A-11.+Implant+Techniques+and+Maintanence



Implantology and Maintenance Techniques Galli, F., Capelli, M., Zuffetti, F., Testori, T., Esposito, M. 2008. Immediate non-occlusal vs. early loading of dental implants in partially edentulous patients: a multicentre randomized clinical trial. Peri-implant bone and soft-tissue levels. //Clinical Oral Implant Research//, 19(6), 546-552.

Early and immediate loading dental techniques gain more popularity these days. These techniques allow patients to decrease the period of treatment and live normal life with minimal discomfort form edentulism. This article provides overview of immediate and early loading of dentalimplantstechniques and evaluates the bone level and soft tissue response in patients with immediate and early dental implant technique. YB #23

Katsoulis, J., Bunner, A., & Mericske-Stern, R. (2011). Maintenance of Implant-Supported Maxillary Prostheses: A 2-year Controlled Clinical Trial. //International Journal of Oral & Maxillofacial Implants//, //26//(3), 648-656. Retrieved May 3, 2012, from [|http://ezproxy.mvc.edu:2074/ehost/resultsadvanced?sid=3adc16ae-6b64-438a-af24-e29fe6af2d20%40sessionmgr10&vid=11&hid=8&bquery=(Implantology)+AND+(Maintenance)&bdata=JmRiPW1uaCZkYj1kZGgmY2xpMD1GVCZjbHY] Carranza does state that adequate bone level is necessary for a beneficial outcome for implants. However there seems to be some debate over the amount of keratinized tissue that develops around the implants, most tend to believe that adequate keratinized tissue is a necessity for the result of a successful implant...and others believe that if the patient has good OH that the lack of keratinized tissue is not a big issue. The book states that keratinized tissue is thicker and denser and forms a stronger seal around the implant therefore giving it a stronger foundation. Ca20

Levin, B. P. (2011). Horizontal Alveolar Ridge Augmentation: the Importance of Space Maintenance. //Compendium Of Continuing Education In// //Dentistry// (15488578), 32(8), 12-22.

The big idea for my article is the importance of horizontal alveolar ridge augmentation after the placement of an implant and the importance of a space maintainer in order for the successful outcome of dental implants. According to Caranza the goal of implant is to provide patient with edentulous areas with an implant to satisfy patient esthetic, functional and long lasting. Patient need to be evaluated on bone structure and risk factors that can effect the placement of an implant. An important aspect is good maintenance of implants to have a successful outcome. Monica Gutierrez#27

AZARI, A. A., NIKZAD, S. S., & KABIRI, A. A. (2008). Using computer-guided implantology in flapless implant surgery of a maxilla: a clinical report. //Journal Of Oral Rehabilitation//, //35//(9), 690-694. doi:10.1111/j.1365-2842.2007.01836.x Retrieved May 3, 2012 from: []. This article discusses the use of flapless implant surgery done by computer guided techniques. They use computer software programs and 3D radiographic techniques like CT technology to prepare and place implants. This is considered a flapless surgery called computer guided implantology. It is said to be more predictable and safer than conventional surgery, but further research is recommend. Carranza states there are many techniques used in diagnostic imaging with the use of radiographs. These radiographs make implantology visually more meaningful. Such radiographs include periapicle, occlusal, panoramic, lateral cephalometric, and tomography. These radiographs are used for successful treatment of the implant patient to maximize diagnostic information, avoid unwanted complications, and maximize treatment outcomes. Natalie Baeza #22

Coxon, M. (2011). Case selection and education of a patient for implant placement. //Dental Nursing//, //7//(11), 630-632.

This article discusses the different aspects about implantology that should be discussed with the patient prior to placement of an implant as well as what periodontal conditions and habits a clinician should look for before suggesting a candidate for the placement of implants. Some of the risk factors that are discussed in this article are uncontrolled diabetes, smoking, and alcoholism. This article also states that prior to and after placement of an implant, it is imperative that the patient has their plaque under control, because inflammation in the area can lead to failure of the implant. Carranza discusses the different implant techniques that are available, and states that the most common implant that is placed is the screw shaped implant. Before selecting a candidate for implants it is important to gather assessments and identify personal habits that may interfere with success of the implant and it is important to address these issues with the patient prior to implant placement. After placement the main difference between a natural tooth and an implant is that the implant lacks a periodontal ligament and it is important to keep the implant free of inflammation to ensure it’s success. Elina Sandoval #34

Bahat, O., & Sullivan, R. M. (2010). Parameters for Successful Implant Integration Revisited Part II: Algorithm for Immediate Loading Diagnostic Factors. //Clinical Implant Dentistry & Related Research//, //12//e13-e22. doi:10.1111/j.1708-8208.2010.00280.x This article discusses techniques for immediate loading of implants after a tooth is extracted and gives indications/contraindications for doing so. It mentions that it depends on the periodontal status of the patient and of the nearby teeth. It also talks about how some materials and types of implants are better for this than others. Carranza talks about how crucial it is to have implant stability and to make sure that conditions are appropriate for suffient osseointegration. Various factors that would lead to implant failure include uncontrolled systemic disease, smoking, active periodontal bone loss, and poor oral hygiene, among other things. AH 28

This article discussed how to instruct patients to maintain their implants. The article discusses the importance of individualizes oral hygiene instructions and explains the difference between caring for dentition and implants. Patients that have implants should avoid using any metal or abrasive products that could scratch their implant. In addition, patients need to understand to bring the floss all the way up to gingival margin on each side. Patients with implants must understand the importance of developing regular oral hygiene habits in order to prevent peri-implantitis which can result in the implant failing. Carranza disccusses the different types and models of implant placement. Titatium screws are the most common today. Osteointegration is an important factor when measuring implant success. Carranza also addresses different reasons why an implant can fail and the importance of identifying risk factors prior to placing the implants by getting to know your patient.

Crabb, C. (2009). Maintenance and care of dental implants. //Dental Nursing//, //1//(1), 9-12.

Newman, M.G., Takei, H.H.,Klokkevold,P.R.,&Carranza,F.A. (2006). Carranza's Clinical Periodontology (10th ed.).St. Louis

KR32

Papaspyridakos, P. P., Chen, C. J., Singh, M. M., Weber, H. P., & Gallucci, G. O. (2012). Success Criteria in Implant Dentistry: A Systematic Review. //Journal Of Dental Research//, //91//(3), 242-248. doi:10.1177/0022034511431252 The purpose of the study in my article was to examine the most frequently used criteria to define treatment success in implant dentistry. The most frequently reported criteria for success at the implant level were mobility, pain, radiolucency, and peri-implant bone loss (greater than 1.5 mm); those for peri-implant soft-tissue level were suppuration, bleeding, and probing pocket depth. The criteria used to assess success at the prosthetic level were the occurrence of technical complications/prosthetic maintenance, adequate function, and esthetics during the five-year period. The criteria to assess patient satisfaction level were discomfort, satisfaction with appearance, and ability to function and chew. Carranza states that there are many risk factors and contraindications associated with implant failure and correlates with my article in the aspect that the dentist would evaluate this criterion first in developing a treatment plan for a prospective candidate. Carranza states the ultimate goal of implants are to satisfy the patient’s desire to replace missing teeth in an esthetic, secure, functional, and long-lasting manner. My article and Carranza address these criteria and facilitate the dentist in candidate selection, treatment plan presentation and maintaining an ethical recommendation. Carranza states specific parameters in qualifying candidates in order to have optimal success. ACS #35

-- Evian, C. I., Al-Momani, A., Rosenberg, E. S., & Sanavi, F. (2006). Therapeutic Management

for Immediate Implant Placement in Sites with Periapical Deficiencies Where Coronal

Bone Is Present: Technique and Case Report. International Journal Of Oral &

Maxillofacial Implants, 21(3), 476-480

The article discusses an apical s urgical technique that enables the clinician to repair apical bony defects during immediate dental implant placement without compromising the integrity of the coronal bone and gingiva. The reason this technique is used is because after a tooth is lost the bone tends to resorb and the soft tissue begins to shrink. This technique places the implant immediately after the tooth is extracted, the socket is evaluated and granulation tissue is removed. The implant is placed, then a healing cap to support the gingival tissues. Guided bone regeneration is used to repair the apical bony defect. Carranza discusses that evaluation of the alveolar bone height and width is important to determine of implant placement is possible with the technique my article mentions the implant is placed immediately to retain bone level. LC #38

Jensen, O. T., Cottam, J. R., Ringeman, J. L., Graves, S., Beatty, L., & Adams, M. W. (2012). Angled Dental Implant Placement into the Vomer/Nasal Crest of Atrophic Maxillae for All-on-Four Immediate Function: A 2-Year Clinical Study of 100 Consecutive Patients. //Oral & Craniofacial Tissue Engineering//, //2//(1), 66-71.

My article discussed different methods of inserting implants to secure overdentures. They explained that patients have different levels of bone and sometimes it can be difficult to decide which procedure to go with. They discuss the All-on-Four treatment, which is where they place 4 different implants in each arch and explain that when patients have an atrophic maxilla it can be complicated by loss of osseous bone mass in all dimensions. There is also the use of the M-4 strategy, which employs M point, the maximum piriform rim bone mass above the nasal fossa, for apical implant fixation. However if there is an absence of piriform rim bone, then the midline should be considered for apical implant fixation, as the nasal crest can often escape atrophic change and sometimes be quite prominent where it attaches to the vomer.

Carranza explains that there are different types of implants such as endossoeus, subperiosteal, and transmandibular. He explains that implants are great for edentulous patients aiding in the support for dentures. They can be used to retain partials in partially edentulous patients and are very esthetically pleasing. The big idea is that implants can be used for all types of different things but it is important to really assess the patient and look for any risk factors that can interrupt treatment or healing. Every patient is different and educating the patient is very important so they can make the best decision. Amber Starnes 36

Chen, S. S., & Darby, I. I. (2003). Dental implants: Maintenance, care and treatment of peri-implant infection. Australian Dental Journal, 48(4), 212-220

My article discusses the background, etiology, diagnosis of periimplant diseases, and the maintenance, care and treatment of periimplant infection in osseointegration implants. The article also includes three cases that points out how periimplantitis and periimplant mucositis were treated. All three of the cases were successfully treated. Carranza discusses the various factors that can lead to implant failure such as smoking active periodontal disease, and poor oral hygiene.

Charlene Malit #29

Implants can replace missing teeth or secure dentures for patients. The three different types of implants are endossoeus, subperiosteal, and transmandibular. The most common implant is the screw shaped implant. Uncontrolled diabetes, smoking, and alcoholism are risk factors that could lead to an implant failing. Prior to an implant being placed it is important for a patient to have good oral hygiene and their plaque under control because inflammation can lead to failure of an implant.

Velinda Davis#24

_____ __Rentsch-Kollar, A., Huber, S., & Mericske-Stern, R. (2010). Mandibular Implant Overdentures Followed for Over 10 Years: Patient Compliance and Prosthetic Maintenance. //International Journal Of Prosthodontics//, //23//(2), 91-98.__ __After reading Carranza and the article the “Big Idea” is that the pretreatment evaluation of patients is important to see if the investment of placing implants is worth the time and financial aspect invested. For this evaluation a patient’s medical history including present and past systemic factors and medications that may influence the retention of an implant. Patients should be questioned if they have any parafuntional habits such as grinding and clenching, tobacco use, drug use and alcohol abuse. Patients motivational factors should also be noted __

__Ashley Yanez 37__

__ Annibali, S. S., Cristalli, M. P., Dell’Aquila, D. D., Bignozzi, I. I., La Monaca, G. G., & Pilloni, A. A. (2012). Short Dental Implants: A Systematic Review. //Journal Of Dental Research //, //91 //(1), 25-32. doi:10.1177/0022034511425675 My article discussed short implants and how they can be used on patients who do not have as much bone. The big idea of this article was to show that there are different options for patients who need implants and that it is possible for someone with inadequate bone levels to still have an option to get short implants. When I read Carranza I believe the big idea was a little bit different in that implants are a good option but many factors play into if it is going to be successful like patient compliance, risk factors like cigarette smoking, as well as patient education so that they know how to maintain the implant and not end up [|edentulous]. SF25