Dental Implant vs Natural Tooth: Anatomy and Disease

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30 Questions

What is the average height of healthy peri-implant mucosa?

3-4 mm

What type of epithelium covers the peri-implant mucosa?

Either keratinized or non-keratinized epithelium

What is the name of the epithelium lining the coronal portion of the peri-implant mucosa?

Sulcular epithelium

What is the composition of the connective tissue lateral to the sulcular epithelium?

A small infiltrate of inflammatory cells

What is the majority of the intrabony part of the implant in contact with?

Mineralized bone

What is the title of the publication where the new classification scheme for periodontal and periimplant diseases and conditions was introduced?

Journal of Periodontology

What is a characteristic of a healthy peri-implant site?

Absence of erythema

What is a key difference between healthy peri-implant and periodontal tissues?

Papillae are longer at interproximal tooth sites

What is a characteristic of the microflora of a healthy implant site?

Predominantly gram-positive, aerobic, non-motile bacteria

What is a characteristic of the microflora of a peri-implantitis site?

Shift to gram-negative, anaerobic, and motile bacteria

What is a consequence of increased plaque accumulation around an implant?

Increased peri-implant probing depths

What is a similarity between peri-implantitis and periodontitis?

Similarity in microflora

What is the primary characteristic of peri-implantitis?

Inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone

What is the orientation of collagen fibers in the connective tissue adjacent to the implant collar?

Parallel to the implant surface

What is NOT a method for implant surface decontamination?

Probiotic therapy

According to Berglundh et al. (2018), what is a characteristic of peri-implantitis?

Increased probing depths and/or recession of the mucosal margin

What is a complication of peri-implantitis?

Progressive loss of supporting bone

What is NOT a characteristic of peri-implant health?

Radiographic bone loss

What is the main histological difference between healthy peri-implant and periodontal tissues?

The absence of cementum and periodontal ligament in peri-implant tissues

What is the orientation of collagen fibers around implants due to the lack of cementum?

Parallel to the implant surface

What is a characteristic of the sulcular epithelium in peri-implant tissues?

It continues apically with the junctional epithelium

What is a consequence of the lack of CT fiber insertion and decreased vascular supply in peri-implant tissues?

Greater susceptibility to bone loss

What is a key difference between the peri-implant and periodontal tissues in terms of vascularization?

The peri-implant tissues have fewer blood vessels in the mucosa than the periodontal tissues

What is the term for the disease that occurs due to plaque-induced inflammation in peri-implant tissues?

Peri-implantitis

What is the primary indicator of attachment loss around implants?

Changes in probing depths

What determines the probing depths around an implant?

Type and thickness of tissue surrounding the implant

What is the recommended frequency for follow-up radiographs if no complications are detected?

Every 2 years

Can peri-implant health exist around implants with reduced bone support?

Yes, peri-implant tissue health can exist around implants with reduced bone support

What is the significance of peri-implant bleeding on probing?

It is a sign of peri-implant inflammation

What is the purpose of radiographs at the time of implant placement, abutment insertion, and prosthesis insertion?

To establish a baseline for future comparisons

This quiz compares dental implants and natural teeth from a periodontal perspective, covering anatomy and disease maintenance. It discusses the differences between the two, including their composition and how they respond to disease. Ideal for dental students and professionals.

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