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BDS4 Exam Perp > Implant symposium > Flashcards

Implant symposium Flashcards

1
Q

What are the 2 stages of osseointegration?

A
  • Primary osseointegration
  • Secondary osseointgratoin

Osseointegration is a direct functional and structural connection between a dental implant and bone

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2
Q

What is primary osseointegration?

A

implant anchored by frictional forces between osteotomy and dental implant design features

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3
Q

What is secondary osteotomy?

A

process of functional connection between bone and dental implant

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4
Q

What 3 materials are used for dental implants?

A
  • Titanium (type 4)
  • Titanium Zirconium
  • Ceramic implant
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5
Q

What 3 factors indicate the dimension of an implant?

A
  • Site
  • Indication
  • Local anatomy
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6
Q

What are 3 aims of placing a dental implant?

A
  • replace missing teeth with aesthetic functional and predictable restoration
  • low rate of complications
  • long term stability
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7
Q

What 4 medications could contra-indicate implant placement?

A
  • SSRI
  • PPI
  • Bisphosphonates
  • Steroids
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8
Q

What 2 medical conditions/therapies would contraindicate implant placement?

A
  • Poorly controlled diabetes
  • Radiotherapy
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9
Q

Which medical condition is associated with increased survival rate of implants?

A

Cardiovascular disease

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10
Q

When should implant be placed (age related)?

A

After cessation of growth

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11
Q

What are 3 risks of placing implants in a patient who is not skeletally mature?

A
  • Infra-occlusion
  • compromised aesthetics
  • implant fenestration
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12
Q

What is the minimum inter-proximal distance between an implant and adjacent teeth?

A

1.5mm

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13
Q

Where would you use a bone level implant?

A

in aesthetic zones

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14
Q

Where would you use a tissue level implant?

A

Posteriorly

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15
Q

Where would you use a tapered implant over a parallel one?

A
  • where there is root convergence apically
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16
Q

What 5 special investigations would an implantologist do to assess implant placement?

A
  • Study models
  • CBCT
  • Clinical photographs
  • Surgical guide
  • Surgical template
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17
Q

Why is there high failure of implants in smokers? 2

A
  • Because it can affect vascularity and osteoblasts/fibroblasts activity
  • higher risk of peri-implantitis
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18
Q

Two types of implant retained prosthesis?

A
  • Removable
  • Fixed
19
Q

What are the two impression techniques for implants?

A
  • Open tray
  • Closed tray
20
Q

What are 2 benefits of open tray impression for implants?

A
  • high accuracy
  • accurate positioning due to tactile response
21
Q

What are two benefits of closed tray impression?

A
  • no additional preparation of tray
  • high accuracy
22
Q

How much space do you need between implants?

A

3mm

23
Q

Give 4 reason why soft tissue might be compromised in an area for implant placement?

A
  • Trauma
  • Post extraction defects
  • Hypodontia
  • Periodontal disease
24
Q

What 4 things determine the aesthetic outcome of an implant?

A
  • 3d implant position
  • Bone volume and morphology
  • Space dimensions
  • Gingival biotype
25
Q

What are the two types of peri-implant disease?

A
  • Peri-implant mucositis and peri-implantitis
26
Q

What are 4 risk factors of peri-implant disease?

A
  • Poor oral hygiene
  • Smoking
  • History of periodontal disease
  • Poorly controlled diabetes
27
Q

What is peri-implant mucositis?

A

Inflammation of the mucosa at an implant area with no loss of supporting bone

28
Q

What is peri-implantitis?

A

Inflammation of the mucosa at an implant area with loss of supporting bone

29
Q

What is the advised treatment for peri-implant mucositis?

A
  • non surgical instrumentation and CHX
30
Q

What are 3 signs of peri-implantitis grade 0?

A
  • failure of osseointegration
  • Implant fracture
  • Implant mobility >1mm horizontal
31
Q

What is the advised treatment for peri-implantitis grade 0

A

Explant

32
Q

3 signs of grade 1 peri-implantitis?

A
  • PPD < 4mm
  • Bone loss < 2mm
  • Foreign body in peri-implant sulcus
33
Q

What is the treatment advised for mild peri-implantitis?

A
  • Removal of abutment
  • non surgical instrumentation and disinfection
34
Q

3 signs peri-implantitis grade 2

A
  • Bleeding on probing
  • PPD 4-6mm
  • Bone loss less than 2mm
35
Q

What treatment is advised for moderate peri-implantitis?

A
  • Removal of abutment
  • non surgical instrumentation and disinfection
36
Q

What are 3 signs of peri-implantitis grade 3?

A
  • BoP
  • PPD >6 mm
  • Bone loss more than 2mm
37
Q

What is the treatment advised for severe peri-implantitis?

A
  • removal of abutment
  • surgical access
  • instrumentation and disinfection
  • systemic antibiotics
  • resective or regenerative surgery
38
Q

A patient just got an implant , give 5 post op advice you would give the patient?

A
  • Use Chlorhexidine mouthwash
  • Soft toothbrushing until healing takes place
  • Use of interdental brushes , 360 flossing technique
  • Use of super-floss and single tufted brush
  • Smoking cessation if applicable
39
Q

When you probe around an implant , at how many points would you probe?

A

4

40
Q

What sign indicated peri-implant stability?

A

Absence of bleeding on probing

41
Q

How many times a year would you recall an implant patient?

A

3 times

42
Q

What types of instruments would you for no surgical instrumentation in peri-implant disease patients?

A
  • Carbon fibre
  • Titanium
43
Q
A

BDS4 Exam Perp (72 decks)

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