Susan S. Wingrove - Peri-Implant Therapy for the Dental Hygienist

Collaboration between the dentist and dental hygienist is fundamental to promote successful long‐term implant outcomes. A restoration that is not only maintainable for the patient but also the dental hygienist will encourage health in the oral environment and peri‐implant tissues. Dental hygienists that have a general understanding about implant restorations, dental materials, and appropriate preventive measures are invaluable. First, the dental hygienist can educate patients about available prostheses and assess the patient's motivation to pursue implant therapy. This can begin a fruitful discussion for the dentist and the patient. In addition, when dental hygienists understand dental materials and basic prosthetic design, they can select the appropriate armamentarium for maintenance appointments and properly educate patients to practice optimal at‐home maintenance.

To provide safe and appropriate care for implant patients, attention to all of the points previously introduced is crucial. Collaboration between the dentist and dental hygienist will produce superior patient care and a satisfying clinical environment. The dental hygienist has a profound responsibility to be equipped with the knowledge, instruments, technology, and materials to successfully contribute to this collaboration. This text is a culmination of decades of research and will educate and ultimately empower the dental hygienist to provide exceptional care for patients considering, undergoing, or have completed implant therapy.

Dr. Pam Maragliano‐Muniz BSDH, DMD, FACP Board‐certified Prosthodontist Chief Editor, Dental Economics Salem, MA, USA

Over this past year, many colleagues, friends, and companies have contributed to this update of Peri‐Implant Therapy for the Dental Hygienist . It has been an exciting journey for me that I know will continue to lead me into more learning adventures in the future.

A very heartfelt thank you goes to the following:

To my contributors, Drs. Maria L. Geisinger, Robert Horowitz, Pam Maragliano‐Muniz, Gerrarda O’Beirne, Luciana Safioti, and Robert Schneider who supported me in this update of the textbook with their expertise and writing. They are all role models in our profession that support and promote our hygiene profession in this very important challenge of peri‐implant therapy.

To my fellow dental colleagues and friends nationally and internationally, who have supported me, adding their research, critiqued chapters, and encouraged me on this year‐long journey: Boris Atlas, Wendy Birtles, Richelle Braun, Kathi and Jeff Carlson, Anne Christophersen, Stancey Coughlan, Sarah Crow, Lisa Darrow, Diane Daubert, John DeAngelo, Catherine Fairfield, Carla Frey, Stephanie Gans, Annamaria Genovesi, Liz Graham, Debbie and Paul Harrison, Tracy Hull, Implant Consortium, Alessia Iommiello, Carol Jahn, Beth Jordan, Claire Jeong, Heather Kelley, Amy Kinnamon, Sherri Lukes, Deborah Lyle, Tabetha Magnuszewski, Linda Miller, Michelle Miller, Carie Miskell, Paolo Modena, Gianna Nardi, Trisha O’Hehir, Michaela O’Neill, Noel and Rich Paschke, Michele Petre, Tom Raish, Birgit Renggli, Heather Rogers, Consuelo Sanavia, Silva Savatini, Kandra Sellers, Alison Stahl, Lynette Thompson, Lori Totten, Linda Turner, Melissa Vandyke, Leslie Winston, and Debbie Zafiropoulos.

Special thank you to Alison Stahl for her expertise and knowledge to collaborate on the “Mastering the Arch” protocols. To Dr. Kevin Frawley, Dr. Peter Fritz, Dr. Amita Gorur, Dr. Georgios Kotsakis, Dr. Tom Lambert, Dr. Marco Montevecchi, Dr. Marco Padilla, Dr. John Remien, Dr. Sam St. John, Marc Swanson, Dr. Caspar Wohlfahrt for their support and outstanding photographs.

To the companies that have generously provided photos, illustrations, and information: Acteon, BioHorizons, Crest + Oral‐B (P & G), Directa, EMS, GC America, Glidewell Dental, Guidor, Ivoclar Vivadent, Keystone Dental, Labrida, Mectron, Nobel Biocare, Neoss, Orsing, Parkell, Paradise Dental Technologies (PDT), Preventech, Rowpar (CloSYS), Salvin Dental Specialties, SDS, StellaLife, Straumann, Sunstar, Surgical Esthetics, TePe, Waterpik, W & H, Zeramex, and Zest Dental Solutions.

To Tanya McMullin, Erica Judisch, Susan Engelken, Angela Cohen, and Selvakumar Gunakundru at Wiley Blackwell, for their expertise and encouragement.

Susan S. Wingrove .

Susan Wingrove BS, RDH. International speaker, researcher, writer, consultant, and RDH Award of Distinction Recipient. Instrument co‐designer of the Wingrove Titanium Implant Series, ACE probes, and Queen of Hearts instruments. Susan specializes in sorting through the science to develop protocols for healthy teeth, implants, and disease treatment. She does medical research on regenerative wound healing and dental research on biofilm‐focused care for long‐term disease prevention. Published author ACP Clinical Practice Guidelines Scientific Panel, Doctor Clinical Implant Maintenance White Papers, American and International journals on peri‐implant therapy, regeneration, and advanced instrumentation. Resides in Missoula, Montana, USA and enjoys fly fishing, hiking, and snowshoeing.

Dr. Maria L. Geisinger, DDS, MSDiplomate, American Board of Periodontology Professor / Director, Advanced Education Program in Periodontology Department of Periodontology University of Alabama at Birmingham Birmingham, AL, USA

Dr. Robert Horowitz, DDSBoard‐Certified Periodontist Clinical Professor Departments of Periodontics and Implant Dentistry, Oral Surgery New York University College of Dentistry New York, NY, USA

Dr. Pam Maragliano‐Muniz, BSDH, DMD, FACPBoard‐Certified Prosthodontist Private Practice – Salem Dental Arts Chief Editor, Dental Economics Salem, MA, USA

Dr. Gerrarda O’Beirne, BDS, MSDBoard‐Certified Periodontist Private Practice Seattle Periodontics and Implant Dentistry Affiliate Assistant Professor Department of Periodontics School of Dentistry University of Washington Seattle, WA, USA

Dr. Luciana Safioti, DDS, MSDBoard‐Certified Periodontist, Clinical Assistant Professor Department of Periodontics, School of Dentistry, University of Washington Seattle, WA, USA

Dr. Robert Schneider, DDS, MSEmeritus Professor, University of Iowa Hospitals and Clinics, Hospital Dentistry Institute, Former Division Director Maxillofacial Prosthodontics Iowa City, IA, USA

This book is accompanied by a companion website:

www.wiley.com/go/wingrove/implant

The website includes:

Dental instructor materials

Review questions and answers

Lesson plans

Videos

PowerPoint slides

Skills evaluations

Learning objectives

History

Dental implant history timeline

Implants Implant design

Orthodontic implants/temporary anchoring devices (TADs) Parts and pieces for implants

Implant dentistry terminology

Summary

References

Understand as hygienists a tidal wave of ailing or failing implants may be imminent. It is imperative that hygienists are trained in identifying and treating peri‐implant mucosal inflammation that could affect overall body health (1).