Deck 58: Osseointegrated Dental Implants

Question 1

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

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

Answer 1

Titanium

Question 2

All of the following are contraindicated on dental implants except one. Which is the one exception?

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

Answer 2

Gold-tipped scaling instruments

Question 3

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

Answer 3

Anchor

Question 4

All of the following are benefits of dental implants except one. Which is the one exception?

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

Question 5

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 6

During an assessment, the dental hygienist should apply slight pressure to the crown of a 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, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 7

All of the following are potential risks associated with having a dental implant except one. Which is the one exception?

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 8

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 9

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 10

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

Question 11

Contemporary dental implants are made from which of the following materials?

A) titanium
B) gold
C) silver
D) procelain

Question 12

On the mobility evaluation scale, 2 corresponds to which of the following clinical impressions?

A) absence of clinical mobility with 500 g in any direction
B) slight detectable horizontal movement
C) severe horizontal movement >0.5 mm
D) moderate visible horizontal mobility

Question 13

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.

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

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

Question 16

What is the correct treatment sequence for dental implants?

A) extraction of the tooth and a healing period of 3 to 6 months; uncovering of the implant and a healing period of a few days, followed by the restorative process; and surgical placement of the implant and a healing period of 3 to 6 months
B) extraction of the tooth and a healing period of 3 to 6 months; surgical placement of the implant and a healing period of 3 to 6 months; and uncovering of the implant and a healing period of a few days, followed by the restorative process.
C) uncovering of the implant and a healing period of a few days, followed by the restorative process; surgical placement of the implant and a healing period of 3 to 6 months; and extraction of the tooth and a healing period of 3 to 6 months
D) surgical placement of the implant and a healing period of 3 to 6 months; extraction of the tooth and a healing period of 3 to 6 months; and uncovering of the implant and a healing period of a few days, followed by the restorative process.

Question 17

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 18

All of the following are roles of the dental hygienist in implant maintenance except one. Which one is the exception?

A) identification of potential implant clients
B) fitting of the implant
C) education and motivation through treatment
D) probing when necessary

Question 19

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

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

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

Question 21

All of the following are reasons for dental implant failure except:

A) noncompliance with oral self-care.
B) systemic diseases.
C) fluoride varnish.
D) peri-implantitis.

Question 22

All of the following instruments can be used by the dental hygienist to maintain the dental implant except one. Which is the one exception?

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

Question 23

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 24

All of the following are components of the final dental implant except:

A) anchor.
B) abutment.
C) prosthetic tooth.
D) titanium metal device.

Question 25

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 26

All of the following are recommended devices for cleaning dental implants except one. Which one is the exception?

A) disclosants
B) intraoral mirror and penlight
C) Toothpick
D) Power brushes

Question 27

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

Question 28

Which of the following is a contraindication for the use of dental implants?

A) poor diet
B) obesity
C) a history of head and neck radiation therapy
D) pregnancy

Question 29

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 30

How often should the client see the dentist after the placement of the dental implant?

A) Every month for the first year, then every six months
B) Every two months
C) Every three months for the first year; thereafter evaluate for 4-month continued-care appointments
D) Every six months