Midterm Questions Flashcards
The most common type of implant used today:
Endosteal
Branemark suggested that bone necrosis would occur if the bone was heated to ____ degrees celsius:
47 degrees
According to the Harvard Guidelines of 1986, which of the following is false?
a- there should be no sign of peri-implant infection
b- implant should be immobile
c- implant should be pain free
d- there should be no more than 2mm of bone loss per year
D- there should be no more than 2mm of bone loss per year
The implant systems that we use at UMKC are:
- straumen
- nobel care
- astra tech
Which of the following is NOT a surface modification for implants:
a- acid etched
b- sodium phosphate
c- plasma sprays
d- sand blasted
b- sodium phosphate
An individual gets tired walking 1-2 blocks and does light housework, what is the risk of myocardial infarction?
Major
A patient with a BP of 150/90 and uncontrolled diabetes is classified as ASA:
Class 3
A patient with uncontrolled angina is classified as ASA:
Class 4
Given a case study, what is not a reason that an implant should be contraindicated?
Age
T/F: A patient with a mitral valve prolapse requires antibiotic prophylaxis
False
Which of the following is an effect of detrimental effects of tobacco?
a- tissue hypoxia
b- increased platelet aggregation
c- neutrophil dysfunction
d- decreases fibroblasts and collagen
e- all of the above
E- all of the above
Maxillomandibular relationship allows tooth position that has normal articulation with teeth supported by the residual ridge. Which of the following is the most favorable relationship?
Class 1
For a 4 mm implant, what is the minimal distance of the ridge bucco-lingually
6 mm
T/F: A patient with severe bruxism has the leas favorable outcome of success:
True
The anterior maxilla resorbed slower than the anterior mandible. The maxilla resorbs foster than the mandible.
First statement true; second statement false
For implant placement or osteotomy, failure tends to occur at angulation of:
Greater than 25
Which of the following is NOT true of a CBCT?
a- A CBCT is more grainy than a CT
b- A CBCT has better soft tissue contrast than a CT
c- A CBCT is less expensive
d- A CBCT causes less radiation
A CBCT has better soft tissue contrast than a CT
Which of the following can show the buccal-lingual dimensions?
a- intraoral films
b- panoramic films
c- CBCT
d- CT
e- CBCT & CT
E- CBCT & CT
Two types of new bone formation include:
- intramembraneous
- endochondrial
Which of the following forms when woven bone is replaced by lamellar bone?
Osteonal remodeling
Who discovered the theory of osseointegration?
Branemark
Which type of bone is formed around an implant?
Contact bone
Which of the following is NOT true regarding contact osteogenesis?
Forms on top of old bone
The biologic width around the tooth:
2mm (JE + CT)
Connection around the implant:
hemidesmosomes just epithelial
Percentage of implant success in diabetes?
85.5-100%
How many mm of clearance for screw retained?
4mm
How man mm of clearance for cement retained?
7mm
Direct contact between living bone and implant seen on light microscope:
Osseointegration
How much distance is required between implant and tooth?
1.5mm
Distance between two implants?
3mm
Minimum biologic width for an implant:
3mm
amount of contact between crystal bone and contact:
5 mm
Implant and real tooth, interdental papilla is dependent on:
adjacent tooth
Safety zone of bone:
2mm
Soft tissue is better seen on:
Medical CT
Lingual concavity can be viewed on what type of radiograph?
medical CT and CBCT
What is the mineral density scan?
DEXA
The best form of intraoral x-ray?
parallel
Eposteal =
subperiosteal
Transosteal =
transmandibular
Endosteal =
blade & root form
Rough surface of implant allows for:
appositional bone growth
A patient needs an implant on #12 and #13. There is 8mm BL and 13.5 mm MD. What is the maximum diameter of implants that can be used?
4.3mm diameter and 3mm diameter
A UCLA implant can be used with:
- screw retained crown
- custom abutments
What is advantageous about a screw retained crown?
Can be used with a decreased vertical space
A disadvatnage of a cemented crown:
can’t be removed easily
The open tray technique is a ____ impression technique used for ____ implants.
direct; divergent
With splinting during multiple impression copings, which of the following is true?
Rigid splitning is preferred
The closed technique is:
most similar to a fixed prosthetic impression
The maximum torque on an abutment should be:
35Ncm
Regarding cementation, which of the following is true?
blockout material is placed over the screw head
Which of the following has the most variable magnification?
Panoramic
Which of the following has the highest level of radiation?
Medical CT
An implant has a higher occlusal awareness than a natural tooth. An implant has a functional bite force 4x that of a natural tooth.
The first statement is false. The second statement is true.
A tooth exhibits more vertical movement than an implant resulting in lower occlusal loads on the implant. The implant tooth will not move under any functional load.
Both statements false
The primary occlusal contact should be placed:
directly over the implant
The maxilla undergoes ___ resorption and can causes a ___ with the posterior dentition.
centripetal; cross bite
D4 bone is described as all of the following except:
found in the anterior mandible
Splinting adjacent implant crowns is indicated in which of the following:
- questionable bone
- parafunctional habits
- implant survival depends on the adjacent implants
(all of the above)
Splinting of an implant to a crown can cause which potential issues:
- If one crown is replaced, all crowns will usually have to be replaced
- Hygiene is difficult
- Fits in a passive occlusion is difficult
Implant retained dentures is contraindicated with:
- poor quality of bone
- poor oral hygiene
- poor tissue tolerance
- patients who receive more than 12,000 rads of radiation
(all of the above)
An implant retained denture is an example of:
overdenture
How many mm of space must be present between the bone and opposing occlusion in a single implant crown?
6 mm
What is shown in the following image?
Driver
What is shown in the following image?
Impression coping
What is shown in the following image?
Implant replica
What is shown in the following image?
Prosthetic abutment
According to recent studies, what is the average success rate for dental implants?
98%
Which type of implant is restricted to ONLY the anterior mandible?
Transosteal
What type of implant is included by “in the bone”?
Endosteal
What type of implant is a subperiosteal?
Eposteal
What is the average amount of bone loss AFTER the first year of implant placement?
0.1mm
Which of the following is NOT a characteristic of titanium or titanium alloy used for dental implants?
High modulus of elasticity
Which surface texture is the most ideal for dental implants?
Moderately rough
What is NOT a method of surface modification?
Cobalt-chromium coating
Which bone cell type deposits osteoid matrix?
osteoblast
What is the ideal torque for immediate loading?
greater than 35 Ncm
What is false regarding dental implants?
a- supracrestal tissue is lost
b- ankylosis
c- direct bone-to-imiplant contact
d- peri-implant fibers are oriented perpendicular to the implant
D- because peri-implant fibers are oriented parallel to the implant
What is FALSE regarding dental implants?
a- blood supply is by terminal branch of large blood vessels
b- more inflammatory response than gingival fibers
c- fewer capillaries
d- blood supply is from the endosteum
d- because blood supply comes form the periosteum
How much space should be between implant and tooth?
1.5 mm
How much space should be between an implant and another implant?
3 mm
Which is false regarding platform switching?
a- shifts the inflammatory cell infiltrate inward and away from the adjacent crystal bone
b- maintains the supracrestal attachment
c-decreases distance of implant-abutment junction from the crystal bone
d- limits possible interface of bone with micro-movements
C- decreases distance of implant abutment junction from the crystal bone
What is true when there is less than 2 mm of keratinized tissue of the implant area?
more prone to soft-tissue inflammation
Which of the following is NOT a vital structure to avoid for implant placement?
Glenoid fossa
Which of the following is NOT a disadvantage of panoramic radiographs?
Pixilation