FINAL

Question 1

What surrounds the implant?

Answer 1

peri-implant tissues

Question 2

the epithelium adapts to the titanium abutment post, creating a biological seal

Answer 2

implant to epithelial tissue

Question 3

functions as a barrier between the implant and the oral cavity

Answer 3

biological seal

Question 4

What do connective fiber bundles do?

Answer 4

support healthy gingiva around the abutment

Question 5

Does an implant have cementum?

Answer 5

no

Question 6

Connective tissue fibers can be what?

Answer 6

• oriented parallel to implant surface

- encircle the implant abutment

Question 7

Are the connective tissue fibers attached to implant?

Answer 7

NOPE

Question 8

the direct contact of the living bone with the surface of the implant body. This is MAJOR for implant success

Answer 8

osseointegration

Question 9

Clinically, osseointegration is regarded as successful if there is what?

Answer 9

A. an absence of mobility of the implant
B. no discomfort/ pain when implant is used
C. no increased bone loss
D. less than 0.2 mm of bone loss annually after the first year in function
E. No inflammation of gingiva

Question 10

Do implants have a PDL?

Answer 10

no

Question 11

plaque induced inflammation of the soft tissues. NO BONE LOSS. May be localized in the mucosal tissues surrounding a dental implant.

Answer 11

peri-mucositis

Question 12

Is peri-mucositis reversible?

Answer 12

yes

Question 13

a chronic periodontitis affecting soft and hard tissues surrounding a functioning osseointegrated implant. BONE LOSS PRESENT

Answer 13

peri-implantitis

Question 14

begins at the coronal portion of the implant while the apical portion continues to be osseointegrated

Answer 14

peri-implantitis

Question 15

What are the risks factors for peri-implant diseases?

Answer 15

• history of previous perio disease
• smoking
• poor biofilm control
• residual cement
• biomechanical overload

Question 16

How often should implants be radiographed?

Answer 16

1 year

Question 17

Can you probe an implant?

Answer 17

Yes, probe using light lateral pressure

Question 18

portion of the implant system that is surgically placed into the living alveolar bone

Answer 18

implant body

Question 19

a titanium post that attaches to the implant body and protrudes partially or completely through gingival tissue into the mouth

Answer 19

abutment

Question 20

What can happen if you break the biological seal while probing?

Answer 20

it can introduce bacteria into the implant inviroment

Question 21

Why may a dental implant be hard to clean?

Answer 21

these restorations often have different designs and unusual contours that require focused self-care attention.

Question 22

Why do interdental brushes need to be coated?

Answer 22

so the twisted wire doesn’t scratch the implant

Question 23

What type of instrument should we use to clean an implant?

Answer 23

PLASTIC

Question 24

Care for a removable prosthesis:

Answer 24

• pt can remove denture to clean it
• pt can use floss or 2x2 gauze to clean under metal abutment
• antimicrobial rinse may be used with pt with limited ability

Question 25

Do systemic diseases cause perio disease?

Answer 25

no

Question 26

What are some adverse pregnancy outcomes that have been associated with periodontits?

Answer 26

- preterm birth - low birth weight - preclampsia

Question 27

Why should dental hygienists educate patients with diabetes?

Answer 27

because perio infection can affect glycemic control

Question 28

What else may a pt have with diabetes?

Answer 28

- xerostomia - burning mouth syndrome - fungal infections - slower wound healing

Question 29

a medical term referring to the typical blood glucose levels in those with diabetes

Answer 29

glycemic control

Question 30

an infection of the lungs contracted during a stay in the hospital or long term facility care

Answer 30

hospital acquired pneumonia

Question 31

What organisms cause hospital pneumonia?

Answer 31

potential respiratory pathogens

Question 32

generally found in the GI tract but may colonize the mouth and oropharynx

Answer 32

potential respiratory pathogens

Question 33

produced by microbial putrefaction of debris left in the mouth

Answer 33

oral malodor

Question 34

What are the most common gram-negative anaerobic bacteria that causes oral malodor?

Answer 34

- porphyromonas gingivalis - prevotella intermedia - fusobaterium nucleatum - bateroids forsythus - Treponema denticola

Question 35

the deeper the perio pockets in a patient the.....

Answer 35

higher the VSCs

Question 36

Oral malodor usually originate from what?

Answer 36

volatile sulfur compounds

Question 37

what do VSCs contain?

Answer 37

hydrogen sulfide, methyl mercaptan, and dimethyl sulfide

Question 38

How may diabetes breath smell?

Answer 38

sweet or rotten apples

Question 39

Can medications cause malodor?

Answer 39

yep

Question 40

If a patient has persistent malodor after through management, what should you do?

Answer 40

refer to physician

Question 41

What extroral causes breath malodor?

Answer 41

- nose and throat conditioins - diabetes - lung disease - GI tract probs - liver disease - kidney disease - hormonal changes