Ch 15 Denal implants Flashcards

1
Q

What are the majority of implants and What are they based on the principle of

A

Endosseous implants

osseointegration

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2
Q

Custom-made cast framework that is placed beneath the periosteum over the alveolar bone, can be used In either maxilla or mandible

A

Subperiosteal implant

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3
Q

This type of frame work rests on the jawbone and the post provide anchorage for a denture or fixed prosthesis

A

Subperiosteal implant

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4
Q

This type of implant pass through the mandible in an apico-coronal direction

A

Transosteal implant

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5
Q

This implant protrude through the gingival tissues into the mouth for prosthesis anchorage. A stabilization plate is placed along the inferior border of the mandible

A

Transosteal implant

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6
Q

This implant is limited to the mandible

A

Transosteal Implant

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7
Q

What implant come in a variety of different shapes, are placed within bone, They are broadly divided into blade and root form types?

A

Endosseous implants

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8
Q

Which type of endosseous implants are no longer used today bec it had a high incidence of complications and failure

A

Blade implants

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9
Q

What type of endosseous implants provide osseous anchorage through the formation of a lattice between the implant surface and bone, these implants are used for replacing missing teeth in pts who are partially and totally endentulous

A

Root-form endosseous implants

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10
Q

The most common type of implant seen in dental practice is what?

A

Root-form endosseous implants

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11
Q

What term was defined as a direct implant- to bone union without any intervening soft connective tissue

A

Osseointegration

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12
Q

Implant integration for osseointegration depend on what?

A
  • Biomaterials and biocompatibility
  • Implant design (length, diameter, shape, surface)
  • Bone factors
  • surgical factors
  • loading consideration
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13
Q

Defined as allowing “close contact of living cells at its surface, which does not contain leachables (molecules that separate off the surface) that produce imflammation and which does not prevent growth and division of cells in culture”

A

Biocompatiblity

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14
Q

Biocompatibile materials are called what?

A

Biomaterials

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15
Q

What metal is highly reactive yet biocompatible and metal of choice in osseointegration

A

Titanium

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16
Q

What metal is unique in that an oxide layer prevents corrosion on the surface, enabling tissue integration to occur?

A

Titanium

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17
Q

What metal is light weight and has enough strength to withstand occlusal forces

A

Titanium

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18
Q

Majority of endosseous implants used today are what kind of shape

A

Cylindrical with a threaded surface design

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19
Q

Almost all implants are solid, but hollow implants are available with what?

A

No threads

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20
Q

Term loading means what?

A

The placement of restorations on the implants

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21
Q

What determines the stability of the implants

A

Quality of the bone

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22
Q

The volume density of cortical bone is 3 to 4 times that of which type of bone

A

Cancellous

23
Q

The shape of bone is dependent on several factors

A
  1. ) Any history of trauma or infection
  2. ) length of time since tooth loss occurred
  3. ) loading by removable prostheses
  4. ) systemic conditions such as smoking can influence the quality of bone
24
Q

Both of what must ne considered when planning for implants therapy

A

Shape and quality

25
Q

Whats immediate loading

A

Placement of restoration at the time of the implant surgery

26
Q

Inications for implant therapy

A
  • Pts with a strong gag reflex to eliminate palatal coverage by removable prostheses
  • Long span bridges
  • Free-end removable partial dentures
  • Alternative to periodontally compromised teeth for bridge abutments
  • Hopeless periodonatlly or endodontically involved teeth
  • Orthodontic anchorage
27
Q

Therapy with bisphosphonates increase the risk of what?

A

Jaw osteonecrosis

28
Q

Pts receiving anticoagulant therapy are at risk for what?

A

Hemorrhage during surgical procedures

29
Q

Smoking increases the risk of what?

A

Peri-implantitis and failure

30
Q

What is made up of 2mm long junctional epithelium and a 1mm zone of connective tissue

A

Implant biologic width

31
Q

It exists between the junctional epithelium on the implant abutment and the bone?

A

Connective tissue zone

32
Q

The abutment screw connects the implant abutment to the?

A

Implant fixture

33
Q

The clinical success of implants therapy is assessed by what?

A
  • Radiographic imaging
  • Evaluating implant mobility
  • Observing the surrounding soft tissue
34
Q

Healing for implants is what

A

3 to 6 months

35
Q

The ideal location and angulation of the implant should be consistent with what?

A

Planned prosthetic suprastructures (restorations)

36
Q

The submerged protocol requires two surgical procedures before restorations can be placed on the implants, what are they

A
  • 1st places the implant fixture within the bone

- 2nd 3 to 6 month later to uncover the implant

37
Q

Nonsubmerged protocol is only 1 surgery

A

After the implant placement, the tissues are closed arounf either the transmucosal portion of the implant or the implant or the healing abutment

38
Q

What is jumping distance?

A

Immediate placement of implants into extraction sockets leaves a gap between the implant and the socket wall

39
Q

Healthy implants are?

A

osseointegrated and do not exhibit mobility

40
Q

During probing you should do what?

A

use of plastic probe

avoiding probing during the first 3 months

41
Q

What kind of x-rays are took??

A

Periapical and panoramic are used to assess bone level for implant sites

42
Q

The criteria for implant success includes bone loss not exceeding

A

0.2 mm annually after the 1st year

43
Q

Radiographic follow-up is recommended at

A

6, 12, and 36 month, then every 2 to 3 years there after

44
Q

What is a term for inflammatory reactions in the tissues surrounding an implant

A

Peri-implant disease

45
Q

What is a reversible inflammatory reaction in the soft tissue surrounding an implant

A

Peri-implant mucositis

46
Q

What is inflammatory reactions that affect soft and hard tissues around the implant, leading to the loss of supporting bone

A

Peri-implantitits

47
Q

If this is left untreated, ultimately progress to implant failure

A

Peri-implantitis

48
Q

Peri-implantitis is characterized by what?

A

Increasing probe depths

Bleeding and bone loss

49
Q

This refers to an implant that has lost osseointegration and is no longer an effective prosthetic anchor

A

Failing implant

50
Q

What is the primary microbial etiologic factor in peri-implantitis

A

Plaque biofilm

51
Q

The progression of inflammatory disease around implants appears to be more rapid than around

A

Natural teeth

52
Q

Implants lack connective tissue fiber insertion, what are the attachment mechanism involve?

A

Basal lamina and hemidesmosomes of epithelium

53
Q

Tx for peri-implantitis include

A
  • combination of local or systemic antimicrobial therapy
  • Removal of plaque biofilm and calculus
  • Implant surface decontamination
  • Regeneration of defects