2. Implant Checklist
Health history, pharmacology, and dental health
Assess Patient Self Care
Evaluate Clinically and Radiographically
Review and Document

3. What Do We See?
 Tissue consistency, form and color
 Inflammation
 Bleeding
 Exudate
 Bone level (radiographic)
 Occlusion and parafunctional habits
 Mobility
 Patient hygiene adequacy

4. Peri-implant Mucositis

5. Signs of Peri-implant Mucositis
 Red, shiny tissue
 Sensitivity
 Presents of plaque and calculus
 Bleeding
 Involves soft tissue only

6. Peri-implantitis

7. Tissue Appearance In The Presence
Of Peri-implantitis
 Red, purple, cyanotic
 Glossy, fibrotic
 Enlarged, cratered
 Bleeding
 Exudate

8. Probing Considerations
 Peri-mucosal seal
 Penetration of junctional epithelium
 Closer to proximal bone than around a natural tooth
 Difficult to get the probe parallel to the long axis of the
implant
 Six sites are usually not attainable
 Anatomical situation is different
 Pocket Contamination
 Potential for damage

9. Probing Parameters
 Gentle Pressure
 In the 1st year all sites; evaluate color, form,
consistency, BOP, depth
 After 1 year of stable probing use radiographs to check
M/D
 Compare

10. Radiographs
•Monitor M/D Bone
•Diagnostically Acceptable
•Slight change from
baseline
•Capture most apical bone
•Vertical BW offers the least
degree of distortion

11. Implant Maintenance
 Regular hygiene protocol (3-6 month intervals)
 Scaling only in the presence of plaque or calculus
 Polish with a fine paste only
 Yearly radiograph of implant(s)

12. Patient
Education
Review Homecare
•Flossing Implants
•Floss Threaders
•Interdental brushes
•Tapered end tuft
brush
•Antimicrobial
Rinse

13. Auxiliary Aids