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Evidence based local conditions as key success factors in oral implantology. 3rd Prof. Yalda Congress Tehran - November 2012. EAO Consensus Conference Statement 2009 Local conditions for implant treatment.
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Evidence based local conditions as key success factors in oral implantology 3rd Prof. Yalda Congress Tehran - November 2012 www.implant-op.com
EAO Consensus Conference Statement 2009Local conditions for implant treatment • Documentation due to controled oral hygiene, absence of any form of periodontal disease or finished periodontal treatment • Obligation to integrate the patient in a periodontal recall system Bornstein et al 2008, Martin et al 2009, Salvi et al 2009 www.implantat-op.de
EAO Consensus Conference Recommendation 2009Local conditions for implant treatment • Documentation due to abcence of any form of dental cavity • Documentation due to absence of endodontic infections Bornstein et al 2008, Martin et al 2009, Salvi et al 2009 www.implantat-op.de
Consequences of insufficient oral hygiene and periodontitis prior to implant treatment 1. Increasing diversity and concentration of periimplantitis relevant patogens 2. Increasing risk for pimary infections during wound healing phase 3. Increasing risk for long term periimplant infections and implant loss Schwarz et al 2007, Renvert et al 2008, Sanz et al, 2009 Sculean et al 2010 www.implant-op.com
Implantology todaybetween scientific standards and reality www.implantat-op.de
Oral hygiene status, Perio status, Restorative status, Endo status www.implant-op.com
Case report – Preoperative status www.implant-op.com
Clinical Chart www.implant-op.com
Periodontal Chart www.implant-op.com
Radiographic Chart www.implantat-op.de
Situation after oral hygiene, temporary restorative, perio, mucogingival surgery, extractions, sp, micro sinuslift, implants and exposure of implants – 14 months later www.implant-op.com
Clinical situation after prostho – 17 months later www.implant-op.com
Periodontal Chart – 18 months later www.implant-op.com
Case report 2 www.implant-op.com
Complications 1 www.implantat-op.de
Reason for Failur ? Treatment plan ? Conditions ? www.implantat-op.de
Complivations 2 www.implant-op.com
Reason for Failur ? Treatment plan ? Conditions ? www.implant-op.com
Conclusion Professionaloral hygiene and plaque control performed by dental hygienistisone of scientificallyprovedkeyfactors for success in implant treatment Implant patients should be integrated in a perioprosthetic recall system www.implant-op.com
Thank you for your kind attention www.implantat-op.de
