Implant check list
A number of factors need to be assessed before implants may be considered over other restorative methods such as crowns and bridgework.
Aim: To place implants that fulfil their required aesthetic and functional roles and last as long as possible.
Initial Assessment should include:
- Plaque score (high plaque scores increase the risk of biological complications by >10 fold);
- Periodontal chart (the greater the periodontal issues the greater the risk of implant loss and biological complications >10 fold for the most aggressive disease cases);
- Smoking history/number per day (increased risk of loss and complications >5 fold);
- Other systemic condition issues (depends upon the condition as to the increase in risk of complications);
- Restorative issues with adjacent teeth. (A bridge may be a better option if these are highly restored).
- Bone status. Is there sufficient bone? Is there an issue with the maxillary sinus? Is the bone dense or of poor quality? Can one obtain a good angulation for a prosthetic outcome?
- Assessment of alternatives: bridgework, dentures. (Select the one with the best outcome and lowest risks for the patient). Calculate the patients risk.
Case type criteria and when the GP dentist may consider referral.
- Simple – refer if you do not want to do them yourself.
- Moderate – depends upon your competence. If unsure always refer – don’t take the risk.
- Complex – refer in most cases unless you are competent and have the experience to deal with the issues.
- Surgery: Oral surgeon or Periodontist for the surgical components.
- Prosthodontists for the Prosthetic components, who may work with the surgeons.
- Doctor of Clinical Dentistry (Implants) or graduate diploma of Implants for combined treatment.
For options 3. If you know of specialists who work as a team these may provide better outcomes as they understand each other and work together to gain the best outcome.
© Penam Investments Pty Ltd 2014.
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