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Define ailing and failing
Clinically unhealthy implants are classified as "ailing" or "failing". It is necessary to distinguish between an ailing versus a failing implant to determine the treatment steps necessary to salvage the unhealthy implant. Implants exhibiting soft tissue problems exclusively are classified as ailing and have a more favourable prognosis- Peri-implant mucositis involves inflammatory changes confined to the soft tissue surrounding an implant. In some instances, the ailing implant may have exhibited early bone loss along with soft tissue pocketing. However, this bone loss tends to become static at the 3 to 4 month maintenance checks. A lamina dura indicating a state of chronicity also may be present at the borders of the osseous defect.
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Improper Occlusal Scheme This is an important cause of failure as the implant are more sensitive to occlusal trauma and leads to prosthetic failure and bone loss. The susceptib
Limitations of Intra Oral Periapical Radiographs It is not optimal in pre operative planning of cases with severely resorbed ridges Anatomical structure of importance can'
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Lap design There are many different flap designs for implant surgery. In practically all situations a mid-crestal incision can be employed (Fig). This is especially so when th
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