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Tim's Cards > Tamer El-Sprinty Q2 Implants > Flashcards

Tamer El-Sprinty Q2 Implants Flashcards

1
Q

Distraction Oseogenesis is breaking bone, attaching, and _________

A

screwing away

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2
Q

Implant failure in the esthetic zone is due to poor judgement and Tx Planning

A

True

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3
Q

Keys to successful Mx Anterior implant - M/D papillae and the ____

A

FGM

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4
Q

4 Diagnostic keys to predictable esthetic Implants:

A

relative tooth position/dimension of edentulous space

form/biotype peridontium

tooth shape

position of osseous crest

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5
Q

Not enough facial bone can result in the FGM being too Apical

A

True

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6
Q

____mm Implant to Adjacent tooth

B/L thickness of bone must be…

A

1.2-2 mm

1 mm

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7
Q

Minimum edentulous space M/D width in anterior (LI):

Minimum Bucco-Lingual width

A

6 mm

5 mm (b/c small width implant - 3.1mm or so)

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8
Q

Interarch distance for a single restoration must be:

If less than 1/2 mm to this distance…

If more than 1/2 mm to this distance..

also…

A

5 mm

grind

crown

Extraction, Ortho Intrusion

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9
Q

Flat thick gingiva has a better prognosis

A

True

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10
Q

What kind of Mucosa has Circumferential fibers and a Gingival Cuff that forms around implants similarly to those seen around natural dentition?

A

Attached keratinized mucosa

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11
Q

If an Implant emerges through _____ keratinized mucosa, it sill have a gingival cuff similar to natural dentition

This is because it has _____ fibers

A

Attached

Circumferential

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12
Q

There must be ___mm of keratinized mucosa around Implants

A

3-4 mm

*attached preferable, but unattached ok of good OH

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13
Q

What tooth shape has best prognosis for an Implant?

Why?

A

Square

longer contact (no Black Holes)

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14
Q

Class I papilla:

Class IV papilla:

4 papilla:

1 papilla:

Palacci vs Ryser

A

intact

gone

intact

gone

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15
Q

Tarnow study found that Bone ___ mm to papilla will regenerate at 100%

6mm:

7mm:

A

5 mm

56 %

27%

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16
Q

There needs to be ___mm between Implant surface and Tooth to maintain Interproximal Bone

A

1.5 mm

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17
Q

If the recession of the bone is more than 5 mm from the Incisal Edge, the pt will have what?

*resorption can occur if the surgeon put implant too close to the adjacent tooth

A

Black Triangle

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18
Q

T/F

It is more difficult to maintain or create a Papilla between 2 adjacent Implants

A

True

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19
Q

Adjacent implants need to be how far apart?

A

3 mm

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20
Q

Pontica have better results with the Interdental Papilla

A

True

*can play with soft tissue a little more

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21
Q

The implant should be placed how far away from the CEJ?

In the Anteriors, placement needs to be a little more ______

distance?

A

2-3 mm

LIngual

2 mm lingual to the facial surface

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22
Q

If you aren’t 3 mm from the CEJ with placement what is compromised?

If you are deeper than 3mm from the CEJ what happens?

A

emergence profile

bone loss/difficulty cleaning

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23
Q

Anterior measurments need be: B/L:

M/D:

Apico:coronal:

A

5 mm

6 mm

2-3 mm from CEJ - another 10mm of height, slightly Lingual for facial space, 2mm on facial

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24
Q

If you have less than 6mm M/D space, what?

A

Ortho

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25
Q

Regular pt success rate:

Smoker success rate:

*what we say in clinic

A

95%

85%

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26
Q

smoker failure:

non-smoker failure:

A
  1. 28%

4. 76%

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27
Q

Smoking cessation for a total of ____ weeks will yield the same results as non-smokers

A

9 weeks

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28
Q

More MBL (marginal bone loss) in smokers

A

True

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29
Q

3 occlusal considerations for implants:

A

contact in central fossa

low cusps

reduce size occlusal table

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30
Q

Preferable way to retain implants:

A

Screw

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31
Q

3 cases Cement retained implants be used?

A

improper angulation correction

Mn PM (esthetics)

Mn incisors

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32
Q

Soft tissue will grow on top:

___ will stay above soft tissue

A

cover screw

healing abutment

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33
Q

What type of impression is used for Parallel Implants?

What type is used for severely Angled Implants?

A

Transfer (Closed Tray)

Pick-Up (Open Tray)

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34
Q

2 general parts to any implant

A

body

restorative part

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35
Q

Where natural roots converge, use what?

*also for narrow ridge, limited bone

A

Tapered implants

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36
Q

Screw uses _______ Abutment

Cemented uses ______ Abutment

A

non-engaging

engaging

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37
Q

2 Indications for Non-Engaging “Cast-To” gold abutment:

A

Lack of inter-occlusal clearance

Poor implant angulation that would lead to unesthetic restorations

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38
Q

2 types of Abutments:

A

engaging

non-engaging

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39
Q

CAD CAM can produce customized abutments with good emergence profiles in what 2 materials?

A

Ceramic

Titanium

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40
Q

Atlantis abutments are very precise

A

True

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41
Q

Atlantis scans, restores virtually, designs abutments virtually, and mills out of titanium blanks

42
Q

Dual transition accommodates soft/hard tissue needs

43
Q

HA surface is more bioreactive than Ti

44
Q

Cement what 2 areas of the Mn?

A

Incisors

Premolars

*and less ideal angles

***SCREW everywhere else

45
Q

Cover Screw is a ____ Stage surgery

Healing Abutment is a _____Stage surgery

Provisional Abutments are more conducive to what?

A

2

1

soft tissue healing

46
Q

Cover Screw stays at the level of the…

Healing Abutment is above the…

A

bone

gingiva

47
Q

Verify radiographically that your Abutment is seated with what?

48
Q

We take impressions with ___

A

medium body PVS

49
Q

In a closed tray technique we put the posts in and pour up

50
Q

Open tray has holes drilled and is for what?

A

divergent implants

51
Q

With Cement, we use a _______ Abutment

With Screw, we use a ________ Abutment

A

Engaging

Non-engaging

52
Q

What type of Abutment do we use with Splinting?

A

Non-Engaging

*something about path insertion

53
Q

If you have to use a Cement Retained Mx LI, what type of Abutment?

54
Q

Any pre-formed Abutment with a finish line must be a _________

A

Engaging

***b/c will be cemented

55
Q

All CAD/CAM abutments are customized in Ceramic or Ti and are ______ retained

meaning they have ______ abutments

A

Cement

Engaging

56
Q

A tooth must have a ____mm Ferrule in order to hold a crown after RCT

The dentin must be ___mm thick

__mm Biologic Width

A
  1. 0 mm
  2. 0 mm
  3. 0 mm
57
Q

RCT - what is more important, post length or diameter?

58
Q

2 reasons to err on the side of the Palatal when placing Implants on the Anterior:

A

Better Primary Stability

Won’t risk facial puncture of bone

59
Q

The expected Soft Tissue Shrinkage is _____ mm after 6 Months

60
Q

Why do we want a LIght Contact in occlusion for an Implant?

61
Q

Problem with 2 Adjacent Implants:

A

more difficult to create/maintain Papilla

62
Q

Distance between 2 Implants:

63
Q

A multiple unit Cement Retained will have _______ abutments

Multiple unit Screw Retained will have _______ abutments

A

Engaging

non-engaging

64
Q

Tooth to implant distance:

A

1.5 - 2.0 mm

65
Q

Anterior restorations can be restored as individual single units or splinted

66
Q

Survival rate of Onlay Bone Graft

67
Q

Limitations for Mx Posterior Implants include Quality and ______

Also pneumatized ________,

_____ cortical bone

poor quality ____ bone

A

Quantity

Mx Sinus

thin

trabecular

68
Q

If you can’t establish Canine Guidance, make sure you have….

A

Group Function

69
Q

The use of autogenous bone in a sinus lift may be necessary for success

70
Q

Posterior Mn limiting factor for Implants

A

IAN

*10mm or longer implant may be difficult

**also width of bone

71
Q

The use of Short and Wide Implants in the Post Mn has not been predictable

A

True

*prone to occlusal overload, bone loss

72
Q

There are minimal Perio complications with Implants

73
Q

Implants predictably maintain cortical bone

74
Q

Cost, technique, and Maintenance are all downsides to Implants

75
Q

What is more difficult to maintain: FPD or Implant?

More difficult to Diagnose/Tx plan?

A

Implant

Implants

76
Q

Biological complications are more frequent with FPD and RPD than an Implant

77
Q

Branemark:

A

osseointigration

78
Q

Kalamchi - there is no absolute contraindication for an implant

79
Q

Subperiosteal, Transmandibular, Blade, Endosteal - all Implant types

80
Q

What type of implant are implants?

81
Q

Bisphosphonate patient may require special consideration

82
Q

2 things we need for Tx planning Implants:

A

Articulated study models

CBCT

*3rd - surgical guide

83
Q

Original protocol was how long for healing before implant placement?

A

3-6 months

84
Q

A Sinus Fill elevates the ________ Membrane

A

Schneiderian

85
Q

Should implants ever be connected to natural teeth?

86
Q

What is minimum Surgical Access for an Implant Site?

87
Q

Distance from Implant to F/L:

to Root Surface:

between adjacent implants:

A

1 mm

1.5 mm

3 mm

88
Q

The head of the implant must be ____ mm Apical to the planned CEJ

This allows CT and _____ epithellial biological width to form the transmucosal portion of the implant

A

2-3 mm

Junctional

89
Q

Final Impressions made _____ weeks after placement

A

6-12 weeks

90
Q

An Overdenture requires ____ Implants in the Mx

Overdenture requires ____ Implants in the Mn

91
Q

Maximum heat generated while drilling out implant site:

A

47 degrees Celsius

92
Q

There should be initial stability and no micro-movement after placement of an Implant

93
Q

Stability of the Implant at 12 Weeks is influenced by what?

not what?

A

Diameter

not length

94
Q

Kalamchi

____% of the implant surface integrates with bone

95
Q

Bone Density D1:

D2:

D3:

D4:

A

homogenous compact

thick compact, dense trabecular

thin cortical, dense trabecular

thin cortical, low density trabecular

96
Q

Bone type: Ant Mn

Post Mn

Ant Mx

Post Mx

A

D1

D2

D3

D4

97
Q

Matl acting as a scaffold for new bone

BMP recruits undifferentiated cells to become osteoblasts

Living bone cell transport from doner site to recipient site

A

Osteoconductive

Osteoinductive

Osteogenic

98
Q

Alloplastic matl is:

Allograft is:

Only Osteogenic source of bone graft:

A

Osteoconductive

Osteoconductive/Osteoinductive

Autogenous

99
Q

A patient can be too old for an implant

100
Q

Use the Surgical Guide, but Don’t rely on the surgical guide

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