Читать книгу Peri-Implant Therapy for the Dental Hygienist - Susan S. Wingrove - Страница 4

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 patien...Figure 4.11 All‐on‐4 example.Figure 4.12 Gunshot case.Figure 4.13 Example of a piezoelectric surgical unit. PIEZOSURGERY^® tou...Figure 4.14 Custom CAD milled provisional components, abutment, and BruxZuir...Figure 4.15 Digital treatment lanning, CBCT, and surgical guide fabrication....Figure 4.16 Surgical guide and flapless implant placement surgery.Figure 4.17 CBCT images for digital implant treatment planning.Figure 4.18 Digital software for implant planning with bone level CBCT.

5 Chapter 5Figure 5.1 Progressive bone loss affects appearance.Figure 5.2 Traditional three‐unit bridge; note the bone loss.Figure 5.3 Note the progression of bone loss.Figure 5.4 Communication with patients.Figure 5.5 Attend continuing education courses, Susan Wingrove presenting....

6 Chapter 6Figure 6.1 Hygienists are first responders, assessment is key!Figure 6.2 Steps for assessment and monitoring implants.Figure 6.3 (A) Normal, healthy tissue. (B) Inflammation.Figure 6.4 Probing the implant, courtesy of Wingrove Dynamics.Figure 6.5 Use a flexible probe in plastic (PDT), titanium (Brasseler) or st...Figure 6.6 Palpate for signs of infection.Figure 6.7 Signs of internal loose screw. Notice the bubbling around the cro...Figure 6.8 Testing for mobility.Figure 6.9 Dentist checks the occlusion with blue articulating paper.Figure 6.10 Notice the saucer‐like radiolucent area. This signifies cement....Figure 6.11 Line up the diagnostic radiograph of implant correctly. Threads ...

7 Chapter 7Figure 7.1 (A) Peri‐implantitis.(B) Biofilm present on implant.(C) C...Figure 7.2 Peri‐implantitis case.(A) Peri‐implantitis (facial view). (B)...Figure 7.3 A decision matrix to determine treatment for peri‐implant disease...Figure 7.4 Depiction of biofilm formation.Figure 7.5 Healthy implant and corroded implant example.Figure 7.6 Radiograph showing bone loss around an implant.Figure 7.7 Radiographic images of an implant with bone loss adjacent to a he...Figure 7.8 Theoretical model of infection in peri‐implantitis.

8 Chapter 8Figure 8.1 Image by Marc Swanson Photography/Design.Figure 8.2 Examples of pre‐ and postsurgical implant safe products. (A) CloS...Figure 8.3 Titanium implant in 30 day study, high fluoride low pH, note resu...Figure 8.4 Light microscopy and SEM assessment of the 30‐day exposure study ...Figure 8.5 (A) Manual specialty toothbrush, TePe Implant Orthodontic™.(B...Figure 8.6 Examples of electric toothbrush. (A) Oral‐B^® iO™ with Ultima...Figure 8.7 (A) Example of brushing modes on electric toothbrushes. (Note Ora...Figure 8.8 Examples of a interdental brushes. (A) GUM^® Go‐Betweens^®...Figure 8.9 (A) Removing floss from around single implant. (B) Floss remnants...Figure 8.10 Flossing an implant. (A) Insert on the mesial and distal, (B) cr...Figure 8.11 SEM results hydraulic water forces on biofilm. (A) Oral biofilm ...Figure 8.12 Examples of Waterpik water flosser unit and tips. (A) Aquarius^®...Figure 8.13 Example of a cordless water flosser. Oral‐B^® Water Flosser ...Figure 8.14 Example GUM^® rubber tip stimulator, use the flat side of th...Figure 8.15 Example of a dental pick to stimulate soft tissue on single impl...Figure 8.16 Antimicrobial nonalcohol mouthrinses (A) CloSYS mouth rinse, eff...Figure 8.17 Example of attachments in overdenture.

9 Chapter 9Figure 9.1 Implant maintenance with safe instruments.Figure 9.2 Assessment and monitoring protocol.Figure 9.3 Example of biofilm (A) Before and (B) After removal with powder s...Figure 9.4 OptraGate, latex‐free retraction device by Ivoclar Vivadent. Pull...Figure 9.5 Example of chairside disclosing solution (A) Tri Plaque ID Gel by...Figure 9.6 Examples of powder streaming devices. (A) ACTEON Air‐N‐Go Easy^®...Figure 9.7 What to use, what not to use. Follow the research.Figure 9.8 (A–E) Observational 2009 SEM study comparing debridement on impla...Figure 9.9 (A–B) Observational 2016 lab study results to evaluate titanium a...Figure 9.10 Observational study results to evaluate implant surface on titan...Figure 9.11 Narrow‐ and wide‐diameter implants (A) Notice narrow‐diameter im...Figure 9.12 Scaling wide‐diameter implant with Wingrove Titanium B5‐6, PDT, ...Figure 9.13 Exposed threads. To debride use tip of the instrument in a horiz...Figure 9.14 Example of the “Wingrove go‐to‐set”; universal set of titanium s...Figure 9.15 Rapid Drip Flow water adjustment technique. Direct the point of ...Figure 9.16 Polish restorations with soft prophy cup and pumice‐free prophy ...Figure 9.17 Example of antimicrobial varnish, Cervitec^® Plus varnish by...Figure 9.18 Example of full‐arch fixed final prosthesis case, (A) before and...Figure 9.19 Implant bar‐supported full‐arch removable overdenture example....Figure 9.20 (A) Debide around and inside screw indentation on top of Locator...Figure 9.21 Note patient’s overdenture attachments (black O‐rings, yellow ba...Figure 9.22 Example of O‐ring system on implant.Figure 9.23 (A) Example of Locator caps (B) Locator placement and removal to...Figure 9.24 Example of clips for bar‐and‐clip system.Figure 9.25 Locator cap replacement (A) Remove worn Locator cap. (B) Replace...Figure 9.26 Implant maintenance fixed final prosthesis in‐place, not removed...Figure 9.27 Example of specific tools and materials for removal (A) and (B) ...Figure 9.28 Removal of final fixed prosthesis, remove tape in the access hol...Figure 9.29 (A) Angled abutment with two screws. (B) Straight abutment with ...Figure 9.30 (A) Hand tighten screws, then torque in place with correct N° to...Figure 9.31 Labrida BioClean chitin brush.Figure 9.32 Labrida BioClean treatment case.(A) Initial exam, patient pr...Figure 9.33 Note the cement residue present.Figure 9.34 Radiographs.(A) Notice the saucer‐like radiolucent area, equ...Figure 9.35 Cement treatment case.(A) Pre‐op (B) Pre‐op X‐ray, radiograp...