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Flashcards in Tamer El-Finale Implants Deck (59):
1

Avg age (of death) in 205 estimated to be...

90

2

By 2020, how many elderly adults will be edentulous in one or both arches?

30 million plus

3

Out of 33 million edentulous pts, ____% have received implant Tx

2-4%

4

Reasons for Implants

(opposed to dentures)

Success

Bone preservation

Chewing/Tasting

Improve quality of life

5

3 Removable implant options (for edentulous)

Ball OverDenture

Locator OverDenture

Bar OverDenture

6

3 Fixed Implant options (for edentulous)

Fixed Detachable Prosth

Porcelain Fused to Metal Fixed Prosth

Zirconia Fixed Prosth

7

How often should a Fixed Detachable Prosth be removed?

5 years

8

3 options for 8-10 mm Inter-occlusal space:

Locator OverDenture

Porcelain fused to Metal Fixed Prosth

Zirconia Fixed Prosth (fixed complete)

9

Option for 12-15 mm interocclusal space:

Fixed detachable Prosth

10

2 options for 15-20 mm interocclusal space:

Locator Bar Overdenture

Hader Bar Overdenture

11

If 10-15mm interocclusal space, what are 3 options?

PFM

Zirconia

Locator

12

2 fixed dentures (implant supported) that Don't have a Flange:

Porcelain fused to metal prosth

Zirconia fixed prosth (fixed complete)

13

Where do you measure interocclusal space?

Articulator

*never in mouth

14

What type of Implant-supported prosthesis is better if a Pt has a Dexterity Problem?

Removeable

15

Ideally there is ___mm of keratinized mucosa around the implants

3-4 mm

16

If implants aren't parallel, what should you use?

Always use _____ abutments with Splinted Implants

Bar

non-engaging

17

Both Locator or a Bar Overdenture in the edentulous Mn requires how many implants?

*removable prostheses

2-4 implants

18

Removable Prostheses (Locator or Bar Overdenture) requires how many implants in the Mandible?

Fixed Detachable in the Mn?

Porcelain fused to Metal Fixed in the Mn?

All Ceramic Fixed in the Mn?

2-4 implants

4-5 implants

6 implants

6 implants

19

Removable Prostheses (Locator/Bar) requires how many Implants in the Maxilla?

Fixed Detachable in the Mx?

Porcelain fused to Metal fixed in the Mx?

All Ceramics in the Mx?

4

4-6

6-8

6-8

20

The Mx arch should have a minimum of how many implants no matter what?

4

21

Ball O-Ring or Locator Overdenture requires _____ implants?

*Mn

2-4

22

Where should implants be placed in the Mn for an Overdenture?

22-23

26-27

23

Why are forward implants desireable in the Mn for an Overdenture?

limits fulcruming

24

For tests: healing after implant placement is:

4-6 months

25

The top of an abutment needs to be how far above the gingival tissue?

*cleaning purposes

1 mm

26

3 Advantages to using a Locator Overdenture:

***aside from being very low profile

Durable

Easy for Pt

15 and 30 degree angles

27

Locator Overdenture is Low Profile, meaning its attachment height is as low as ____ mm from the internal connection of the implants

2.5 mm

28

If you have very Limited Interocclusal Space, what is best to use?

Locator Overdenture

**8-10 mm

29

Retention of Abutments (for Locator Overdenture) 1.5 lbs for _____, 3 lbs for _____, and 5 lbs for _______

Angle can be corrected up to ____ degrees per abutment

blue, pink, white

10 degrees


***standard

30

Standard: blue, pink, white (1.5, 3, 5) and 10 degrees

Extended: 1.5 lbs is ______, 4 lbs is ______

Angulation correction is:

red, green

20 degrees


***no need for angled abutment

31

Algled Locator Abutment out of Italy:

MedentiLOC

32

If you have abutment in your office, take the impression at what level?

If you have to order the abutment, take impression where?

Abutment Level

Fixture Level

33

Why make a fixed Mx in a U-shaped arch (remove palatal)?

What must it have?

Taste

metal reinforcement of the acrylic

34

If a denture fractures you can add metal to the framework or create space by doing what?

Alveoplasty

35

T/F
If there are implants in the Anterior Mn, the posterior will continue to lose bone

True

36

Because Mn continues to lose bone in sites away from implants a hard reline should be done how often?

2 years

37

Advantage of Ball Overdenture:

Disadvantage:

Good stress distribution

Less retention, stability

***compared to other prostheses

38

T/F
With a Ball Overdenture, implants must be parallel or constant insertion and removal results in rapid wear of the ring

True

39

Success rate of implant supported Overdentures in the Maxilla:

Succes rate of implant supported Overdentures in the Mandible:

87.3%

99.5%


****total 95.4%

40

Additional benefit to implant retained overdentures?

mastication

41

Disadvantage to a Straight Bar Overdenture?

fulcrum

42

A Bar Retained Overdenture requires how much space?

measured from where?

***this is interocclusal space

15-20 mm

implant head to the Plane of Occlusion

43

A bone reduction guide will require what?

Verification Jig

44

T/F
You must know where the denture teeth will be prior to fabricating the bar underneath

So scan the denture teeth and the implants

True

True

45

What is imperative for a Metal Framework?

Passive fit over Implants

***MUST try-in

46

Hybrid Prosthesis:

Fixed Detachable

*only detaches every 5 yrs (by dentist)

47

If you don't have passive fit with a metal framework, what then?

Section

48

How far can you Cantilever a Hybrid (fixed detachable) Prosthesis?

A-P spread x 2

(1.5 for clinic)

49

A-P spread x 2 =

posterior Cantilever in a fixed detachable (Hybrid)

50

Why is it tough to do a Hybrid Prosthesis with a Square Arch?

small A-P spread

51

How much space is needed under a Hybrid Prosthesis in order for the Pt to clean?

1.5 mm

52

T/F
Cantilever length should not exceed 2 times the A-P spread

True

53

Implant Supported Prosthesis: Maxillary Arch, min. length:

# implants:

A-P spread:

10 mm

4

1 cm

54

Implant Supported Prosthesis: Mandibular Arch, min. length:

# implants:

A-P spread:

10 mm

4

1 cm

55

Type of fixed prosthesis delivered same day as Implant Surgery:

type of abutment:

All on 4's

conical

56

Porcelain fused to metal implant supported prosthesis is ______ implants

what arch?

6-8 implants

Upper

57

1st year of Maintenance, appointments how often?

After?

every 3 months

6 months

58

3 Appointment instruments for implant supported prosthesis cleaning?

Plastic scalers

Titanium scalers

Cavitron w/ plastic tip

59

What 2 (or 3) Prostheses require at least 15mm of InterOcclusal Space?

Locator Bar Overdenture

Hader Bar Overdenture

***but also might be Fixed Detachable (Hybrid), which is really 12-15 mm (but 15-20 on another slide)

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