Flashcards in FINAL Deck (41)
What surrounds the implant?
the epithelium adapts to the titanium abutment post, creating a biological seal
implant to epithelial tissue
functions as a barrier between the implant and the oral cavity
What do connective fiber bundles do?
support healthy gingiva around the abutment
Does an implant have cementum?
Connective tissue fibers can be what?
-oriented parallel to implant surface
-encircle the implant abutment
Are the connective tissue fibers attached to implant?
the direct contact of the living bone with the surface of the implant body. This is MAJOR for implant success
Clinically, osseointegration is regarded as successful if there is what?
A. an absence of mobility of the implant
B. no discomfort/ pain when implant is used
C. no increased bone loss
D. less than 0.2 mm of bone loss annually after the first year in function
E. No inflammation of gingiva
Do implants have a PDL?
plaque induced inflammation of the soft tissues. NO BONE LOSS. May be localized in the mucosal tissues surrounding a dental implant.
Is peri-mucositis reversible?
a chronic periodontitis affecting soft and hard tissues surrounding a functioning osseointegrated implant. BONE LOSS PRESENT
begins at the coronal portion of the implant while the apical portion continues to be osseointegrated
What are the risks factors for peri-implant diseases?
-history of previous perio disease
-poor biofilm control
How often should implants be radiographed?
Can you probe an implant?
Yes, probe using light lateral pressure
portion of the implant system that is surgically placed into the living alveolar bone
a titanium post that attaches to the implant body and protrudes partially or completely through gingival tissue into the mouth
What can happen if you break the biological seal while probing?
it can introduce bacteria into the implant inviroment
Why may a dental implant be hard to clean?
these restorations often have different designs and unusual contours that require focused self-care attention.
Why do interdental brushes need to be coated?
so the twisted wire doesn't scratch the implant
What type of instrument should we use to clean an implant?
Care for a removable prosthesis:
-pt can remove denture to clean it
-pt can use floss or 2x2 gauze to clean under metal abutment
-antimicrobial rinse may be used with pt with limited ability
Do systemic diseases cause perio disease?
What are some adverse pregnancy outcomes that have been associated with periodontits?
-low birth weight
Why should dental hygienists educate patients with diabetes?
because perio infection can affect glycemic control
What else may a pt have with diabetes?
-burning mouth syndrome
-slower wound healing
a medical term referring to the typical blood glucose levels in those with diabetes
an infection of the lungs contracted during a stay in the hospital or long term facility care
hospital acquired pneumonia
What organisms cause hospital pneumonia?
potential respiratory pathogens
generally found in the GI tract but may colonize the mouth and oropharynx
potential respiratory pathogens
produced by microbial putrefaction of debris left in the mouth
What are the most common gram-negative anaerobic bacteria that causes oral malodor?
the deeper the perio pockets in a patient the.....
higher the VSCs
Oral malodor usually originate from what?
volatile sulfur compounds
what do VSCs contain?
hydrogen sulfide, methyl mercaptan, and dimethyl sulfide
How may diabetes breath smell?
sweet or rotten apples
Can medications cause malodor?
If a patient has persistent malodor after through management, what should you do?
refer to physician