Intro to Implant Dentistry Flashcards

(58 cards)

1
Q

The leading causes for teeth loss are…

A

caries and periodontal disease

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2
Q

Approximately ____% of adults aged 20 to 64 have no teeth

A

5%

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3
Q

almost ___% of seniors (above the age of 65) have no remaining teeth.

A

30%

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4
Q

Approximately __% of US adults aged 20-64 had dental caries in 2011-2012

A

91%

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5
Q

Periodontal disease affects ___% of the population between 35-44
years of age

A

75%

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6
Q

Periodontal disease affects ___% of people over 65 years of age

A

95%

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7
Q

__________ Americans are missing at least one tooth

A

120 million

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8
Q

more than ________ Americans are currently edentulous

A

36 million

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9
Q

The dental implant and final abutment market in the U.S. is currently valued at ________ and is forecast to reach $1.5 billion by 2025 and is largely driven by general practitioner procedure growth

A

$1.1 billion

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10
Q

The success rate of dental implants has been reported inthescientific literature to be around ____%

A

98%

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11
Q

Denture - ___% of lost function restored

A

30%

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12
Q

Removable Partial - __% of lost function restored

A

60%

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13
Q

Fixed Dental Prostheses (Crowns
and Bridges) - ____% of lost function restored

A

100%

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14
Q

What is a dental implant?

A

A prosthetic device or alloplastic material implanted into the oral tissues beneath the mucosal and/or periosteal layer, and/or within the bone to provide retention and support for a fixed or removable dental prosthesis

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15
Q

What are the three implant categories?

A
  • Eposteal: on/around the bone
  • Transosteal: through the bone
  • Endosteal: in the bone
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16
Q

What is an eposteal implant?

A

on/around the bone
- Subperiosteal

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17
Q

What is a transosteal implant?

A

through the bone
- Transmandibular

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18
Q

What is an endosteal implant?

A

in the bone
- Blade and Root Form

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19
Q

What are subperiosteal implants made of?

A

Vitallium metal

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20
Q

What kind of dentures are made on subperiosteal implants?

A

Denture is implant supported = expensive

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21
Q

What is the 10 year survival rate for the subperiosteal implant?

A

85%

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22
Q

When are subperiosteal implants indicated?

A

atrophic edentulous mandible

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23
Q

What does bone resorption of a subperiosteal implant lead to?

A

mobility infection and loss

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24
Q

What is a transosteal implant made of?

A

titanium metal

25
What is the 15 year success rate of a transosteal implant?
91%
26
When are transosteal implants indicated?
Only indicated for the edentulous mandible - Excellent for the atrophic mandible where root form implants would weaken the jaw
27
What type of denture is used with a transosteal implant?
Denture is tissue supported
28
Why are transosteal implants not widely used?
- Requires one surgery usually in the hospital. - External incision / approach - Complex surgical procedure therefore not widelyused.
29
Where can you put a transosteal implant?
Restricted to the anterior mandible.
30
What is the success rate of a transmandibular implant?
97%
31
What type of denture is used with a transmandibular implant?
implant supported denture
32
What is a transmandibular implant made of?
Gold alloy
33
What makes a transmandibular implant reversible?
can be removed due to design of screws and degree of integration, but not easy process
34
When are transmandibular implants used?
Used for severe atrophic mandibles <10mm
35
What does a transmandibular implant allow for?
■Allows facial muscles to be reattached to improve facialprofile ■One stage, extra-oral approach (submental) ■Eliminates ridge augmentation or vestibuloplasty
36
What are the three types of endosteal implants?
blade, cylinder, screw
37
What are the characteristics of a blade endosteal implant?
■ Titanium metal ■One stage/best for partially edentulous mandibles ■Most widely used until 1980
38
What is the success rate (5 years) of the blade endosteal implant?
75%
39
What caused early failures of the blade endosteal implant?
heat at preparation and immediate loading
40
What are the drawbacks of a blade endosteal implant?
Difficult to prepare a precision slot and if it fails, a large section of bone is involved
41
What is the success rate of a root form endosteal implant?
greater than 90%
42
When are root form endosteal implants indicated?
partially and fully edentulous cases/any area of the mouth (versatility)
43
What are the uses of root form endosteal implants?
overdenture, hybrid, crown and bridge, ortho anchorage
44
What are the characteristics of a root form implant?
■Titanium or an alloy of titanium-aluminum-vanadium metal ■1 or 2 stage approach ■ In office procedure ■Screws/Cylinders ■Machined or rough (to increase surface area for integration)
45
Who's research made root form implants the standard?
Per-Ingvar Brånemark (the daddy of implant dentistry)
46
What type of implant can you use the posterior maxilla is atrophic?
Super Implants: Zygomatic & Pterygoid
47
What is osseointegration?
a direct structural and functional connection between ordered, living bone and the surface of a load-carrying implant
48
Why is titanium used for implants?
■ Not recognized as a foreign object by the body ■ Less host rejection than other metals/alloys ■Medicine also recognized utilization in joint replacements and heart valves
49
What are the differences in disease processes between teeth and implants?
Teeth: * Caries * Periodontaldisease Implants: * Peri-implantitis (bone) * Peri-mucositis(soft-tissue)
50
What are the different types of implant designs?
- one piece vs two piece - tissue level vs bone level - external hex vs internal hex
51
Predictability of single implant fixture survival is in the _______% range
94-98%
52
_____% of implant failures occur prior to the placement of the restoration
55-60%
53
_____% of implant failures occur after the restoration placement
40-45%
54
What % of implant failures occured in the 1st, 2nd, and 3rd year?
* 57% of the failures occurred in 1st year * 34% of the failures occurred in the 2nd year * 9% of the failures occurred in the 3rd year * 0%after?
55
How much bone loss during the 1st year of implant?
1 mm average
56
How much bone loss during each year after the first year of implant?
0.1 mm average
57
__mm of soft-tissue recession can generally be expected during the first year of an implant
1mm
58
Most soft tissue recession occurs within the first ___ months following abutment connection surgery
3