Dental Implant Routine Assesments

The checklist below is about Routine Assessment of Dental Implants.

Assess Implant Health
Soft and hard tissue
Occlusion

Successful Implant Debridement
Intrumentation options for the various implant suface materials

Establish Home Care Protocol
Options and considerations
Home care aids

Routine Assesments
Occlusion
Integrity of Prosthesis
Mobility
Soft Tissue
Hard Tissue
Home care

Occlusion Assessment
Check 2 x per year maintenance appoinments
Check for lateral contact with articulating paper.
Include evaluation of prosthesis.

Prosthesis Assessment
Check for fractures and cracks.
If visible, check for integrity of screws
Replace loose screws.

Mobility Assessment
Place instrument under embrasures.
Apply gentle pressure.
Presence of mobility check with side to side movement.
Prosthetic mobility and component mobility.

Hard Tissue Assessment
Diagnostic, accurate radiograph
Able to see thread count
Crestal view is very important.

Ideal Diagnostic Image
Same size as object
Same shape as object
Has good detail.
Has good density and contrast.

Radiograph Protocol
Baseline with prosthetic delivery
6-8 months compare with baseline
1 year Vertical Bitewing
If no changes next in 3 years unless symptomatic.

Implant Integrity
Absence of horizontal dark line where abutment meets implant or prosthesis.

Crestal bone Level
Assess mesial and distal bone levels.
Level at 1st thread or 2 mm below implant platform.

Soft tissue Assessment
Perimucosal seal
Zone between implant and soft tissue
Composed of junctional epithelium and cricular fibers
Biologic Seal.

By:
Dr. Orlando L. Miclat
Chief Dentist, Osseo Dental

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