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ENTO MAXILLO FACIAL
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TULANG RAHANG
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MANDIBULA
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5/509
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MUSKULUS
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FUNGSI GIGI GELIGI
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TULANG RAHANG
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SYSTEM NERVORUM
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KELAINAN TIAP KOMPONEN
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PERTAHANAN TUBUH
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VIRULENSI MIKRO ORGANISME
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BARIER PERTAHANAN
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PERKEMBANGAN INFEKSI
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JARINGAN LUNAK
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PHLEGMOON MANDIBULA 4 CELLULITIS
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LUDWIG ANGIMA
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PHLEG MOON MANDIBULA
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SUB CUTAN ABSCES
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LU WIG ANGINA
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TRACHEOS TOMY
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PENYEBARAN INFEKSI GIGI
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SALIVA
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KELAINAN SALIVA
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MUCOCEL
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ENUKLEASI MUCOCEL
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RANULA
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LINGUA
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BAGIAN KERAS
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TRAUMA
TRAUMA JARINGAN LUNAK
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TRAUMA TULANG RAHANG
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TRAUMA
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REPOSISI
MENGEMBALIKAN KEDUA UJUNG FRAGMEN BERPEDOMAN PADA OKLUSI GIGI
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TUMOR
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TUMOR
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KISTA
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DIABETES
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HEMOFILIA
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PHLEGMOON MANDIBULA
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P%56&,&% *%703* -*-*
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P,&2&%&% D%'&2 C&,
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GIGI IMPLAN
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Implant Guidelines
What is a dental implant?
Biomaterialsmost commonly usedcommercially pure (CP) titanium
titanium-aluminum-vanadium alloy
(Ti-6Al-!) - stron"er # used $% smallediameter implants
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Implant Guidelines
What is a dental implant?Titanium
li"ht$ei"ht&iocompati&lecorrosion resistant
(dynamic inert o'ide layer)stron" # lo$-priced
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Implant Guidelines
What is a dental implant?i'ture types
A coatedTi sur*ace modi*iedtap or sel*-tappin"scre$ or press *it
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Implant Guidelines
What is a dental implant?
+,sseointe"rationBr.nemar/ - late 01234s
direct structural # *unctionalconnection &et$een ordered5 livin"
&one # sur*ace o* a load-carryin"implant
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Implant Guidelines
What is a dental implant?
+,sseointe"rationsimilar so*t-tissue relationship to
natural dentition (sulcular epithelium)
hemi-desmosome li/e structures
connect epithelium to titaniumsur*ace
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Implant Guidelines
What is a dental implant?
+,sseointe"rationcircum*erential and perpendicular
connective tissue
no connective tissue insertion
no intervenin" harpey4s *i&erattachment
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Implant Guidelines
What is a dental implant?
+,sseointe"ration&one-implant inter*aceosteo&lasts in close pro'imity
to inter*ace
separated *rom implant &y thinamorphous proteo"lycan layer
osseointe"ration - hi"hly predicta&le
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Implant Guidelines
What is a dental implant?
+,sseointe"ration&one-implant inter*aceosteo&lasts in close pro'imity
to inter*ace
separated *rom implant &y thinamorphous proteo"lycan layerosseointe"ration - hi"hly predicta&le
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Implant Guidelines
What is a dental implant?
+,sseointe"ration&one-implant inter*aceo'ide layer continues to "ro$-
(7333 A at 6 yrs) - mineral ion interaction
increase in tra&ecular pattern&one deposition # remodelin" in
response to stress
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Implant Guidelines
What is a dental implant?
+,sseointe"ration&one-implant inter*aceo'ide layer continues to "ro$-
(7333 A at 6 yrs) - mineral ion interaction
increase in tra&ecular pattern&one deposition # remodelin" in
response to stress
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Implant Guidelines
What is a dental implant?
Components # terminolo"ycopin" or prosthesis scre$ (top)copin"analo"
implant &odya&utment
trans*er copin" (indirect or direct)
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Implant Guidelines
What is a dental implant?
Components # terminolo"yhy"iene scre$a&utment
*or scre$5 cement or attachment
second sta"e permucosal a&utmen*irst sta"e cover scre$implant &ody or *i'ture (&ottom)
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Implant Guidelines
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Implant Guidelines
What is a dental implant?
8odern typesimplants are small-standard a&utment- usually 9:;
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Implant Guidelines
What is a dental implant?
8odern typeslen"ths- typically ran"e *rom a&out
; to 02mm
=avy uses +e'ternal he' "ood research literature a&le to &e maintained
(9i or =o&el Biocare systems)
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Implant Guidelines
What is a dental implant?8odern types (=o&el Biocare)
i'turestandard
8/ II
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Implant Guidelines
What is a dental implant?8odern types (=o&el Biocare)
A&utmentstandardCera,ne>sthetiCone8irusConeAn"ulated 0; (ne$) or 93
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Implant Guidelines
What is a dental implant?8odern types (=o&el Biocare)
tandardno anti-rotational propertiescan use *or multiple unitscan use *or hy&rid dentures
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Implant Guidelines
What is a dental implant?8odern types (=o&el Biocare)
Cera,nesin"le tooth esthetic replacementa&utment attached to *i'ture $%
restoration cemented to a&utmentaccommodation *or *i'ture misali"nmen
can provisionali@e
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Implant Guidelines
What is a dental implant?8odern types (=o&el Biocare)
>sthetiConeesthetic P restorationsmachined "old cylinder a&utment allo$
cro$n mar"in to seat close to *i'ture($ithin 0mm)
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Implant Guidelines
What is a dental implant?8odern types (=o&el Biocare)
8irusConeesthetic P restorationsuse $hen decreased vertical hei"ht
allo$s :
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Implant Guidelines
What is a dental implant?8odern types (=o&el Biocare)
An"ulated a&utment 0; or 93use to achieve &etter esthetic result
$here complicated anatomy e'istsuse i* less than ideal *i'ture placement
use $here esthetic cervical mar"inreuired
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Implant Guidelines
What is a dental implant?8odern types (=o&el Biocare)
Cera,ne>sthetiCone8irusConeAn"ulated a&utments
All come $ith narro$5 re"ular or $ideplat*orms (=P5 P5 WP)
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Implant Guidelines
What is a dental implant?8odern types (9i)
i'tures8icro8iniplant8iniplanttandard
Wide iameter
( sur*ace area to use $here vertical hei"ht)
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Implant Guidelines
What is a dental implant?8odern types (9i)
i'turesIC> (incremental cuttin" ed"e)
super sel*-tappin" implantuses tapered cuttin" *lutes
allo$s more placement controlrapid &one en"a"ement # implant
sta&ili@ation
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Implant Guidelines
What is a dental implant?8odern types (9i)
A&utments>P (conical) - (esthetic pro*ile)Gold DCEA-typeT$o-piece a&utment postTA (standard)Pre-An"led=e$ Gold tandard F (@ero rotation)
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Implant Guidelines
What is a dental implant?8odern types (9i)
Gold DCEA-type a&utmentscre$-retained at *i'ture levelnon-se"mented a&utmentscre$-retained cro$n to implant
uses lar"er scre$ &ecause it runs all th$ay to the *i'ture
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Implant Guidelines
What is a dental implant?8odern types (9i)
Gold DCEA-type a&utmentthin &uccal-lin"ual tissues
limited inter-occlusal distance
(as little as :
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Implant Guidelines
What is a dental implant?8odern types (9i)
>P (conical) - (esthetic pro*ile)scre$-retained cro$n to the a&utment"old cylindernon-parallel implant placementsin"le or multiple unitsminimum ;mm inter-occlusal distance
reuired
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Implant Guidelines
What is a dental implant?8odern types (9i)
T$o-piece a&utment postnon-rotationalcement-retained cro$n to the a&utmentsimplicity o* treatment - chairside
preparationuse $hen access to posterior re"ion $%scre$ driver is limited
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Implant Guidelines
What is a dental implant?What4s ne$?(9i)
Prep-Tite Postsscre$ retained a&utmentstandard impression procedurecemented restoration6 taper $ith 9 vertical "roovesmultiple collar hei"hts
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Implant Guidelines
What is a dental implant?What4s ne$?(9i)
,sseotite (+clot retentive sur*ace)speci*ic micro-topo"raphic acid-
etched implant sur*ace desi"n !s:machined-sur*ace implant
sin"le sta"e implant loaded a*ter 7 monthsclaim 12:
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Implant Guidelines
What is a dental implant?emem&erH:
or P4splan *or scre$-retained restorationsno anti-rotational propertiesal$ays use at least 7 *i'tures $hen
restorin" posterior spaces not &ound &ynatural teeth
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Implant Guidelines
What is a dental implant?Advanta"es
no preparation o* tooth%adJacent teeth&one sta&ili@ation # maintenanceretrieva&ility improvement o* *unctionpsycholo"ical improvement
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Implant Guidelines
What is a dental implant?isadvanta"es
ris/ o* scre$ loosenin"ris/ o* *i'ture *ailure len"th o* treatment timeneed *or multiple sur"erieschallen"in" esthetics
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Implant Guidelines
Consultation AppointmentTreatment plannin" phase
Diagnosis begins with a complete
patient evaluation"uidelines *or +decision-ma/in"
processtreat the +entire patientrestore *orm5 *unction # esthetics
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Implant Guidelines
Consultation AppointmentTreatment plannin" phase
pro&lem list # patient desiresinitial evaluation
chie* complaintmedical%dental history revie$ intra%e'traoral e'amevaluation o* e'istin" prosthesis
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Implant Guidelines
Consultation AppointmentTreatment plannin" phase
initial evaluationdia"nostic impressions%articulated castradio"raphs - panoramic and periapical
(CT scan or tomo"raphy - as indicated)photo"raphs
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Implant Guidelines
Consultation AppointmentTreatment plannin" phase
treatment options%in*ormed consent
e'planation o* lon"-term commitmen
restorative - sur"ical Joint consult
t$o-sta"e sur"erystage Istage II
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Implant Guidelines
Consultation AppointmentTreatment plannin" phase
t$o-sta"e sur"ery(use o* clear acrylic sur"ical stent is
mandatory)
stage I -implant *i'ture placement $%cover scre$ (le*t su&mer"ed)
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Implant Guidelines
Consultation AppointmentTreatment plannin" phase
stage I - healin" phase9 month minimum (mandi&le ) - usually
months *or posterior re"ions6 month minimum (ma'illa) - usually 6-1
months *or all re"ions
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Implant Guidelines
Consultation AppointmentTreatment plannin" phase
stage II - uncoverin" # placement o*transmucosal healin" a&utment
healin" phase-6 $ee/s *or so*t tissue healin"
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Implant Guidelines
Consultation AppointmentTreatment plannin" phase
restorative phasemaintenance and re"ular recall
*ee # payment policy
"oal to restore *orm5 *unction #esthetics
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teethperiodontium
radio"raphic analysis
sur"ical analysis
esthetic analysis
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysisadvs%disadvs o* proposed treatment
re*errals%specialty consults
appointment seuencin"
treatment alternatives
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teethperiodontium
radio"raphic analysis
sur"ical analysis
esthetic analysis
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teeth - num&er # e'istin" conditionpro"nosis o* remainin" teethsi@e5 shape # diameter o* e'istin"
dentition
tooth # root an"ulations # pro'imitymesiodistal $idth o* edentulous space
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teeth - num&er # e'istin" conditionminimum 6-;mm &et$een teeth to
*acilitate implant placement
(&ased on 9mm *i'ture)
K 0:
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teeth - num&er # e'istin" conditionmore than 03mm mesiodistal space -
sin"le tooth implant notrecommended
(multiple a&utments should &e splinted)
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teethperiodontium
radio"raphic analysis
sur"ical analysis
esthetic analysis
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
periodontium- &one supportEe/holm # Far& classi*ication
quality- &est - thic/ compact cortical&one $%core o* dense tra&ecularcancellous &one
&est re"ion - mandi&ular symphysisLpoorest in posterior re"ions
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
periodontium- &one supportquantity- reuired *or implant -6mm &uccal-lin"ual $idth $%su**icient
tissue volume
2mm interradicular &one $idth03mm alveolar &one a&ove IA= canal or&elo$ ma'illary sinus
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
periodontium- &one supportquantity- reuired *or implant - i* inadeuate &one support may need
rid"e or site au"mentation
ramus or chin "ra*t (auto"ra*t)BA (allo"ra*t)Bio-,ss('eno"ra*t)
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
periodontium- &one supportplace implants minimum o* 7mm *romIA= canal or &elo$ ma'illary sinus
cro$n%root ratiomo&ility*urcationspro&in" depths
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
periodontiummuco"in"ival pro&lemsneed su**icient tissue volume to recreat
"in"ival papillaneed some attached "in"iva to maintain
peri-implant sulcus0st year post-op &one resorption M 0mm
Ncrest o* &one optimal 7- 9mm &elo$ C>
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
periodontiummuco"in"ival pro&lemsplace implant 7-9mm apical to *ree
"in"ival mar"in o* adJacent toothrecreates &iolo"ic $idth o* peri-implant
sulcusNso*t tissue hei"ht 7mm or K mm may
create challen"e
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
periodontiumoral hy"iene - important pre # post
systemic mani*estations - ie: dia&eticsare predisposed to delayed healin"
destructive ha&its - smokingiscontraindicated - delayed or inadeuatetissue healin" # osseointe"ration noted
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teethperiodontium
radio"raphic analysis
sur"ical analysis
esthetic analysis
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
radio"raphic analysisperiapical patholo"y
radiopaue%radiolucent re"ions
adeuate vertical &one hei"ht
adeuate space a&ove IA= or &elo$ma'illary sinus
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
radio"raphic analysisadeuate interradicular area
&one uality # uantity
radio"raphs - panoramic and periapical
(CT scan or tomo"raphy - as indicated)
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
radio"raphic analysisradio"raphs- aid to determine amount
o* +space# &one availa&le
CT (computed tomo"raphy) scan - "ives
more accurate # relia&le assessment o*&one (uality5 uantity # $idth) # locale
o* anatomic structures
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
radio"raphic analysis-radio"raphic stent- (can dou&le as
sur"ical stent)acrylic stent $ith lead &eads or &all
-&earin"s (
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
radio"raphic analysis-distortion (common to all Q-rays)
Panore' M 7
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teethperiodontium
radio"raphic analysis
sur"ical analysis
esthetic analysis
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
sur"ical analysis-sur"ical "uide stent- None o* the
most critical *actors *or o&tainin" an idealsur"ical # esthetic resultused durin" *i'ture installation as "uide
*or optimal B%E and 8% positionuse o* &uccal channel drill "uide allo$s
improved access # visi&ility
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
sur"ical analysis-implant len"th%diameter
determined &y uantity o* &one apical toe'traction site
use lon"est implant sa*ely possi&le
diameter dictated &y correspondin" rooanatomy at crest o* &one
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
sur"ical analysistreatment options
immediate- place implant at time o*tooth e'traction
delayed immediate- 2-03 $ee/ delay
delayed- 1-03 months or lon"er immediate $ill not allo$ &one resorption5 &udelayed allo$s &one *ill *or sta&ili@ation
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
sur"ical analysisproper sur"ical techniue durin"implant placement is critical
minimal heat "eneration important
; Celsius *or one minute or lessprovides most predicta&le healin"response
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
teethperiodontium
radio"raphic analysis
sur"ical analysis
esthetic analysis
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
esthetic analysissmile line - hi"h in ma'illaL lo$ in
mandi&le
lip shape - *ull !s: thin
e'istin" rid"e de*ect - i* visi&le $%hi"h smile line $ill need au"mentation
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
esthetic analysisimplant emer"ence pro*ile (963)restored implant should appear to
+"ro$ or emer"e *rom the "in"ivavery natural # desira&le in appearanceavoid +tomato on a stic/ cro$ns or
periodontal pro&lems may develop
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysisadvs%disadvs o* proposed treatment
re*errals%specialty consults
appointment seuencin"
treatment alternatives
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysisimprovement o* *unction and%or
esthetics (?)para*unctional ha&its
can &e destructiveteeth lost to occlusal trauma orpara*unction - less success $% implants
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysisdia"nostic casts
(mounted to determine opposin" occlusion
rid"e $idth
e'istin" inter-arch vertical space0-0
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysisma'illo-mandi&ular relationsJa$ classi*icationsClass II may have "reatest &ene*it
Class III reuires sur"ical intervention
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysisadvs%disadvs o* proposed treatment
re*errals%specialty consults
appointment seuencin"
treatment alternatives
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
advs%disadvs o* proposed treatmentare as individual as the case &ein"
treatment plannedcostpatient desiresclinician a&ilitiesetc:
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysisadvs%disadvs o* proposed treatment
re*errals%specialty consults
appointment seuencin"
treatment alternatives
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
re*errals%specialty consultscan pro"nosis &e improved $ith (?)R
orthodonticsperiodontal therapy
endodontic therapy
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
re*errals%specialty consultspre-prosthetic sur"ery e'tractions
rid"e contourin" or e'ostosis remova
osteotomy &one or so*t tissue au"mentation
7/26/2019 Praktekum Fk Unissula 2
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysis
advs%disadvs o* proposed treatment
re*errals%specialty consults
appointment seuencin"
treatment alternatives
7/26/2019 Praktekum Fk Unissula 2
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
appointment seuencin"len"th o* treatment time
need *or multiple sur"eries
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
occlusal analysis
advs%disadvs o* proposed treatment
re*errals%specialty consults
appointment seuencin"
treatment alternatives
7/26/2019 Praktekum Fk Unissula 2
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Implant Guidelines
Treatment plannin" phase Pro&lem list # treatment considerations
treatment alternatives*i'ed partial denturesremova&le partial denturesresin-&onded *i'ed partial dentures
orthodonticsdo nothin"
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Implant Guidelines
Treatment plannin" phase Indications
"ood "eneral healthadeuate &one uality # volumeappropriate occlusion # Ja$ relations ina&ility to $ear conventional prosthesisun*avora&le num&er%location o* a&utmentsin"le tooth loss
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Implant Guidelines
Treatment plannin" phaseContraindications
unrealistic patient e'pectationsalcohol%dru" dependence (smo/in")para*unctional ha&itspsycholo"ical *actorsanatomical *actors inadeuate rid"e%interarch dimensions immunosuppression
7/26/2019 Praktekum Fk Unissula 2
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Implant Guidelines
Treatment plannin" phaseContraindications (relative)
(need sur"ical intervention)
ramus "ra*t inadeuate &one at implant sitee'cessive &ony concavities
sinus li*t or IA= transposition inadeuate vertical space *or implant
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Implant Guidelines
Treatment plannin" phase +,sseointe"rated implants can &e
placed in the irradiated mandi&les o*selected patients $ithout hyper&aric
o'y"en treatment =iini5 Deda5 Seller5 Worthin"tonL Experience with
Osseointegrated Implants laced in Irradiated !issues in "apan
and the #nited $tates5 Intl O ,ral 8a'illo*ac Implants 0112L
09R3;-00
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Implant Guidelines
8aintenance Criteria *or success
8aintenance and ecall
y"iene Aids
Pro&lems
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Implant Guidelines
8aintenance Primary "oal is to protectand
maintain +tissue-inte"rationL
good oral hygieneis a /ey
element
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Implant Guidelines
8aintenance +Implant patients should &e
thorou"hly instructed inmaintenance therapy $ith theunderstandin" that the patientserves as co-therapist
Grant et al5 eriodontics% in the !radition o&'ottlieb and Orban5 ed 6: t: Eouis5 C! 8os&y Co5
01225 pp03;
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Implant Guidelines
8aintenance +Any practitioner $ishin" to
practice dental implantolo"y must&e /no$led"ea&le concernin"postinsertion maintenance o* theimplant
0122 =ational Institutes o* ealth Consensusevelopment Con*erence
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Implant Guidelines
8aintenance Criteria *or success
8aintenance and ecall
y"iene Aids
Pro&lems
G
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Implant Guidelines
8aintenance Criteria *or successR
(most important is "ood dia"nosis)no peri-implantitisno associated radio"raphic
radiolucency
mar"inal &one loss 0:3-0:
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Implant Guidelines
8aintenance Criteria *or successR
tissue inte"rationR &one%so*t tissue+osseointe"rationa&sence o* mo&ilityno pro"ressive so*t tissue chan"es o
&one losssta&le clinical attachment level
I l t G id li
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Implant Guidelines
8aintenance Criteria *or successR
a&sence o* &leedin" uponpro&in"%e'cessive pro&in" depths
a&sence o* discom*ort
success rate varies $ith &one uality
loadin" dynamics5 etc:
I l t G id li
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Implant Guidelines
8aintenance Criteria *or successR
anticipated success rate o*1; anterior mandi&leL 13 ma'illaL
decreases in posterior uadrants
due to poorer &one uality (03 yrs)&est &oneR "ood cortical $ith some
cancellous *or vascular supply
I l t G id li
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Implant Guidelines
8aintenance Criteria *or success
8aintenance and ecall
y"iene Aids
Pro&lems
I l t G id li
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Implant Guidelines
8aintenance 8aintenance # ecallR
(our elementshome-care re"imenperiodic recalls rein*orcin" re"imenstrict adherence to recall schedule #
veri*ication o* *unction5 com*ort5 and
esthetics li*etime maintenance commitment
I l t G id li
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Implant Guidelines
8aintenance 8aintenance # ecallR
(requency o& recall immediate post-delivery7 hoursone $ee/t$o $ee/s (re-torue i* needed)6 months&i-annual or annual evaluation
I l t G id li
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Implant Guidelines
8aintenance 8aintenance # ecallR
)linical arameters o& Evaluationoral hy"iene includin" plaue inde' implant sta&ility (evaluate mo&ility)retrieva&ilityperi-implant tissue healthcrevicular pro&in" depths
I l t G id li
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Implant Guidelines
8aintenance 8aintenance # ecallR
)linical arameters o& Evaluation&leedin"radio"raphic assessment (serial)
crestal &one level # inte"rity o*attachment systems
proper torue on scre$ Jointsocclusion
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation oral hy"iene (plaue inde')
plaue is 0 etiolo"ic *actor in tissue
destruction (peri-implant and natural toothrevie$ oral hy"iene instructionmonitor throu"h plaue indices
same reuirements as *or natural teeth
use neutral sodium *luorides
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation implant sta&ility (evaluate mo&ility)
may &e the key indicatoro* *i'ture health
minimal mo&ility $% osseointe"rated*i'turesR 0;-
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Implant Guidelines
)linical arameters o& Evaluation retrieva&ility
*ailin" implant may &e mas/ed i* connecteto same prosthesis
important to remove P to evaluateannual removal recommended *or multiple
unit prosthesisearly *ailure detection $ill minimi@e *i&rou
tissue @one si@e # may allo$ placement o*$ider diameter *i'ture
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation peri-implant tissue health
visual inspectionR si"ns o* pathoses?
Alterations in color5 contour # consistencyalveolar mucosa may surround implant #
appear more erythematous than "in"ivatissue movement $hen adJacent tissues
retracted may a**ect so*t-tissue-implant
attachment M (detrimental)perimucosal /eratini@ed tissue is &est
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation crevicular pro&in" depths
most accurate means o& detecting per
implant destruction *use plastic pro&es)pro&in" measurements closely
appro'imate actual &one levelsavoid durin" *irst 9 months a*ter a&utment
connection to avoid dama"in" $ea/
epithelial attachmentmay &e di**icult i* threads supra-osseous
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation &leedin"
controversy as to si"ni*icance o* B,P at
peri-implant inter*aceB,P may precede clinical si"ns o*
in*lammationB,P # radio"raphic chan"es are most val
indicators o* peri-implant &rea/do$n
recommend continued use o* peri-implantsulcus pro&in" to monitor implant success
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation radio"raphic assessment
one o* most valua&le measures o* implant
successo* value $hen
cannot pro&e area due to constricted implantnec/5 and
to assess *uture mo&ility $ithout P removal
to accurately determine amount o* &one loss ia&sence o* increased crevicular depth
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation radio"raphic assessment
compare &ony chan"es $ith sta&le
landmar/s - implant threads - (one-hal* thread U 3:9mm)
compare hori@ontal%vertical implantdimensions &et$een serial radio"raphs
periapical radio"raphs U 7:< -
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Implant Guidelines
)linical arameters o& Evaluation radio"raphic assessment
bone level determination should be based
only upon standardi+ed periapicalradiographsthreads o* implant must appear sharp #
$ell-delineated on Q-ray to &e accurateQ-ray &eamR direct V1 *rom line
perpendicular to lon" a'is o* implant/eep *ilm parallel # close to implant
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation radio"raphic assessment
recommend /!p o* not 63 (&est 6
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Implant Guidelines
)linical arameters o& Evaluation radio"raphic assessment
uality in *ilm development is paramount
post-op radio"raphic intervalsR not &et$een *i'ture placement to a&utment
connection one $ee/ a*ter a&utment insertion immediately *ollo$in" *i'ed prosthesis
insertion5 then 6 months later annually *or *irst 9 years5 then every 7 years
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation radio"raphic assessment
e'pect 0:3mm mar"inal &one loss durin"
*irst year postinsertionL V3:0mm per yearanticipated therea*ter
"reater &one loss o&served in ma'illa
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation radio"raphic assessment
rapid &one loss seen i*R *ractured *i'ture initial osseous trauma at insertion *i'ture over-ti"htenin" occlusal trauma poor adaptation o* prosthesis to a&utment +normal physiolo"ic response
plaue-associated in*ection (peri-implantitis)
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation radio"raphic assessment
>8>8B> HHH
>ndosseous implants may losee'tensive amounts o* &one support
$ithout sho$in" rather o&vious
radio"raphic chan"es or increase in
mo&ility detecta&le in periodontally
involved teeth
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation proper torue on scre$ Joints
loosened scre$s are the most commonpro&lem
can result in locali@ed in*lammation5 looserestorations5 and discom*ort
i* re-toruin" a loose a&utment - care not tstrip or +round-o** the he'
e'cessive *orce can *racture scre$%implanor create increased stresses in the &one
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation occlusion
e'cessive *orce concentrations - result ine'tensive &one loss and implant *racture 8AO, CAD>R poor a&utment prosthesis
adaptation poor *orce distri&ution # improperly planned
occlusal schemes also *actors
recommend anterior "uidance NN B>T
"roup *unction%&alanced occlusion also
Implant Guidelines
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Implant Guidelines
)linical arameters o& Evaluation occlusion
"oal to prevent lateral *orces on posteriorimplants concentrated in cervical area
relationship &et$een para*unctional activit# increased mar"inal &one loss
ideal is +li"ht centric occlusion onlyLno contact in lateral e'cursions
no contact in 8I5 &ut $ith hard clench $illhold shim stoc/ (:3330)
Implant Guidelines
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Implant Guidelines
8aintenance Criteria *or success
8aintenance and ecall
y"iene Aids
Pro&lems
Implant Guidelines
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Implant Guidelines
8aintenance y"iene AidsR
plastic scalers- ,=E - *ora&utmentscalin" to prevent easy a&rasion o* so*ttitaniumL use in only one direction startin"at the "in"iva (&est are *rom 9i)
ultrasonic scalers- =, - do not use
Titan- or ultrasonic scalers unless specianon-metal tips used
Implant Guidelines
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Implant Guidelines
8aintenance y"iene AidsR
prophy Jets- use $ith caution*ine prophy pasteor *lour o* pumice-
,S -use $ith &lue ru&&er tips or ru&&erprophy cups
uper-loss or Post-care- nylon *i&ersthread *or interpro'imal use &et$eena&utments and under e'tensions
Implant Guidelines
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Implant Guidelines
8aintenance y"iene AidsR
end-tu*ted # small interdental&rushes(Pro'i&rushes) -*or cleanin"&uccal # lin"ual a&utment sur*acesL allmetal sur*aces must &e nylon coated
electric tooth&rushes -use at discretio
o* dentistL may &e use*ul i* limited manualde'terity
Implant Guidelines
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Implant Guidelines
8aintenance y"iene AidsR
chlorhe'idine - use durin" peri-sur"icalperiods or as needed i* episodes o* acuteso*t tissue in*lammation occur
*luoride rinses or "els -use neutralsodium *luoride to avoid dama"e to
titanium *i'tures that may occur $ithacidulated types
Implant Guidelines
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Implant Guidelines
8aintenance Criteria *or success
8aintenance and ecall
y"iene Aids
Pro&lems
Implant Guidelines
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p
8aintenance Pro&lemsR
so*t tissue reactions*ractured or loosened scre$s*ailin" or *ailed *i'ture&ro/en attachments% components
Implant Guidelines
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p
Pro&lemsRso*t tissue reactions
most common due to loose scre$s
poor oral hy"iene can lead to+peri-implantitis - may result in
pro"ressive &one loss
lac/ o* attached peria&utment so*t tissu
*ailed or *ailin" implants
Implant Guidelines
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p
Pro&lemsRso*t tissue reactions
treatmentR
remove o**endin" scre$5 ti"htena&utment # reinsert prosthesisrein*orce oral hy"ieneso*t-tissue auto"ra*t
replacement o* *ailed implant
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
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p
Pro&lemsR*ractured or loosened scre$s
0st suspicion $hen complaint o* +loose
implant or discom*ortuse correct scre$driver *or scre$ head
$ithout e'cess *orce or can +round o**he'
i* retrievin" (+teasin" out) *racturedscre$ caution not to dama"e he'
Implant Guidelines
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p
Pro&lemsR*ailin" or *ailed *i'ture
*ailin" implant !s *ailedimplant+implantitis !s
periodontal disease
Implant Guidelines
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p
Pro&lemsR*ailin" or *ailed *i'ture
*ailin" implant
clinical si"nsR pro"ressive crestal&one lossL so*t tissue poc/etin"L B,
$% possi&le purulenceL tenderness to
percussion or torue
Implant Guidelines
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p
Pro&lemsR*ailin" or *ailed *i'ture *i'ture loss
*ailin" implant
causesR sur"ical compromises (&onoverheatin"5 lac/ o* initial sta&ility)Lnonpassive superstructuresL too rapinitial loadin"L *unctional overloadL
inadeuate scre$ Joint closureLin*ection
Implant Guidelines
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p
Pro&lemsR*ailin" or *ailed *i'ture *i'ture loss
*ailin" implant
treatmentRremove and replace $ith lar"er
diameter *i'tureL or treat in*ection
# re- evaluate interim - remove prosthesis #
a&utments # irri"ate area $% CQLdisin*ect components # reinsert
Implant Guidelines
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p
Pro&lemsR*ailin" or *ailed *i'ture *i'ture loss
*ailedimplant
clinical si"nsR mo&ilityL +dullpercussion soundL peri-implantradiolucency
(connective tissue implant
encapsulation may not &e visi&le onradio"raph)
Implant Guidelines
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Pro&lemsR*ailin" or *ailed *i'ture *i'ture loss
*ailed implant (most noted at ta"e II)
causesR sur"ical compromises (&onoverheatin"5 lac/ o* initial sta&ility)Lnonpassive superstructuresL too rapinitial loadin"L *unctional overloadL
inadeuate scre$ Joint closureLin*ection
Implant Guidelines
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Pro&lemsR*ailin" or *ailed *i'ture *i'ture loss
*ailed implant (most noted at ta"e II)treatmentR
removal o* implant
Implant Guidelines
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Pro&lemsR*ailin" or *ailed *i'ture *i'ture loss
+implantitis !s periodontitis
clinical si"nsRsimilar clinicalpresentation $% same patho"enic
microor"anisms
causesRpoor oral hy"ieneL &acteriaLcause may &e un/no$n (?)
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
488/509
Pro&lemsR*ailin" or *ailed *i'ture *i'ture loss
+implantitis !s periodontitis
treatmentRconsults to provider - considerrema/e or "uided tissue re"enerationetc:
interim - remove prosthesis #
a&utments # irri"ate area $% CQLdisin*ect components # reinsert
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
489/509
Pro&lemsR&ro/en attachments% components
remove o**endin" attachment
(i* possi&le) and replace orprovisionali@e
&e care*ul not to dama"e e'ternal he' o
scratch titanium *i'ture or a&utment
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
490/509
Case election Implant recommended
replacement o* teeth X7;501 # 93 Implant not recommended
replacement o* tooth X72s
7/26/2019 Praktekum Fk Unissula 2
491/509
Case X0
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
492/509
Implant recommended 6 y%o male presented $ith *ailin"
=CT X7; and severe locali@ed
periodontitis tooth deemed hopeless and
e'tracted
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
493/509
Implant recommended :3 ' 02mm =o&elpharma *i'ture
placed
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
494/509
Implant recommended Cera-,ne a&utment restored $ith
cemented (Setac Cem) P8 cro$n
7/26/2019 Praktekum Fk Unissula 2
495/509
Case X 7
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
496/509
Implant recommended 90 y%o *emale presented $ith
missin" X01 # 935 and retained
X0; # 97 (third molars)
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
497/509
Implant recommended mesial-an"ulated X02 # 90 $ith
inadeuate mesial-distal and
interarch spacin" due to super-erupted opposin" X 9 # 0
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
498/509
Implant recommended &uccal-lin"ual rid"e $idths in areas
o* missin" X01 and X93 also
de*icient
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
499/509
Implant recommended teeth X 0; # 97 e'tracted and
&ilateral ramus "ra*ts placed at
edentulous sites (X01 # 93)
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
500/509
Implant recommended molar upri"htin" o* teeth X02 # 90
completed to create adeuate
space *or implants
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
501/509
Implant recommended
7/26/2019 Praktekum Fk Unissula 2
502/509
Implant recommended restoration o* *i'tures $ith scre$-
retained non-se"mented DCEA
a&utments $% P8 cro$ns
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
503/509
Implant recommended restoration o* teeth X 9 # 0 $ith
P8 cro$ns to re-esta&lish proper
occlusal plane
7/26/2019 Praktekum Fk Unissula 2
504/509
Case X 9
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
505/509
Implant not recommended 9 y%o male presented $ith past
history o* supernumerary X72
=oteR dilacerated root to mesial onX72
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
506/509
Implant not recommended edentulous site presented $ith
inadeuate *acial &one5 and
inadeuate spacin" e'isted&et$een X7; # 72 root apices toallo$ implant placement
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
507/509
Implant not recommended a*ter t$o years o* orthodontic
therapy5 X72 *ailed to move to
*acilitate implant placement
Implant Guidelines
7/26/2019 Praktekum Fk Unissula 2
508/509
Implant not recommended edentulous area restored $ith a
resin-&onded *i'ed partial denture
(BP X7;-72)
7/26/2019 Praktekum Fk Unissula 2
509/509
YD>TI,= ???
D BIG>