Biomechanics in Implant Dentistry Quiz
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Questions and Answers

What is the definition of biomechanics?

  • The study of the structure, function, and motion of biological systems at the cellular level. (correct)
  • The study of genetic engineering and biochemistry.
  • The study of the structure, function, and motion of biological systems at the organism level.
  • The study of plant biology and mechanical engineering.
  • Who is the author of the DMedSc doctoral thesis dissertation on injectable bioactive gelatin-hyaluronan-calcium phosphate (GH-CP) and its osteogenic potential for flapless guided bone regeneration (GBR)?

  • Dr. Alexander RM
  • Dr. Matteo Colombo
  • Prof. Young K. Kim (correct)
  • Prof. Herbert H
  • What does the yellow flag under the left corner signify in the text?

  • It represents a warning about potential hazards.
  • It signifies important exam guidelines.
  • It indicates a reference to additional reading material.
  • It indicates information that is not relevant for the exam. (correct)
  • What is the academic affiliation of Prof. Young K. Kim?

    <p>Clinical Assistant Professor at NYUCD, Dept. of Prosthodontics</p> Signup and view all the answers

    What is the relationship between crown height and implant diameter known as?

    <p>C/I ratio</p> Signup and view all the answers

    Which connection system offers high resistance to non-axial loading and minimal rotational 'slop'?

    <p>Internal hex</p> Signup and view all the answers

    What may occur with resorbed peri-implant crestal bone due to internal tapered connections?

    <p>Implant fracture</p> Signup and view all the answers

    What is used to favorably distribute stresses in implant dentistry?

    <p>Splinting</p> Signup and view all the answers

    What is the concept introduced by Kim YK in 2022 as a replacement for A-P spread?

    <p>PIAAR calculation</p> Signup and view all the answers

    What is PIAAR-ant (anterior cantilever) calculated as?

    <p>(Pros-AA-ant) / (Pros-AA-ant + Plat AA)</p> Signup and view all the answers

    What does the C/I ratio tend to preserve over time?

    <p>Bone density</p> Signup and view all the answers

    Which force on dental implant abutments is magnified with greater crown heights?

    <p>Clamping force</p> Signup and view all the answers

    What is the risk associated with internal tapered connections due to extensive load applied to the walls?

    <p>Implant fracture</p> Signup and view all the answers

    What is the distance between implant platforms and the most anteriorly distant implant known as?

    <p>A-P spread rule</p> Signup and view all the answers

    What can the PIAAR-lat (lateral cantilever) calculation be used for?

    <p>To reduce clamping force requirements</p> Signup and view all the answers

    Which concept is introduced by Kim YK in 2022 as a replacement for A-P spread?

    <p>Prosthesis-Implant Arch Area Ratio (PIAAR)</p> Signup and view all the answers

    What is the recommended minimum abutment height for cement-retained crowns in implant dentistry?

    <p>4mm for all types of restorations</p> Signup and view all the answers

    What is the suggested vertical space requirement for splinted implant-retained overdentures?

    <p>15-20mm</p> Signup and view all the answers

    Is the crown-to-root ratio an applied concept in implant dentistry?

    <p>No, it is not an applied concept</p> Signup and view all the answers

    What has been shown to achieve a long-term survival rate with increased Crown-to-Implant (C/I) ratio?

    <p>Controlling occlusion and parafunctional habits</p> Signup and view all the answers

    What type of implants have shown success similar to long implants in terms of survival?

    <p>Short implants with moderately rough surfaces</p> Signup and view all the answers

    What is the recommended minimum abutment height for all-ceramic restorations in implant dentistry?

    <p>2mm</p> Signup and view all the answers

    What type of restorations require a minimum of 1mm abutment height in implant dentistry?

    <p>All-metal restorations</p> Signup and view all the answers

    What has shown less bone loss with time in implant dentistry?

    <p>Greater crown-to-implant ratios</p> Signup and view all the answers

    In what type of procedures, short implants are considered as a viable option to long implants?

    <p>When additional surgical augmentation procedures are considered</p> Signup and view all the answers

    What influences the force on the abutment screw?

    <p>Crown-to-Implant (C/I) ratio</p> Signup and view all the answers

    What is the process of osteogenesis initiated by?

    <p>Signaling molecules or chemoattractants</p> Signup and view all the answers

    Which factor is included in the prosthodontic occlusal reference plan?

    <p>Implant-crown ratio</p> Signup and view all the answers

    What is another term for peri-implant endosseous healing?

    <p>Osseointegration</p> Signup and view all the answers

    Which type of bone is considered 'poor quality' according to the text?

    <p>Class IV</p> Signup and view all the answers

    What does Misch's classification Type II bone require for osseointegration?

    <p>Approximately 4 months</p> Signup and view all the answers

    What principles are involved in computer-guided prosthetically-driven Biomechanics in implant dentistry?

    <p>Osteogenesis, peri-implant endosseous healing, and implant features &amp; surface science</p> Signup and view all the answers

    What is involved in the cellular prosthodontic occlusal reference plan?

    <p>Inter-arch space and splinting</p> Signup and view all the answers

    What does Class IV bone have more of compared to Class I bone?

    <p>Surface area</p> Signup and view all the answers

    What type of cells are involved in osteo-conduction according to the text?

    <p>Implanted scaffolds attract osteogenic cells and neovascularization</p> Signup and view all the answers

    Which process involves platelet activation and directed osteogenic cell migration?

    <p>Osseointegration</p> Signup and view all the answers

    Which factor is NOT included in the prosthodontic occlusal reference plan?

    <p>Peri-implant endosseous healing</p> Signup and view all the answers

    Which bone type has less blood supply according to Misch's classification?

    <p>Type I</p> Signup and view all the answers

    What process relies on the recruitment and migration of osteogenic cells to the implant surface through the residue of the periimplant blood clot?

    <p>Osteoconduction</p> Signup and view all the answers

    What triggers directed osteogenic cell migration and leads to de novo bone formation?

    <p>Initiation of platelet activation</p> Signup and view all the answers

    Which protein initiates calcium phosphate nucleation for further mineralization?

    <p>Osteopontin</p> Signup and view all the answers

    What occurs followed by the assembly of collagen fibers in the process of de novo bone formation?

    <p>Crystallization of elongated calcium phosphates</p> Signup and view all the answers

    What influences bone matrix-related gene expression and enhances bone apposition?

    <p>Implant surface topography</p> Signup and view all the answers

    Which surface treatment involves sandblasting with aluminous oxide and acid etching with hydrogen sulfate or hydrogen chloride, protected from air/carbon contamination via submerging in saline solutions?

    <p>SLA (Sandblasted, large grit, acid-etched surface treatment)</p> Signup and view all the answers

    What has been shown to result in greater alkaline phosphatase activity, indicating enhanced bone formation and integration?

    <p>SLA treatment</p> Signup and view all the answers

    Which process results in the formation of a mineralized interfacial matrix equivalent to that seen in the cement line in natural bone tissue?

    <p>De novo bone formation</p> Signup and view all the answers

    What occurs amongst collagen-free calcified layers with non-collagen proteins?

    <p>Crystallization of elongated calcium phosphates</p> Signup and view all the answers

    Which type of surface treatment involves titanium plasma-spray?

    <p>Titanium plasma-spray</p> Signup and view all the answers

    What excretion by osteogenic cells initiates calcium phosphate nucleation for further mineralization?

    <p>Osteopontin</p> Signup and view all the answers

    What influences bone apposition?

    <p>Implant surface topography</p> Signup and view all the answers

    What is the main focus of implant dentistry?

    <p>Biomechanics</p> Signup and view all the answers

    How can primary stability of an implant be assessed?

    <p>Subjective assessment</p> Signup and view all the answers

    What are the classifications for implant placement protocols?

    <p>Same-day placement, delayed placement, and various loading protocols</p> Signup and view all the answers

    What is the minimum mesiodistal distance between implants and adjacent teeth at the bone level?

    <p>1-2mm</p> Signup and view all the answers

    What should be considered for the orofacial implant position?

    <p>Optimize screw channel location</p> Signup and view all the answers

    What is the purpose of sinking the implant shoulder subcrestally?

    <p>To optimize screw channel location</p> Signup and view all the answers

    What is the role of enhanced osteogenesis in osseointegration?

    <p>To improve osseointegration</p> Signup and view all the answers

    How does insertion torque differ from primary stability?

    <p>Primary stability measures the maximum force during implant placement</p> Signup and view all the answers

    What are the loading protocol classifications for implants?

    <p>Immediate restoration or non-functional loading</p> Signup and view all the answers

    Study Notes

    • The use of Enhanced Osteogenesis on SLA (Surface Layer Analysis) surfaces results in better osseointegration than conventional TPS (titanium plasma spray)
    • Less bone resorption was observed with Enhanced Osteogenesis after a 3-year follow-up compared to TPS
    • Biomechanics plays a crucial role in implant dentistry
    • Primary stability and insertion torque are important factors in implant dentistry, but they are not the same
    • Primary stability refers to the initial stability of an implant in the bone, while insertion torque is the maximum force applied during implant placement
    • Primary stability can be assessed through subjective assessment, maximum insertion torque, or resonance frequency analysis
    • Implant placement protocols include same-day placement, delayed placement, and various loading protocols
    • The placement protocol classifications include Type 1, Type II, Type III, and Type IV implants
    • The loading protocol classifications include immediate restoration or non-functional loading, immediate loading, progressive loading, and delayed loading
    • The dimensional planning for dental implants includes considerations for minimum distances between implants and adjacent teeth, minimum bone thickness, and orofacial implant position.
    • The orofacial implant position should be chosen to optimize the screw channel location, and the implant shoulder should be sinked around 1~1.5mm subcrestally with a sloping crest for prosthetic components.
    • Prosthodontic principles should be applied in the surgical placement of dental implants.
    • The minimum mesiodistal distance between implants and adjacent teeth at the bone level is 1.5mm and 3mm for adjacent implants.
    • The bone layer for implant positioning should be at least 1-2mm thick.
    • The orofacial implant position and axis should be chosen to optimize screw channel location, with the anterior position being behind the incised edge and the posterior position at the center.
    • The coronoapical implant position requires the implant shoulder to be sinked around 1~1.5mm subcrestally and the crestal bone to be in a sloping edge.

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    Description

    Test your knowledge on biomechanics in implant dentistry with this quiz. Learn about topics such as primary stability, insertion torque, bone resorption, and implant geometry.

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