Tamer El-Sprinty Q2 Implants COPY Flashcards Preview

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Flashcards in Tamer El-Sprinty Q2 Implants COPY Deck (100):
1

Distraction Oseogenesis is breaking bone, attaching, and _________

screwing away

2

Implant failure in the esthetic zone is due to poor judgement and Tx Planning

True

3

Keys to successful Mx Anterior implant - M/D papillae and the ____

FGM

4

4 Diagnostic keys to predictable esthetic Implants:

relative tooth position/dimension of edentulous space

form/biotype peridontium

tooth shape

position of osseous crest

5

Not enough facial bone can result in the FGM being too Apical

True

6

____mm Implant to Adjacent tooth

B/L thickness of bone must be...

1.2-2 mm

1 mm

7

Minimum edentulous space M/D width in anterior (LI):

Minimum Bucco-Lingual width

6 mm

5 mm (b/c small width implant - 3.1mm or so)

8

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..

also...

5 mm

grind

crown

Extraction, Ortho Intrusion

9

Flat thick gingiva has a better prognosis

True

10

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

11

If an Implant emerges through _____ keratinized mucosa, it sill have a gingival cuff similar to natural dentition

This is because it has _____ fibers

Attached

Circumferential

12

There must be ___mm of keratinized mucosa around Implants

3-4 mm

*attached preferable, but unattached ok of good OH

13

What tooth shape has best prognosis for an Implant?

Why?

Square

longer contact (no Black Holes)

14

Class I papilla:

Class IV papilla:

4 papilla:

1 papilla:

Palacci vs Ryser

intact

gone

intact

gone

15

Tarnow study found that Bone ___ mm to papilla will regenerate at 100%

6mm:

7mm:

5 mm

56 %

27%

16

There needs to be ___mm between Implant surface and Tooth to maintain Interproximal Bone

1.5 mm

17

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

Black Triangle

18

T/F
It is more difficult to maintain or create a Papilla between 2 adjacent Implants

True

19

Adjacent implants need to be how far apart?

3 mm

20

Pontica have better results with the Interdental Papilla

True

*can play with soft tissue a little more

21

The implant should be placed how far away from the CEJ?

In the Anteriors, placement needs to be a little more ______

distance?

2-3 mm

LIngual

2 mm lingual to the facial surface

22

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?

emergence profile

bone loss/difficulty cleaning

23

Anterior measurments need be: B/L:

M/D:

Apico:coronal:

5 mm

6 mm

2-3 mm from CEJ - another 10mm of height, slightly Lingual for facial space, 2mm on facial

24

If you have less than 6mm M/D space, what?

Ortho

25

Regular pt success rate:

Smoker success rate:

*what we say in clinic

95%

85%

26

smoker failure:

non-smoker failure:

11.28%

4.76%

27

Smoking cessation for a total of ____ weeks will yield the same results as non-smokers

9 weeks

28

More MBL (marginal bone loss) in smokers

True

29

3 occlusal considerations for implants:

contact in central fossa

low cusps

reduce size occlusal table

30

Preferable way to retain implants:

Screw

31

3 cases Cement retained implants be used?

improper angulation correction

Mn PM (esthetics)

Mn incisors

32

Soft tissue will grow on top:

___ will stay above soft tissue

cover screw

healing abutment

33

What type of impression is used for Parallel Implants?

What type is used for severely Angled Implants?

Transfer (Closed Tray)

Pick-Up (Open Tray)

34

2 general parts to any implant

body

restorative part

35

Where natural roots converge, use what?

*also for narrow ridge, limited bone

Tapered implants

36

Screw uses _______ Abutment

Cemented uses ______ Abutment

non-engaging

engaging

37

2 Indications for Non-Engaging "Cast-To" gold abutment:

Lack of inter-occlusal clearance

Poor implant angulation that would lead to unesthetic restorations

38

2 types of Abutments:

engaging

non-engaging

39

CAD CAM can produce customized abutments with good emergence profiles in what 2 materials?

Ceramic

Titanium

40

Atlantis abutments are very precise

True

41

Atlantis scans, restores virtually, designs abutments virtually, and mills out of titanium blanks

True

42

Dual transition accommodates soft/hard tissue needs

True

43

HA surface is more bioreactive than Ti

True

44

Cement what 2 areas of the Mn?

Incisors

Premolars

*and less ideal angles

***SCREW everywhere else

45

Cover Screw is a ____ Stage surgery

Healing Abutment is a _____Stage surgery

Provisional Abutments are more conducive to what?

2

1

soft tissue healing

46

Cover Screw stays at the level of the...

Healing Abutment is above the...

bone

gingiva

47

Verify radiographically that your Abutment is seated with what?

BW

48

We take impressions with ___

medium body PVS

49

In a closed tray technique we put the posts in and pour up

True

50

Open tray has holes drilled and is for what?

divergent implants

51

With Cement, we use a _______ Abutment

With Screw, we use a ________ Abutment

Engaging

Non-engaging

52

What type of Abutment do we use with Splinting?

Non-Engaging

*something about path insertion

53

If you have to use a Cement Retained Mx LI, what type of Abutment?

Engaging

54

Any pre-formed Abutment with a finish line must be a _________

Engaging

***b/c will be cemented

55

All CAD/CAM abutments are customized in Ceramic or Ti and are ______ retained

meaning they have ______ abutments

Cement

Engaging

56

A tooth must have a ____mm Ferrule in order to hold a crown after RCT

The dentin must be ___mm thick

__mm Biologic Width

2.0 mm

1.0 mm


2.0 mm

57

RCT - what is more important, post length or diameter?

Length

58

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

59

The expected Soft Tissue Shrinkage is _____ mm after 6 Months

0.6 mm

60

Why do we want a LIght Contact in occlusion for an Implant?

no PDL

61

Problem with 2 Adjacent Implants:

more difficult to create/maintain Papilla

62

Distance between 2 Implants:

3 mm

63

A multiple unit Cement Retained will have _______ abutments

Multiple unit Screw Retained will have _______ abutments

Engaging

non-engaging

64

Tooth to implant distance:

1.5 - 2.0 mm

65

Anterior restorations can be restored as individual single units or splinted

True

66

Survival rate of Onlay Bone Graft

98%

67

Limitations for Mx Posterior Implants include Quality and ______

Also pneumatized ________,

_____ cortical bone

poor quality ____ bone

Quantity

Mx Sinus

thin

trabecular

68

If you can't establish Canine Guidance, make sure you have....

Group Function

69

The use of autogenous bone in a sinus lift may be necessary for success

True

70

Posterior Mn limiting factor for Implants

IAN

*10mm or longer implant may be difficult

**also width of bone

71

The use of Short and Wide Implants in the Post Mn has not been predictable

True

*prone to occlusal overload, bone loss

72

There are minimal Perio complications with Implants

True

73

Implants predictably maintain cortical bone

True

74

Cost, technique, and Maintenance are all downsides to Implants

True

75

What is more difficult to maintain: FPD or Implant?

More difficult to Diagnose/Tx plan?

Implant

Implants

76

Biological complications are more frequent with FPD and RPD than an Implant

True

77

Branemark:

osseointigration

78

Kalamchi - there is no absolute contraindication for an implant

True

79

Subperiosteal, Transmandibular, Blade, Endosteal - all Implant types

True

80

What type of implant are implants?

Endosteal

81

Bisphosphonate patient may require special consideration

True

82

2 things we need for Tx planning Implants:

Articulated study models

CBCT

*3rd - surgical guide

83

Original protocol was how long for healing before implant placement?

3-6 months

84

A Sinus Fill elevates the ________ Membrane

Schneiderian

85

Should implants ever be connected to natural teeth?

No

86

What is minimum Surgical Access for an Implant Site?

35 mm

87

Distance from Implant to F/L:

to Root Surface:

between adjacent implants:

1 mm

1.5 mm

3 mm

88

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

2-3 mm

Junctional

89

Final Impressions made _____ weeks after placement

6-12 weeks

90

An Overdenture requires ____ Implants in the Mx

Overdenture requires ____ Implants in the Mn

4-6

2-4

91

Maximum heat generated while drilling out implant site:

47 degrees Celsius

92

There should be initial stability and no micro-movement after placement of an Implant

True

93

Stability of the Implant at 12 Weeks is influenced by what?

not what?

Diameter

not length

94

Kalamchi

____% of the implant surface integrates with bone

50-70%

95

Bone Density D1:

D2:

D3:

D4:

homogenous compact

thick compact, dense trabecular

thin cortical, dense trabecular

thin cortical, low density trabecular

96

Bone type: Ant Mn

Post Mn

Ant Mx

Post Mx

D1

D2

D3

D4

97

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

Osteoconductive

Osteoinductive

Osteogenic

98

Alloplastic matl is:

Allograft is:

Only Osteogenic source of bone graft:

Osteoconductive

Osteoconductive/Osteoinductive

Autogenous

99

A patient can be too old for an implant

False

100

Use the Surgical Guide, but Don't rely on the surgical guide

True

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