Quote:
>I have some questions regarding titanium implants:
1. Can calculus form on titanium implants?
Yes, although due to the extremely smooth
surface of the titanium fixture and abutment
quanities appear to be less then surrounding
natural tooth neighbors.
2. Are plastic instruments adequate in getting subgingival deposits
off titanium implants?
Yes, and they are the recommended
armentarium because they don't tend
to scratch the titanium as metal scalers
and currettes can.
Quote:
>3. Can subgingival irrigation with Peridex be used during prophylaxis
>on titanium implants?
Yes, but probably not necessary if
peri-implantitis or periostetis is not
present. The operative word here is
GENTLE lavage with chlorohexidine.
Quote:
>4. Can Listerine be used in a water pic for home irrigation by the
>patient around titanium implants?
Yes and no. The problem here is
patient's aggresiveness with home
irrigators. If very mild irrigation
is used no problem. I real life most
people perfer the Niagara Falls
(or the Vettisfoss for you Hans) of
irrigation disrupting the junctional
epithelium attachment. "It can be
separated with 20-25 grams of pulling
force (ie. the correct force needed when
probing the pocket depth). Fortunately
a 2mm connective tissue band is attached
tightly to the abutment surface and along
with the periosteum form a resistant
barrier to inflammatory processes.
The osseointegrated implant has fewer
functional barriers when compared to
natural dentition which has periodontal
ligaments between teeth and bone.
Fibro-osseous and other non-osseointegrated
implants have a connective tissue layer
with a less resistant barrier to inflammatory
reactions. Since the osseointegrated implants
have a different structure between the fixture
and bone different mechanisms work against
inflammation caused by bacteria and their
by-products."
From Osseointegration and Occlusal Rehabiltation
Hobo/ Ichida/ Garcia-Quintessence Books
page 49
To Knowledge is Power-If I only had some
Stan Goloskov
Titanium implants