Unit 10 - Peri-Implant Health and Disease

Question 1

What is a nonbiologic device surgically inserted into the jawbone to replace a missing tooth and/or provide support for a prosthetic denture?

Answer 1

An implant

Question 2

How many Americans have dental implants?

Answer 2

Over 3 million

Question 3

Clients with dentures chew at ___% efficiency than those with natural dentition

Answer 3

25%

Question 4

Implants increasing chewing efficiency to ___%

Answer 4

96%

Question 5

What is are the componants of the dental implant system?

Answer 5

Implant crown
Abutment post
Implant body

Question 6

What is the root of the implant that is surgically placed into the living alveolar bone?

Answer 6

Implant body

Question 7

What is the titanium post that attachs to the implant body?

Answer 7

Abutment

Question 8

What is the esthetic benefit of zirconia over titanium?

Answer 8

Zirconia is more esthetically pleasing and will not shine easily through thin gingiva

Question 9

What are the advantages of a titanium implant?

Answer 9

Lightweight
Biocomatible
Doesn’t corrode or rust
Poor heat conductor

Question 10

What is the disadvantage of a titanium implant?

Answer 10

Softer than other metals, easily scratched by non-titanium metal instruments

Question 11

What are the soft tissues surrounds the dental implant called?

Answer 11

Peri-implant tissues

Question 12

Implants are successful when:

Answer 12

Absence of mobility of the implant
No discomfort or pain
No increase in bone loss
Less than 0.2mm of bone loss annually after the first year of function

Question 13

True or Fales: gingival sulcus depths should be 1.3mm - 3.8mm

Answer 13

True

Question 14

What are the names of the tissues surrounding a dental implant?

Answer 14

JE
Connective tissue
Alveolar bone

Question 15

What is characterized by an absence of erythema, BOP, swelling, and suppuration?

Answer 15

Peri-implant health

Question 16

What does peri-implant tissue inflammation look like?

Answer 16

Plaque deposits on implants
Can result in inflammation of soft tissues around the implant
As disease progresses, partial or total loss of osseointegration occurs

Question 17

What are the two forms of peri-implant disease?

Answer 17

Peri-implant mucositis
Peri-implantitis

Question 18

What is peri-implant mucositis?

Answer 18

Plaque induced gingivitis in tissues surrounding the implant

Question 19

What is peri-implantitis?

Answer 19

Periodontitis in tissues surrounding osseointegrated implant, resulting in bone loss

Question 20

Is peri-implant mucositis reversible?

Answer 20

Yes

Question 21

Peri-implant mucositis occurs in ___% of clients and ____% of implant sites

Answer 21

80%
50%

Question 22

Signs of peri-implant mucositis

Answer 22

Red tissues
Swelling
Bleeding
Increased probing depths

Question 23

What is peri-implantitis?

Answer 23

Periodontits affecting soft and hard tissues surrounding a functioning osseointegrated implant

Question 24

True or False: Peri-implantitis may progress in a nonlinear and accelerating pattern

Answer 24

True

Question 25

What is the prevalance range for peri-implantitis?

Answer 25

6.61% - 47%

Question 26

What are the disagnosis requirements for peri-implantitis?

Answer 26

Signs of inflammatin Presence of bleeding and supporation upon probing Increased probing depths Progessive bone loss as seen on radiographs

Question 27

When does an implant become mobile due to peridontal disease?

Answer 27

At the final stages of peri-implantitis

Question 28

Both forms of peri-implant disease share common etiology. They are:

Answer 28

Polymicrobial bacterial infection Biomechanical factors

Question 29

True or False: Rate of destruction is slower in peri-implant tissues than in a natural dentition.

Answer 29

False. Rate of destruction is more rapid in peri-implant tissues than in a natural dentition.

Question 30

What are the risk factors for implant failure?

Answer 30

History of previous periodontal disease Poor plaque biofilm control Smoking Residual cement Biomechanical overload

Question 31

Clinical signs in soft tissue of a failing implant:

Answer 31

Peri-implant pocket Bleeding Suppuration Possible swelling Pain usually not present Mobility

Question 32

Treatment modalities for failing implants

Answer 32

Nonsurgical periodontal instrumentation Use of antiseptics Loacl/systemic antibiotics Flap surgery Subgingival air polishing with glycine powder

Question 33

Important data collecting procedures for peri-implant health and disease

Answer 33

Oral hygiene assessment/plaque control Probing Assess CAL Assess bleeding Assess for suppuration X-rays

Question 34

Factors that contribute to hard tissue deficiencies:

Answer 34

Extraction trauma Lack of support from periodontitis Endo infections Thin buccal bone plates Systemic diseases impairing normal bone remodeling Injury and pneumatization of the sinus

Question 35

Goals for implant maintenance

Answer 35

Maintenance of alveolar bone support Control of inflammation Maintenance of health functional implant Maintenance of health and function periodontium surrounding neighbouring teeth

Question 36

Questions to ask patient with implants:

Answer 36

Are you able to clean around implant neck? Do you have enough cleaning aids? Are you satisifed with implant function? Are you satisfied with implant appearance? Do you feel any parts of implant are loose? Do your gums around implant bleed? Do you notice a bad taste coming from the implant? Have you noticed any changes regarding the implant?

Question 37

How often should patients with an implant be advised to return for recall?

Answer 37

At least every 6 months. Every 3 months for at least the first year