Silver Plug is the first certify product designed to fill up the implant tunnel. The prevention of periimplantitis is the key to long term success! Where you can find it, how to use it, the clinical studies and results and all the answers at your questions are here! Just take a look!

1. SilverPlug
A useful tool for Peri-implantitis prevention
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2. As peri-implantitis is an infection associated
with the presence of a submucosal bacterial
biofilm around implants, the primary goal of
therapy must be the resolution of the
infection which is achieved by:
• the destruction of the biofilm
• the removal of calculus and/or
overhanging restoration margins
• the prevention of the recurrence of the
disease
5th ITI Consensus april 2013
Group 5: Biological and technical
complication
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3. As peri-implantitis is an infection associated
with the presence of a submucosal bacterial
biofilm around implants, the primary goal of
therapy must be the resolution of the
infection which is achieved by:
• the destruction of the biofilm
• the removal of calculus and/or
overhanging restoration margins
• the prevention of the recurrence of the
disease
5th ITI Consensus april 2013
Group 5: Biological and technical
complication
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4. 4
The bacterial contamination of dental
implants components
From the beginning of the implantology
era, the bacterial colonization of the
internal part of the components was
known and investigated
Quirynen M., Van Steenberghe D. 1993
Quirynen M., et al. 1994
Persson L.G. et al. 1996
Jansen V.K., et al. 1997
Zipprih H.,Wegl P.,Lange B. 2007
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5. 5
The interconnections inside the implants
components
The areas marked in red are colonized by bacteria
The area over the screw marked with a red arrow is the one
we are focusing with this patent
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6. Peri-implantitis and periodontitis
share the same bacterial microflora
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7. Peri-implantitis and periodontitis
share the same bacterial microflora
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8. Perimplantitis and periodontitis share
the same bacterial microflora
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9. Bacteria of the red complex grow in
anaerobic context (e.g. Parodontal
pockets, ruth fractures, radicoular apex
with bad endodontic care, implant tunnels
etc) causing a loss of supporting bone
tissue
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10. Luckily not every single
patient develops a
parodontal disease,
even considering
bacterial flora and
others risk factors
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11. In order to develop a
paradontal disease it is
necessary to have a
genetic risk factor or
predisposition
Etiology: Plaque and Toxine in the susceptible patient
Periodontitis
Kinney, Ramseier, Giannobile Ann NY Acad Sci 2007
Giannobile, JP 2008
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12. Although the parodontal disease doesn’t
affect the all patients, the
Parodontology’s guide lines recommend
to clear every single patient from all risk
factors, regardless of genetic
predisposition
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13. It is highly true also for peri
implantitis: a genetic
predisposition is necessary for
chronic inflammation (e.g.
mucositis and chronic
inflammation related bone
reabsorption after implant
loading) to turn into peri
implantitis
Cronical mucositis
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14. Peri-implantitis prevention: the key to long-term success
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15. State of the art
It is well-known how minimal micro
movements occur between implants
and abutment or screwed crown
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16. It is well-known how minimal micro
movements occur between implants
and abutment or screwed crown
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17. These movements are
responsible of a pump-like
suction effect, taking saliva
from the outside to the inside
of the implant tunnel
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18. These movements are
responsible of a pump-like
suction effect, taking saliva
from the outside to the inside
of the implant tunnel
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19. Temperature, nutrition and
anaerobic conditions within the
implant tunnel are ideal for
harmful anaerobic bacteria
proliferation. These bacteria
occupy a bigger volume than
the deepest parodontal pocket
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20. Harmful anaerobic bacteria
develop within the tunnel the
same way they do at the
bottom of a parodontal pocket
or within a necrotic channel
• Tannarella Forsyzia
• Porphiromonas Gingivalis
Treponema denticolata
Actinobacillus
actinomycetemcomitans
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21. An inflammatory response is
therefore triggered and causes
chronic mucositis and
reabsorption cone. To
predisposed patients this
becomes peri-implantitis
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22. 22
Which technique
do we use to fill the
screw tunnel of the
abutment?
?
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23. wax
cotton pallet
teflon pallet
gutta percha
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24. A previously sterilized cotton
pallet shows high bacterial
contamination shortly after
being put into a implant tunnel
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25. A similar result is obtained with
different filling materials:
gutta percha
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26. A similar result
is obtained with
different filling
materials:
teflon
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27. A similar result is obtained with
different filling materials:
teflon
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28. The solution
The solution come under the
name of SilverPlug
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29. SilverPlug is the first certified
product designed to fill up the
implant tunnel
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30. SilverPlug is made of a cone
trunk shaped polymer
containing a SILVER ZEOLITE
that has a high antibacterial
effect
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31. • Solid and easy to manipulate
• Easily compressible to perfectly filling the implant tunnel
• Its shape is compatible with all implant systems
• Antibacterial effect without releasing chemicals
• When necessary it is always ready to be inserted and removed into and from
the tunnel
SilverPlug features
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32. Which Technique ?
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33. Step #1
Implant disinfection
Clorexidine gel
2
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34. Step #2
Abutment disinfection
Hypochlorite
3
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35. Step #3
Measurement
4
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36. Step #4
Cut
5
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37. Step #5
Insertion
6
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38. Step #6
SilverPlug in site
7
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39. Step #7
The end
8
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40. Step #5
Insertion
6
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41. Step #6
SilverPlug in site
7
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42. 42
Comparison of
radiographic
aspect
With SilverPlugWithout SilverPlug
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43. 43
SilverPlug sealed
radiographic aspect
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44. Comparison of gum aspect
Without Silverplug
With SilverPlug
11
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45. Gum aspect
With SilverPlug
11
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46. www.silverplug.ch

47. SilverPlug after 4 years
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49. Results

51. www.silverplug.ch