Implant Symposium Flashcards

1
Q

Compare normal tooth to implant tooth

A

TOOTH
- More fibroblasts
- Less collagen
- Collagen fibres orientated perpendicular to root

IMPLANT TOOTH
- Less fibroblasts
- More collagen
- Collagen fibres orientated parallel to implant crown

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2
Q

Materials for implants (3)

A
  1. Titanium
  2. Titanium Zirconium
  3. Ceramic implant
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3
Q

Indications for a tissue level implant?

A

Posteriorly

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4
Q

Indications for a bone level implant?

A

Aesthetic zone

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5
Q

Indications for tapered implant (2)

A
  • Immediate placement
  • When root convergence apically
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6
Q

Ideal length of implants

A

Narrow + short <10mm implants

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7
Q

How is the implant surface prepped? (3)

A
  • Sandblast
  • Acid etch
  • Plasma spray
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8
Q

Medical issues that may affect implant survival

A
  • Smoking
  • Poorly controlled diabetes
  • On bisphosphonates
  • On steroids
  • Radiotherapy
  • CVD
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9
Q

How does smoking affect implant prognosis?

A

Affects vascularity, fibroblasts/osteoblast function

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10
Q

What is a high smile line characterised as?

A

> 2mm ST

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11
Q

Risks of narrow bone for implant placement

A

Risk of damaging adjacent teeth + necrosis of bone between teeth and implants

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12
Q

Minimum bone measurements for implants (2)

A

Mesiodistal - min 1.5mm
Buccopalatal - >1mm of bone labially

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13
Q

High risk factors for implants

A

High smile line
Smoker
Thin biotype
More than 2 teeth
Restored dentition

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14
Q

Different impression techniques for implants

A

Open tray impression
Closed tray impression

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15
Q

Cases where compromised tissue sites are to be expected (5)

A
  • Post Xla
  • Trauma
  • Hypodontia
  • Periodontal disease
  • Thin biotype
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16
Q

Name 2 types of peri-implant disease

A
  1. Peri-implant mucositis
  2. Peri-implantitis
17
Q

Define peri-implant mucositis

A
  • Reversible
  • Gingival inflammation
  • No bone loss
  • BOP, suppuration, red swollen gingival inc pocket depth
18
Q

Define peri-implantitis

A
  • Irreversible
  • Gingival inflammation
  • Marginal bone loss
19
Q

How to prevent peri-implantitis?

A

> 1mm buccal plate thickness

20
Q

Risk factors for peri-implant disease (5)

A
  • Hx of periodontal disease
  • Poorly controlled diabetes
  • Smoker
  • Occlusal forces
  • Poor OH
21
Q

Post op advice post implant placement

A
  • Use CHX mw
  • Soft brush
  • ID tools: superfloss
  • Smoking cessation if required
22
Q

Why does suppuration occur in peri-implant disease?

A

Collagen being destroyed and tissue necrosis occurring