1

SilverPlugperiimplantitis prevention

2

The bacterial contamination of dental

implants components

From the beginning of the

implantology era, the bacterial

colonization of the internal part of

the components was known and

investigated

Quirynen M., Van Steenberghe D. 1993

Quirynen M., et al. 1994

Persson L.G. et al. 1996

Jansen V.K., et al. 1997

Zipprih H.,Wegl P.,Lange B. 2007

3

The interconnections inside the

implants components

The areas marked in red are colonized by

bacteria

The area over the screw marked with a red

arrow is the one we are focusing with this

patent

4

Clinical necessity

To fill the screw tunnel of the abutment with an antibacterial

device easy to use, easy to remove, to avoid the following

clinical problem:

Bacterial Colonization

5

Biological response to bacteria

The biological response to

bacteria is inflammation and

bone resorption.

Bacterial Colonization

6

Bacterial Colonization

Mucositis Periimplantitis

7

The volume of the implant tunnel

is similar of the volume of the

biggest parodontal pocket

Bacterial Colonization

8

The parodontal

pathogenic bacteria

are implicated in

many deseases

Bacterial Colonization

9

We really want to

improve the risk

of disease of

our patients?

Bacterial Colonization

10

Which

Technique to

seal the

tunnel?

11

Suggested techniques to seal “this area”

Cotton pallet 35%

Guttapercha 10%

Wax 5%

Teflon pallet 45%

different 5%

+ composite

Hydrophilic

Difficult handling

No antibacterial

Difficult removal

Halitosis

12

2014

No device, specifically designed

to seal the Screw tunnel,

are available on the market

13

Area of use

Implantology

Prothesis

14

Who should use it and why ?

The General Dentist, the Specialist.

Because it seals, stopping the bacterial passage between the different implant components, friendly to use easy to remove

It could become a Standard of care to seal the tunnel screw of the abutment for each implant system

15

This is the only instrument specificately

designed to seal the tunnel screw of

the abutment

16

The Silver Plug is customized to fill the space,

leaving enough space for the composite.

SilverPlug

1

Step #1Implant disinfection

Clorexidine gel2

Step #2Abutement disinfection

Hypochlorite

3

Step #3Measurement

4

Step #4Cut

5

Step #5Insertion

6

Step #6Silverplug in site

7

Step #7The end

8

25

Comparison of

radiographic aspect

SilverPlugNo silverPlug

26

SilverPlug sealed

radiographic aspect

Comparison of gum aspect

No Silverplug Silverplug11

SilverPlug

11

antonini.matteo@virgilio.it

11