42.Treatment of peri-implantitis. Re osseointergration

Question 1

Peri-implantitis

Answer 1

• Inflammatory lesion affecting implant mucosa and peri-implant bone
• Caused by biofilm

Question 2

Peri-implantitis

Diagnostic features of peri-implantitis

Answer 2

• Redness of gingiva
• BoP
• Probing depth of peri-implant pockets increase
• Suppuration
• Bone loss on radiograph

Question 3

Peri-implantitis

Not an essential symtom of Peri-implantitis and may occur in the later stages

Answer 3

Mobility of implant

Question 4

Peri-implantitis

Factors which influence clinical appearance of inflammation

Answer 4

• Morphology of peri-implant mucosa
• Position of implant
• Signs of pathology(pus)

Question 5

Peri-implantitis

Risk factors for peri-implantitis

Answer 5

• Smokers
• Diabetes
• Poor oral hygiene
• Poor attendence
• Poor prosthesis design

Question 6

Peri-implantitis

Peri-implantitis treatment

Answer 6

• Non surgical therapy- Use of CHX mouthrinse
• Check if excess cement from when crowns were cement
• Re-evaluation
• Antibiotics, antiseptics and laser treatment may be used to control infection
• Surgical treatment

Question 7

Peri-implantitis

Peri-implantitis surgical treatment options

Answer 7

• Bone regeneration(bone grafts)
• Resective surgery(bony ledges removed and bone irregularities removed)
• Implantoplasty(Threads on screw of implant removed leaving polished surface)

Question 8

Peri-implantitis

Implant cleaning process

Answer 8

• Implant cleaned w/ rubber cup and paste
• Floss, interdental brushes and plastic scaling instruments

Question 9

Peri-implantitis

4 methods of implant surface decontamination

Answer 9

• Air power abrasive technique followed by citric acid application
• Air power abrasive technique
• Gauze soaked in saline followed by citric acid application
• Gauze soaked in 0.1% CHX and saline