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
Implants that started in the early 1940s and were made of vitalism metal:
subperiosteal implants
26
The denture fabricated for the subperiosteal implants were: (2)
1. implant supported 2. expensive
27
Describe the survival rate for subperiosteal implants:
Good survival rate (85% 10 years)
28
When are subperiosteal implants indicated?
indicated for atrophic edentulous mandible
29
What was an issue with subperiosteal implants:
bone resorption over time lead to mobility, infection, and loss
30
What type of implant is seen I the following images
Subperiosteal
31
Implants introduced in 1968 and made of titanium:
Transosteal implants
32
Describe the survival rate of transosteal implants:
91% success rate 15 years (excellent)
33
When are transosteal implants indicated?
only indicated for edentulous mandible
34
The denture for transosteal implants is:
tissue-supported
35
Why are transosteal implants not widely used?
requires invasive surgery usually in hospital setting (external incision/approach)
36
A transosteal implant is excellent for ____ where root form implants would weaken the jaw.
atrophic mandible
37
Transosteal implants are restricted to:
anterior mandible
38
What type of implant is seen in the following image?
transosteal implant
39
TMI:
Transmandibular implant
40
Transmandibular dentures are restored with:
implant supported denture
41
When are transmandibular implants indicated?
used for severe atrophic mandible (less than 10 mm)
42
What material is used for dtransmandibular implants?
gold alloy (NOT titanium)
43
Transmandibular implants require a complex process, however they are ___ due to the design of screws and degree of integration
reversible
44
What type of implant is seen in the following images?
transmandibular
45
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:
Transmandibular
46
The following image shows examples of:
endosteal implants
47
The following image shows what type of implant?
Transmandibular implant
48
List three examples of endosteal implant types:
1. blade 2. cylinder 3. screw
49
____ implants are made of titanium and were introduced in 1969 for the possibility of restoring partially edentulous mandibles.
Blade
50
Describe the survival rate for a blade implant:
good not great
51
Type of implant used mostly in the 80s:
blade implant
52
Describe the failures of blade implants:
largely due to the heat production during the implant site preparation and immediate loading
53
The following image shows what type of implant?
blade implant
54
The following image shows what type of implant?
blade implant
55
Considered the modern day implant:
root form implant
56
Describe the success rate of root form implants
greater than 90% with the most recent ones at 98%
57
What materials comprise root form implants?
titanium or an allow of titanium-aluminum-vanadium metals
58
Root form implants are indicated for:
partially & completely edentulous patients both in the maxillary and mandibular arches
59
Became the standard with research of Branemark in 1970 based on the concept of osseointegration:
Root form implants
60
Describe the surface of root form implants:
may be machined or roughed
61
The following image shows what type of implant?
root form implant
62
Used in cases where the posterior maxillary bone is severely atrophic (indicated when there is no maxillary posterior bone):
zygomatic & pterygoid super implants
63
What term was introduced by branemark?
osseointegration
64
A direct structural and functional connection between ordered, living bone and the surface of a load-carrying implant:
Osseointegraton
65
What material is not recognized by the body as a foreign object?
titanium
66
Because titanium is not recognized as a foreign object by the body there is less:
host rejection
67
Because titanium is not recognized as a foreign object by the body there is less host rejection, this allows for:
integration into the surrounding hard tissue
68
Teeth are susceptible to caries & periodontal disease, while implants are susceptible to:
1. peri-implantitis (bone) 2. peri-mucositis (soft-tissue)
69
Peri-implantitis affects the:
bone
70
Peri-mucositis affects the:
soft-tissue
71
What determines whether an implant design is considered one-piece or two-piece?
depending on if the prosthesis abutment is part of the implant or a separate piece
72
What determines whether the implant is tissue level or bone level?
dependent on if the implant is fully embedded into the surrounding bone or presents in the transmucosal portion
73
What determines whether an implant is external hex or internal hex?
distinguished by whether the implant area connecting the implant to the prosthetic components protrudes form the implant or is internal to it
74
What is the predictability of a single implant fixture survival rate?
94-98%
75
55-60% of implant failures occur:
prior to placement of the restoration
76
40-45% of implant failures occur:
after the restoration placement
77
___% 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
57%; 34%; 9%
78
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
1mm; 0.1mm
79
_____ of soft-tissue recession can generally be expected during the first year. Most of this occurs within the first ____ following abutment connection surgery.
1mm; 3 months
80