口腔种植学精品教学（中山大学）004种植外科-2.pptVIP

* * Maintenance Most implant systems show a small amount of bone loss in the first year after loading, but should remain stable thereafter. * * Maintenance It is therefore recommended that all patients be seen three months after the completion of treatment, when careful clinical examination is indicated. This should include: ● assessment of the prosthesis ● examination of the soft tissues ● radiographic examination to assess bone height. * * The Prosthesis Clinical examination of the prosthesis should – in addition to checking fit, stability, occlusal relationship and patient acceptability – focus on the sufficiency of the patient’s oral hygiene. * * The Prosthesis There are numerous aids that can be used to clean around the prosthesis and implant abutments. These range from conventional to electric toothbrushes, floss and super floss and various interdental brushes and related devices. The patient should be encouraged to maintain a high level of oral hygiene around the prosthesis and receive detailed oral hygiene instructions. * * The soft tissues Evaluations of soft tissues surrounding implant abutments should be both systematic and detailed. * * The soft tissues Gentle probing should not result in bleeding or exudate. A standard periodontal probe may be used to evaluate probing depths. This will depend on the thickness of the original mucosa. * * The soft tissues Any overgrowth of soft tissue or any loss of attachment that may have occurred will result in increased probing depths. Esthetic complications of implant restorations gingival recession * * The soft tissues Most inflammatory conditions can be managed by careful attention to oral hygiene, aided and supported by professional advice and assistance. * * The soft tissues Any deposits that have built up must be removed by the practitioner or by a trained hygienist. There are numerous instruments available on the market to aid removal of any har