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DH 419 EXAM 3
Terms in this set (57)
Implants are __________ popularity
Dentures- ____% don't wear after __ yrs
Partials- ____% wear after ___ years
Single ________ replacement vs __________
All on __ (sometimes __ on ___________)
Clear choice - done in __ day! 'all in _____'
HISTORY of Implants (x5)
-MID 2Oth CENTURY (x2)
-fibrosseous integrate/materials not compatible
-stainless steel/chrome cobalt/unreliable
-good long term success rate(10 yrs)
The most common type of implant used today is?
TYPES of Implants OVERVIEW (x3)
-custom cast frames rests on bone
-combine subP plate w/endosseous portion
-cylindrical cones or blades placed into bone
The part of the implant embedded in bone is the?
IMPLANT ATTACHED 'DIRECTLY' TO BONE
ELEVEN REQUIREMENTS: (x4)
-atraumatic prep/amount quality bone
-screws/surface property/titanium oxide
The biggest difference between attachment of the periodontal tissues to an implant and a tooth is related to?
Interface with Perdiodontium OVERVIEW (x4)
-bone to implant/epithelial attachment
-NO cementum/PDL/sharpey fibers
SIX Implants: PT SELECTION (x3)
-cooperative/emotionally stable/good health
-no bad medical factors that effect wound heal
-missing teeth/realistic expectations
FIVE BAD Medical Factors that ADVERSELY effect wound healing (x2)
-suppressed immune/uncontrolled diabetes
Which is the most important determinant of implant placement?
AMOUNT of bone
Differences between 1- and 2-stage implants include all EXCEPT one. Which is the EXCEPTION? + (x2)
-implant oral cavity communication
-surgical procedure/time until loaded
Stage Type OVERVIEW (x3)
-TWO-STAGE (e.g., BRANEMARK) (x2)
-ONE STAGE (e.g., ITI) (x1)
-insert fixture/allow for osseointegrate
-abutment protrudes at placement and healing
How much mobility is acceptable with implants?
-The ______________ has a _________ survival rate, ____% in the ___________ region, and the __________ survival rate is ____%.
-Survival of implants seems to be ___________ related to bone _________, bone ____________, and ______________ insertion of the implant
Bone Quality Classifications I - IV (x4)
I: similar density to hard wood (oak)
II: similar density to softer wood (pine)
III: similar density to very soft wood (balsa) IV- similar density to styrofoam
Bone can be ___________________ in periodontal wounds but is not a "________________" occurrence. When bone healing occurs, new bone begins as "__________" bone and ___________ over time through the following stages:
__________ --> _______/_____________ --> ___________
TYPES of Bone (STAGES) (x5)
-disorganized/highly vascular/many bone cells
-marrow spaces/soft tissue/very cellular
-fewer cells/fewer marrow spaces/less loose CT
-fewer cells/lees loose CT/highly organized
-tightly packed osteons
BONE LEVELS (EXPECT SOME LOSS) (x2)
-AFTER 1st year
-1st year: 0.5-1mm
-AFTER 1st year: .06-.08mm
ELEVEN Evaluation Criteria OVERVIEW (X3)
-bleeding/bone levels/calc plaque removed
ICOI Health Scale for Dental Implants (x7)
-Satisfactory Survival (x1)
-Compromised Survival (x2)
-0 mobility/<2mm radioG bone loss after
-no function pain tenderness/no hx exudate
-2-4mm radiographic bone loss/else same success
->4mm radioG bone loss(<½ implant length)
-PD >7mm/possible exudate hx
-bone loss >½ implant length/exudate
If an implant is _______, local removal of plaque and polishing, irrigation, systemic antimicrobial therapy and improved patient compliance with self-care may result in _______________ condition.
THREE types Detox fixturess (x1)
-air abrasives/citric acid/saline rinses
The are the THREE most important consideration(s) when debriding implants is? (x2)
-remove all calc/remove all plaque
-maintain smooth implant surface
WHAT FIVE things can you polish with on implants? (x2)
-fine pumice/fine paste/MI wo Fluoride
-jeweler rouge/tin oxide
T/F: When probing implants, any reading 4mm or deeper indicates periodontal disease.
To check tissue integrity, ________ the _______ pocket ________ rather than challenge the __________________ seal.
Deeper probe readings do not necessarily indicate periodontal pathology unless what FOUR things?: (x2)
-bleed on probe/exudate visible
-increased PD over time/radioG bone loss
FIVE ACCEPTABLE Material type instruments to use on implants (x2)
Titantium - ______________ hardness implants ___-___
Stainless steel ___-___
Titanium instruments ___-___ (______________ supposedly ___-___?)
Fluoride paste and dentifrice can cause _____________ of _____________
DO NOT USE ____________ and _________ paste!
Researchers are ____________ over using ____- powered abrasive units on dental ______________
For periodontal health, restoration margins should be placed?
How much space is required between the margin of a restoration and the alveolar bone ("biologic width"- between margin/elveolar bone)?
1mm CT Attachment
Which procedure is NOT necessary when performing crown lengthening?
FOUR Crown Lengthening Associations (x2)
-apical flap reposition/gingivectomy
Prior to the restorative appointment, the restorative DDS wants all EXCEPT which of the following?
Arrested caries (what they do)
-Adequate alveolar bone support
-Normal probe depths
-Lack of inflammation
(what we do)
THREE Things Restorative DDS wants: (x2)
-adequate alveolar bone
-lack inflam/normal PD
SEVEN Proper Restorative Environment (x3)
-adeq crown length/arrested caries
-good plaque control/non path occl
-perio health/proper nutrition/tooth position
How does occlusion affect periodontal health?
Combo of the pressure on the bone from the occlusion & inflammation together
Which is true of primary occlusal trauma?
-Excessive occlusal forces
"Its PRIMARILY the occlusion!"
Occlusal Trauma OVERVIEW (x4)
-excessive occlusal forces
-normal supporting structures
-normal occlusal forces
-inadequate supporting structures
Occlusal Factors OVERVIEW (x
-Close Root Proximity (x1)
-Mesially Tilted Molars (x1)
-Severe overbite/plunger cusps (x1)
-Teeth in buccal/lingual version (x2)
-Tooth malposition (x2)
-susceptible to inflam effects
-deep mesial pockets
-may lead to local perio breakdown
-thin non existant alveolar bone
-make plaque control difficult
-mod local environment
Mobility of 1mm is classified as:
THREE Mobility Causes OVERVIEW (x1)
-occlusion trauma/PDL inflam/support loss
Fremitis: palpable vibration or movement MEASUREMENT (x3)
+ slight movement felt
++ clearly paplable/movement barely visible
+++movement clearly observed visually
PROCEDURE FOR DETERMINIATION OF FREMITUS:
-Seat patient __________
-Press _______ finger on each _____________ tooth at the ____________ third.
-Request the patient to "_______ the ________ teeth" repeatedly.
-Start with most ______________ maxillary tooth on one side and move the _______ finger tooth by tooth around the _____.
-Record ____________ or _______________ by tooth ____________.
Detecting Occlusal Tramau (x3)
-signs of occlusal wear
-discontinuous lamina dura
Pressure on bone results in?
Role of occlusion in progression of PD is CONTROVERSIAL!
-Occlusal ___________________ are a risk factor for ____ progression
-Treatment of occlusal ___________________ was associated with slowing of PD _________________.
** Harrel concluded that studies are _____ definitive since there were no _________________, controlled trials
Which tissues is/are affected by occlusion?
Can occlusal trauma cause pockets?
FOUR Occlusal Therapies OVERVIEW (x2)
-bite appliances(reversible)/multiple restorations
Evaluate and record evidence (SEVEN) of occlusal stress: (x2)
-clench/grind/tooth wear/wear facets
-wake w clamp teeth/tired muscles/ear pain
Unilaterial force applied to teeth results in what FOUR things?: (x2)
A tooth that lacks vitality is more likely to have which type of involvement?
PERIO OVERVIEW (x4)
-Lymph involvement (x1)
-chronic/mild/local/respond to analgesic
ENDO OVERIEW (x4)
-Lymph involvement (x1)
-acute/severe/vague/no analgesic response
If a tooth is both perio and endo involved, which should be provided first?
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