PERI IMPLANTITIS

  1. Inflammation around loaded implant when its on function and prosthesis attached to it aka crown
  2. Types =
    1. peri mucositis = soft tissues around implant is involved = reversible
    2. Peri Implantitis = hard tissues aka bone around implant is involved = irreversible 
  3. CAUSES
    1. Poor oral hygiene 
    2. Uneven forces
    3. Smoking 
    4. Osteoporosis 
    5. Residual cement 
  4. Signs and symptoms 
    1. Bleeding and redness 
    2. Bone loss around implant 
    3. Probing depth = greater than 5 mm
    4. Pus formation 
    5. Crown is mobile = because abutment is loosening 
  5. If less than 5 mm probing depth, no bone loss and implant made up of titanium = the treatment is 
    1. Scaling 
    2. Antibiotics
    3. 0.2% CHX mouthrinse
    4. If bone loss is 2 mm = we will not open the flap. Same treatment as above
    5. If bone loss = 3-5 mm = crestal bone loss around implant = regenerative surgery needed

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