implants

Question 1

What assessment is suitable for an implant?

Answer 1

6PPC / Periodontal Assessment

Question 2

You assess an implant. The radiograph shows no bone loss but you notice bleeding and mild marginal inflammation.

What would your diagnosis be?

Answer 2

Peri-implant mucositis.

Question 3

TRUE or FALSE: Normal probing depths around anterior implants can be deeper than expected around teeth?

Answer 3

TRUE

Question 4

A 60 year old patient presents with gingival swelling and suppuration around and implant supported crown in the region 46. Periodontal charting shows PPD of 8mm and BoP with suppuration.

What is your diagnosis?

Answer 4

Peri-implantitis.

Question 5

What OHI would you deliver to a pt with an implant?

Answer 5

1. TBI
2. Interdental Cleaning (floss, tepes, super floss).
3. Use of a single tufted brush.
4. Discuss the signs/symptoms of healthy or unhealthy implants.
5. Talk about diagnosis.
6. Advise PMPR and maintenance.

Question 6

What OHI would you deliver to a pt with peri-implantitis?

Answer 6

1. TBI
2. Interdental cleaning
3. Emphasis on subgingival cleaning with STB.
4. Discuss the signs of healthy/unhealthy implants.
5. Risk of implant failure.
6. Advise PMPR and maintenance.
7. Risk of bone loss and more complicated procedures.

Question 7

2 types of surgery for periodontitis?

Answer 7

1. Open Flap Curettage
2. Open Flap Debridement

Question 8

Which document guides you through the most effective steps for treatment of periodontitis?

Answer 8

BSP S3 guidelines

Question 9

4 principles of supportive therapy.

Answer 9

1. Supportive periodontal care.
2. Reinforce OH, risk factor control and behaviour change.
3. Regular PMPR.
4. Consider adjunctive toothpaste or mouthwash to control gingival inflammation.

Question 10

3 As of PMPR

Answer 10

1. Adaptation
2. Angulation
3. Activation

Question 11

There is no connective tissue attaching the root surface to the junctional epithelium because which fibres are missing?

Answer 11

dentogingival fibres

Question 12

What is the normal PPD around implants?
Would you expect BoP?

Answer 12

5mm is normal +/- small amount of BoP
(large amounts can indicate inflammation)

Question 13

What is the name of this process?
Slight circumferential bone loss that occurs 3-6 months after implant placement that usually stabilises.

Answer 13

Saucerisation

Question 14

What is the name of the process describing how a dental implant is integrated into bone?

Answer 14

Osseointegration -
bone grows onto the rough surface.