2/23/17 Implant Success Flashcards

1
Q

Where does the primary bone remodeling during osteoporosis occur?

A

-Trabecular bone

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2
Q

Does the maxilla or mandible have more trabecular bone?

A

-Maxilla

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3
Q

When someone has osteoporosis will it have a bigger impact on the maxilla in mandible?

A

-Maxilla

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4
Q

T/F People with osteoporosis usually heal at a normal rate with a bone break

A

True

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5
Q

Implant placement may be beneficial to the jaw as it stimulates what?

A

-Localized bone growth via masticatory compression forces

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6
Q

What are three diseases that a person takes Oral bisphosphonates for?

A
  • Osteoporosis
  • Paget’s disease
  • Heterotopic ossification
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7
Q

T/F When people take bisphosphonates you want to know the turnover rate.

A

True

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8
Q

What are bisphosphonates picked up by?

A

-Bone tissue

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9
Q

Bisphosphonates shut down what bone cell?

A

-Osteoclasts

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10
Q

T/F If possible, dental treatment should be performed prior to bisphosphonate therapy

A

True

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11
Q

Do IV or oral bisphosphonates have a higher risk of Osteonecrosis of the Jaw?

A

-IV

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12
Q

If the duration is under 3 yrs of bisphosphonates use are there special precautions that are needed to treat patients?

A

-No

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13
Q

If you have more turnover products in the bisphosphonates do you have more or less of a problem of developing ONJ?

A

-Less

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14
Q

What is the most common test to measure bone turnover (C-terminal)?

A

-CTX-Test

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15
Q

T/F The once a year high dose bisphosphonate is a higher risk for ONJ than a small daily dose.

A

True

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16
Q

If you are at 200 pg/ml but you want them at 300 pg/ml how long might you need your patient to be off of bisphophonates?

A

-you gain 26.4 pg/ml for every 1 month so around 4-5 months

17
Q

How long prior to surgery should you give antibiotics to a patient that you are going to place an implant in that has been on bisphosphonates?

A

2 weeks

18
Q

Is type 1 bone hard or soft?

A

-Hard

19
Q

Is type 4 bone hard or soft?

A

-Soft