Implants - Lecture 7: Restorative Implant Components Flashcards

1
Q

What are the 5 implant components?

A

Implant
Abutments
Analogs/replica
Impression copings
Connection armamentaria

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2
Q

T/F: Over 100 companies produce implant components

A

True

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3
Q

What material can implants be?

A

Titanium
Zirconia

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4
Q

What is the macro-geometry of implants?

A

Threaded and non-threaded
Parallel and tapered

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5
Q

What is the micro-geometry of implants?

A

Machine
Enhanced surfaces

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6
Q

What are the implant types?

A

Bone level
Tissue level

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7
Q

What are the widths of implants?

A

Narrow
Regular
Wide

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8
Q

What are the connections of implants?

A

External
Internal

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9
Q

Which implant material?

Biocompatible
Function without causing damage to the surrounding tissues

A

Titanium
Zirconia

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10
Q

Which implant material?

Resist forces during function/parafunction and cyclic loading

A

Titanium
Zirconia

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11
Q

Which implant material?

Resistance to corrosion and wear

A

Titanium
Zirconia

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12
Q

Which implant material?

Modulus of elasticity close to the surrounding bone

A

Titanium
Zirconia

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13
Q

Which implant macro-geometry?

Immediate placement into ext sockets

A

Threaded

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14
Q

Which implant macro-geometry?

Increase primary stability

A

Threaded

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15
Q

Which implant macro-geometry?

Increase BIC (bone-implant contact)

A

Threaded

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16
Q

Which implant macro-geometry?

Greatest surface area and stress distribution

A

Parallel

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17
Q

Which implant macro-geometry?

Indicated for limited apical space (anatomical constraints)

A

Tapered

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18
Q

Which implant micro-geometry?

Bone anchorage (too smooth for osseointegration)

A

Smooth (0-0.4 um)

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19
Q

Which implant micro-geometry?

Weaker bone integration (used before 1995)

A

Minimally rough (0.5-1 um)

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20
Q

Which implant micro-geometry?

Stronger bone responses (most implants today)

A

Moderately rough (1-2 um)

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21
Q

Which implant micro-geometry?

Increased incidence of peri-implantitis

A

Rough (> 2 um)

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22
Q

Which implant type?

Wider implant neck

A

Tissue level

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23
Q

Which implant type?

Preferred in posterior with thick soft tissue - esthetics are not a concern

A

Tissue level

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24
Q

Which implant type?

Used for larger implant crowns

A

Tissue level

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25
Which implant type? Inadequate placement results in prosthetic complications
Tissue level
26
Which implant type? Permits development of emergence profile
Bone level
27
Which implant type? Manipulation of soft tissue - appearance of a natural tooth
Bone level
28
Which implant type? Anterior teeth - provisionalization
Bone level
29
Which implant type? More technique sensitive to restore
Bone level
30
Which implant width? < 3.5 mm
Narrow
31
Which implant width? 4-6 mm
Regular
32
Which implant width? > 6 mm
Wide
33
Which implant width? Lower incisors Upper laterals Edentulous
Narrow
34
Which implant width? Upper incisors Canines Premolars Edentulous
Regular 4.1
35
Which implant width? Premolars Molars
Regular 4.8
36
Which implant width? Lower molars
Wide
37
Which implant connection? Screw can loosen due to lateral forces
External
38
Which implant connection? Internal chamber for engaging the abutment
Internal
39
Which implant connection? Improves abutment stability, fit, and seal performance
Internal
40
What are the 3 abutments?
Cover screw Healing abutment Prosthetic abutment
41
Which abutment? Submerged healing
Cover screw
42
Which abutment? Stops soft tissue from proliferating in the implant connection
Cover screw
43
Which abutment? Color-coded for easy identification
Cover screw
44
Which abutment? Different heights
Cover screw
45
Which abutment? Removed at 2nd stage surgery (uncovering the implant)
Cover screw
46
Which abutments? NEVER torqued
Cover screw Healing abutment
47
Which abutment? Transmucosal (tapered, conical, ovoid)
Healing abutment
48
Which abutment? Not used to make final impression
Healing abutment
49
Which abutment? Helps in initial tissue shaping
Healing abutment
50
Which abutment? Placing a larger healing abutment helps the restorative dentist (soft tissue management)
Healing abutment
51
Which abutment? Maintains an opening through the soft tissue during tx, allowing easy access to the implant
Healing abutment
52
Which abutment? Can add composite for a "custom healing abutment"
Healing abutment
53
Which abutment? Different heights and widths
Healing abutment
54
Which abutment? Prefabricated or custom
Prosthetic abutment
55
Which abutment? Cannot be modified
Prefabricated prosthetic abutment
56
Which abutment? Cement-retained restorations
Prefabricated prosthetic abutment
57
Which abutment? Screws into the implant body
Prefabricated prosthetic abutment
58
Which abutment? Less expensive and easier for the lab
Prefabricated prosthetic abutment
59
Which abutment? Straight, angled, anatomic, ceramic
Prefabricated prosthetic abutment
60
Which abutment? Allows anatomic design of the abutment
Custom prosthetic abutment
61
Which abutment? Cement-retained and screw-retained restorations
Custom prosthetic abutment
62
Which abutment? Custom designed for final restoration
Custom prosthetic abutment
63
Which abutment? More expensive: gold cylinder + metal alloy
Custom prosthetic abutment
64
Which abutment? CAD/CAM fabricated: milled from titanium
Custom prosthetic abutment
65
Which impression coping? Requires modification of tray
Open-tray
66
Which impression coping? Color-coded and different sizes (short, long)
Open-tray
67
Which impression coping? Allows for a verification jig (splinting for multiple implants)
Open-tray
68
Which impression coping? Does NOT require modification of the tray
Closed-tray
69
Which impression coping? Easier for limited opening
Closed-tray
70
Which impression coping? Sometimes easier in the posterior
Closed-tray
71
How much torque is used for the provisional restoration?
15 Ncm
72
How much torque is used for the final restoration?
35 Ncm
73
Arrow towards the numbers on the torque wrench means...
torquing
74
Arrow away from the numbers on the torque wrench means...
un-torquing
75
What is the only part of the torque wrench you should touch when torquing?
Tear drop
76
There is an analog for the __________ and an analog for the _________
abutment; implant
77
What are 2 levels of impressions?
Abutment-level impression Implant-level impression