Peri-Implant Therapy for the Dental Hygienist. Susan S. Wingrove

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9 Professional In‐Office Implant Maintenance and Disease Treatment Professional in‐office regimen Highlights for ACP clinical practice guidelines implant‐borne restorations Maintenance; biofilm removal, debridement, polishing, and recare Single implant maintenance Mastering the Arch© Peri‐implant disease assessment and treatments Cement residue assessment and treatment Summary References

      19  Appendix: Terminology and Resources Implant dentistry terminology Resources

      20  Index

      21  End User License Agreement

      List of Tables

      1 Chapter 2Table 2.1 Levels of cardiac reactive proteins (CRPs).Table 2.2 Criteria to diagnose bisphosphonate‐related osteonecrosis of the ...Table 2.3 Risk assessment for osteonecrosis.

      2 Chapter 3Table 3.1 Comparison between natural dentition/tissue and dental implants....Table 3.2 Bone classification (5).Table 3.3 The principles behind regeneration.Table 3.4 Example of patient protocols for implant surgery.

      3 Chapter 4Table 4.1 Comparison of restorative options and advantages.

      4 Chapter 5Table 5.1 Comparison treatment options for missing teeth.

      5 Chapter 6Table 6.1 Assessment and monitoring summary.

      6 Chapter 7Table 7.1 Case definitions for peri‐implant health, peri‐implant mucositis, ...

      7 Chapter 8Table 8.1 Examples of brushes to use with implants.Table 8.2 Oral hygiene home care protocol summary.

      8 Chapter 9Table 9.1 Implant safe, effective hand scalers/curettes.Table 9.2 Ultrasonic implant safe tips.Table 9.3 Examples of safe pumice‐free prophy pastes.Table 9.4 Clinical applications peri‐implant therapy/note for patient’s reco...

      List of Illustrations

      1 Chapter 1Figure 1.1 Discovery by Dr. and Mrs. Wilson Popenoe, Honduras, 1931.Figure 1.2 George Washington's lower denture.Figure 1.3 Professor Per‐Ingvar Brånemark, an orthopedic surgeon.Figure 1.4 Dr. Greenfield's basket design.Figure 1.5 Dr. Dahl subperiosteal design.Figure 1.6 Endosteal design.Figure 1.7 Transosteal design.Figure 1.8 Titanium and ceramic (zirconia) implant examples.Figure 1.9 SEM titanium implant surface.Figure 1.10 SEM ceramic (zirconia) implant surface.Figure 1.11 Subperiosteal implant. Reprinted from Taylor and Laney (23), wit...Figure 1.12 Transosteal implant.Figure 1.13 Blade‐form implants.Figure 1.14 Endosteal root‐form implants.Figure 1.15 Mini dental implants.Figure 1.16 Zygoma implants.Figure 1.17 Parts and pieces.Figure 1.18 Examples of cover screws.Figure 1.19 Examples of abutments.

      2 Chapter 2Figure 2.1 Inflammation process.

      3 Chapter 3Figure 3.1 How an implant attaches to bone.Figure 3.2 Cortical and cancellous bone.Figure 3.3 Ridge width lost (bone) with traditional extraction, no socket pr...Figure 3.4 What happens when bone loss continues? Patient eventually will no...Figure 3.5 Bone needs to be stimulated (Wolff’s Law).Figure 3.6 Blood clot is essential to healing.Figure 3.7 Examples of regenerative products. (A) Osteogenesis cells, OSSIF‐...Figure 3.8 Example Socket preservation case.(A) Pre‐op PA radiograph, to...Figure 3.9 Sinus augmentation.(A) Pre‐op PA radiograph. (B) Implant plac...Figure 3.10 Difference between a two‐ and one‐stage endosteal implant placem...Figure 3.11 Example of a one‐stage implant placement.(A) Implant is take...Figure 3.12 Subperiosteal framework.Figure 3.13 Transosteal implant.Figure 3.14 Zygomatic dental implants.Figures 3.15 All‐on‐4™ step‐by‐step overview.

      4 Chapter 4Figure 4.1 Example of serrated periotome.Figure 4.2 Socket preservation case.(A) Initial tooth and abscess. (B) S...Figure 4.3 Alveolar ridge augmentation case.(A) Initial occlusal view of...Figure 4.4 Maxillary sinus augmentation case.(A) Initial, (B) flap eleva...Figures 4.5 Examples of bar‐supported attachment‐retained overdenture cases....Figure 4.6 Lifestyle choice of enjoying a glass of wine.Figure 4.7 Screw‐retained and cement‐retained crown differences. (A) Example...Figure 4.8 Ball implant, O‐ring attachment, and lower overdenture example....Figure 4.9 Milled bar‐supported attachment‐retained removable overdenture ex...Figure 4.10 Fixed‐removable screw‐retained hybrid final prosthesis in

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