Deck 57: Dental Implant Maintenance

Question 1

During an assessment the dental hygienist should apply slight pressure to the crown of dental implant as a method of evaluating the biologic seal.If salivary percolation is observed,it is an indication of a healthy biologic seal.

A) The first statement is true;the second statement is false.
B) The first statement is false;the second statement is true.
C) Both statements are true.
D) Both statements are false.

Answer 1

The first statement is true;the second statement is false.

Question 2

A clear resin device containing holes used by the oral and maxillofacial surgeon (or periodontist)to maintain the angulation and the axis for drilling the bone and for placement of the fixture is called a(n):

A) Surgical guide stent
B) Superstructure guide
C) Implant guide
D) Bone guide

Answer 2

Surgical guide stent

Question 3

All of the following are benefits of dental implants except which one?

A) Improved ability to masticate and speak adequately
B) Improvement in temporomandibular joint function
C) Increased retention of the prosthetic appliance
D) Preservation of remaining bone structure

Answer 3

Improvement in temporomandibular joint function

Question 4

Which form of an endosteal implant consists of a small titanium cylinder and an abutment surgically inserted into the bone that acts as a root system?

A) Blade form
B) Cylinder form
C) Screw form
D) Rectangular form

Question 5

What is the term used for a stable functional replacement for one or more missing teeth?

A) Osseointegrated dental implant
B) Anchor
C) Abutment
D) Peri-implantitis

Question 6

All of the following are recommended assessment questions to ask when determining whether a client is a good candidate for dental implants except which one?

A) Are your teeth mobile or displaced?
B) Are you willing to stop using tobacco?
C) When was your last physical examination?
D) When you eat,do your dentures cause pain?

Question 7

A dental implant is made of which one of the following metals?

A) Copper
B) Tin
C) Silver
D) Titanium

Question 8

Periodontal probing should not be used as a routine procedure with dental implant clients because there is a possibility of disturbing the biologic seal that attaches the healthy peri-implant tissue to the titanium abutment.Periodontal probing can cause a local infection within the unattached sulci and lead to implant failure.

A) The first statement is true;the second statement is false.
B) The first statement is false;the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 9

Which type of implant consists of a titanium metal framework made by surgically separating the alveolar tissue,exposing the edentulous ridge,and taking an impression of the ridge?

A) Transosteal implant
B) Subperiosteal implant
C) Endosteal implant
D) Subalveolar implant

Question 10

In stage two (the second surgical procedure in the implant process),what devices are placed over the abutments to allow the tissue to heal,for oral hygiene access to the implant abutments,and for the prosthodontist or restorative dentist to secure the prosthetic appliance in place?

A) Bone caps
B) Implant caps
C) Surgical caps
D) Healing caps

Question 11

All of the following are good to use for the daily cleaning and home care of a dental implant except which one?

A) Plastic nylon-coated interdental brush
B) Disclosing agents
C) Metal instruments
D) Power toothbrushes

Question 12

Which type of dental implant consists of a titanium metal framework placed through the chin and into the mandible while the client is under general anesthesia?

A) Transosteal implant
B) Subperiosteal implant
C) Endosteal implant
D) Subalveolar implant

Question 13

In a dental implant,what functional tissue entity is created that adapts to the titanium abutment?

A) Biologic seal (also known as the perimucosal seal)
B) Chemical seal
C) Titanium seal
D) Osseointegration seal

Question 14

If a client receives a dental implant and continues to exhibit inadequate oral biofilm control,he or she may be at risk for which one of the following diseases that would jeopardize the implant?

A) Periodontal disease
B) Gingivitis
C) Peri-implantitis
D) Implant gingivitis

Question 15

All of the following are potential risks associated with having a dental implant except which one?

A) Client may experience peri-implantitis.
B) Client may experience apical migration of the junctional epithelium.
C) Client may have decreased bone resorption.
D) Client may be at risk for more infection.

Question 16

All of the following are contraindicated on dental implants except which one?

A) Metal-tip inserts of sonic and ultrasonic instruments
B) Air abrasive systems
C) Gold-tipped scaling instruments
D) Rubber cup polishing with flour of pumice or course grit abrasive paste

Question 17

Mrs.Jones is seated in the dental chair for supportive periodontal therapy.The dentist has written in her chart that her implant failed because of a hole in the buccal or labial plate of the alveolar process.The hole in the bone is known as which of the following?

A) Load force
B) Peri-implantitis
C) Dehiscence
D) Defect volume

Question 18

Power rotary brushes may be prescribed for clients to thoroughly clean around the abutments and interproximal areas under the prosthetic appliance attached to the implant.A high-speed power is indicated to effectively control highly resistant oral biofilm.

A) The first statement is true;the second statement is false.
B) The first statement is false;the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 19

What part of the dental implant is a metal device that is inserted within the bone tissues of the mandibular or the maxillary arch and frequently coated with a synthetic material that acts as a biocompatible interface to enhance bone formation?

A) Abutment
B) Anchor
C) Pontic
D) Implant

Question 20

The removable superstructures should be disassembled for evaluation by the dentist who placed the implant and cleaned annually.Radiographs of the implant should be taken and evaluated by the dentist every 1 to 2 years.

A) The first statement is true;the second statement is false.
B) The first statement is false;the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 21

Dental implants should be probed in each maintenance appointment.Crevicular probing is necessary to determine whether the gingival tissue is attached to the bony crest.

A) The first statement is true;the second statement is false.
B) The first statement is false;the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 22

Which of the following best characterizes the need for periodontal probing around dental implants?

A) Bleeding of the peri-implant tissue
B) Determination of the depth of severe marginal bone loss or peri-implant problems
C) Weak gingival attachment to the bony crest
D) Infection
E) Depression of dental implant within the socket

Question 23

All of the following are components of the final dental implant except which one?

A) Anchor
B) Abutment
C) Prosthetic tooth
D) Titanium metal device

Question 24

The low surface energy of the titanium abutment and its attraction of proteins with low surface affinity account for supragingival calculus.Metabolic end products from oral spirochetes may cause cytotoxicity to gingival tissues by producing and releasing proteolytic enzymes and trypsin-like enzymes.

A) The first statement is true;the second statement is false.
B) The first statement is false;the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 25

All of the following are types of dental implants except which one?

A) Transosteal
B) Subperiosteal
C) Biocompatible interface
D) Transitional

Question 26

How long does it take for the successful osseointegration of a dental implant to occur?

A) 2 months
B) 3 to 6 months
C) 7 to 10 months
D) 1 year

Question 27

All of the following instruments can be used by the dental hygienist to maintain the dental implant except which one?

A) Air polishing device
B) Gold-tipped Gracey instrument
C) Wood-tipped or porte polisher
D) Teflon-coated scaler

Question 28

All of the following are reasons for dental implant failure except which one?

A) Noncompliance with oral self-care
B) Systemic diseases
C) Fluoride varnish
D) Peri-implantitis

Question 29

Which of the following antimicrobial agents will help in the maintenance of the implant?

A) Combination of 1% chlorhexidine and 1% thymol
B) Solution of 0.12% chlorhexidine gluconate
C) Arestin
D) Fluoride varnish

Question 30

All of the following microflora can be found in peri-implantitis except which one?

A) Prevotella intermedius
B) Staphylococcus aureus
C) Fusobacterium species
D) Streptococcus mutans