peri implantitis prevention
DESCRIPTION
Periimplantitis prevention: goal of the modern implantoprothesis.TRANSCRIPT
1
SilverPlugperiimplantitis prevention
2
The bacterial contamination of dental
implants components
From the beginning of the
implantology era, the bacterial
colonization of the internal part of
the components was known and
investigated
Quirynen M., Van Steenberghe D. 1993
Quirynen M., et al. 1994
Persson L.G. et al. 1996
Jansen V.K., et al. 1997
Zipprih H.,Wegl P.,Lange B. 2007
3
The interconnections inside the
implants components
The areas marked in red are colonized by
bacteria
The area over the screw marked with a red
arrow is the one we are focusing with this
patent
4
Clinical necessity
To fill the screw tunnel of the abutment with an antibacterial
device easy to use, easy to remove, to avoid the following
clinical problem:
Bacterial Colonization
5
Biological response to bacteria
The biological response to
bacteria is inflammation and
bone resorption.
Bacterial Colonization
6
Bacterial Colonization
Mucositis Periimplantitis
7
The volume of the implant tunnel
is similar of the volume of the
biggest parodontal pocket
Bacterial Colonization
8
The parodontal
pathogenic bacteria
are implicated in
many deseases
Bacterial Colonization
9
We really want to
improve the risk
of disease of
our patients?
Bacterial Colonization
10
Which
Technique to
seal the
tunnel?
11
Suggested techniques to seal “this area”
Cotton pallet 35%
Guttapercha 10%
Wax 5%
Teflon pallet 45%
different 5%
+ composite
Hydrophilic
Difficult handling
No antibacterial
Difficult removal
Halitosis
12
2014
No device, specifically designed
to seal the Screw tunnel,
are available on the market
13
Area of use
Implantology
Prothesis
14
Who should use it and why ?
The General Dentist, the Specialist.
Because it seals, stopping the bacterial passage between the different implant components, friendly to use easy to remove
It could become a Standard of care to seal the tunnel screw of the abutment for each implant system
15
This is the only instrument specificately
designed to seal the tunnel screw of
the abutment
16
The Silver Plug is customized to fill the space,
leaving enough space for the composite.
SilverPlug
1
Step #1Implant disinfection
Clorexidine gel2
Step #2Abutement disinfection
Hypochlorite
3
Step #3Measurement
4
Step #4Cut
5
Step #5Insertion
6
Step #6Silverplug in site
7
Step #7The end
8
25
Comparison of
radiographic aspect
SilverPlugNo silverPlug
26
SilverPlug sealed
radiographic aspect
Comparison of gum aspect
No Silverplug Silverplug11
SilverPlug
11
