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Paul Rosen: Successful treatment of peri-implantitis: advisability and predictability

The presentation reviews the measures and options for treatment of peri-implantitis. Dr Rosen discusses that the etiologies to periodontitis and peri-implantitis share a number of common analogies, and advocates comparable treatment approaches. The initiator isn't always plaque...

Radiology
Implant surfaces
Bone grafting and regeneration
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Videos

Marco Esposito: Light activated disinfection in the case of peri-implantitis

Treatment objective of a chronic disinfection is to reduce bacterial load under a critical threshold. In the case of peri-implant infections the measures to reduce bacterial contamination can comprise e.g. surgical or non-surgical debridement and implant surface decontamination...
Peri-implantitis
Peri-implant therapy
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Videos

Bertil Friberg: Long-term perspective of implant treatment - what have we learned

Dr Friberg covers the long term perspective of treatment with dental implants, ranging from the history of dental implantology and the detection of osseointegration until what has been accomplished till today in implant treatment. The lecture gives insight into treatment protocols...
Radiology
Implant surfaces
Peri-implantitis
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Treatment guidelines

Edentulous

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Direct to implant vs. abutment

Advantages of abutment-supported prostheses are 1) When implants are not parallel to each other, the use of angulated abutments can "correct" for the non-parallelism 2) Angulated abutments are available for a screw-retained prosthesis and 3) Custom abutments can be...

Prosthetic strategies
Prosthetic materials
Implant prosthetics
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Treatment guidelines

Edentulous

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Soft tissue management

The aims of peri-implant soft tissue management in the edentulous mandible are the eventual reconstruction of attached gingiva or immobilizing the soft tissue at the implant-soft tissue interface. Vestibuloplasty means deepening of the...

Soft tissue management
Peri-implant therapy
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Treatment guidelines

Edentulous

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Biologic complications

This is the reversible inflammatory process in the soft tissues around functioning implants. Peri-implant mucositis occurs in almost 60% of subjects (± 30% of sites), restored with implants. Diagnosis is stated by clinical examination: redness, ...

Peri-implantitis
Peri-implant therapy
Local factors
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Treatment guidelines

Edentulous

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Radiological Control

At the beginning of the recall control it is necessary to define the intention of a radiograhical control and if it is needed. Radiological controls are only justified in the presence of certain symptoms, anamnesis and/or clinical examination...

Radiology
Aftercare / follow up
Peri-implant therapy
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Treatment guidelines

Edentulous

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Inflammation and infection

Inflammation can be limited to the soft tissue around the implant (mucositis) or involve the underlying bone tissue as well (peri-implantitis). Infection can be caused by various risk factors, such as inadequate hygiene and patient compliance...

Peri-implantitis
Aftercare / follow up
Peri-implant therapy
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Treatment guidelines

Edentulous

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Infection - microbiological diagnostics

Presence/number of implants influences aerobe and anaerobe species in saliva and on tongue in edentulism. Subgingival microbiota in periimplantitis vary according to studies. Less periodontal pathogens than in partial edentulism. Prevotella nigrescens,...

Peri-implantitis
Aftercare / follow up
Peri-implant therapy
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Treatment guidelines

Edentulous

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Probing

Radiographical check-ups to evaluate bone levels cannot be repeated too often to avoid unnecessary radiation. Monitoring the overlying soft tissues may help to identify eventual problems of the underlying bone, although the correlation...

Aftercare / follow up
Peri-implant therapy
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Videos

Andrea Mombelli: Peri-implant anti-infective therapy

Peri-implantitis is an infection around implants associated with the presence of submucosal bacterial biofilm, with the biofilm microorganisms adhering and hiding on irregular surface structures such as the rough implant surface, crown margin areas and unfavorably designed...
Peri-implantitis
Aftercare / follow up
Peri-implant therapy
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Videos

Björn Klinge: Is there a connection between previous periodontitis and later peri-implantitis

A consensus statement is an agreement on currently available knowledge and may shift over time based on new evidence. Today there are solid data that there is an association between history of periodontitis and later peri-implant inflammation and infection. However this finding...

Radiology
Peri-implantitis
Aftercare / follow up
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Patient cases

Immediate loading in the edentulous mandible for CAD/CAM prostheses

A 72-year-old female patient was affected by the poor fit of her existing mandibular complete denture, especially the constant movement while chewing. The final treatment included a new maxillary complete denture and a mandibular implant fixed complete denture. 

Radiology
Guided Surgery
CAD/CAM
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Patient cases

Splinted implant restorations replacing posterior teeth

A 73-year-old female patient presented with extensive bone loss around the posterior tooth abutment, requiring extraction. Two crowns were used to replace the missing teeth and they were splinted to control the leverage due to the distal location of the implant in the molar crown.

Posterior implants
Prosthetic materials
Implant prosthetics
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Patient cases

Immediate placement and loading in the anterior maxilla

A 54-year-old male patient presented for rehabilitation of an extended maxillary edentulous space. The patient was rehabilitated without any grafting by using artificial pink gingiva and implants with bone expansion properties. 

Radiology
Guided Surgery
Anterior implants