Implants and Periodontal Disease - Oxford Deanery

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The Solution…… Solution…….. .. Patients are not very good at cleaning subgingivally and it is a skill they must acquire. no amount of instrumentation will resolve peri-implant inflammation (or periodontitis) if the oral hygiene remains poor and bleeding scores remain high. After cleaning and irrigating the subginival area, the patient should go away attempting to keep the area clean and inspection should be carried out 6 months later (dentist or hygienist) The biofilm will return but no bleeding on probing indicates homeostasis. Continued BOP requires revalidation of the above and introduction of local antimicrobials – dentomycin ? As soon as probing is +4mm or x-rays confirm bone loss then we are now beyond simple management
Peri-implantitis Peri implantitis Mild, moderate and advanced forms of peri-implantitis occur in 28% - 56% of implant patients. History of previous periodontitis - even in previously treated patients. Poor oral hygiene. Smokers and poorly controlled diabetics. Implants in place longer than seven years. Patients will exhibit more peri-implantitis the longer they have had their implants More likely now that all implants have rough rather than machined surfaces Poor prosthetic design.
Page 1 and 2:
Implants and Periodontal Disease Af
Page 3 and 4:
Pentangle Dental Transformations
Page 6:
The Right Team
Page 9 and 10:
7 year review
Page 11 and 12:
•Prevalence Prevalence Prevalence
Page 13 and 14:
Peri-implant diseases : Consensus R
Page 15 and 16: ‘’Triggering factors for peri-i
Page 17 and 18: Bone Loss around implants Causes of
Page 21: Bone Loss around implants Causes of
Page 24 and 25: Another case example Healed implant
Page 26 and 27: Cementation issues
Page 28 and 29: Surgical trauma was induced within
Page 31: Aggressive periodontitis ?? Allergi
Page 36 and 37: Bone Loss around implants Causes of
Page 38 and 39: Peri-Mucositis Peri Mucositis and P
Page 40 and 41: The Pathway…… Pathway…… A
Page 42 and 43: BLEEDING ON PROBING
Page 44 and 45: Peri-Mucositis Peri Mucositis and P
Page 46 and 47: Effects of diabetes mellitus on per
Page 48 and 49: Smoking interferes with the prognos
Page 50: •Very poor oral hygiene was highl
Page 55 and 56: x Mucositis How can interproximal b
Page 57 and 58: •Histologically there is a 3-4 mm
Page 59 and 60: •Other clinical signs could inclu
Page 61 and 62: •Firstly gently probe with very l
Page 63 and 64: The Solution…… Solution……..
Page 65: The Solution…… Solution……..
Page 69 and 70: C.I.S.T. Cumulative Interceptive Su
Page 76 and 77: What is good for initial clot and b
Page 78 and 79: Peri-implant diseases - Consensus r
Page 80 and 81: The non-surgical treatment of peri-
Page 87 and 88: Care and Maintenance of the patient
Page 89: E-mail address : consulting1@pentan
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Implants and Periodontal Disease - Oxford Deanery

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