Introduction to implant dentistry Flashcards

1
Q

Approximately ___% of adults aged 20-64 have no teeth and almost ___% of seniors (above the age of 65) have no remaining teeth

A

5%; 30%

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2
Q

The leading cause for tooth loss:

A

periodontal disease & caries

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3
Q

Approximately __% of US adults aged 20-64 had dental caries in 2011-2012

___% of which suffered from untreated dental caries

A

91%; 26%

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4
Q

Periodontal disease affects ___% of the population between 35-44 years of age and ___% of people over 65 years of age

A

75%; 95%

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5
Q

120 million Americans are missing atleast ____, and more than 26 million are currently ____. 2/3 of which in both ____ (ACP)

A

one tooth; edentulous; arches

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6
Q

The success rate of dental implants has been reported to be around:

A

98%

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7
Q

In 2006, ______ implants were placed by U.S. Dentist.

In 2006, _____ implants were placed by U.S. General Dentists.

A

5.5 million; 3.1 milion

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8
Q

The dental implant and final abutment market in the U.S. is currently valued at _____ and is forecast to reach ____ by 2025 and is largely driven by general practitioner procedure growth.

A

1.1 billion; 1.5 billion

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9
Q

List the current methods of replacing missing teeth:

A
  1. implants
  2. complete denture
  3. removable partial denture
  4. fixed dental prosthesis (implant supported or tooth supported)
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10
Q

With a complete denture, ___% of los function is restored

A

30%

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11
Q

With a removable partial denture, ___% of lost function is restored

A

60%

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12
Q

With fixed dental prosthesis (crowns & bridges), ___% of lost function is restored.

A

100%

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13
Q

Fixed dental prosthesis (crowns & bridges) can be ____ or ____ supported

A

tooth; implant

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14
Q

A prosthetic device or all-plastic material implanted into the oral tissues beneath the mucosal and/or periostea layer, and/or within the bone to provide retention and support for a fixed or removable dental prosthesis

A

dental implant

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15
Q

Implants were used as early as:

A

600 AD mayan origin

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16
Q

Modern implant dentistry occurred:

A

early 19th century

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17
Q

List the three implant categories:

A
  1. Eposteal
  2. Transosteal
  3. Endosteal
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18
Q

Implant category, on/around the bone:

A

Eposteal

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19
Q

Implant category, through the bone:

A

Transosteal

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20
Q

Implant category, in the bone:

A

Endosteal

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21
Q

An eposteal implant is known as:

A

subperiosteal

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22
Q

A Transosteal implant is known as:

A

transmandibular

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23
Q

An endosteal implant is known as:

A

blade and root form

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24
Q

Modern implant dentistry began in the early 19th century and implants were made of various materials, the most current being:

A

titanium

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25
Q

Implants that started in the early 1940s and were made of vitalism metal:

A

subperiosteal implants

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26
Q

The denture fabricated for the subperiosteal implants were: (2)

A
  1. implant supported
  2. expensive
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27
Q

Describe the survival rate for subperiosteal implants:

A

Good survival rate (85% 10 years)

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28
Q

When are subperiosteal implants indicated?

A

indicated for atrophic edentulous mandible

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29
Q

What was an issue with subperiosteal implants:

A

bone resorption over time lead to mobility, infection, and loss

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30
Q

What type of implant is seen I the following images

A

Subperiosteal

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31
Q

Implants introduced in 1968 and made of titanium:

A

Transosteal implants

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32
Q

Describe the survival rate of transosteal implants:

A

91% success rate 15 years (excellent)

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33
Q

When are transosteal implants indicated?

A

only indicated for edentulous mandible

34
Q

The denture for transosteal implants is:

A

tissue-supported

35
Q

Why are transosteal implants not widely used?

A

requires invasive surgery usually in hospital setting (external incision/approach)

36
Q

A transosteal implant is excellent for ____ where root form implants would weaken the jaw.

A

atrophic mandible

37
Q

Transosteal implants are restricted to:

A

anterior mandible

38
Q

What type of implant is seen in the following image?

A

transosteal implant

39
Q

TMI:

A

Transmandibular implant

40
Q

Transmandibular dentures are restored with:

A

implant supported denture

41
Q

When are transmandibular implants indicated?

A

used for severe atrophic mandible (less than 10 mm)

42
Q

What material is used for dtransmandibular implants?

A

gold alloy (NOT titanium)

43
Q

Transmandibular implants require a complex process, however they are ___ due to the design of screws and degree of integration

A

reversible

44
Q

What type of implant is seen in the following images?

A

transmandibular

45
Q

Type of implants that eliminates the need for significant bone grafting, ridge augmentation or vestibuloplasty and allows facial muscles to be reattached to improve facial profile:

A

Transmandibular

46
Q

The following image shows examples of:

A

endosteal implants

47
Q

The following image shows what type of implant?

A

Transmandibular implant

48
Q

List three examples of endosteal implant types:

A
  1. blade
  2. cylinder
  3. screw
49
Q

____ implants are made of titanium and were introduced in 1969 for the possibility of restoring partially edentulous mandibles.

A

Blade

50
Q

Describe the survival rate for a blade implant:

A

good not great

51
Q

Type of implant used mostly in the 80s:

A

blade implant

52
Q

Describe the failures of blade implants:

A

largely due to the heat production during the implant site preparation and immediate loading

53
Q

The following image shows what type of implant?

A

blade implant

54
Q

The following image shows what type of implant?

A

blade implant

55
Q

Considered the modern day implant:

A

root form implant

56
Q

Describe the success rate of root form implants

A

greater than 90% with the most recent ones at 98%

57
Q

What materials comprise root form implants?

A

titanium or an allow of titanium-aluminum-vanadium metals

58
Q

Root form implants are indicated for:

A

partially & completely edentulous patients both in the maxillary and mandibular arches

59
Q

Became the standard with research of Branemark in 1970 based on the concept of osseointegration:

A

Root form implants

60
Q

Describe the surface of root form implants:

A

may be machined or roughed

61
Q

The following image shows what type of implant?

A

root form implant

62
Q

Used in cases where the posterior maxillary bone is severely atrophic (indicated when there is no maxillary posterior bone):

A

zygomatic & pterygoid super implants

63
Q

What term was introduced by branemark?

A

osseointegration

64
Q

A direct structural and functional connection between ordered, living bone and the surface of a load-carrying implant:

A

Osseointegraton

65
Q

What material is not recognized by the body as a foreign object?

A

titanium

66
Q

Because titanium is not recognized as a foreign object by the body there is less:

A

host rejection

67
Q

Because titanium is not recognized as a foreign object by the body there is less host rejection, this allows for:

A

integration into the surrounding hard tissue

68
Q

Teeth are susceptible to caries & periodontal disease, while implants are susceptible to:

A
  1. peri-implantitis (bone)
  2. peri-mucositis (soft-tissue)
69
Q

Peri-implantitis affects the:

A

bone

70
Q

Peri-mucositis affects the:

A

soft-tissue

71
Q

What determines whether an implant design is considered one-piece or two-piece?

A

depending on if the prosthesis abutment is part of the implant or a separate piece

72
Q

What determines whether the implant is tissue level or bone level?

A

dependent on if the implant is fully embedded into the surrounding bone or presents in the transmucosal portion

73
Q

What determines whether an implant is external hex or internal hex?

A

distinguished by whether the implant area connecting the implant to the prosthetic components protrudes form the implant or is internal to it

74
Q

What is the predictability of a single implant fixture survival rate?

A

94-98%

75
Q

55-60% of implant failures occur:

A

prior to placement of the restoration

76
Q

40-45% of implant failures occur:

A

after the restoration placement

77
Q

___% of failures occur within the 1st year of placement
___ % of failures occur in the 2nd year of placement
___% of failures occur in the 3rd year of placement

A

57%; 34%; 9%

78
Q

Overtime, some bone loss surrounding the implant is not considered pathological. There is an average of ___ during the 1st year, and and average of ___ each year after

A

1mm; 0.1mm

79
Q

_____ of soft-tissue recession can generally be expected during the first year. Most of this occurs within the first ____ following abutment connection surgery.

A

1mm; 3 months

80
Q
A