Implant Dentistry Question And Answers

Implant Dentistry Definitions

Implant: It is an integral component of the oral implant complex which also consists of supportive bone, interposed kerati- nized and mucosal oral soft tissues and prosthetic superstructure

Splint: Splint is an appliance used for maintaining or stabilizing mobile teeth to their functional position

Osseointegration: It can be defined as “The apparent direct attachment or connection of osseous tissue to an inert alloplastic material without intervening connective tissue”.

Implant Dentistry Important Notes

Implant materials:

  • Metals
    • Stainless steel
    • Gold
    • Titanium
    • Tantalum
  • Zirconium
  • Ceramics
  • Calcium phosphate
  • Bioactive and biodegradable ceramics
  • Polymers

Bone healing events after placement of implant:

Implant Dentistry Bone Healing Events After Placement Of Implant

Implant Dentistry Short Essays

Question 1. Splints.
Answer:

Definition of Splints:

Splint is an appliance used for maintaining or stabilizing mobile teeth to their functional position

Functions of Solints:

  • Stabilize mobile teeth to improve patient comfort and provide stability
  • Stabilize moderate to advanced tooth mobility
  • Stabilize teeth in secondary occlusal trauma
  • Stabilize teeth following acute trauma
  • Prevent tipping or drifting of teeth
  • Create adequate stability

Contraindications of Solints:

  • Presence of periodontal inflammation
  • Presence of an insufficient number of non-mobile teeth
  • Presence of inadequate oral hygiene
  • Absence of prior occlusal adjustment

Contraindications of Solints

Read And Learn More: Prosthodontics Question And Answers

Question 2. Parts of implants.
Answer:

  1. Implant body:
    • It is the component that is placed within the bone during the first stage of surgery
    • It can be threaded or non-threaded
  2. Healing screw:
    • During the healing phase, this screw is placed on the superior surface of the body
    • Functions:
      • Facilitates the suturing of soft tissues
      • Prevents the growth of the tissue over the edge of the implant
  3. Healing cap:
    • They are dome-shaped screws placed over the sealing screw after the second stage of surgery
    • Length- 2-10 mm
    • Function:
      • Prevents overgrowth of tissues around the implant
  4. Abutments:
    • It resembles prepared tooth
    • Provides retention to the prosthesis
  5. Impression posts:
    • It facilitates the transfer of the intra-oral location to a similar position on the cast
  6.  Laboratory analogs:
    • It represents the body of the implant
    • Placed on the cast to fabricate an implant-supported prosthesis
  7. Waxing sleeves:
    • Designed to be attached to the body of the implant
  8. Prosthesis retaining screws:
    • Penetrates the fixed restoration and secures it to the abutment

Question 3. Osseointegration/requirements for successful osseointegration.
Answer:

It can be defined as “The apparent direct attachment or connection of osseous tissue to an inert alloplastic material without intervening connective tissue”.

Implant Dentistry Osseo Integration

Requirements of osseointegration:

  1. Occlusal load:
    • To develop a strong interface the implant should not be overloaded during its organization period During this period, the surgical area undergoes remodelling process
  2. Biocompatibility:
    • The material used should be biocompatible for example, pure titanium
  3. Implant design:
    • Most conductive design for oseo-integration is cylindrical
  4.  Implant surface:
    • A smooth-surfaced implant is less prone to osseointegration than an implant with mild surface roughness.
  5. Surgical site:
    • It should be healthy
  6. Surgical technique:
    • Site should be subjected to minimal trauma
  7. Infection control:
    • Infection especially from the periodontics should be avoided.

Question 4. Types of Implants.
Answer:

1. Depending on the placement within the tissues:

  • Epiosteal:
    • It receives its primary bone support by resting on it
  • Transosteal:
    • It penetrates both cortical plates
    • It possesses through the entire thickness of the alveolar bone
  • Endosteal:
    • It extends into the basal bone
    • It transects only one cortical bone
    • It is sub-classified into

2. Root form:

  • Used over a vertical column of bone

3. Plate form:

  • Used over a horizontal column of bone

Implant Dentistry Sub Periosteal Dental Implants

Implant Dentistry Transosteal Implants

Implant Dentistry Endosteal Implants

4. Depending on the material used:

  • Metallic implants
  • Non-metallic implants

5. Depending on their reaction to bone:

  • Bio-active (Hydroxyapatite)
  • Bio-inert Implants (metal)

6. Depending on the classification of edentulous spaces:

Implant Dentistry Classification Of Edentulous Spaces

Implant Dentistry Kennedys Class Division B Bone

Implant Dentistry Kennedys Class Division C Bone

Implant Dentistry Kennedys Class Division D Bone

Question 5. Implant materials
Answer:

Implant Dentistry Implant Materials

Implant Dentistry Short Question And Answers

Question 1. Implant
Answer:

It is an integral component of the oral implant complex which also consists of supportive bone, interposed keratinized and mucosal oral soft tissues and prosthetic supra structure

Materials Used of Implant:

  • Metals
    • Stainless steel
    • Tantalum
    • Gold
    • Titanium
  • Zirconium
  • Ceramics
  • Calcium phosphate
  • Bioactive and biodegradable ceramics
  • Polymers

Implant Dentistry Viva Voce

  1. The minimum width of ridge needed for a bio-integrated hydroxyapatite-coated dental implant is 5 mm
  2. The minimum bone height of the ridge needed for a bio-integrated hydroxyapatite-coated dental implant is 8 mm.
  3. 2 mm of space is needed between the implant and the inferior alveolar canal

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