Theory Exam 3
Implantology Knowledge Assessment
Test your understanding of dental implants with our comprehensive quiz designed for both professionals and students! This quiz covers essential concepts including components, complications, and best practices surrounding dental implants.
- 71 thought-provoking questions
- Multiple choice and checkbox formats
- Designed for dental professionals and students
Which best describes an Implant body?
The root of the implant that is surgically placed into the living alveolar bone
Titanium post that attaches to the implant body
A prosthesis is connected to the abutment either by a screw or by dental cement
Which best describes an abutment?
Titanium post that attaches to the implant body
A prosthesis is connected to the abutment either by a screw or by dental cement
The root of the implant that is surgically placed into the living alveolar bone
Which best describes a crown?
A prosthesis is connected to the abutment either by a screw or by dental cement
Titanium post that attaches to the implant body
The root of the implant that is surgically placed into the living alveolar bone
What are three characteristics of Abutments?
Protrudes partially or fully through the gingival tissue
Supports the crown or denture
Biocompatible (not rejected) with the body
It is the main unit that sticks down into the bone for retention
What is the tissue surrounding the implant called?
Peri-implant tissues
Sulcular epithelium
Junctional epithelium
Connective tissue fibers
What surrounds the implant abutment post?
Sulcular epithelium
Connective tissue fibers
What is the function of the biological seal?
It functions as a barrier between the implant and the oral cavity
The material like seal on the abutment that is protective of the surfaces
What does Osseointegration mean?
The direct contact of bone with the implant surface.
When bone joints connect to one another
True or false? Osseointegration is NOT a major requirement for implant success
False
True
Osseointegration is successful if what four things occur?
No mobility
Absence of inflammation of tissues
No discomfort or pain when functioning
No increased bone loss or radiolucency
Excessive bleeding about the implants
What are four characteristics of peri-implant mucositis?
Plaque-biofilm induced inflammation of the soft tissues
No loss of supporting bone
Reversible if plaque is removed, if not it can ramp up to peri-implantitis
Occurs in 80% of patients and 50% of implant sites
Radiographic bone loss is evident
What is peri-implant mucositis?
Plaque induced gingivitis in tissues surrounding the implant
Periodontitis affecting soft and hard tissues surrounding a functioning osseointegrated dental implant
What are the four signs of mucositis?
Red tissues
Swelling
Bleeding
Increased probing depths
Loss of bone
What is peri Implantitis?
Periodontitis affecting soft and hard tissues surrounding a functioning osseointegrated dental implant
Plaque induced gingivitis in tissues surrounding the implant
What are five characteristics of peri implantitis?
Plaque biofilm induced inflammation
Progressive loss of alveolar bone
May progress in a nonlinear and accelerating pattern
Prevalence ranges from 6.61-47%
Begins at the coronal portion of the implant while the apical portion continues osseointegrated
No loss of bone is evident
True or false? When it comes to peri-implantitis the implant does not become mobile until final stages of disease
True
False
What are the four diagnosis for Peri-implantitis?
Signs of inflammation
Presence of bleeding and suppuration upon probing
Increased probing depths
Progressive bone loss as seen on radiographs
No bone loss is evident
What are the five risk factors for implant failure?
History of previous periodontal disease
Poor plaque biofilm control
Smoking
Residual cement
Biomechanical overload
HIV/AIDS
What is Biomechanical overload?
Collective forces placed on an implant
When a unit is too filled with cells that it begins the lysis process
What are three factor influences by implant Biomechanical overload? Three
Position of the implant fixture
Number of implants supporting prosthesis
Occlusal force distribution among implants and remaining teeth
The age of the implant
How can you detect a failing implant regarding clinical signs in soft tissue? Five
Peri-implant pocket
Bleeding
Suppuration
Possible swelling
Pain usually not present
Excessive pain
How can you detect a failing implant regarding changes to bone support? Four
Mobility is best indicator of implant failure
Should not be mobile if healthy
May indicate presence of loose abutment or rupture of cement seal
Severe mobility associated with pain may indicate a fracture
Excessive pain
How can you detect a failing implant regarding radiographic signs of failure? Which three?
Vertical destruction of crestal bone around implant
Bottom portion of implant may remain osseointegrated
Radiolucency indicates bone loss adjacent to implant
Suppuration
When it comes to radiographs? How many times should someone with implants be radiographed?
Once a year
Every 6 months
What are five important data collecting procedures regarding implants?
Probing: Initial probing depths collected upon seating of final restoration
Assessing clinical attachment levels: Must collect baseline data to use as fixed reference point (initial probing)
Assess for bleeding/bleeding on probing: Good indicator of current tissue inflammation
Assess for evidence of suppuration: Can be detected during probing
Collect routing radiographic evidence of health/disease: Vertical bone loss of less than 0.2mm annually following first year of function.
Assessing the background of the patient: Are they old or young
A master periodontal treatment plan is a sequential outline of measures to be carried out by the dentist, dental, hygienist, and patient to: (Which five)
Eliminate disease
Restore a healthy periodontal environment
Coordinates and sequences all treatment and education
Estimates length of time required for comprehensive treatment
Communication with patient is vital
Contribute to spread of disease
True or false? Single implant with prosthetic crown can be cleaned with dental floss.
True
False
What five tools can be used for cleaning implants at home and at the office?
Standard toothbrushes are appropriate, though powered ones can be used
Interdental brushes must have protective coating on the twisted wire
Tufted dental floss is an effective combination of tools for large embrasure spaces
Oral irrigators may be used
Daily antimicrobial mouth rinse may be beneficial
Abrasive prophy pastes
True or false? 3 month recall is usual but schedule appointment as frequently as necessary.to
True
False
When it comes to implants, which peri-implant tissue best matches Junctional epithelium?
Attaches to the implant surface or abutment surface (biologic seal)
In direct contact with the implant surface (osseointegration)
Run parallel to or encircle the implant and abutment surface
When it comes to implants, which peri-implant tissue best matches Connective tissue fibers?
Run parallel to or encircle the implant and abutment surface
In direct contact with the implant surface (osseointegration)
Attaches to the implant surface or abutment surface (biologic seal)
When it comes to implants, which peri-implant tissue best matches Alveolar bone?
In direct contact with the implant surface (osseointegration)
Attaches to the implant surface or abutment surface (biologic seal)
Run parallel to or encircle the implant and abutment surface
How should we assess for disease and health clinically?
Decision should be based on signs of inflammation. Signs of disease can be observed and measured by clinician
By the background history that is listed on the medical history
What are the questions (3 but suppose to be 4) that we use to guide in diagnosis
Does the clinical assessment indicate health or disease?
Is the disease gingivitis or periodontitis?
What type of gingivitis or periodontitis?
Does the patient experience a tremendous amount of pain?
What two clinical measurements determine the difference between gingivitis and periodontits?
Gingivitis: No attachment loss
Periodontitis: Attachment loss, Bone loss seen on radiographs
Gingivitis: attachment loss
Periodontitis: No attachment loss
What are descriptive modifiers?
Disease extent used to describe the severity and extent of disease
Descriptive terms that are used when an injury/lesion becomes too severe
What are six examples of descriptive modifiers?
Extent
Severity
Progression
Localized
Generalized
Molar/Incisior pattern
Disgusting
What three does staging periodontal disease identify?
Severity
Complexity of management
Extent of distribution of disease
Length of disease
What are the five phases of therapy?
Assessment phase and preliminary therapy
Nonsurgical periodontal therapy
Surgical therapy
Restorative therapy
Periodontal maintenance
Payment therapy
Which of the following five best coincide with Assessment phase and preliminary therapy?
Health history
Comprehensive oral examination
Assessment data collection
Radiographs as indicated
Diagnosis of oral conditions
Dental restorations, fixed and removable prosthesis
Which of the following five best coincide with Nonsurgical periodontal therapy?
Self-care education
Nutritional counseling
Nicotine cessation counseling
Periodontal instrumentation
Antimicrobial therapy
Periodontal surgery
Which of the following three best coincide with Surgical therapy?
Periodontal surgery
Dental implant placement
Endodontic surgery
Nutritional counseling
Which of the following two best coincide with Restorative therapy?
Dental restorations, fixed and removable prosthesis
Reevaluation of overall response to treatment
Endodontic surgery
Periodontal instrumentation
Which of the following best coincide with Periodontal maintenance?
Ongoing care at specified intervals
Endodontic surgery
What is best to use to get a precise periodontal disease classification of a patient’s periodontal status?
Assigning a diagnosis based on the AAP classification of periodontal diseases and conditions
It's best to consult with the internet to find out the solution
What is the definition of oral health as defined by the world dental federation?
Oral health is a changeable state of well being, considering physical, mental, and social aspects while addressing demands of life and daily function.
Oral health is the status of an individuals current oral cavity
What are three Anatomical risk factors of periodontitis?
Malpositioned teeth
Root grooves and concavities
Furcations
Calculus
What are two acquired local risk factors of periodontitis?
Calculus
Overhanging and poorly contoured restorations
Root grooves and concavities
What are four examples of acquired factors for perio?
Plaque and calculus
Partial dentures
Open contacts
Overhanging and poorly contoured restorations
Root grooves and concavities
Furcations
What are four examples of anatomical factors for perio?
Malpositioned teeth
Furcations
Root grooves and concavities
Enamel pearls
Plaque and calculus
Partial dentures
What is the most significant risk factor for developing perio?
Cigarette smoking
Diabetes
What is biologic equilibrium?
A state of balance in body, also known as homeostasis
The state of body where it tries to fight off any invading diseases to maintain a steady balance
True or false? Periodontal disease results when the balance is changed between pathogenic bacteria and the host’s inflammatory and immune response
True
False
What are four factors regarding differences in host response?
Major differences exist in the way indivudals respond to plaque biofilm
Even with inadequate plaque control, most patients never progress from gingivitis to periodontitis
Some patients with inadequate self-care progress form gingivitis to periodontitis
If an individuals immune system can effectively deal with a mouthful of periodontal pathogens, no destructive periodontal disease will occur
Patients striken by HIV/AIDS will always have the same similar dental symptoms
What are six examples of Modifiable (acquired and anatomical) risk factors for perio?
Plaque and calculus
Partial dentures
Smoking
Diabetes
Stress
Root grooves and concavities
Pregnancy
What are six examples of Non-Modifiable (Local factors) risk factors for perio?
Socioeconomic status
Genetics
Adolescence
Pregnancy
Leukemia
Age
Smoking
How are patients classified into two groups when identifying factors used to determine prevention or control of their disease?
Risk assessment, The process of identifying risk factors to determine which patients are more likely to prevent or control their dental disease, classifies patients into high risk and low risk groups
By their age and the amount of dental alterations they received during their lifetime.
What are the four factors that make up the clinical risk assessment for periodontal disease?
Demographic data
Medical History
Dental history
Clinical examination
Post operative examination
What are five characteristics of Demographic data regarding clinical risk assessment?
Age
Self care
Frequency of professional care
Socioeconomic status
Duration of exposure to contributing risk factors
Genetic predisposition to aggressive disease
What are five characteristics of Medical History regarding clinical risk assessment?
Tobacco use
Diabetes
Osteoporosis
Aids/HIV
Genetic predisposition to aggressive disease
Age
What are three characteristics of Dental history regarding clinical risk assessment?
Frequency of professional care
Family history of early tooth loss
Previous history of periodontal disease
Osteoporosis
What are five characteristics of Clinical examination regarding clinical risk assessment?
Plaque biofilm accumulation and microbial composition
Calculus deposits
Bleeding on probing
Loss of attachment
Plaque retentive areas
Aids/HIV
What is the clinical measurement(s) that determine(s) the difference between gingivitis and periodontitis is the
Clinical attachment loss
Diabetes
The descriptive modifier “severe” is a term used to determine disease
Severity
Depth range
True or false? It is possible for a patient to have more than one periodontal condition
True
False
The portion of the implant that protrudes through the tissue into the mouth is called the:
Abutment post
Dental root
Which of the following scalers is best for instrumenting around implants?
Scaler made of titanium
Ones that are made out of plastic
True or false? The body's natural response can be a cause for gingival destruction
True
False
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