Dental_Implant_Prof.Poch_Sophearath(1-50)
1. The control of diabetes over time: HbA1c should not exceed 7%.
The prevention of infections
The implant surface and design
All are correct
2. Implant placement is indicated for diabetes patient if:
The wound healing is altered
HA1c not exceed 7%
The blood pressure is 180/80mmHg
Plasma glucose level is 126 to 200
All are correct
3. Dental Implant therapy for hypertensive patient is contra -indicated when:
Maximum Blood pressure is above 160/90mmHg and 150/80mmHg for diabetic patients.
Recent myocardial infarction
Unstable angina pectoris
Hypertensive patient with 180-209/110-119mmHg.
All are correct
4. Uncontrolled blood pressure increase the risk for cardiovascular during dental care or prolonged stressful:
Myocardial infarction
Angina pectoris
Cardiovascular accident
Blood pressure: 180-209/110-119mmHg
All are correct
5. Patient with acquired bleeding tendency:
Should stop using aspirin or other antiplatelet agents 2 days before surgery
Should stop using aspirin or other antiplatelet agents 1 week before surgery
Should prevent post operative bleeding
Should discontinue anticoagulant before dental treatment
Should not use local anesthesia contain with adrenaline.
6. The statement below is correct, Except:
Hyperglycemia impair the collagen metabolism and bind to monocyte and macrophage cell membranes, thus altering the wound healing.
Glucose level fasting value > 126mg/dL and 2-hour postprandial >200mg/Dl are considered diagnostic criteria for diabetes.
HbA1c value normal: 7%-7.5%
The longer duration diabetes, the higher the failure rate for implant treatment.
Implant placement is indicated for diabetes patient with HgA1C: 7%.
7. The statement below is true, Except:
Adrenaline in local anesthesia is not safe for hypertensive patients
Patients with recent myocardial infarction, unstable angina pectoris are not candidates for surgical treatment
IV bisphosphonate-treated patients have high incidence of ONJ.
Platelet Count lower than 100,000/mm3 are considered a contraindication for elective surgical procedure
INR is the most reliable test, its normal value is 1.
8. The statement below is true, Except:
The irradiation dose is the major limited factors which effects the osseintergration.
Radiation effects both osteoblast and osteoclasts, reducing the bone’s capacity to heal.
Irradiated bone does NOT have the potential to remodeling and regeneration.
Implant failure rate is low when irradiation dose below 45Gy.
ORN is one of major complications of radiation therapy
9. The statement below is true, Except:
Schneiderian membrane is very thin, yellowish and extremely friable for smokers.
Schneiderian membrane is elastic with the thickness: 0.45mm to 1.40 mm
15% of IAN is located in the middle of the mandibular ramus, posterior to the 2nd molar, then runs lingually to follow the lingual plate
15% of IAN canal follows the lingual cortical plate of the mandibular ramus and body
15% of IAN is located near the middle of the ramus and body
10. The statements below are correct, Except:
Certain areas of the implant surface are in direct contact with bone is called Primary bone contact.
The remodeled bone and new bone contact with implant, termed secondary bone contact
Primary bone contact is increased when Secondary bone contact occurred.
Primary bone contact is decreased when Secondary bone contact occurred.
Immediate loading protocols were first described for the completely edentulous mandible
11. The concept of prosthetic-driven implant dentistry mean:
Implant selection is performed before prosthetic planning.
Perform prosthetic immediately after implant placement
Implant selection is performed after prosthetic planning
Immediate implantation into extraction socket.
12. Implant selection is involve:
Clinical examination,
Radiographic examination
Surgical evaluation
Prosthetic planning
All are correct
13. Implant characteristics include the following:
Length and diameter,
Shape and roughness,
Number
Position
All are correct
14. 1Guidelines for implant selection are based on:
Dimensions of the edentulous area
Adjacent teeth and Anatomical structures
Biomechanics
Bone volume and Bone quality
All are correct
15. Interdental distance for single tooth replacement using standard implant:
7mm
8mm
9mm
10mm
All are correct
16. Interdental and inter-occlussion distance for multi teeth replacement
7mm is required between the centers of two implants.
3mm is required between implant heads
1.5mm is required from implant to adjacent tooth
Vertical dimension of 6mm is required.
All are correct
17. A standard implant requires :
7mm mesiodistal distance,
10mm bone height,
6mm bone width.
7mm bone width at esthetic area.
All are correct
18. The role of the temporary prosthetic restoration:
Maintain esthetic
Provide stabilization
Function
Preview for future restoration
All are correct
19. The provisional prosthetic can be elaborated:
Prior to extraction
Before implant placement
After implant placement
After implant osseointergration
All are correct
20. General specifications of temporary prosthetic restorations:
Not traumatic to adjacent teeth and soft tissues
No negative interference with osseointergration
Easy to modify if necessary
Acceptable esthetics
All are correct
21. Minimal buccal –lingual bone volume for 4mm diameter implant is:
5mm in esthetic areas
5mm in non-esthetic areas
6mm in esthetic areas
7mm in esthetic area
All are correct
22. In term of biomechanics, implant should be placed in the direction of axial forces, because:
The bone/implant interface is well adapted to axial compressive forces.
To improves the mechanical strength of the implant body
To induce shear force
To improve esthetic
To get enough vertical dimension.
23. Wide diameter of implant should be use in strong occlusal forces because:
Increase primary stability
Improves the mechanical strength of the implant body.
Improve esthetic
Prevent implant fracture
Prevent loosening abutment
24. Prerequisite for success for immediate or early loading of implants is:
Implant brand
Implant SLA surface
Sufficient primary stability
All are correct
25. To improve primary stability in type 3 and 4 bone, surgeon may adapt with:
Implant dimension
Implant design
Rough/bioactive surface
Drill sequence
All are correct
26. Removable provisional may be unstable solution because :
Compressive on mucosa
Cause marginal bone loss
May loss of osseointergration
May not comfortable
All are correct
27. Implant placement in anterior single tooth is predictable treatment outcomes if:
Patient with high smile line
The sites without hard and soft tissue deficiency
Patient motivation
D.Patient with high smile line and The sites without hard and soft tissue deficiency
28. Dental implant therapy in the anterior is a complex procedure, which base on a comprehensive preoperative evaluation. An optimal esthetic result depends on
Patient selection
Implant selection
Correct three dimensional implant positioning
Soft tissue stability
All are correct
29. Single tooth implant in the anterior area is a surgical risk procedure if:
Buccal bone deficiencies
Soft tissue deficiencies
Distance between the proximal bone and CEJ of the adjacent teeth > 2mm
Buccal cortical bone plate < 1mm
All are correct
30. The provisional fixed restoration plays a major role in esthetic outcome because:
It can be modified to create emergence profile
It is easy to fabricate
It improve osseointergration
All are correct
31. Selection of the abutment depends on:
Peri-implant gingival margin and the longitudinal implant axis
Implant design
Implant surface
Mechanical strength of implant body
Bone implant contact
32. Implant-supported FPD, when possible, is the treatment of choice for partially edentulous patients in the situation:
Healthy adjacent teeth
Intact adjacent tooth restoration
Posterior reduced arch
Extended edentulous segments
All are correct
33. In cases of restoration of each los unit with an implant, when it is indicated to splinting the implant ?:
Narrow-diameter implants in the posterior area
Short implants
Bruxism
Poor bone quality
All are correct
34. There are some disadvantages of screw retain, Except:
Bacterial Colonization
More screw loosening
Cost
Retrievable
Esthetics
35. Immediate and early loading protocols should focus on:
The amount of primary bone contact.
The quantity of bone at the implant site.
The rapidity of bone formation around the implant
The quality of bone at the implant site.
All are correct
36. Cochrane reviews are recognized as a gold standard in evidence-based health care, Except:
Immediate loading was defined as implants in function within 1 week after their placement. No distinction was made between occlusal and nonocclusal loading.
Early loading was defined as putting implants in function between 1 week and 2 months after placement.
Conventional loading was defined as putting implants in function after 2 months
Immediate loading was defined as implants in function within 1 days after their placement
All are exceptional
37. What’s fibro-intergration?:
Implant is fully intergrated to the bone.
Implant is intergrated and attached via dense fibrous tissue.
Implant is 70% intergarted to the bone.
Implant is fallen out.
All are correct
38. To prevent implant from fibro-intergration, Must:
Curettage the osteotomy site before place implant
Drill with irrigation copiously
Drill slowly
Torque should not exceed 35Ncm.
Premedication
39. Clinician should be perform proper technique when placing implant in poor bone type IV, Except:
Drill sequence technique
Bone condensation technique
Bone splitting technique
All are corrects
40. There many reasons in implant failures, Except:
Implant design
Overheating bone
No primary stability
Contaminated osteotomy
Excessive force
41. Malposition of implant poses many complications, except:
Damage to adjacent teeth
Damage to important anatomic structure
Impossible to load
Fit for prosthetic restoration.
Poor esthetics
42. There are some pre -surgical steps to prevent implant from malposition. Except:
Proper pre-operative planning
Financial planning
Radiographic analysis
Surgical guide template
Soft or hard tissue augmentation procedure to obtain optimum anatomy.
43. Bleeding during and after implant surgery can be managed, Except:
Compression with plain gauze
Post operation mouth rinse with tranexamic acid (4-6 times daily x 3 days)
Incision in the mucosa to relieve the hematoma.
Ligation of vessel
Immediate referral to hospital
44. Nerve injury is due to occurred, Except:
Drill procedures or compression of implant body into canal.
Post surgical intra-alveolar oedema
Direct trauma
Prosthetic design
Mechanical, chemical and thermal
45. Infection is the most common cause for loss of implant. To prevent this occurrence, we have to respect the surgical protocol, Except:
Rule out medical history
Surgery under aseptic conditions
Pre-operative mouth rinse with clorhexidine
Prophylactic antibiotics 1 hr before surgery
Sedation
46. Pain after implant surgery is normal physiologic response to tissue damage. Pain intensity comes to the peak after:
3-5 hours
8 hours
12 hours
24 hours
72 hours
47. The statements below are true, Except:
The design of the restoration is a key factor for implant selection.
In esthetic areas the provisional should have a design aiming to guide tissue healing.
A standard implant requires 5mm mesiodistal distance, 10mm bone height, and 5mm bone width.
Wide implants are preferred for molars, and when high occlusal loading is expected.
Long implants (>10mm) are indicated when poor primary stability is expected with standard implants
48. The statements below are true, Except:
Cemented restorations are advisable used for the implant shoulder located deep under the mucosa in esthetic areas
Implant-supported FPD is the dominant strategy for partially edentulous patients.
There is no evidence to support the concept of one tooth, one implant.
Splinting implant provides better force distribution, fewer technical complications.
Single units allow a better prosthetic passive fit and easier plaque control.
49. The statements below are true, Except:
Autogenous graft is a graft from patient own bone.
Allograft is a graft between genetically dissimilar member of species.
Xenograft is a graft taken from a donor of another species
Alloplast graft is the combination of Autograft and other type of graft material.
Autogenous is a Gold standard for grated bone
50. There are some crestal approaches limitations, except:
Residual bone height >6mm
Oblique sinus floor
Present of septa
Inability to repair perforation
Inadequate ridge width
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