Peri-Implant Disease

The most important cariogenic bacteria are Streptococcus mutans. Other cariogenic bacteria include S. salivarius and S. sanguis as well as various species of Eikenellan and Lactobacillus. Dental caries is a disease of the tooth enamel and the tooth itself, while periodontal disease is a combination of gum swelling and erosion of the ligaments and bone that supports the teeth. Mildest form of periodontal disease is gingivitis, while the most severe form is called acute necrotizing ulcerative gingivitis also known as trench mouth. Poor oral hygiene, unhealthy diet, alcohol and tobacco use may constitute in the development of dental caries and periodontal

At the initial visit the patient’s plaque index was 43% and the plaque score was 55%. The most amount of plaque was present in the posterior regions in both the maxillary and mandibular quadrants. The anterior teeth suffered from a fair amount of attrition. Plaque was being retained in the grooves and pits of the damaged teeth. The patient also had slight interproximal plaque. Number 18 was chipped measially and was missing half of the large amalgam restoration. It had the most biofilm build up covering almost every aspect of the tooth, including the inside portion, which was exposed to oral cavity. When asked why she felt this was a problem area for her she responded that food constantly gets trapped inside and it’s painful, it hurts to brush. A large interproximal lesion on number 8 adjacent to porcelain fused to metal crown retained a considerable amount of biofilm also. The large and old amalgam restorations posteriorly were wearing away at the margins creating grooves and fissures on the occlusal surfaces also retaining plaque. I asked her if she felt like her diet or habits may be contributing to any oral pain or problems she is having. She answered honestly by saying she knows she harming not only her teeth but also her body. She wants to eat better and quit smoking, but she still gets pleasure when indulging and just isn’t ready to give up things she loves yet. She did agree to try and change some of her oral hygiene

At your first visit, you will be evaluated for gum disease, and a treatment plan will be implemented. Once your gum infection has been treated, you can continue with your plan to get implants

Introduction: Because life expectancy is increasing, the number of performed primary knee prostheses is projected to increase 673% by 2030 (Westrich et al.). 20% of patients are unsatisfied with the outcome (Klit et al). The implant misalignment has been reported as a decisive factor in outcome and the primary reason for revision in 7% of revised prostheses (Ritter et al). Misalignment definition however varies among studies, making it difficult to compare the results.

There are two type of dental implant; regular and mini. The latter is often comprehensive and complicated, and requires a lot of strenuous procedures that often involves digging into the jaw and crafting of the bone. This often pushes a number of people away.

One of these infections includes SSIs. SSIs are a type of infection that occurs after a surgery on the body part that the surgery was taken place at. The infections are known as either superficial, which only involves the skin; it can also be under the skin, organs and anything that may have been implanted. Most SSIs Post-operatively and those occur within 30 days after the surgery (http://www.cdc.gov, 2012)

During this talk, Dr. Shah discussed his experience identifying and diagnosing prosthetic infections. Then he starts pointing out the current challenges he has been able to identify and presented a thoughtful literature review about common practices during the identification of join infections. The overall conclusion was that there is no test that allow to accurate identify join infection and this also affects treating the patient. Patients that undergo join surgery and get back with swelling, change in color in join area, and pain are part of the group easy to diagnose yet with a significant infection difficult to treat. However, when patients get back to the doctor early on during the infection when the signs are not that obvious, all comes down to clinical judgement.

If properly maintained with regular care such as brushing and flossing, implants can last for decades or more. And because they are implanted in your jaw, they prevent any deterioration of the jawbone brought by not having a tooth in place.

In the last few decades, Science has discovered many fascinating discoveries which has increased life expectancy and have made human lives less painful. One of the brilliant discoveries has been being able to renovate human body parts. However, all of these great techniques and methods to “repair” human body parts also have the side effects. The greatest example would be dental implantation which brings back the ‘taste’ in many lives. While reading the article, “Prevalence and Predictive Factors for Peri-Implant Disease and Implant Failure: A Cross-Sectional Analysis”, I learned that dental implantation is also causing the disease called “Peri-implant” which cause discomfort, negative impact on health and may lead to loss of the implant.

2. Protecting: As strong as they are, implants are still vulnerable to injury, pressure and stress, so always wear a mouth guard if you play sports, protect all your teeth by skipping hard candy and chewing ice and talk to your dentist if you grind your teeth at night.

Bones generally resist disease. Therefore, osteomyelitis, the medical term for bone infection, usually occurs when a source outside of the body’s bone structure introduces bacteria. Surgery commonly is a source because invasive procedures create pathways that let bacteria into bones.

Infections originating from teeth or their supporting structures, known as odontogenic infections, are among the most common diseases in the oral and maxillofacial region, especially in developing countries. Previously, before the advent of antibiotics, tonsillar and peritonsillar infections were the source of infection in 70% cases of DNSI7; but now the most common cause is considered to be dental in origin. DNSI are usually polymicrobial in nature. Streptococci, Peptostreptococcus species, Staphylococcus aureus, and anaerobes are the most commonly cultured organisms from DNSI. Clinical manifestations of DNSI depend on the spaces involved, and include pain, fever, malaise, fatigue, swelling, odynophagia, dysphagia, trismus, dysphonia, otalgia, and dyspnea. Potentially life-threatening complications have been reported to occur at a rate of 10% to 20%, even in recent literature on DNSI cases.Common and potentially

Dental Implants: Infections are once again the most likely cause of problems when it comes to dental implants. However, issues can also arise when the practicing dentist was undereducated in regards to the procedure and didn’t perform it

Periapical cysts are the most widely recognized inflammatory odontogenic cysts. They involve a group of lesions that associate with non-vital teeth and those emerging from primary teeth are accounted to happen in mixed dentition with a rate of 0.5-3.3% [1].

Mechanical load and stress distribution are directly related to the longevity of implants and to peri-implant bone loss1. In the osseointegrated dental implant, occlusal loads are transmitted directly to the surrounding bones. When overloading happens, high deformations (above 2000–3000 microstrain) occur in the bone around the implants. When pathological overloading occurs (over 4000 microstrain), stress and strain gradients exceed the physiological limits of the bone, which may cause micro-fractures at the bone–implant interface, fracture of the implant, loosening of components of the implant system, and unwanted bone resorption2. Bending moments resulting from non-axial overloading of dental implants may cause stress concentrations