Dental Implant Dr. Poch sophearoth #Dr kang
Dental Implant Proficiency Quiz
Test your knowledge on dental implant procedures and considerations, particularly for patients with systemic conditions such as diabetes and hypertension. This comprehensive quiz covers a wide range of topics essential for dental professionals.
- 64 Multiple Choice Questions
- Focus on clinical guidelines and patient management
- Designed for dental professionals and students
1. The most important factors to consider for implant surgery in diabetic patient are:
σ� Duration of diabetes
All are correct
The implant surface and design
The prevention of infections
The control of diabetes over time: HbA1c should not exceed 7%.
Other
Please Specify:
2. Implant placement is indicated for diabetes patient if:
σ� The wound healing is altered
All are correct
Plasma glucose level is 126 to 200
The blood pressure is 180/80mmHg
HA1c not exceed 7%
Other
Please Specify:
3. Dental Implant therapy for hypertensive patient is contra -indicated when:
σ� Maximum Blood pressure is above 160/90mmHg and 150/80mmHg for diabetic patients.
σ� Recent myocardial infarction
σ� Unstable angina pectoris
σ� Hypertensive patient with 180-209/110-119mmHg.
σ� All are correct
Other
Please Specify:
4. Uncontrolled blood pressure increase the risk for cardiovascular during dental care or prolonged stressful:
σ� Myocardial infarction
All are correct
Blood pressure: 180-209/110-119mmHg
Cardiovascular accident
Angina pectoris
Other
Please Specify:
5. Patient with acquired bleeding tendency
σ� Should stop using aspirin or other antiplatelet agents 2 days before surgery
σ� Should stop using aspirin or other antiplatelet agents 1 week before surgery
σ� Should prevent post operative bleeding
σ� Should discontinue anticoagulant before dental treatment
σ� Should not use local anesthesia contain with adrenaline.
Other
Please Specify:
6. The statement below is correct, Except:
σ� Hyperglycemia impair the collagen metabolism and bind to monocyte and macrophage cell membranes, thus altering the wound healing.
σ� Glucose level fasting value > 126mg/dL and 2-hour postprandial >200mg/Dl are considered diagnostic criteria for diabetes.
σ� HbA1c value normal: 7%-7.5%
σ� The longer duration diabetes, the higher the failure rate for implant treatment.
σ� Implant placement is indicated for diabetes patient with HgA1C: 7%.
Other
Please Specify:
7. The statement below is true, Except:
σ� Adrenaline in local anesthesia is not safe for hypertensive patients
σ� Patients with recent myocardial infarction, unstable angina pectoris are not candidates for surgical treatment
σ� IV bisphosphonate-treated patients have high incidence of ONJ.
σ� Platelet Count lower than 100,000/mm3 are considered a contraindication for elective surgical procedure
σ� INR is the most reliable test, its normal value is 1.
Other
Please Specify:
8. The statement below is true, Except:
σ� The irradiation dose is the major limited factors which effects the osseintergration.
σ� Radiation effects both osteoblast and osteoclasts, reducing the bone’s capacity to heal.
σ� Irradiated bone does NOT have the potential to remodeling and regeneration
σ� Implant failure rate is low when irradiation dose below 45Gy.
σ� ORN is one of major complications of radiation therapy
Other
Please Specify:
9. The statement below is true, Except:
σ� Schneiderian membrane is very thin, yellowish and extremely friable for smokers.
σ� Schneiderian membrane is elastic with the thickness: 0.45mm to 1.40 mm
σ� 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
σ� 15% of IAN canal follows the lingual cortical plate of the mandibular ramus and body
σ� 15% of IAN is located near the middle of the ramus and body
Other
Please Specify:
10. The statements below are correct, Except:
σ� A. Certain areas of the implant surface are in direct contact with bone is called Primary bone contact.
σ� The remodeled bone and new bone contact with implant, termed secondary bone contact
σ� Primary bone contact is increased when Secondary bone contact occurred
σ� Primary bone contact is decreased when Secondary bone contact occurred.
σ� Immediate loading protocols were first described for the completely edentulous mandible
Other
Please Specify:
11. The concept of prosthetic-driven implant dentistry mean:
σ� Implant selection is performed before prosthetic planning.
σ� Perform prosthetic immediately after implant placement
σ� Implant selection is performed after prosthetic planning
σ� Immediate implantation into extraction socket.
σ� B and D Perform prosthetic immediately after implant placement, Immediate implantation into extraction socket.
Other
Please Specify:
12. Implant selection is involve:
σ� clinical examination,
All are correct
Prosthetic planning
Surgical evaluation
Radiographic examination
Other
Please Specify:
13. Implant characteristics include the following:
σ� Length and diameter,
All are correct
Position
Number
Shape and roughness,
Other
Please Specify:
14. Guidelines for implant selection are based on:
σ� Dimensions of the edentulous area
All are correct
Bone volume and Bone quality
Biomechanics
Adjacent teeth and Anatomical structures
Other
Please Specify:
15. Interdental distance for single tooth replacement using standard implant
σ� 7mm
All are correct
10mm
9mm
8mm
Other
Please Specify:
16. Interdental and inter-occlussion distance for multi teeth replacement
σ� 7mm is required between the centers of two implants.
Vertical dimension of 6mm is required.
05-1mm is required from implant to adjacent tooth
1.5mm is required from implant to adjacent tooth
3mm is required between implant heads
Other
Please Specify:
17. A standard implant requires
σ� 7mm mesiodistal distance,
All are correct
7mm bone width at esthetic area.
6mm bone width.
10mm bone height,
Other
Please Specify:
18. The role of the temporary prosthetic restoration
σ� Maintain esthetic
All are correct
Preview for future restoration
Function
Provide stabilization
Other
Please Specify:
19. The provisional prosthetic can be elaborated
σ� Prior to extraction
All are correct
After implant osseointergration
After implant placement
Before implant placement
Other
Please Specify:
20. General specifications of temporary prosthetic restorations
σ� Not traumatic to adjacent teeth and soft tissues
All are correct
Acceptable esthetics
Easy to modify if necessary
No negative interference with osseointergration
Other
Please Specify:
21. Minimal buccal –lingual bone volume for 4mm diameter implant is:
σ� 5mm in esthetic areas
All are correct
7mm in esthetic area
6mm in esthetic areas
5mm in non-esthetic areas
Other
Please Specify:
22. In term of biomechanics, implant should be placed in the direction of axial forces, because:
σ� The bone/implant interface is well adapted to axial compressive forces
To get enough vertical dimension.
To improve esthetic
To induce shear force
To improves the mechanical strength of the implant body
Other
Please Specify:
23. Wide diameter of implant should be use in strong occlusal forces because:
σ� Increase primary stability
Prevent loosening abutment
Prevent implant fracture
Improve esthetic
Improves the mechanical strength of the implant body
Other
Please Specify:
24. Prerequisite for success for immediate or early loading of implants is
σ� Implant brand
Implant brand, Implant SLA surface and Sufficient primary stability
Implant brand, Implant SLA surface
Sufficient primary stability
Implant SLA surface
Other
Please Specify:
25. To improve primary stability in type 3 and 4 bone, surgeon may adapt with
σ� implant dimension
All are correct
Drill sequence
Rough/bioactive surface
Implant design
Other
Please Specify:
26. Removable provisional may be unstable solution because
σ� Compressive on mucosa
All are correct
May not comfortable
May loss of osseointergration
Cause marginal bone loss
Other
Please Specify:
27. Implant placement in anterior single tooth is predictable treatment outcomes if
σ� Patient with high smile line
σ� The sites without hard and soft tissue deficiency
σ� Patient motivation
σ� Patient with high smile line and The sites without hard and soft tissue deficiency
σ� Patient with high smile line, The sites without hard and soft tissue deficiency, Patient motivation
Other
Please Specify:
28. Dental implant therapy in the anterior is a complex procedure, which base on a comprehensive preoperative evaluation. An optimal esthetic result depends on
σ� Patient selection
All are correct
Soft tissue stability
Correct three dimensional implant positioning
Implant selection
Other
Please Specify:
29. Single tooth implant in the anterior area is a surgical risk procedure if
σ� Buccal bone deficiencies
All are correct
Buccal cortical bone plate <1mm
Distance between the proximal bone and CEJ of the adjacent teeth >2mm
Soft tissue deficiencies
Other
Please Specify:
30. The provisional fixed restoration plays a major role in esthetic outcome because:
σ� It can be modified to create emergence profile
It can be modified to create emergence profile, It is easy to fabricate , It improve osseointergration
It can be modified to create emergence profile, It is easy to fabricate
It improve osseointergration
It is easy to fabricate
Other
Please Specify:
31. Selection of the abutment depends on:
σ� Peri-implant gingival margin and the longitudinal implant axis
Bone implant contact
Mechanical strength of implant body
Implant surface
Implant design
Other
Please Specify:
32. Implant-supported FPD, when possible, is the treatment of choice for partially edentulous patients in the situation:
σ� Healthy adjacent teeth
All are correct
Extended edentulous segments
Posterior reduced arch
Intact adjacent tooth restoration
Other
Please Specify:
33. In cases of restoration of each los unit with an implant, when it is indicated to splinting the implant ?
σ� Narrow-diameter implants in the posterior area
All are correct
Poor bone quality
Bruxism
Short implants
Other
Please Specify:
34. There are some disadvantages of screw retain, Except:
σ� Bacterial Colonization
σ� Esthetics
Retrievable
Cost
More screw loosening
Other
Please Specify:
35. Immediate and early loading protocols should focus on
σ� The amount of primary bone contact.
All are correct
The quality of bone at the implant site.
The rapidity of bone formation around the implant
The quantity of bone at the implant site.
Other
Please Specify:
36. Cochrane reviews are recognized as a gold standard in evidence-based health care, Except
σ� Immediate loading was defined as implants in function within 1 week after their placement. No distinction was made between occlusal and nonocclusal loading.
σ� Early loading was defined as putting implants in function between 1 week and 2 months after placement.
σ� Conventional loading was defined as putting implants in function after 2 months
σ� Immediate loading was defined as implants in function within 1 days after their placement
σ� All are exceptional
Other
Please Specify:
37. What’s fibro-intergration?
σ� Implant is fully intergrated to the bone.
Implant is fallen out.
Implant is 70% intergarted to the bone.
Implant is intergrated and attached via dense fibrous tissue
σ� Implant is intergrated and attached via dense fibrous tissue, Implant is 70% intergarted to the bone, Implant is fallen out.
Other
Please Specify:
38. To prevent implant from fibro-intergration, Must
σ� Curettage the osteotomy site before place implant
Premedication
Torque should not exceed 35Ncm.
Drill slowly
Drill with irrigation copiously
Other
Please Specify:
39. Clinician should be perform proper technique when placing implant in poor bone type IV, Except:
σ� Drill sequence technique
Drill sequence technique, Bone condensation technique, Bone slitting technique
Drill sequence technique, Bone condensation technique
Bone slitting technique
Bone condensation technique
Other
Please Specify:
40. There many reasons in implant failures, Except:
σ� Implant design
Excessive force
Contaminated osteotomy
No primary stability
Overheating bone
Other
Please Specify:
41. Malposition of implant poses many complications, except:
σ� Damage to adjacent teeth
Poor esthetics
Fit for prosthetic restoration
Impossible to load
Damage to important anatomic structure
Other
Please Specify:
42. There are some pre -surgical steps to prevent implant from malposition. Except:
σ� Proper pre-operative planning
Soft or hard tissue augmentation procedure to obtain optimum anatomy.
Surgical guide template
Radiographic analysis
Financial planning
Other
Please Specify:
43. Bleeding during and after implant surgery can be managed, Except:
σ� Compression with plain gauze
Immediate referral to hospital
Ligation of vessel
Incision in the mucosa to relieve the hematoma
Post operation mouth rinse with tranexamic acid (4-6 times daily x 3 days)
Other
Please Specify:
44. Nerve injury is due to occurred, Except:
σ� Drill procedures or compression of implant body into canal.
Mechanical, chemical and thermal
Prosthetic design
Direct trauma
Post surgical intra-alveolar oedema
Other
Please Specify:
45. Infection is the most common cause for loss of implant. To prevent this occurrence, we have to respect the surgical protocol, Except:
σ� Rule out medical history
Prophylactic antibiotics 1 hr before surgery
Pre-operative mouth rinse with clorhexidine
Surgery under aseptic conditions
σ� Sedation
Other
Please Specify:
46. Pain after implant surgery is normal physiologic response to tissue damage. Pain intensity comes to the peak after:
σ� 3-5 hours
72 hours
24 hours
12 hours
8 hours
Other
Please Specify:
47. The statements below are true, Except
σ� The design of the restoration is a key factor for implant selection.
σ� In esthetic areas the provisional should have a design aiming to guide tissue healing.
σ� A standard implant requires 5mm mesiodistal distance, 10mm bone height, and 5mm bone width
σ� Wide implants are preferred for molars, and when high occlusal loading is expected.
σ� Long implants (>10mm) are indicated when poor primary stability is expected with standard implants
Other
Please Specify:
48. The statements below are true, Except
σ� Cemented restorations are advisable used for the implant shoulder located deep under the mucosa in esthetic areas
σ� Implant-supported FPD is the dominant strategy for partially edentulous patients.
σ� There is no evidence to support the concept of one tooth, one implant.
σ� Splinting implant provides better force distribution, fewer technical complications.
σ� Single units allow a better prosthetic passive fit and easier plaque control.
Other
Please Specify:
49. The statements below are true, Except
σ� Autogenous graft is a graft from patient own bone.
σ� Allograft is a graft between genetically dissimilar member of species.
σ� Xenograft is a graft taken from a donor of another species
σ� Alloplast graft is the combination of Autograft and other type of graft material
σ� Autogenous is a Gold standard for grated bone
Other
Please Specify:
50. There are some crestal approaches limitations, except
σ� Residual bone height >6mm
Inadequate ridge width
Inability to repair perforations
Present of septa
Oblique sinus floor
Other
Please Specify:
51. How do we prevent pressure necrosis of the cortical bone
σ� By under preparing the osteotomy
All are incorrect
By placing chlorhexidine in the saline
By using the cortical drill and the drill tap to prepare the cortical bone
By using the 1 drill larger than the implant to be placed
Other
Please Specify:
52. What is important in the preparation of type 1 bone?
σ� A. Under-preparation of the osteotomy site
By using the 1 drill larger than the implant to be placed.
Use of both the cortical and the drill taps where applicable.
Use of the cortical drills
Use of osteotomes to prepare the osteotomy
Other
Please Specify:
53. Why is it important to take an X-ray after your pilot drill.
σ� To increase the profit margin of the procedure
All are correct
To check the width of the osteotomy
To make sure that you do not hit any vital structures with your initial drill
To check vitality of the adjacent teeth
Other
Please Specify:
54. Why is the mid-crestal incision the most ideal incision type?
σ� Its the most aesthetic incision
All are correct
Reduces risk of wound dehiscence by improving the blood flow to the wound edges
Improves your ability to move soft tissue around
Allows movement of palatal tissue to the buccal side
Other
Please Specify:
55. Accessing the posterior wall of the Maxillary sinus through a vestibular incision may injure one or more of the following vital structures:
σ� Origin of Buccinator muscle.
All are correct
All are incorrect
Posterior superior alveolar nerve.
Posterior superior alveolar artery.
Other
Please Specify:
56. Spontaneous recovery from nerve injury to the inferior alveolar nerve (IAN) is more frequently observed compared to the lingual nerve due to:
σ� The position of the IAN in the bony canal serves as a conduit for nerve regeneration
σ� The IAN has a larger diameter
σ� The IAN has better regenerative capability
σ� The IAN is closer to the CNS at the point of injury
σ� Wallerian degeneration is delayed for the lingual nerve
Other
Please Specify:
57. Which one of the following is not an acceptable complication of third molar surgery:
σ� Mandible fracture
All are acceptable
TMJ pain
Fracture of adjacent teeth
Tuberosity fracture
Other
Please Specify:
58. Which of the following is most likely to result in implant failure
σ� Utilizing bovine derived augmentation material for sinus lift
σ� A perforation of the Schnederrian membrane measuring 6 by 5 mm repaired with a PRP membrane prior to grafting
σ� Placing implants in a patient with a 40 pack year smoking history who quit 4 weeks ago
σ� Performing a sinus lift with simulataneous implant placement in a patient with chronic sinusitis without addressing the sinusitis preoperatively
σ� All are correct
Other
Please Specify:
59. What is the minimum recommended distance between the most inferior aspect of an implant and the superior aspect of the mandibular canal
σ� 3mm
1mm
D.1.5mm
4mm
2mm
Other
Please Specify:
60. A 30 year old male is one week status post placement of 3 right mandibular posterior implants. He is complaining of parasthesia of his right mental branch that has been present since the implants were placed. A panoramic radiograph demonstrates that all 3 implants are less than 0.5mm superior to the mandibular canal. What is the most appropriate next step
σ� Obtain a CT scan to identify the exact relationship of each implant with the canal before proceeding with any treatment
σ� Back up all 3 implants an additional 2 mm
Schedule the patient for a IAN lateralization procedure
Reassure the patient and follow up again in 2 weeks
Remove all implants
Other
Please Specify:
61. In the aesthetic zone, the only place where two implants are acceptable is:
σ� Between the central and lateral
All are acceptable
None of all
Between the two centrals
Between the lateral and canine
Other
Please Specify:
62. What are the advantages of the customized impression coping technique?
σ� It is an impression coping that is customized to the impression tray.
σ� It is an impression coping that transfers the exact transgingival emergence profile of a given implant site
σ� It requires less time chair-side.
σ� It reflects a more accurate spatial position of the implant
σ� It helps to create stippling in the soft tissue
Other
Please Specify:
63. Which is the best material to use for the fabrication of a provisional restoration
σ� Bisacryl
None of them
All of them
Composite
PMMA
Other
Please Specify:
64. The most common problem following provisional restoration removal before impression making is?
σ� Expansion of the peri-implant mucosal tissues
None of the above
All of the above
Bleeding of mucosal tissue
Collapse of the peri-implant mucosal tissues
Other
Please Specify:
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