Implants 2

Question 1

what is peri-implantitis

Answer 1

a pathological condition occurring in tissues around dental implants,
characterized by inflammation in the peri-implant mucosa and progressive loss of supporting bone.

Question 2

describe implant health

Answer 2

• no inflammation
• absence of bone loss
• expect increased probing depths, up to 5mm
• no increase in probing depths compared to last exam

Question 3

how should implants be periodontally assessed

Answer 3

dont use BPE or BPE probe
use UNC15 or PCP probe
at least 4 points around implant should be assessed - ideally 6

Question 4

4 main predisposing factors for peri-implant disease

Answer 4

smoking
poor plaque control
history of severe periodontitis
no regular, supportive peri-implant care

Question 5

name 4 reasons why a patient may have implants

Answer 5

hypodontia
trauma
tumour resection
perio related tooth loss

Question 6

name a post placement problem
- surgical
- restorative
- biological
- administrative

Answer 6

• problems in planning or placement
• problems with restoration or function
• peri implant mucositis or peri implantitis
• patient unhappy with outcome

Question 7

GDP role in implants

Answer 7

• who to refer patient to
• information resource
• routine care
• smoking cessation
• aftercare and maintenance

Question 8

definition of peri implant mucositis

Answer 8

inflammatory lesion of the soft tissues surrounding an implant in the absence of continuing marginal bone loss

Question 9

signs of peri implant mucositis

Answer 9

erythema
swelling
BOP +/- suppuration
possible increased probing depths
NO associated bone loss

Question 10

signs of peri implantitis

Answer 10

swelling and erythema
PPDs >=6mm
bone levels >=3mm apical to most coronal part of intraosseous part of implant
recession
BOP +/- suppuration

Question 11

how prevalent is peri implant mucositis and peri implantitis in implant patients

Answer 11

mucositis - 43%
implantitis - 22%