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

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Debbie and Paul Harrison, Tracy Hull, Implant Consortium, Alessia Iommiello, Carol Jahn, Beth Jordan, Claire Jeong, Heather Kelley, Amy Kinnamon, Sherri Lukes, Deborah Lyle, Tabetha Magnuszewski, Linda Miller, Michelle Miller, Carie Miskell, Paolo Modena, Gianna Nardi, Trisha O’Hehir, Michaela O’Neill, Noel and Rich Paschke, Michele Petre, Tom Raish, Birgit Renggli, Heather Rogers, Consuelo Sanavia, Silva Savatini, Kandra Sellers, Alison Stahl, Lynette Thompson, Lori Totten, Linda Turner, Melissa Vandyke, Leslie Winston, and Debbie Zafiropoulos.

      Special thank you to Alison Stahl for her expertise and knowledge to collaborate on the “Mastering the Arch” protocols. To Dr. Kevin Frawley, Dr. Peter Fritz, Dr. Amita Gorur, Dr. Georgios Kotsakis, Dr. Tom Lambert, Dr. Marco Montevecchi, Dr. Marco Padilla, Dr. John Remien, Dr. Sam St. John, Marc Swanson, Dr. Caspar Wohlfahrt for their support and outstanding photographs.

      To the companies that have generously provided photos, illustrations, and information: Acteon, BioHorizons, Crest + Oral‐B (P & G), Directa, EMS, GC America, Glidewell Dental, Guidor, Ivoclar Vivadent, Keystone Dental, Labrida, Mectron, Nobel Biocare, Neoss, Orsing, Parkell, Paradise Dental Technologies (PDT), Preventech, Rowpar (CloSYS), Salvin Dental Specialties, SDS, StellaLife, Straumann, Sunstar, Surgical Esthetics, TePe, Waterpik, W & H, Zeramex, and Zest Dental Solutions.

      To Tanya McMullin, Erica Judisch, Susan Engelken, Angela Cohen, and Selvakumar Gunakundru at Wiley Blackwell, for their expertise and encouragement.

      Susan S. Wingrove.

      Susan Wingrove BS, RDH. International speaker, researcher, writer, consultant, and RDH Award of Distinction Recipient. Instrument co‐designer of the Wingrove Titanium Implant Series, ACE probes, and Queen of Hearts instruments. Susan specializes in sorting through the science to develop protocols for healthy teeth, implants, and disease treatment. She does medical research on regenerative wound healing and dental research on biofilm‐focused care for long‐term disease prevention. Published author ACP Clinical Practice Guidelines Scientific Panel, Doctor Clinical Implant Maintenance White Papers, American and International journals on peri‐implant therapy, regeneration, and advanced instrumentation. Resides in Missoula, Montana, USA and enjoys fly fishing, hiking, and snowshoeing.

      Dr. Maria L. Geisinger, DDS, MS Diplomate, American Board of Periodontology Professor / Director, Advanced Education Program in Periodontology Department of Periodontology University of Alabama at Birmingham Birmingham, AL, USA

      Dr. Robert Horowitz, DDS Board‐Certified Periodontist Clinical Professor Departments of Periodontics and Implant Dentistry, Oral Surgery New York University College of Dentistry New York, NY, USA

      Dr. Pam Maragliano‐Muniz, BSDH, DMD, FACP Board‐Certified Prosthodontist Private Practice – Salem Dental Arts Chief Editor, Dental Economics Salem, MA, USA

      Dr. Gerrarda O’Beirne, BDS, MSD Board‐Certified Periodontist Private Practice Seattle Periodontics and Implant Dentistry Affiliate Assistant Professor Department of Periodontics School of Dentistry University of Washington Seattle, WA, USA

      Dr. Luciana Safioti, DDS, MSD Board‐Certified Periodontist, Clinical Assistant Professor Department of Periodontics, School of Dentistry, University of Washington Seattle, WA, USA

      Dr. Robert Schneider, DDS, MS Emeritus Professor, University of Iowa Hospitals and Clinics, Hospital Dentistry Institute, Former Division Director Maxillofacial Prosthodontics Iowa City, IA, USA

      This book is accompanied by a companion website:

      www.wiley.com/go/wingrove/implant

      The website includes:

       Dental instructor materials

       Review questions and answers

       Lesson plans

       Videos

       PowerPoint slides

       Skills evaluations

       Learning objectives

        History

        Dental implant history timeline

        Implants Implant design

        Orthodontic implants/temporary anchoring devices (TADs) Parts and pieces for implants

        Implant dentistry terminology

        Summary

        References

       Understand as hygienists a tidal wave of ailing or failing implants may be imminent. It is imperative that hygienists are trained in identifying and treating peri‐implant mucosal inflammation that could affect overall body health (1).

      —G. Nogueira‐Filho, DDS, MDent, PhD

      Dental hygienists must be ready and be prepared to take on this next, very important challenge in our profession! The 21st century is an important and critical time to be a hygienist. During this exciting time in dentistry, we as hygienists have a critical role in implant therapy. As a hygienist, your role will be to access patients for healthy periodontium prior to placement of implants, to monitor the tissue surrounding the implants, and to maintain the implants through safe, effective implant maintenance. Current studies reveal that infections in the periodontium occur in more than 50% of implants placed (2). Therefore, we as dental professionals will be faced with different dynamics, challenges, and complications.

      As a hygienist, the history of implant dentistry makes you aware that implants are not new, but have been evolving for decades. Patients may have concerns that implants are so new that not enough research or development has been done for them to feel comfortable with the procedure. With your knowledge of the history, design, and research done on implants you will be better able

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