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1- Infection. 2- Implant losing. 3- Bone destruction. 4- Gingival recession. 5- Implant fracture.

1- Infection. 2- Implant losing. 3- Bone destruction. 4- Gingival recession. 5- Implant fracture. Treatment of peri implantitis. 1- Initial phase of treatment A - Occlusal therapy : * Change in prosthesis design. * Improvement in implant number &

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1- Infection. 2- Implant losing. 3- Bone destruction. 4- Gingival recession. 5- Implant fracture.

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  1. 1- Infection. 2- Implant losing. 3- Bone destruction. 4- Gingival recession. 5- Implant fracture.

  2. Treatment of peri implantitis

  3. 1- Initial phase of treatment A - Occlusal therapy: * Change in prosthesis design. * Improvement in implant number & position. * Occlusal adjustment.

  4. B- Anti infective therapy: (Non surgical treatment) * Local removal of dental plaque. * Polishing. * Sub gingival irrigation with 0.12% chlorhexidine. * Systemic antimicrobial therapy. * Oral hygiene procedures.

  5. 2- Surgical phase of treatment: A - peri-implant resective therapy: Apically displaced flap technique that includes: * Correct horizontal bone loss. * Reduce pocket depth. * Surface polishing implantoplasty.

  6. B - Peri-implant regenerative therapy: * guided tissue regenerative GTR. * bone graft technique. C - Removal of failed implants.

  7. 3 - Maintenance phase (follow up & recall) This include:

  8. A - Examination and evaluation: * Status of the peri-implant soft tissue (gingiva) whether it is healthy or inflamed (GI). * Plaque &calculus accumulation (PLI). * Width of attached mucosa (gingiva). * Probing pocket depth. * Sulcus bleeding index (S.B.I) * Rate of sulcus fluid flow (GCF flow).

  9. B - Instructions given to the patient to keep good oral hygiene: Home work therapy to control the dental plaque by using interdental brush ,single tuft brush ,dental floss, & super dental floss.

  10. Thanks for your kind listening But lets see what was written in the next few slides

  11. Why you should attend the lecture every week?

  12. 1 – There is a lot of useful information that you may miss if you don’t attend the lectures because these information can not be found neither in the dispensed written lectures nor the proposed text books .

  13. 2 – Your attendance will be appreciated as marks and credits that benefit you in the mid year and final oral exams.

  14. 3 – By your attendance you can participate in the short exams and quizzes that frequently carried out in each lecture . Like the ( opened book and help allowed quiz ) that will be appeared on the next slide.

  15. How can you differentiate between hypoglycemic & hyperglycemic attacks on dental chair in a known diabetic patient ?

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