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Evidence based local conditions as key

success factors in oral implantology

3rd Prof. Yalda Congress Tehran - November 2012

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EAO Consensus Conference Statement 2009

Local 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

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EAO Consensus Conference Recommendation

2009

Local 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

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2. Increasing risk for pimary infections during wound healing phase

1. Increasing diversity and concentration of periimplantitis relevant patogens

Consequences of insufficient oral hygiene and periodontitis prior to implant

treatment

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

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Implantology today

between scientific standards and reality

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Oral hygiene status, Perio status, Restorative status, Endo status

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Case

rep

ort

– P

reop

era

tive s

tatu

s

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Clin

ical C

hart

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Peri

od

on

tal C

hart

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Rad

iog

rap

hic

Ch

art

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Sit

uati

on

aft

er

ora

l h

yg

ien

e,

tem

pora

ry

rest

ora

tive,

peri

o,

mu

cogin

giv

al su

rgery

, extr

act

ion

s, s

p,

mic

ro s

inu

slif

t, im

pla

nts

an

d e

xp

osu

re o

f im

pla

nts

– 1

4 m

on

ths

late

r

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Clin

ical si

tuati

on

aft

er

pro

sth

o –

1

7 m

on

ths

late

r

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Peri

od

on

tal C

hart

– 1

8 m

on

ths

late

r

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Case

rep

ort

2

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C

om

plic

ati

on

s 1

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Reason for Failur ? Treatment plan ? Conditions ?

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Com

pliv

ati

on

s 2

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Reason for Failur ? Treatment plan ? Conditions ?

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Professional oral hygiene and plaque control performed by dental hygienist is one of

scientifically proved key factors for success in implant treatment

Implant patients should be integrated in a perioprosthetic recall system

Conclusion

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Thank you for your kind attention