Giuliabonarini_dds_rdh

Implant success is as difficult to describe as the success criteria required for a tooth. On 5th October 2007, the Italy Consensus Conference established
three primary categories:
⏺ success,
⏺ survival,
⏺ failure.

There are 4 implant groups to describe the clinical conditions of success, survival, or failure.

▪️Group I:represents success and is considered optimum health conditions. No pain is observed with palpation, percussion, or function. No clinical implant mobility is noted in any direction. Less than 2.0 mm of radiographically crestal bone loss is observed compared with the implant insertion surgery. The implant has no history of exudate.

▪️Group II implants are categorized as “survival” and have satisfactory health. They are stable, but show a history of, or potential for, clinical problems. No pain or tenderness is observed on palpation, percussion, or function. No observable mobility exists. Radiographic crestal bone loss is between 2.0 and 4.0 mm from the implant insertion.

▪️Group III implants are also in the “survival” category, but exhibit a slight to moderate peri-implantitis and compromised health status. Group III implants are characterized by no pain in function. No vertical or initial horizontal mobility is evident. Greater than 4 mm radiographic crestal bone loss has occurred since implant placement, but bone loss is less than 50% from around the implant. Probing depths have increased from baseline up to one-half the length of the implant, often accompanied with bleeding on probing. Exudate episodes (if present) may have lasted more than 2 weeks.

▪️The Group IV of the Pisa Implant Health Scale is clinical or absolute failure. The implant should be removed under any of these conditions

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🄸🅂 🅃🄷🄴🅁🄴 🄰 🄽🄴🄴🄳 🄵🄾🅁 🄾🄲🄲🄻🅄🅂🄰🄻 🄴🅀🅄🄸🄻🄸🄱🅁🄰🅃🄸🄾🄽 🄸🄽 🅃🄷🄴 🄿🄴🅁🄸🄾🄳🄾🄽🅃🄰🄻🄻🅈 🄲🄾🄽🄿🅁🄾🄼🄸🅂🄴🄳 🄳🄴🄽🅃🄸🅃🄸🄾🄽?⁣
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When to equilibrate: ⁣
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•Whether the inflammatory periodontitis has been treated successfully. After the stabilization of periodontal disease an occlusal therapy may be necessary for some patients and could involve either occlusal equilibration or splinting. ⁣
•Occlusal equilibration is considered an effective form of therapy for teeth with increased mobility which has developed together with an increase in the width of the periodontal ligament. Eliminating any occlusal interferences for a tooth which has a reduced bone height as a result of periodontal disease will result in bone formation and remodelling of the alveolus only to the pre-trauma level. ⁣
•In contrast, if the hypermobile tooth has reduced bone height but normal periodontal ligament width, then elimination of occlusal trauma will not alter the mobility of the tooth. In this situation occlusal equilibration is only indicated if the patient is complaining of loss of function or discomfort. ⁣
�In this case, the hypermobility is both the result of the reduced height of the supporting tissues that can no longer withstand the masticatory forces and the result of a widened periodontal ligament. In such situations, the reduction of mobility can only be obtained by an occlusal adjustment and joining teeth together in a splint. Since increased tooth mobility due to reduced height of the periodontal support should be considered as physiological mobility, LR3- LR2-LR1- LL1- LL2- LL3 were splinted after an occlusal adjustment because the hypermobility disturbs the patient’s masticatory function and chewing comfort. The objective of splinting is to create a situation in which the mobility of the teeth splinted is either “normal” or at least non-progressive ⁣
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Unlucky, at the time I visited the patient the splint was present without a periodontal therapy. Bear in mind that, trauma from occlusion only doesn’t causes gingivitis or periodontitis and⁣
occlusal therapy is not a substitute for conventional methods of resolving plaque-induced inflammation.⁣
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🇬🇧 3rd of May at 7.30 p.m.

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Discussione di un caso clinico parodontale:
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