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jostanger posted an update
PERI IMPLANTITIS.
As a periodontist it is truly the bane of my existence. But, it happens to the best of us. Sometimes it’s completely out of our control for patient factors or general lack of follow up. For those patients in your practice though with consistent follow up care, it can be the most frustrating.
So my question is– what are you implant protocols post-restoration? Do you probe your implants (can be controversial)? If you do probe– with plastic or metal probes? When do you take PAs of them vs BW? When do you step in for treatment?
I’d love to hear what everyone does!
Jedediah and Ivan3 Comments-
Honestly, I don’t probe unless there is an issue. When there’s an issue I probe with a plastic probe. We take follow up PA’s whenever they’re called for with their regular dental treatment.
I’d love to learn from you @jostanger As a periodontist at a perio practice I would love to hear what your protocols are!
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@ivan-chicchon I probe! But that’s really inherent to the patients in our practice because we get referred a lot of peri implantitis or patients with generalized perio. I also find if I can get it under control at the mucositis stage it’s helpful long term. We’re really gentle though and definitely treat them different than teeth.
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I check occlusion once a year on implants, and have hyg probe at least once a year. The depth is not as important as long as there is no bleeding.
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