training classes:
The Existing Dental Implant Exam

Class Summary:

How to examine an existing implant and implant restoration
  1.  The current thinking and treatment of mobility in dental implants is different than teeth. The reason being is the attachment of implants to the body is different.
  2. Any clinically discernible mobility in a restored dental implant is an emergency.  Anything over a scale 0 must be treated. There is not a healthy implant or implant restoration that has ANY clinically / manually felt mobility.
  3. Mobility is actually measured in implants using a periotest device. These measure subtle implant movement in the bone to measure how much bone actually holds the implant.
 the three cardinal signs of implant failure:
– mobility
– pain
– radiographic evidence
If an implant crown or abutment ever feel loose to the patient or you can find any mobility – this has to be addressed.
Treatment as follows:
  1. X-ray and manual exam
  2. Removal of crown and abutment
  3. Inspection of the implant for mobility without restoration. If mobile – refer to implanting surgeon.
  4. Replace and re-tighten the abutment to company-specific torque with a torque driver
  5. place Teflon tape in screw access hole
  6. Re-cement crown with dental implant specific cement
Dr. Jonathan Penchas

Dr. Jonathan Penchas

Dr. Jonathan Penchas has been practicing Cosmetic and restorative dentistry for over 20-years in Houston. He has won numerous awards and written articles and books regarding Implant Dentistry and Dental Oncology.

Midtown Training

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