Reference no: EM133536635

Part One

The dentist has discussed a treatment plan with a patient who is a candidate for implants to support a mandibular complete denture. The dentist has described to the patient both conventional endosseous implants and mini-implants. After the dentist leaves the operatory, the patient is somewhat confused and asks you to explain the difference.

In laymen's terms, describe the difference to the patient. If the patient asks specific details about why the dentist is recommending one type of implant over another, what should you do?

Part Two

A 74-year-old retired grocer comes to the dental office for a maintenance visit. He has several implants supporting two fix bridges in the posterior part of the maxilla.

When the patient has his implants cleaned, describe the types of instruments the hygienist will likely use and the instruments that should be avoided if titanium will be scraped. Explain the selection of these instruments.

Part Three

The patient described in the proceeding discussion topic is found to have inflammation in the peri-implant tissues around three implants and moderate amounts of calculus and plaque on the proximal surfaces of the implants. He tells you that he had missed his previously scheduled maintenance appointment and that he is just using a regular toothbrush with hard bristles to clean his implants.

What can you do to reinforce regular maintenance visits?

What home care aids can you recommend to help him keep his implants clean?

Should an antibacterial agent be suggested? If yes, which one?