Peri-Implant Mucositis Treatment Outcomes on an Implant with a Submucosal Restoration Margin
Mauricio Araujo and Flauvia Matarazzo present this straightforward clinical case, demonstrating the potential effect of implant placement depth on the resolution of peri-implant treatment. A 42-year-old systemically healthy female patient, a non-smoker with no history of periodontitis, was treated at the Dental Clinic at the State University of Maringá, Brazil between 2008 and 2009, when she received five implants restored with single crowns at sites 14, 26, 27, 36, and 46. After delivery of the implant-supported prosthetic restorations, the patient was enrolled in the supportive peri-implant therapy (SPiT) maintenance program at the same university.
Surgical SAC classification
-
Prosthodontic SAC classification
-
Learner Level
|
1
|
2
|
3
|
Source
Treatment Guide 13
CME/CPD
0.25 hours
Purchase price
10
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General information
| Case Type | |
|---|---|
| Jaw | - |
| Area | - |
| # of Teeth | - |
| # of Implants | - |
| Type of Implants | - |
| Attachment | - |
| Bone Augmentation | - |
|---|---|
| Augmentation Materials | - |
| Guided Surgery | - |
| Soft Tissue Grafting | - |
| Abutment Type | - |
| Prosthesis Type | - |
Esthetic Risk Assessment
| Esthetic Risk Factors | Low | Medium | High |
|---|---|---|---|
| Medical Status | Healthy | Compromised | |
| Smoking Habit | Non-smoker | Light smoker (< 10 cigarettes per day) | Heavy smoker (>= 10 cigarettes per day) |
| Patient's Esthetic Expectations | Low | Medium | High |
| Lip Line | No exposure of papillae | Exposure of papillae | Full exposure of mucosa margin |
| Periodontal Phenotype | Low-scalloped, thick | Medium-scalloped, medium-thick | High-scalloped, thin |
| Shape of Tooth Crowns | Rectangular | Triangular | |
| Infection at Implant Site | None | Chronic | Acute |
| Bone Level at Adjacent Teeth | <= 5 mm to contact point | 5.5 to 6.5 mm to contact point | > 7 mm to contact point |
| Prosthodontic Status of Neighboring Teeth | Virgin | Restored | |
| Width of Edentulous Span | 1 tooth (>= 7 mm) | 1 tooth (< 7 mm) | 2 teeth or more |
| Soft Tissue Anatomy | Intact | Defective | |
| Bone Volume | Horizontally and vertically sufficient | Horizontally deficient | Deficient vertically or deficient vertically AND horizontally |
* General SAC assessment modifiers that are also part of the ERA. To avoid redundancy they are listed in this section even if no complete ERA has been made.
** Not applicable to the ERA of immediate placement cases and replaced by "Socket Integrity" listed below under "Surgical SAC Classification". For all other placement types this value is a classification determinant and listed here even if no complete ERA has been made.
Surgical SAC classification
| SAC Level | - |
|---|---|
| Defining Characteristics | - |
| Modality | - |
| Placement Protocol | - |
| Tooth Site | - |
| Socket Morphology | - |
| Socket Integrity | - |
| Bone Volume | - |
| Anatomic Risk | - |
| Esthetic Risk | - |
| Complexity | |
| Risk of Complications | - |
Prosthodontic SAC classification
| SAC Level | - |
|---|---|
| Defining Characteristics | - |
| Loading Protocol | - |
| Retention | - |
| Maxillomandibular Relationship | - |
| Mesio-Distal Space | - |
| Inter-Arch Distance | - |
| Bruxism | - |
| Esthetic Risk | - |
| Provisional Implant-Supported Prosthesis | - |
| Interim Prosthesis during Healing | - |
| Occlusion/Articulation | - |
| Occlusal Scheme/Issues | - |
Surgical SAC Modifiers
| Periodontal Status | - |
|---|
Prosthodontic SAC Modifiers
| Soft Tissue Contour and Volume | - |
|---|
General SAC Modifiers
| Oral Hygiene and Compliance | - |
|---|---|
| Access | - |
| Craniofacial/Skeletal Growth | - |
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