Flashcards in Tamer El-Sprinty Q2 Implants Deck (100):
Distraction Oseogenesis is breaking bone, attaching, and _________
Implant failure in the esthetic zone is due to poor judgement and Tx Planning
Keys to successful Mx Anterior implant - M/D papillae and the ____
4 Diagnostic keys to predictable esthetic Implants:
relative tooth position/dimension of edentulous space
position of osseous crest
Not enough facial bone can result in the FGM being too Apical
____mm Implant to Adjacent tooth
B/L thickness of bone must be...
Minimum edentulous space M/D width in anterior (LI):
Minimum Bucco-Lingual width
5 mm (b/c small width implant - 3.1mm or so)
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..
Extraction, Ortho Intrusion
Flat thick gingiva has a better prognosis
What kind of Mucosa has Circumferential fibers and a Gingival Cuff that forms around implants similarly to those seen around natural dentition?
Attached keratinized mucosa
If an Implant emerges through _____ keratinized mucosa, it sill have a gingival cuff similar to natural dentition
This is because it has _____ fibers
There must be ___mm of keratinized mucosa around Implants
*attached preferable, but unattached ok of good OH
What tooth shape has best prognosis for an Implant?
longer contact (no Black Holes)
Class I papilla:
Class IV papilla:
Palacci vs Ryser
Tarnow study found that Bone ___ mm to papilla will regenerate at 100%
There needs to be ___mm between Implant surface and Tooth to maintain Interproximal Bone
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
It is more difficult to maintain or create a Papilla between 2 adjacent Implants
Adjacent implants need to be how far apart?
Pontica have better results with the Interdental Papilla
*can play with soft tissue a little more
The implant should be placed how far away from the CEJ?
In the Anteriors, placement needs to be a little more ______
2 mm lingual to the facial surface
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?
bone loss/difficulty cleaning
Anterior measurments need be: B/L:
2-3 mm from CEJ - another 10mm of height, slightly Lingual for facial space, 2mm on facial
If you have less than 6mm M/D space, what?
Regular pt success rate:
Smoker success rate:
*what we say in clinic
Smoking cessation for a total of ____ weeks will yield the same results as non-smokers
More MBL (marginal bone loss) in smokers
3 occlusal considerations for implants:
contact in central fossa
reduce size occlusal table
Preferable way to retain implants:
3 cases Cement retained implants be used?
improper angulation correction
Mn PM (esthetics)
Soft tissue will grow on top:
___ will stay above soft tissue
What type of impression is used for Parallel Implants?
What type is used for severely Angled Implants?
Transfer (Closed Tray)
Pick-Up (Open Tray)
2 general parts to any implant
Where natural roots converge, use what?
*also for narrow ridge, limited bone
Screw uses _______ Abutment
Cemented uses ______ Abutment
2 Indications for Non-Engaging "Cast-To" gold abutment:
Lack of inter-occlusal clearance
Poor implant angulation that would lead to unesthetic restorations
2 types of Abutments:
CAD CAM can produce customized abutments with good emergence profiles in what 2 materials?
Atlantis abutments are very precise
Atlantis scans, restores virtually, designs abutments virtually, and mills out of titanium blanks
Dual transition accommodates soft/hard tissue needs
HA surface is more bioreactive than Ti
Cement what 2 areas of the Mn?
*and less ideal angles
***SCREW everywhere else
Cover Screw is a ____ Stage surgery
Healing Abutment is a _____Stage surgery
Provisional Abutments are more conducive to what?
soft tissue healing
Cover Screw stays at the level of the...
Healing Abutment is above the...
Verify radiographically that your Abutment is seated with what?
We take impressions with ___
medium body PVS
In a closed tray technique we put the posts in and pour up
Open tray has holes drilled and is for what?
With Cement, we use a _______ Abutment
With Screw, we use a ________ Abutment
What type of Abutment do we use with Splinting?
*something about path insertion
If you have to use a Cement Retained Mx LI, what type of Abutment?
Any pre-formed Abutment with a finish line must be a _________
***b/c will be cemented
All CAD/CAM abutments are customized in Ceramic or Ti and are ______ retained
meaning they have ______ abutments
A tooth must have a ____mm Ferrule in order to hold a crown after RCT
The dentin must be ___mm thick
__mm Biologic Width
RCT - what is more important, post length or diameter?
2 reasons to err on the side of the Palatal when placing Implants on the Anterior:
Better Primary Stability
Won't risk facial puncture of bone
The expected Soft Tissue Shrinkage is _____ mm after 6 Months
Why do we want a LIght Contact in occlusion for an Implant?
Problem with 2 Adjacent Implants:
more difficult to create/maintain Papilla
Distance between 2 Implants:
A multiple unit Cement Retained will have _______ abutments
Multiple unit Screw Retained will have _______ abutments
Tooth to implant distance:
1.5 - 2.0 mm
Anterior restorations can be restored as individual single units or splinted
Survival rate of Onlay Bone Graft
Limitations for Mx Posterior Implants include Quality and ______
Also pneumatized ________,
_____ cortical bone
poor quality ____ bone
If you can't establish Canine Guidance, make sure you have....
The use of autogenous bone in a sinus lift may be necessary for success
Posterior Mn limiting factor for Implants
*10mm or longer implant may be difficult
**also width of bone
The use of Short and Wide Implants in the Post Mn has not been predictable
*prone to occlusal overload, bone loss
There are minimal Perio complications with Implants
Implants predictably maintain cortical bone
Cost, technique, and Maintenance are all downsides to Implants
What is more difficult to maintain: FPD or Implant?
More difficult to Diagnose/Tx plan?
Biological complications are more frequent with FPD and RPD than an Implant
Kalamchi - there is no absolute contraindication for an implant
Subperiosteal, Transmandibular, Blade, Endosteal - all Implant types
What type of implant are implants?
Bisphosphonate patient may require special consideration
2 things we need for Tx planning Implants:
Articulated study models
*3rd - surgical guide
Original protocol was how long for healing before implant placement?
A Sinus Fill elevates the ________ Membrane
Should implants ever be connected to natural teeth?
What is minimum Surgical Access for an Implant Site?
Distance from Implant to F/L:
to Root Surface:
between adjacent implants:
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
Final Impressions made _____ weeks after placement
An Overdenture requires ____ Implants in the Mx
Overdenture requires ____ Implants in the Mn
Maximum heat generated while drilling out implant site:
47 degrees Celsius
There should be initial stability and no micro-movement after placement of an Implant
Stability of the Implant at 12 Weeks is influenced by what?
____% of the implant surface integrates with bone
Bone Density D1:
thick compact, dense trabecular
thin cortical, dense trabecular
thin cortical, low density trabecular
Bone type: Ant Mn
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
Alloplastic matl is:
Only Osteogenic source of bone graft:
A patient can be too old for an implant