Implant Surgery

Question 1

Diagnostic aids for implant surgery:

Answer 1

• Clinical photos
• 3D models
• Surgical stents
• CBCT

Question 2

Soft tissue considerations for implant surgery:

Answer 2

1. Minimum 2mm keratinized healthy tissue needed from mucogingival junction to height of gingival crest.
2. Thicker phenotype better = less risk of recession.

Question 3

Medical considerations for implant surgery

Answer 3

1. Cardiovascular disease
2. Endocrine disorders eg diabetes
3. Blood thinners
4. Bone disorders eg osteoporosis
5. Radiation therapy
6. Tobacco use

Question 4

Hard tissue consdierations for implant surgery

Answer 4

• Need at least 1.5mm of bone around the implant in order to avoid resorption and necrosis

Question 5

What bone type is best for implants?

Answer 5

Type II

Thick cortical and central portion with dense trabicular

Question 6

What are the considerations for the various bone types when doing implant surgery

Answer 6

Maxilla is mostly type III and IV bone and need careful placement for stability.

Mandible type I and II and need lots of irrigation during surgery.

Question 8

How much occlusal clearance do you need for implants

Answer 8

About 8mm from crestal bone to occlusal table

Question 9

Implant primary stability should be at least:

Answer 9

25Ncm

Question 11

What is the difference between peri-implant mucositis and peri-implantitis?

Answer 11

Peri-implant mucositis describes an effect like gingivitis, where peri-implantitis is more like perio in that there is bone loss.