Exam 4 CH 33 The Patient with Dental Implants Flashcards

1
Q

Term;Segment connecting the submerged implant body to the prosthetic component. The abutment enters the oral cavity providing a platform for attaching crowns or bridges?

A

Abutment

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2
Q

Term; capable of existing in harmony with the surrounding biologic environment?

A

Biocompatible

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3
Q

Term; Layers of fibrous connective tissue between the implant and surrounding bone. Also called fibrous integration; indicative of failed osseointegration?

A

Fibrous encapsulation

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4
Q

Term;A procedure that attempts to regenerate lost periodontal structures?

A

Guided tissue regeneration

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5
Q

Term; The direct attachment or connection of osseous tissue to an inert alloplastic material without intervening connective tissue?

A

Osseointegration

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6
Q

Term; Destructive inflammatory process of the periodontal tissues around an implant characterized by progressive bone loss in addition to soft tissue inflammation with hemorrhage and/or exude; similar to periodontitis in a natural tooth?

A

Peri-implantitis

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7
Q

Term; A common titanium alloy (Ti-6A1-4V) used for dental implants that contains 6% aluminum to increase strength and decrease weight and 4% vanadium to prevent corrosion?

A

Titanium alloy

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8
Q

What is the most common dental implant used?

A

Endosseous (Endosteal) Implant

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9
Q

T/F Mobility is the #1 indicator fo implant failure?

A

True

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10
Q

Biofilm around the titanium abutment should be removed with what?

A

Gauze strips

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11
Q

Reversible inflammation of the periodontal tissues around an implant with no subsequent bone loss; similar to gingivitis in a natural tooth is?

A

Peri-implant mucositis

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12
Q

What implant is placed fully within the bone?

A

Endosseous

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13
Q

What is the structural and functional union between implant and bone?

A

Osseointegration

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14
Q

The risk for implant in smokers is?

A

twice as high as in nonsmokers

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15
Q

T/F Bone will resorb when teeth are removed. Dental implants preserve surrounding bone through function.

A

Both statements are true

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16
Q

Implants may be indicated for patients who:

A

have an edentulous maxilla

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17
Q

All of he following interdental implements could be recommended to a patient with implants ?

A
  • Synthetic yarn
  • folded strip of gauze
  • floss threader
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18
Q

What type of FL2 is recommended for at home use in patients with dental implants?

A

Natural Sodium FL2

19
Q

All of the following are characteristics of fibrous encapsulation?

A
  • Failure of osseointegration
  • Implant mobility
  • Infusion of connective tissue cells between implant and bone
20
Q

Which type of implants are indicated when the patient has an atrophic in edentulous mandible or congenital or traumatic deformity of the mandible?

A

Transosseous (Transosteal)

21
Q

What implant is most commonly used for dentures?

A

Transosseous (Transosteal)

22
Q

A dental implant that penetrates both cortical plates and passes through the full thickness of the alveolar bone. It is also known as a mandibular staple implant or staple bone implant?

A

Transosseous (Transosteal)

23
Q

What are Subperiosteal dental implants made of?

A

Titanium or vitalism

24
Q

Custom-fabricated framework of metal that rests over the bone of the mandible or maxilla, under the periosteum: Complete arch or unilateral?

A

Subperiosteal

25
Q

What irrigation should be used on a patient with implants?

A

Chlorhexadine

26
Q

What dental instruments should be used with implants?

A

ALWAYS USE PLASTIC INSTRUMENTS!

Smooth, plastic probe with a rounded end

27
Q

T/F A patient with implants should avoid acidic FL2

A

True

28
Q

What does a healthy implant show?

A
  • No pain or discomfort reported by patient
  • No Mobility
  • No bone loss or periimplant radiolucency in X-ray
  • No clinical signs of periimplantitis.
  • Gingiva should be firm with no edema
29
Q

Which implant is primarily plasma-sprayed titanium?

A

Endosseous (Endosteal)

30
Q

Contraindications for implant success?

A

-Pregnancy
-Debilitation
-Uncontrolled diabetes
-Alcoholism or heavy intake
-Substance abuse
-Immunosuppressive disease or medication
-Anticoagulant medication
-Psychosis or paranoia
Recent radiation therapy the affect part of oral cavity

31
Q

T/F It is recommended that a patient cease smoking at least 1 week before surgery and at 2 months after implant placement or after its healed.

A

True

32
Q

What patients are a good candidate for implants?

A

Patients with no systemic conditions that will interfere with healing or implant acceptance

33
Q

T/F Wolff’s Law (1892) States bone loss is laid down in areas of greatest stress and is resorbed in areas where it is not stressed.

A

True

34
Q

Failure of ossointegration is known as?

A

Fibrous Encapsulation

35
Q

Indications of successful placement of the implant is known as?

A

Osseointegration

36
Q

Refers to the infusion of connective tissue cells between the implant body and surrounding bone?

A

Fibrous Encapsulation

37
Q

Refers to direct structural and functional union between the implant and healthy living bone?

A

Osseointegration

38
Q

T/F Biofilm microorganisms around implants with healthy permucosal tissue have been shown to be similar to the flora around natural teeth.

A

True

39
Q

OH Care for implants and natural teeth?

A
  • Use soft tooth brush, manual or powered
  • Use spongy floss with built in threader
  • Use smooth plastic coated wires for interdental brushes
  • Synthetic yarn or gauze to clean abutments
  • end-tuft brush with soft filaments to clean linguals/palatal embrasures
  • Round, wooden toothpicks used in plastic handles for proximal tooth surfaces
40
Q

Reversible bacterial infection in the soft tissue similar to gingivitis. Mild color change with bleeding may be present is known as?

A

Periimpant Problems

*Initial Stage-Mucositis

41
Q

Inflammation has reached the level of the bone. Edema or hemorrhage is present in the surrounding tissues. Exudate may or may not be present, and probing depths are increased is known as?

A

*Secondary Stage Periimplantitis

42
Q

Inflammation present but no mobility. Consult surgeon if no response to treatment in 2 weeks is known as?

A

Alining implant

43
Q

Inflammation present. Bone loss has occurred and continues. Mobility faintly noticeable is known as?

A

Failing implant

44
Q

Evident mobility. Radiographic changes are evident, often showing a vertical bony defect. Refer patient immediately back to surgeon is known as?

A

Failed implant