Peri-implant Disease

Question 1

How many 20-49 year olds are missing 1+ tooth?

not including 3rd molars

Answer 1

69%

Question 2

How many 20-49 year olds are missing 1+ tooth?

not including 3rd molars

Answer 2

69%

Question 3

90% of people have ______ teeth remaining

Answer 3

24.9

Question 4

How many teeth are needed for optimal function?

Answer 4

≥ 21

Question 5

If a patient says they want an implant, what should you look at?

Answer 5

Perio disease - can’t placed if there’s perio disease
Bone space (need 1mm bone collar)
Cortical anatomy

Question 6

If you have 6mm B-L distance, what is the largest implant you can place?

Answer 6

4mm
Need 1mm bone collar B-L
With this size, you have to make sure you have 8mm M-D width, so that you can have 2mm from adjacent teeth

Question 7

What are stable/successful implant guidlines

Answer 7

Implant is immobile

No peri-implant radiolucency.pain/infection/neuropathy/paresthesia

Question 8

How much bone loss is acceptable with an implant after the 1st functional year

Answer 8

0.2mm

Question 9

Most implant bone loss is what type of bone loss?

Answer 9

Vertical

Question 10

T/F - NEVER do an FPD that goes form implant to tooth

Answer 10

True

Question 11

What are the two types of classifications of implant disease?

Answer 11

Biological classifications

Clinical classificaitons

Question 12

Biological classifications of implant disease

Answer 12

Peri-implantitis (periodontitis-like)

Peri-implant mucositis (gingivitis-like)

Question 13

Clinical classifications of implant disease

Answer 13

Ailing implant
Failing implant
Failed implant

Question 14

Ailing implat

Answer 14

Mucositis-like
Treatable
Soft-tissue inflammation only
No bone loss

Question 15

Failed implant

Answer 15

Heavy implantitis-like
Not treatable
Significant bone loss
Mobile

Question 16

What is the primary etiologic factor for implant disease

Answer 16

Bacterial plaque (gram-)

Question 17

What is the primary etiologic factor for implant disease

Answer 17

Bacterial plaque (gram-) + occlusal trauma

Question 18

90% of people have ______ teeth remaining

Answer 18

24.9

Question 19

How many teeth are needed for optimal function?

Answer 19

≥ 21

Question 20

If a patient says they want an implant, what should you look at?

Answer 20

Perio disease - can’t placed if there’s perio disease
Bone space (need 1mm bone collar)
Cortical anatomy

Question 21

If you have 6mm B-L distance, what is the largest implant you can place?

Answer 21

4mm
Need 1mm bone collar B-L
With this size, you have to make sure you have 8mm M-D width, so that you can have 2mm from adjacent teeth

Question 22

What are stable/successful implant guidlines

Answer 22

Implant is immobile

No peri-implant radiolucency.pain/infection/neuropathy/paresthesia

Question 23

How much bone loss is acceptable with an implant after the 1st functional year

Question 24

Most implant bone loss is what type of bone loss?

Answer 24

Vertical

Question 25

T/F - NEVER do an FPD that goes form implant to tooth

Answer 25

True

Question 26

What are the two types of classifications of implant disease?

Answer 26

Biological classifications | Clinical classificaitons

Question 27

Class 3 implantitis (Teacup)

Answer 27

Moderate to advanced horiontal bone loss with broad, circular bony defects

Question 28

Clinical classifications of implant disease

Answer 28

Ailing implant Failing implant Failed implant

Question 29

Ailing implat

Answer 29

Mucositis-like Treatable Soft-tissue inflammation only No bone loss

Question 30

Failing implant

Answer 30

Implantitis-like Treatable Some bone loss Not mobile

Question 31

Failed implant

Answer 31

Heavy implantitis-like Not treatable Mobile

Question 32

What is the primary etiologic factor for implant disease

Answer 32

Bacterial plaque (gram-) + occlusal trauma

Question 33

What is the secondary etiologic factor for implant disease?

Answer 33

Occlusal trauma

Question 34

What is the difference between mucositis and gingivitis?

Answer 34

Pus and more bleeding

Question 35

T/F - Peri-implantitis is more aggressive than periodontitis?

Answer 35

True

Question 36

What is the difference in microbiota profile between natural teeth and implants? Why is this important?

Answer 36

Overlapping diversity common in both health and disease in natural teeth Implants have different profiles in health and disease Implant microbiota is different than natural teeth - need different treatment

Question 37

What makes implantitis unique from periodontitis?

Answer 37

Lots of neutrophils around implant | There's direct contact of plaque - no buffer zone like in natural teeth

Question 38

What is the incidence of peri-implant disease?

Answer 38

5-27% of failing and failed implants have been in function for 5-10 years - up to 10% have implantitis

Question 39

Early implant failure

Answer 39

Primary failure to osseointegrate - have to remove the implant and try again

Question 40

Late implant failure

Answer 40

Implantitis | Can keep it, but we need to do a graft

Question 41

Class 1 Implantitis

Answer 41

Slight horizontal bone loss with minimal peri-implant defects

Question 42

Class 2 Implantitis

Answer 42

Moderate horizontal bone loss with isolated vertical defects

Question 43

Class 3 implantitis (Teacup)

Answer 43

Moderate to advanced horiontal bone loss with broad, circular bony defects

Question 44

Class 4 Implantitis

Answer 44

Advanced horizontal bone loss with broad, circumferential vertical defects, as well as the loss of oral and/or vestibular bony wall

Question 45

What is the best treatment for peri-implant disease?

Answer 45

Prevention