Ics Ii Q8: Implant Maintenance

Front 1

Integration time

Back 1

-healing 0-12mo
-integration 3-18mo
-steady state >18mo

Front 2

prosthetic retaining screw tightended to

Back 2

-10Ncm

Front 3

acceptable bone loss (3)

Back 3

-down to 1st thread in 1st year
-up to .1mm/yr thereafter
-max 1.5mm total

Front 4

screw retained prosth:
temp reinsertion
long-term

Back 4

-fill access holes w/ cotton and Fermit
-fill w/ cotton, GP (1-2mm) or composite

Front 5

Super floss
butler Post care floss aid

Back 5

-good for everything
-for implant bars, fixed hybrid prosth

Front 6

loose single tooth abutment

Back 6

-emergency!
-can strip screw and it will come of

Front 7

how remove fractured abutment screw
careful
if cannot remove

Back 7

-w/ tip of explorer
-not to damage internal threads
-replace prosth on existing abutment, secure w/ prosthetic retention screws or healing caps

Front 8

causes of fixture loss (5)

Back 8

-overheating
-nonpassive superstructures
-inadequate screw closure
-functional overload
-perio infection

Front 9

failing implant tx (4)

Back 9

-remove prosth and abut
-irrigate w/ Peridex
-sultrasonic, disinfect
-reinsert parts

Front 10

failed implant signs (3)

Back 10

-mobility
-dull percussion sound
-peri-implant RL

Front 11

failed implant tx

Back 11

-removal

Front 12

soft tissue rxn tx (3)

Back 12

-check for loose parts
-if loose, tighten
-if not loose, remove abutment, irrigate w/ Peridex or sterile saline, replace abutment, moniter

Front 13

broken plastic bar clip (2)

Back 13

-remove
-replace w/ new clip in denture base receptacle

Front 14

broken metal bar clip (5)

Back 14

-remove
-block out under bar w/ wax
-seat denture, position new clip
-fill in access w/ acrylic (bead brush tech)
-polish, deliver

Front 15

broken metal bar clip, no replacement available

Back 15

-remove
-block out
-reline

Front 16

broken stud attach

Back 16

-tease out O ring, replace as needed