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Las claves de éxito en el mantenimiento de implantes dentales

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Las claves de éxito en el mantenimiento de implantes dentales

  1. 1. Índice 1. ¿Qué es un implante dental? 1. ¿Qué es la osteointegración? 2. Pasos para la colocación de un implante 3. Tipos de prótesis sobre implantes 2. Parecidos y diferencias entre dientes e implantes 1. Enfermedades periimplantarias: mucositis y periimplantitis 2. Tratamiento 3. Mantenimiento de implantes 1. ¿Por qué es necesario? 2. Funciones y responsabilidades de la higienista dental
  2. 2. Implante 1. m. Med. Acción y efecto de implantar. 2. m. Med. Aparato, prótesis o sustancia que se coloca en el interior del cuerpo para mejorar alguna de sus funciones, o con fines estéticos. dental (Del lat. dent lis).ā 1. adj. Perteneciente o relativo a los dientes. 1 ¿Qué es un implante dental?
  3. 3. Factores que afectan a la unión implante-hueso •Biocompatibilidad del material •Diseño y buen ajuste •Condiciones de la superficie •Técnica quirúrgica cuidadosa •Lecho saludable para el implante •Condiciones controladas para la carga primaria •Calidad ósea Albrektsson T, Branemark PI, Hansson HA, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Sacnd 1981; 52: 155-70 1.1 ¿Qué es la osteointegración?
  4. 4. Factores que afectan a la unión implante-hueso Quirúrgicos Mecánicos Biológicos Histológicos •Rugosidad •Energía de superficie •Composición •Macrotopografía •Carga •BIC o densidad ósea •Inmovilidad •Tipo de hueso •Condiciones del paciente •Microbiota bucal •Velocidad de fresado •Generación de calor •Ajuste a lecho óseo 1.1 ¿Qué es la osteointegración?
  5. 5. 2.1 Enfermedades periimplantarias Zitzmann UN, Berglundh T. Definitión and prevalence of peri-implant diseases. J Clin Periodontl 2008; 35 (suppl. 8): 286-291. Mucositis periimplantaria Presencia de inflamación de la mucosa en un implante sin signos de pérdida de hueso de soporte.
  6. 6. Zitzmann UN, Berglundh T. Definitión and prevalence of peri-implant diseases. J Clin Periodontl 2008; 35 (suppl. 8): 286-291. 2.1 Enfermedades periimplantarias Periimplantitis Además de inflamación de la mucosa en un implante sin signos se caracteriza por la pérdida de hueso de soporte.
  7. 7. 2.1 Enfermedades periimplantarias Mombelli A (1999) Prevention and therapy of peri-implant infections. In: Lang N & Karring T, Lindhe J (eds). Proceedings of the 3rd European Workshop on Periodontology, pp: 281-303. Berlin: Quintessence. 1. Eliminación de la placa bacteriana de las bolsas peri-implantarias. 2. Descontaminación y acondicionamiento de la superfície del implante. 3. Reducción o eliminación de localizaciones de díficil limpieza. 4. Prevención de la reinfección mediante el establecimiento de un régimen efectivo del control del biofilm oral. 5. Regeneración ósea. TRATAMIENTO
  8. 8. 3. Mantenimiento de implantes Funciones y responsabilidades del higienistas • Monitorizar • Formar • Limpiar • Motivar
  9. 9. 3 Mantenimiento de implantes Métodos físicosFormar Cepillo dental específico Sedas y cintas dentales Cepillos interproximales Irrigador bucal Cepillos para la limpieza de implantes. Vitis® implant con filamentos de Tynex®. Para la eliminación del biofilm oral de la zona interproximal. Irrigador bucal con boquilla Pik Pocket® o boquilla Seeker® para placa inaccesible.
  10. 10. 3. Mantenimiento de implantes Métodos físicosFormar Métodos físicosFormar
  11. 11. 3. Mantenimiento de implantes Métodos físicosFormar Métodos físicosFormar Métodos físicosFormar Métodos físicosFormar
  12. 12. 3. Mantenimiento de implantes Métodos químicosFormar

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