2/23/17 Implant Success Flashcards
Where does the primary bone remodeling during osteoporosis occur?
-Trabecular bone
Does the maxilla or mandible have more trabecular bone?
-Maxilla
When someone has osteoporosis will it have a bigger impact on the maxilla in mandible?
-Maxilla
T/F People with osteoporosis usually heal at a normal rate with a bone break
True
Implant placement may be beneficial to the jaw as it stimulates what?
-Localized bone growth via masticatory compression forces
What are three diseases that a person takes Oral bisphosphonates for?
- Osteoporosis
- Paget’s disease
- Heterotopic ossification
T/F When people take bisphosphonates you want to know the turnover rate.
True
What are bisphosphonates picked up by?
-Bone tissue
Bisphosphonates shut down what bone cell?
-Osteoclasts
T/F If possible, dental treatment should be performed prior to bisphosphonate therapy
True
Do IV or oral bisphosphonates have a higher risk of Osteonecrosis of the Jaw?
-IV
If the duration is under 3 yrs of bisphosphonates use are there special precautions that are needed to treat patients?
-No
If you have more turnover products in the bisphosphonates do you have more or less of a problem of developing ONJ?
-Less
What is the most common test to measure bone turnover (C-terminal)?
-CTX-Test
T/F The once a year high dose bisphosphonate is a higher risk for ONJ than a small daily dose.
True
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?
-you gain 26.4 pg/ml for every 1 month so around 4-5 months
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?
2 weeks
Is type 1 bone hard or soft?
-Hard
Is type 4 bone hard or soft?
-Soft
