Implants - Lecture 9: Implants in the Esthetic Zone

Question 1

Contrary to missing a posterior tooth, most patients have an ____________ response regarding a maxillary anterior missing tooth

Answer 1

emotional

Question 2

What is one of the simplest procedures in implant surgery and prosthetics?

Answer 2

Posterior single tooth implant

Question 3

What is one of the most difficult procedures in implant surgery and prosthetics?

Answer 3

Maxillary anterior single tooth implant

Question 4

Why do esthetics matter?

Answer 4

Impact on pt satisfaction + quality of life
Role in social + professional interactions
Higher expectations for natural-looking restorations

Question 5

What is the critical anatomy?

Answer 5

Alveolar bone dimensions/quality
Nasopalatine canal
Gingival biotype

Question 6

Attempting to place implants in cases with a large ______________ __________ leads to penetration into the canal and a soft tissue interface

Answer 6

nasopalatine canal

Question 7

Which gingival biotype?

More resistant to shrinkage/recession

Answer 7

Thick gingival biotype

Question 8

Which gingival biotype?

Periodontal pocket after bone loss

Answer 8

Thick gingival biotype

Question 9

Which gingival biotype?

More prone to shrinkage after extraction

Answer 9

Thin gingival biotype

Question 10

Which gingival biotype?

More difficult to augment after extraction

Answer 10

Thin gingival biotype

Question 11

What are the 3 parts of comprehensive assessment?

Answer 11

Clinical exam
Radiographic analysis
Digital planning

Question 12

Which part of comprehensive assessment?

Involves smile line and lip dynamics

Answer 12

Clinical exam

Question 13

Smile line and lip dynamics are important to evaluate when observing the ____________ region

Answer 13

cervical

Question 14

Clinical results of what 4 things are much less demanding?

Answer 14

Emergence contours
Interdental papilla presence
Shade
Contour

Question 15

Which part of comprehensive assessment?

CBCT scans for bone assessment

Answer 15

Radiographic analysis

Question 16

Which part of comprehensive assessment?

CAD/CAM integration

Answer 16

Digital planning

Question 17

What are the 3 principles of smile design?

Answer 17

Proportion + symmetry
Tooth form, size, shade
Pt’s facial features

Question 18

Which principle of smile design?

Influence on interproximal contact area and gingival embrasure

Answer 18

Tooth form, size, shade

Question 19

Which tooth shape is most favorable? Why?

Answer 19

Square

Bc the contact is further apical

Question 20

Which tooth shape is less predictable? Why?

Answer 20

Triangular

Bc the contact is more incisal

Question 21

The distance between the underlying interproximal alveolar crest height on the adjacent natural teeth and the final prosthetic contact point dictates the presence or absence of ______________ ______________

Answer 21

interdental papilla

Question 22

If this distance is more than ____ mm, the complete papilla formation will be compromised, creating a ____________ _____________

Answer 22

5 mm; black triangle

Question 23

What are 4 anatomical challenges?

Answer 23

Natural tooth size vs implant diameter
Compromised bone height
Compromised mesiodistal space
Compromised faciopalatal width

Question 24

There are challenges in restoring ______________ esthetics with round-diameter implants

Answer 24

cervical

Question 25

The reason it is important to evaluate the amount of bone available is because it influences the ________ tissue drape, implant _______ and ___________, and the final esthetic outcome

Answer 25

soft; size; position

Question 26

Ideally, we want midcrestal bone to be ______ mm below the CEJ

Answer 26

2-3 mm

Question 27

Ideally, we want interproximal bone to be scalloped ______ mm more _________ than midcrestal

Answer 27

3 mm; incisal

Question 28

When there is a compromised faciopalatal width, the bone width loss is primarily from the _________ region

Answer 28

facial

Question 29

What is necessary to restore ridge anatomy when there is compromised faciopalatal width?

Answer 29

Bone graft

Question 30

Available bone should be at least _____ mm greater than the implant diameter

Answer 30

3 mm

Question 31

Implants should be: ______ mm below the free gingival margin ______ mm from adjacent teeth ______ mm from buccal bone ______ mm from lingual bone

Answer 31

3 mm; 1.5 mm; 2 mm; 1 mm

Question 32

What are the following a result of? Dehiscence Gingival recession

Answer 32

Too buccal

Question 33

What are the following a result of? Improper restoration Not hygienic Not esthetic

Answer 33

Too palatal

Question 34

What is the following a result of? Esthetic + functional complications

Answer 34

Too much facial angulation

Question 35

What are the following a result of? Plaque control is difficult Challenges with screw retained crowns + facial ridge lap

Answer 35

Too much cingulum angulation

Question 36

The implant must be positioned in such a way that the ________ aspect of the implant platform just touches an imaginary line that touches the ________ edges of the adjacent teeth

Answer 36

buccal; incisal

Question 37

What are 3 common esthetic complications?

Answer 37

Soft tissue recession/loss of papilla Malposition affecting the smile line Peri-implantitis