Waldrop

Question 1

Options to fix a narrow alveolar ridge to prepare

for an implant

Answer 1

narrow platform fixture
Ridge expansion via: guided bone regeneration,
distraction osteogenesis, or split alveolar ridge

Question 2

What is used in conjunction with Guided bone
regeneration to control the soft tissue bridging of a
defec

Answer 2

e-PFTE membrane

Question 3

Time for soft tissue healing at extraction site

Answer 3

6-12 weeks

Question 4

Areas for bone graft materials extra-ora

Answer 4

illium, calvarium, clavicle, tibia, fibula, scapula

Question 5

Areas for bone graft materials intra-oral

Answer 5

mandibular symphysis, retromolar area, body of

mandible, ramus of mandible

Question 6

)2 types of resorbable membranes

Answer 6

non-resorbable (e-PTFE)

Resorbable (collagen or synthetic polymers)

Question 7

Best way to close flap for healing

Answer 7

ension free flap closure with smallest needle and
suture material with mattress holding sutures or
interrupted sutures

Question 8

What can be used to enhance bone grafts

Answer 8

platelet rich plasma or growth factors

Question 9

Do you need a surgical template/guide

Answer 9

yes

Question 10

)4 ways to restore inadequate keratinized tissue for

implant

Answer 10

free gingival graft
Connective tissue graft
Alloderm-acellular dermal graft
Skin graft

Question 11

do what if have inadequate oral mucosa for

implant

Answer 11

guided tissue expansion

Question 12

Do what for gingival excess at implant site

Answer 12

esthetic crown lengthening

Question 13

All platforms/diameters/surgical systems have

what for ease of use

Answer 13

color coding

Question 14

What bone requires tapered 4.3mm drill

Answer 14

Types 2,3,4

Question 15

Dense bone drills are used in what bone type

Answer 15

Type 1 & 2

Question 16

4 things a dense bone drill does for implant

site

Answer 16

dense bone drill is the final bone drill
Removes steps left by tapered drills
Will not oversize the site
Allows passive fit

Question 17

)When is a dense bone drill used

Answer 17

after the final tapered drill

Question 18

Must an implant always be placed at the same

level in the bone

Answer 18

No, varies, can be level with crest, slightly above

crest or collar above crest

Question 19

4 reasons for the variability in depth of implant

Answer 19

limited intra-arch space
Narrow bone bucco-lingual
Esthetics
Increase crown:root ratio

Question 20

This determines initial stability of the implant and

prevents over tightening the implant

Answer 20

surgical torque wrench

Question 21

Primary stability with the surgical torque wrent

between ___ and ___ Ncm

Answer 21

35-40 Ncm

Question 22

What is used in the surgical area and with the

instruments

Answer 22

copious cooled irrigation

Question 23

What is drill speed for the tapered groovy and

dense bone drills

Answer 23

800 rpm

Question 24

)What is the drill speed for the straight groovy bone

drills

Answer 24

2000 rpm

Question 25

What is the rpm/ Ncm for screw tap drilling

Answer 25

25 rpm or 45 Ncm torque

Question 26

What is the rpm/Ncm for implant placement

Answer 26

25 rpm or 20-45 Ncm torque

Question 27

What is the final torque with the torque wrench

Answer 27

35-45 Ncm

Question 28

What motion is used for implant site drilling

Answer 28

in and out with drill in bone for 1-2 seconds

Question 29

How far does the drill preparation extend beyond | the implant

Answer 29

1mm (must be accounted for in treatment | planning)

Question 30

which drill type is single use: tapered or straight

Answer 30

Straight

Question 31

When are tapered drills to be replaced

Answer 31

after 20-30 uses or when cutting efficiency lessen

Question 32

Heat generated from drill can be transmitted how | far in bone and what does this ultimately result in

Answer 32

>3mm, implant failure

Question 33

Do not exceed what temperature when preparing | site

Answer 33

47 deg C

Question 34

Factors to minimize heat

Answer 34

copious cooled irrigation Incremental drilling Intermittent drill pressure New (sharp) drills

Question 35

Rule for placing implant

Answer 35

2mm below adjacent CEJ or gingival margin

Question 36

Rule for bone graft in socket at implant placement

Answer 36

bone graft if space larger than 2mm

Question 37

2 uses for a surgical guide

Answer 37

implant placement | Index implant for temporary crown

Question 38

Posterior occlusal tables should be _____to | alleviate lateral occlusal forces

Answer 38

Narrow

Question 39

Of the 3 flow charts for approaches to treatment, | what was the first consideration before the implant

Answer 39

Site: immediate implant at EXT site Site: Flap technique Site: Flapless technique

Question 40

With the 3 flow charts for approaches to treatment, after it is determined what the site will be (e.g. EXT site, flap, flapless), what is asked next

Answer 40

Bone graft or no bone graft

Question 41

With the 3 flow charts for approaches to treatment, after it is determined what the site will be (e.g. EXT site, flap, flapless), what is asked next

Answer 41

Bone graft or no bone graft

Question 42

With the 3 flow charts for approaches to treatment after it is determined if the site will require a bone graft or not, what are the common options in all 3 graphs

Answer 42

)healing abutment or immediate provisionalization

Question 43

With the 3 flow charts for approaches to treatment the Immediate placement at EXT site and the Flap site, when it required a bone graft, what was the other option besides healing abutment or immediate provisionalization

Answer 43

2 stage implant

Question 44

Wit the 3 flow charts for approaches to treatment, what is the consideration in all of them in the esthetic zone

Answer 44

connective tissue graft with or without bone graft