Radiographic and surgical guides

Question 1

placement need to be planned in all dimensions

Answer 1

-apico-coronal
-mesio-distal
-bucco-lingual

Question 2

implant:implant distance

Answer 2

3mm

Question 3

tooth:implant distance

Answer 3

1.5mm

Question 4

avoid _______ damage to adjacent critical structures

Answer 4

iatrogenic

Question 5

preserves _____ bone and inter proximal _______ height

Answer 5

crestal, papillary

Question 6

1. any device used as a guide for surgically shaping the alveolar process or positioning of gingival tissue
2. guide used to assist in proper surgical placement and angulation of dental implants
3. guide used to assist in establishing the desired occlusion during orthognathic or grafting surgery

Answer 6

surgical guide

Question 7

synonym surgical guide

Answer 7

surgical template

Question 8

a surgical procedure that uses a device (surgical guide) that was printed from a digital file of the cone beam computed tomography

Answer 8

computer tomography guided surgery

Question 9

synonym computer tomography guided surgery

Answer 9

stereotactic surgery

Question 10

objectives of surgical templates

Answer 10

direct implant drilling system
provide an accurate placement of the implant according to the surgical treatment plan

Question 11

what is implant placement guided by

Answer 11

-bone quality
-bone quantity
-position of surrounding teeth
-proposed final restoration (esthetics, phonetics)

Question 12

Surgical guide fabrication depends on the restorative plan - things needed

Answer 12

-diagnostic wax up
-correct tooth arrangement
-duplication of existing dentition/restoration as long as occlusion is correct

Question 13

two components to surgical guide

Answer 13

guiding cylinders
contact surface

Question 14

guiding cylinders

Answer 14

transfers the plan by guiding the drill in the exact location and orientation

Question 15

contact surface

Answer 15

verifies the guide is fully seated

Question 16

three types of contact surface

Answer 16

bone supported
mucosa supported
tooth supported

Question 17

3 different types of guides

Answer 17

non restricted
partially restricted
completely restricted

Question 18

non-restricted

Answer 18

-only provides an indication to the surgeon of the proposal implant site
-may result in unacceptable implant placement (angulation and positioning)

Question 19

partially restricted

Answer 19

-first drill used for the osteotomy
-remained of the osteotomy and implant placement is then freehanded by the surgeon

Question 20

completely restricted

Answer 20

-restricts all of the instruments used for the osteotomy in a buccolingual and mesiodistal plane
-drill stops limit the depth of implant placement
- most accurate

Question 21

surgical guide fabrication

Answer 21

-steriolithography (3D printing using planning software) -singe tooth
-vacuumform/pressure - single tooth
-acrylic resin - duplicate the denture for over denture

Question 22

radiographic template (based on diagnostic wax up)

Answer 22

-CBCT with radiopaque markers - fiducial markers , 3 minimum, allows you to overlay. - radiopaque substance
-indicates position of teeth and zenith

Question 23

CBCT scan

Answer 23

-with bite index - ensures correct positioning of the guide in the patients mouth
-easier to separate arches in planning software.
-double scan technique (pt w template in, just template)

Question 24

3D computer stimulation

Answer 24

planning implant position

Question 25

fabrication of templates

Answer 25

3D printing

Question 26

Where is the access hole for posterior teeth vs anterior teeth?

Answer 26

Posterior teeth - center of ridge
Anterior teeth- out of the cingulum

Question 27

Crown/FDP Restorative Space

Answer 27

5 mm (screw retained)
7 mm (cement retained)

Question 28

Crown/FDP Buccal/Lingual

Answer 28

2 mm- buccal bone
1mm- lingual bone

Question 29

Crown/FDP Mesial- Distal

Answer 29

3 mm implant
1.5-2mm tooth

Question 30

Locator restorative space

Answer 30

8-10 mm

Question 31

Locator buccal/lingual

Answer 31

2 mm buccal
1 mm lingual

Question 32

Locator mesial-distal

Answer 32

9 mm

Question 33

Ball restorative space

Answer 33

10-12 mm

Question 34

Ball buccal/lingual

Answer 34

2 mm buccal
1 mm lingual

Question 35

Ball mesial-distal

Answer 35

9 mm

Question 36

Bar/clip restorative space

Answer 36

13-15 mm

Question 37

Bar/clip buccal/liingual

Answer 37

2 mm buccal
1 mm lingual

Question 38

Bar/clip mesial/distal

Answer 38

13 mm interfixture for clip

Question 39

Bar/locator restorative space

Answer 39

15 mm

Question 40

Bar/locator buccal/lingual

Answer 40

2mm buccal
1 mm lingual

Question 41

Bar/locator Mesial-distal

Answer 41

3 mm between implant

Question 42

fixed complete restorative space

Answer 42

8-15 mm

Question 43

fixed complete buccal/linguial

Answer 43

2 mm buccal

Question 44

fixed complete mesial-distal

Answer 44

3 mm between implant

Question 45

Fabrication of templates

Answer 45

3D printing

Question 46

Surgical guide: stereo lithographic templates order

Answer 46

1. Radiographic template
2. CBCT scan
3. 3D computer stimulation
4. Fabrication of templates

Question 47

-2 mm sleeve guide initial osteotomy
-no other kit needed
-directly guides 2 mm straight drill
-smaller holes, round burr
-1st sequence, idea where placing implant

Answer 47

Pilot guide

Question 48

-rests over dentition
-single tooth, multi-unit bridge, partially edentulous cases
-minimally invasive
-block out undercuts

Answer 48

Tooth supported

Question 49

-rests on patients soft tissue
-fully edentulous cases
-minimally invasive
-not most stable, can rock

Answer 49

Mucosa supported

Question 50

-rests on bone surface after flap
-fully edentulous mandibular cases only
-another pin fixation

Answer 50

Bone supported