Effects of Smoking and Bone Density on Implant Success
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Questions and Answers

What are the absolute prerequisites before considering surgery for cardiac and circulatory diseases in dental implant surgery?

  • Evaluation of circulatory parameters and knowledge of the cardiac disorder (correct)
  • Evaluation of metabolic parameters and knowledge of the osseous disorder
  • Evaluation of osseous parameters and knowledge of the cardiac disorder
  • Evaluation of respiratory parameters and knowledge of the cardiac disorder

    • Which condition is NOT an absolute contraindication in osseous metabolic disturbances for dental implant surgery?

  • Post-menopausal osteoporosis (correct)
  • Osteomalacia
  • Osteogenesis imperfecta
  • Ostitis deferments

    • Which of the following conditions can complicate dental implant placement due to anatomical factors?

  • Digestive system impairments
  • Roots of adjacent teeth that cannot be moved orthodontically (correct)
  • Respiratory system abnormalities
  • Muscular system disorders

    • Among the listed conditions, which is NOT considered a collagen disorder that poses contra-indications for dental implant surgery?

    <p>Osteogenesis imperfecta</p> Signup and view all the answers

    Why is high risk of bacteriaemia a concern in patients with a history of bacterial endocarditis in the context of dental implant surgery?

    <p>Potential bacterial focus leading to bacteriaemia</p> Signup and view all the answers

    What has been associated with the extent of marginal bone loss around osseointegrated implants?

    <p>Number of cigarettes smoked</p> Signup and view all the answers

    What was the effect of the perioperative smoking cessation protocol on short-term implant survival?

    <p>Similar failure rates to nonsmokers</p> Signup and view all the answers

    What type of bone density has been associated with an increased risk of implant failure?

    <p>Type 4 bone</p> Signup and view all the answers

    Which group had twice as high prevalence of implant sites with type 4 bone?

    <p>Heavy smokers</p> Signup and view all the answers

    What was indicated as the highest risk factor for implant loss in one investigation?

    <p>Low quantity and low density of bone</p> Signup and view all the answers

    What effect might smoking have on dental implant survival?

    <p>Directly affecting implant integration</p> Signup and view all the answers

    Which systemic condition has been mentioned as a risk factor for poor implant success?

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

    What was demonstrated regarding implants placed in lower quantities of bone?

    <p>Higher risk of failure</p> Signup and view all the answers

    What risk factor has been associated with an increased risk of dental implant loss?

    <p>Anti-osteoporosis medications</p> Signup and view all the answers

    What was the reported failure rate for non-insulin dependent diabetics in a 1-year implant survival study?

    <p>7.3%</p> Signup and view all the answers

    Which condition is directly implicated in dental implant failure according to the text?

    <p>A rapidly progressive early onset form of periodontal disease</p> Signup and view all the answers

    What evidence is provided for the potential impact of periodontal conditions on dental implants?

    <p>Both shared microflora and hyperinflammatory phenotype in relevant patients</p> Signup and view all the answers

    Which factor is explicitly mentioned as contributing to implant failure and soft tissue problems?

    <p>Suboptimal levels of oral hygiene in patients</p> Signup and view all the answers

    Based on the information provided, which statement is correct regarding the impact of medications on bone remodeling?

    <p>Medications affecting bone remodeling can increase the risk of implant complications.</p> Signup and view all the answers

    Which statement best summarizes the key points made in the text?

    <p>Periodontal conditions, inadequate oral hygiene, and certain medications may impact implant success.</p> Signup and view all the answers

    Which of the following conditions is an absolute contraindication for dental implant rehabilitation?

    <p>Bleeding disorder</p> Signup and view all the answers

    A patient who has been taking bisphosphonate therapy for 6 years is considering dental implant surgery. Based on the information provided, what is the most appropriate course of action?

    <p>Recommend alternative treatment options</p> Signup and view all the answers

    Which of the following conditions is considered a relative contraindication for dental implant surgery?

    <p>Positive interleukin-1 genotype</p> Signup and view all the answers

    A patient with well-controlled diabetes is considering dental implant surgery. Based on the information provided, what is the most appropriate course of action?

    <p>Proceed with implant surgery after consulting with the patient's physician</p> Signup and view all the answers

    A patient who is a smoker is considering dental implant surgery. Based on the information provided, what is the most appropriate course of action?

    <p>Advise the patient to quit smoking before proceeding with implant surgery</p> Signup and view all the answers

    Which implant surface has been associated with an increased risk of implant loss in the past?

    <p>Hydroxyapatite (HA) coated surfaces</p> Signup and view all the answers

    Based on the information provided, which factor is most likely to influence the clinician's decision regarding the number, location, and type of implants used in a dental reconstruction?

    <p>The patient's risk for peri-implantitis and biomechanical overload</p> Signup and view all the answers

    In which anatomical region might the presence of vital structures pose a higher risk for complications during dental implant surgery?

    <p>The mandibular posterior region</p> Signup and view all the answers

    Which factor is NOT explicitly mentioned in the text as potentially influencing implant survival or the risk of complications?

    <p>The patient's age and gender</p> Signup and view all the answers

    Based on the information provided, which statement is most accurate regarding the long-term prognosis of dental implants in young patients with a history of esthetic complications?

    <p>Insufficient information is provided to determine the long-term prognosis in this patient population.</p> Signup and view all the answers

    Which of the following is considered an absolute contraindication for implant rehabilitation in young patients?

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

    Which vital structure poses a significant risk during implant surgery and must be carefully considered?

    <p>All of the above</p> Signup and view all the answers

    Which implant site is associated with a higher risk of implant failure?

    <p>The text does not specify any differences in implant survival rates based on implant site.</p> Signup and view all the answers

    Which of the following conditions is NOT listed as an absolute contraindication for implant rehabilitation?

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

    Which of the following conditions is considered a relative contraindication for implant rehabilitation in young patients?

    <p>HIV positive status</p> Signup and view all the answers

    What should be considered when planning dental implants in the anterior region of a young patient (before age 15 to 16)?

    <p>Both a) and b).</p> Signup and view all the answers

    What is one potential explanation provided in the text for the observed differences in implant survival rates among different intraoral sites?

    <p>All of the above are potential explanations provided in the text.</p> Signup and view all the answers

    What can be inferred about shorter implant devices?

    <p>Both a) and b) can be inferred about shorter implant devices.</p> Signup and view all the answers

    Based on the information provided in the text, which of the following statements is true regarding implant survival rates?

    <p>Implant survival rates may be influenced by factors such as implant length, intraoral site, and encroachment to vital structures.</p> Signup and view all the answers

    What is one potential consequence of a marginal peri-implant infection spreading along a shorter implant?

    <p>Resorption of a critical portion of the established osseointegration, leading to loss of the implant device.</p> Signup and view all the answers

    Which of the following is most likely to contribute to esthetic complications in young patients undergoing dental implant surgery?

    <p>Insufficient soft tissue thickness for ideal implant positioning</p> Signup and view all the answers

    Which anatomical structure poses the highest risk for complications during dental implant placement in the posterior mandible?

    <p>Inferior alveolar nerve</p> Signup and view all the answers

    Which implant site is typically associated with the highest survival rates, assuming adequate bone quantity and quality?

    <p>Mandibular posterior region</p> Signup and view all the answers

    In cases of insufficient bone volume for implant placement, which procedure may be recommended to augment the recipient site?

    <p>All of the above</p> Signup and view all the answers

    Which of the following factors is least likely to affect implant survival rates in the maxillary posterior region?

    <p>Presence of natural teeth adjacent to the implant site</p> Signup and view all the answers

    Which of the following statements accurately describes the potential impact of smoking on dental implant survival?

    <p>Smoking may affect implant survival both directly and indirectly through its effects on jaw bone density.</p> Signup and view all the answers

    Based on the information provided, which of the following statements about the relationship between diabetes and dental implant survival is correct?

    <p>In non-insulin-dependent diabetics, a 7.3% implant failure rate was reported after one year, indicating that osseointegration can be achieved in most cases.</p> Signup and view all the answers

    According to the information provided, which of the following statements about the impact of certain medications on dental implant survival is correct?

    <p>Certain medications, such as ibandronate (Boniva) and alendronate (Fosamax), have been associated with an increased risk of implant failure.</p> Signup and view all the answers

    Based on the information provided, which of the following statements about the relationship between bone density and dental implant survival is correct?

    <p>Lower bone density is associated with an increased risk of implant failure, as demonstrated by the higher failure rates of shorter implants compared to longer ones.</p> Signup and view all the answers

    Which of the following statements accurately describes the potential impact of periodontal disease on dental implant survival?

    <p>Uncontrolled periodontal disease is a risk factor for implant failure, as demonstrated by the association between uncontrolled diabetes and periodontal disease.</p> Signup and view all the answers

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