diagnostic regimen and treatment planning

Question 1

ASA classifications

Answer 1

1) elective care (implants) may be done to ASA III possibly

Question 2

age is usually not a consideration

Answer 2

1) implants can be done on patients who have completed bone development

Question 3

mechnism of healing

Answer 3

1) peri implant blood clot
2) platelet activation
3) release of GF
4) fibrin formation
5) osteogenic cell migration

Question 4

bone remodeling

Answer 4

1) woven bone
- 6 weeks
2) lamellar bone
- 18 weeks

Question 5

diabetes

Answer 5

1) uncontrolled diabetes
2) controlled diabetes
- osstell unit can look at frequency analysis, 70 or higher is good
2) glycemic control

Question 5

oral and IV bisphosphonate therapy

Answer 5

1) for osteoporosis
2) stopping it a few weeks or months before implant surgery doesn’t change it too much

Question 6

alcohol and long term use of NSAIDS

Answer 6

1) > 3x units per day/ risk of implant failure
2) NSAIDS interfere with bone healing > peri-implantitis

Question 7

absolute contraindications

Answer 7

1) body dysmorphic syndrome
2) non-compliance

Question 8

long trvival in pt with radiation therapy

Answer 8

1) still as pretty high 5 year survival rate
2)have to wait

Question 9

organ transplant patients

Answer 9

1) still do pretty well

Question 10

hx of chemotherapy patients

Answer 10

1) do pretty well with implants

Question 10

HIV

Answer 10

1) 93.1% a little higher risk of failure
2) depends on CD4+ count and healing

Question 11

relative contraindications

Answer 11

1) smoking
2) bruxism
3) SSRIs
3) history of chronic periodontitis