Dental Implant Therapy Considerations Quiz

Smokers have double the risk of dental implant failure compared to nonsmokers, and they also have higher rates of peri-implantitis due to the effects of smoking on oral health and healing processes.

Clinicians must communicate the increased risk of implant failure to current smokers, despite smoking not being an absolute contraindication for implant therapy.

Thorough periodontal examination before implant therapy is crucial for assessing periodontal disease status, oral hygiene, and mucogingival parameters, which can impact the success of implant therapy.

<p>Patients with a history of periodontitis, poor oral hygiene, or certain mucogingival conditions are at higher risk for implant failure.</p> Signup and view all the answers

<p>Lack of keratinized mucosa around implants is associated with plaque buildup, inflammation, and mucosal recession, which can lead to implant failure.</p> Signup and view all the answers

<p>Adequate bone volume both buccopalatally/-lingually and apico-coronally is necessary for standard implant placement to ensure successful osseointegration and long-term stability.</p> Signup and view all the answers

<p>Site-specific examination for implant placement should include bone height and width evaluation, using digital palpation and imaging techniques.</p> Signup and view all the answers

<p>Guidelines for safe implant placement include specific mesiodistal space, bone thickness, distance from adjacent teeth, and space between adjacent implants to ensure proper positioning and support.</p> Signup and view all the answers

<p>Esthetic analysis of an implant patient should consider various elements including smile line, gingival phenotype, tooth size and space distribution, and occlusal assessment to achieve a natural and harmonious result.</p> Signup and view all the answers

<p>Implant sites in close proximity to anatomical structures such as maxillary sinuses, nasal cavities, and the nasopalatine canal should be carefully evaluated to prevent potential complications during or after implant placement.</p> Signup and view all the answers

<p>Careful evaluation of the buccolingual and apico-coronal location of the inferior alveolar canal in the mandible is crucial to prevent nerve damage and ensure safe implant placement, typically achieved through CBCT.</p> Signup and view all the answers

<p>Adjunctive diagnostic assessments such as imaging, diagnostic wax-up, and clinical photographs aid in diagnosis and treatment planning by providing additional information for comprehensive evaluation and decision-making.</p> Signup and view all the answers

<p>Systemic factors that influence the success rate of dental implants include smoking, radiotherapy, diabetes, uncontrolled hypertension, intake of anticoagulants, bisphosphonate therapy, and psychiatric conditions.</p> Signup and view all the answers

<p>Smoking is associated with a 35% higher risk of implant failure, while radiotherapy is associated with a 70% higher risk of implant failure.</p> Signup and view all the answers

<p>No, poor glycemic control is not an absolute contraindication for implant therapy in patients with diabetes, provided that appropriate accommodation for delays in implant integration are considered.</p> Signup and view all the answers

<p>Other medical conditions that may modify the treatment plan for dental implants include uncontrolled hypertension, intake of anticoagulants, bisphosphonate therapy, and psychiatric conditions.</p> Signup and view all the answers

<p>In select cases, getting clearance from the patient’s physician is required for dental implants.</p> Signup and view all the answers

<p>A thorough systemic evaluation is important prior to planning for dental implants because systemic conditions can alter bone turnover or wound healing process, and certain conditions like smoking and radiotherapy are associated with higher risk of implant failure.</p> Signup and view all the answers

<p>Smoking affects periodontium by negatively influencing the oral microbial profile, suppressing the immune system, and altering the microvascular environment, leading to disrupted healing.</p> Signup and view all the answers