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21.04.23 www.implant-op.com 1
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
