Dental implants Flashcards

1
Q

What are dental implants

A

A titanium screw of cylinder which is placed into the jawbone

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2
Q

What process do implants rely on to stay in the mouth

A

Osseointegration

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3
Q

What is osseointegration

A

A direct structural and functional connection between ordered living bone and the surface of load carrying implant

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4
Q

What steps do we carry our when assessing a case for dental implants

A
  1. History
  2. Examination
  3. Special tests
  4. Treatment planning
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5
Q

When taking a history what are we trying to find out

A
  1. Patient motivation and availability
  2. Patient expectation
  3. Age
  4. Reason fro tooth loss
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6
Q

Why do we need to ask the reason fro tooth loss

A

To determine if we can offer implant on NHS

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7
Q

What is the minimum age a patient must be to be offered implants

A

18 for girls

21 for boys

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8
Q

what are the medical contra indications fro dental implant

A

Bisphosphonate medication

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9
Q

List some medical conditions that are associated with increased implant failure or problems

A
  1. Smoking
  2. Radiotherapy
  3. Oral Bisphosphonates
  4. Diabetes
  5. Corticosteroids
  6. Chemotherapy
  7. Osteoporosis
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10
Q

Talk through what we assess during an extra oral examination

A
  1. Symmetry
  2. Lip support
  3. Lower face height
  4. Smile line
  5. Gingival levels
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11
Q

Talk through what we assess during an intra oral examination

A
  1. Oral soft tissues

2. Ridge morphology

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12
Q

What periodontal factors do we need to consider before offering a patient implants

A
  1. Need good oral hygiene

2. Need to establish activity and prognosis of periodontal disease

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13
Q

What dental factors do we need to consider before offering a patient implants

A
  1. Teeth present/ missing
  2. Tooth quality/ position
  3. Size of space
  4. Any previous treatment attempted
  5. Inter- occlusal/ inter-ridge relations
  6. Static and dynamic occlusal relationships
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14
Q

What do we mean by tooth quality and position

A
  1. Caries?
  2. Restorations?
  3. Crown height
  4. Parafunction
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15
Q

What is the average size of a dental implant

A

4mm

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16
Q

How much space do we need for a dental implant

A

7mm gap between adjacent teeth

17
Q

When looking at a radiograph fro a dental implant patient what do we asses

A
  1. Dentition
  2. Unerupted teeth
  3. Retained root
  4. Anatomical structures
  5. Pathology
  6. Bone volume
  7. Root morphology
18
Q

What is implant treatment driven by

A

Prosthesis

19
Q

How do we develop a prosthesis for a dental implant patient

A
  1. Study model analysis
  2. Diagnostic wax up/ trial prosthesis
  3. Radiogrpahic/ surgical stent
  4. Further radiographical assessment
20
Q

how do we use our study model

A
  1. We model the surgery set up
  2. Look at ideal tooth form and arrangement
  3. Aesthetic preview
  4. Communication with other specialists
  5. Communicate with patent
  6. Determine the implant position
21
Q

What should a diagnostic trial prosthesis need to show

A
  1. Residual ridge
  2. Remaining teeth
  3. Opposing dentition
22
Q

what can a diagnostic trail prosthesis indicate

A
  1. Amount of tooth on display
  2. Need for a labial flange
  3. Most desirable implant position and orientation