Burns Flashcards

1
Q

Implant with the longest period of clinical trial

A

subperiosteal

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2
Q

Father of modern implantology

A

Per-Ingvar Branemark

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3
Q

4 keys to osseointegration

A

atraumatic surgery
1mm bone, B & L at crest
No micromovement
Adequate healing time

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4
Q

What temperature must not be exceeded during
implant site preparation to make the surgery atraumatic
and avoid bone necrosis

A

<47 deg C

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5
Q

If there is movement in the implant, what
integration will there be: fibro-osseous or
osseointegration

A

Fibro-osseous/unacceptable

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6
Q

5 Criteria for implant success

A

immobile
Less than 0.1mm bone loss annually (used to be
0.2mm/annually)
No pain, infection, neuropathies, paresthesia, or
IAN violation
No x ray evidence of peri-implant radiolucency
85% still in 10 yrs = success

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7
Q

)ITI-implant system titanium type and implant

placement

A

commercially pure titanium
Single stage transcended through gingival into oral
cavity

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8
Q

How is ITI different from Branemark

A

Branemark said implant should be two stage &

level with bone

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9
Q

Core-Vent implant system titanium type and

implant placement

A

titanium-6 aluminum-4 vandium alloy

2 stage

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10
Q

)How is Core-Vent different from Branemark

A

does not use commercially pure titanium

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11
Q

If pt needs ortho, should it be done before or after

implant placement

A

before. Implants don’t move

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12
Q

Integral-Calcitek implant system titanium type and

implant placement

A

hydroxyapatite coated bullet form

Tapped into hole

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13
Q

)With implant systems are the parts

interchangeable between systems

A

no

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14
Q

3 basic components of dental implant

A

Implant body
Abutment
Retaining screw

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15
Q

Titanium types/coating

A
(commercially pure) titanium
 Titanium alloy (Ti6Al4V)
 Titanium plasma sprayed (TPS)
 Hydroxyapatite coated (HA)
 Microtextured
 Combination (micro-textured and HA)
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16
Q

3 terms describing implant/bone interface

A

fibro-osseointegration
Osseointegration
Biointegreat

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17
Q

what is advantage of microtextured titanium

A

)uniform 1-2 micron surface roughness gives 44%

more surface area than mechanical titanium

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18
Q

Where is Type I bone found

A

anterior mandible

19
Q

Where is Type 2 bone found

A

posterior mandible

20
Q

Where is Type 3 bone found

A

anterior maxilla

21
Q

Where is Type 4 bone found

A

posterior maxilla

22
Q

Where do implants work better, maxilla or

mandible

A

mandible

23
Q

Which bone type osseointegrates fastest even

though it has the lowest blood supply

A

Type 1

24
Q

Why is Type 1 bone the best for implants

A

because majority of implant is in thick cortical

bone

25
Q

Why is a tapered implant good to use in type 4

bone

A

it compresses that bone increasing the mechanical

retention

26
Q

)Which place is most difficult for implant placement

and why

A

Posterior. Greatest force, least space, poorest

bone quality, anatomic structures (IAN, Max Sinus)

27
Q

)natural tooth biomechanics dissipate lateral

occlusal forces how

A

by PDL

28
Q

) Ideal implant biomechanics direct occlusal forces

how

A

along vertical axis of implant, dissipate periapically

29
Q

Where are lateral occlusal forces concentrated in
an implant Where are lateral occlusal forces concentrated in
an implant

A

at crest of ridge on abutment screw

30
Q

Failing vs Ailing implant

A

ailing still has some osseointegration

31
Q

How far can a cantilever be placed

A

1.5 times the A-P spread

32
Q

What does a cantilever do with forces

A

increases force at crest and on abutment screw

33
Q

How do you place three or more implants in a row

A

offset to give a tripod effect

34
Q

All torque is measured in

A

Newtom centimeters

35
Q

What is the max angle on an angle abutment that
has been found to not significantly effect occlusal
loading

A

30 deg

36
Q

What diameter should be chosen for the implant

A

largest diameter that leaves 1mm bone B & L and

allows for coronal anatomy

37
Q

What is the problem with long implants

A

lot of heat generated at most apical portion

Longer implants have higher failure rate

38
Q

What is the ideal implant length

A

11-13 mm

39
Q

Maximum crown to implant ratio

A

1:1

40
Q

What are 2 contraindications for a long implant in

posterior mandible

A
retromylohyoid line (thin)
 IAN
41
Q

Minimum amount of space between edge of

implant and adjacent tooth

A

1.5 mm

42
Q

Minimum amount of space between edges of

adjacent implants

A

3 mm

43
Q

What type of occlusion is desirable on implants

A

light centric and no lateral contacts