated for implant sites in close proximity to anatomical structures?
What is crucial for careful evaluation in the mandible?
What is crucial for careful evaluation in the mandible?
What aid in diagnosis and treatment planning for dental implants?
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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