Sabbatini

Question 1

)Surgical steps for implant placement

Answer 1

reflect flap
 Twist drill 1.5mm
 Direction indicator
 Tapered drill 3.5 mm
 Direction indicator
 Tapered drill 4.3 mm
 Implant placement

Question 2

Who steers the multidisciplinary implant case

Answer 2

Restorative dentist

Question 3

5 roles of implant surgeon

Answer 3

initiate or assist treatment planning
 Perform site preparation surgery
 Perform fixture placement surgery
 Assist with impression and temporization
 Treat ailing & failing implants

Question 4

)7 relative Systemic Health contraindications for

implant surgery

Answer 4

uncontrolled diabetes
 Severe immunodeficiency
 Uncontrolled vascular disease
 Heavy smoking
 Alcoholism
 Post-irradiated jaws
 Bisphosphonates (Fosamax)

Question 5

3 spaces to evaluate clinically before implant

Answer 5

Mesial-Distal
Buccal-Lingual
Interarch (w/ teeth in MIP)
184.) 8-9mm
3.75 to 4.3 mm implant + 1 mm bone B + 1mm bone
Lingual + 1 mm soft tissue B + 1 mm soft tissue lingual

Question 6

Which crown type requires less interarch

space

Answer 6

screw retained

Question 7

What is the minimum interarch space and

numbers that make it up

Answer 7

7. 0 m

5. 0mm abutment + 2.0mm crown thickness

Question 8

)If have all the available spaces, what space can still

contraindicate implant placement

Answer 8

pt cannot open enough for implant surgical

hardware

Question 9

Minimum distance required for surgical hardware

Answer 9

35mm

Question 10

What does a periapical radiograph show for

implant planning

Answer 10

periodontal status
Periapical status
Root alignment
Mesio-distal space

Question 11

)3 major things seen on Panoramic for Implant

planning

Answer 11

Bone volume
Bone morphology
Anatomical concerns

Question 12

Anatomic structures concerned with for implant

planning that can be assessed radiographically

Answer 12

Nasal floor
Maxillary sinus
Mandibular canal
Mental foramen

Question 13

)what is the distortion on a PA radiograph

Answer 13

0-10%

Question 14

What is the distortion on a Panoramic radiograph

Answer 14

25-30%

Question 15

What should be done when treatment planning an

implant in the vicinity of the mental foramen

Answer 15

add a few mm anterior to allow for the nerve loop

Question 16

CT scan gives what information

Answer 16

anatomic info and bone density

Question 17

Regular platform implant used in what areas

Answer 17

Maxillary central incisor
 Maxillary canines
 Maxillary premolars
 Mandibular canine
 Mandibular premolars
 Some molars

Question 18

what is the diameter or regular platform implants

Answer 18

4.0-4.5 mm

Question 19

Wide platform implants used in what areas

Answer 19

4.0-4.5 mm

Question 20

Wide platform implants used in what areas

Answer 20

Molars

Question 21

What is the diameter of wide platform implants

Answer 21

) 5.0-6.0 mm

Question 22

Narrow platform used in what areas

Answer 22

Maxillary lateral incisors
Mandibular incisors
Some premolars

Question 23

What is the diameter of narrow platform implants

Answer 23

3.0-3.5 mm

Question 24

When determining placement angle for implant,

what should be drawn on casts

Answer 24

Adjacent tooth roots

Question 25

3 considerations for fixture position

Answer 25

apical enough for emergence profile
Slightly palatal for gingival bulk
> 1.5-2.0 mm from adjacent roots

Question 26

2 things tapered implant does

Answer 26

allows missing adjacent roots

Wider portions compress bone to make it more dense

Question 27

How long after atraumatic extraction to wait if

doing delayed fixture placement

Answer 27

4-6 months

Question 28

3 criteria for immediate implant placement after

extraction

Answer 28

absence of infection
Sufficient residual socket walls
Adequate bone for primary stabilization (lateral &
apical

Question 29

) Socket preservation synonymn

Answer 29

GBR = Guided bone regeneration

Question 30

Majority of implant misadventures can be

attributed to

Answer 30

lack of attention to detail in diagnosis and

treatment planning phase