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Instrument Calibration01:12

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Dynamic Navigation for Dental Implant Placement
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Instrument Selection and Application Used to Probe Dental Implants.

Joohyun Cha, Chandur Wadhwani, Mansen Wang

    The International Journal of Oral & Maxillofacial Implants
    |December 7, 2018
    PubMed
    Summary

    Clinicians show varied choices in probing dental implants, with forces often exceeding recommended levels. Careful instrument selection is advised to prevent false positives in bleeding on probing (BOP) results.

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    Area of Science:

    • Dental Implantology
    • Periodontology
    • Clinical Dentistry

    Background:

    • Peri-implant probing is crucial for assessing the health of tissues around dental implants.
    • Standardized probing forces and instrument selection are essential for accurate diagnosis.
    • Variations in clinical practice may affect the reliability of peri-implant assessments.

    Purpose of the Study:

    • To survey clinicians' choices of peri-implant probing instruments and techniques.
    • To evaluate the probing force and pressure applied during dental implant assessment.
    • To compare applied forces with values reported in existing literature.

    Main Methods:

    • A questionnaire was administered to 48 clinicians (periodontists, restorative dentists, hygienists).
    • Participants used Marquis, UNC15, and Plastic probes on a typodont for force measurement.
    • Probing force and pressure data were analyzed using ANOVA and Tukey's posthoc test.

    Main Results:

    • Most clinicians agreed on probing implants in daily practice, but instrument selection varied.
    • No statistically significant differences were found among provider groups for instrument choice, force, or pressure.
    • Mean probing forces and pressures exceeded recommended literature values across all groups.

    Conclusions:

    • Variations exist in peri-implant probing instrument selection and applied forces among clinicians, though not statistically significant.
    • Clinicians' probing forces often exceed recommended levels, potentially leading to inaccurate Bleeding on Probing (BOP) results.
    • Consideration of probe tip diameter and applied force is recommended to improve the accuracy of peri-implant assessments.