Module-3 Assignment #1 (case study) (2)

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Goodwin College *

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Medicine

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Apr 3, 2024

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1 Case Study # 3 Juhi Chetan Kavi Department of Dental Hygiene Goodwin University DHP 102: Periodontology Mrs. Christine Walsh January 30, 2024

2 A dental implant is a titanium post used to replace a missing tooth root and provide support to the crown, bridge, or denture. The implant system has three components: the implant body which is placed surgically into the alveolar bone. The abutment is the metal body connected to the crown or bridge to the implant body. The third component is the prosthetic crown which is the replacement of the crown of the natural teeth. When a patient has an implant, radiographic evaluation is the best way to locate the implant so the patient should be recommended for the radiograph first. Panoramic and periapical radiographs are eligible to evaluate the implant system (Parvini et al., 2019). It is hard to identify visually if the crown prosthesis is implant-supported or not and soft tissues appear the same in the oral cavity. On the visual examination, there is no difference between healthy periodontium soft tissues and healthy peri-implant soft tissues (Gehrig & Shin, 2024). When I am unsure to locate the implant and prosthesis, I will gently move forward with the periodontal probing. Peri‐implant probing is as harmless for peri‐implant tissues as periodontal probing is harmless for periodontal tissues (Parvini et al., 2019). To measure the probing depth, I will start probing using a metal probe or plastic probe whichever is available in the instrument cassette with the feather-light pressure to avoid any damage to the tissues. It is recommended to use gentle pressure around the site of the implants because too much pressure can harm the tissues around the implant which accumulate bacteria on the site. These bacterial infections can potentially lead to peri-implant diseases like peri-implantitis and cause the failure of the implant (Folwaczny et al., 2021). Unlike natural teeth, implants do not have attachment tissue like periodontal ligament fibers. The absence of this attachment makes the probe go deeper in the sulcus without resistance. By probing carefully, I will observe the area where the probe can go deeper into the sulcus, that area indicates the sites of the implants.

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