COMPLICATIONS AND MANAGEMENT IN DENTAL IMPLANT
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Questions and Answers

What is a common complication that may be unavoidable even with good surgical technique?

  • Inflammation
  • Trismus
  • Permanent discoloration
  • Ecchymosis (correct)

    • What is the primary etiologic factor of trismus?

  • Local anesthetic that penetrates the masseter muscle
  • Inferior alveolar nerve block that penetrates the temporalis muscle
  • Inferior alveolar nerve block that penetrates the buccinator muscle
  • Inferior alveolar nerve block that penetrates the medial pterygoid muscle (correct)

    • What is the purpose of elevating the affected area after dental implant surgery?

  • To reduce pain associated with the onset of trismus
  • To increase bleeding and promote ecchymosis
  • To decrease inflammation, facilitate proper venous return, and improve circulation to the site (correct)
  • To promote sun exposure and reduce inflammation

    • What should patients avoid after dental implant surgery to minimize ecchymosis?

    <p>Aspirin, herbal remedies, and food supplements</p> Signup and view all the answers

    What is the typical course of treatment for ecchymosis after dental implant surgery?

    <p>Supportive care with rest, elevation, and analgesics</p> Signup and view all the answers

    Why should patients avoid sun exposure to the affected area after dental implant surgery?

    <p>To prevent permanent discoloration</p> Signup and view all the answers

    What is the recommended approach to addressing parafunctional habits?

    <p>Occlusal guards and an ideal occlusal scheme</p> Signup and view all the answers

    What is the primary reason for the migration of dental implants into adjacent anatomic areas?

    <p>The anatomic location of the maxillary sinus</p> Signup and view all the answers

    What is the potential consequence of leaving a displaced implant untreated?

    <p>Calcification of the implant (antrolith)</p> Signup and view all the answers

    What is the recommended treatment for a fractured implant?

    <p>Removal and possible replacement of the implant</p> Signup and view all the answers

    What is the typical location of implant migration after displacement into the maxillary sinus?

    <p>The ostium area</p> Signup and view all the answers

    What is the timeframe for implant displacement into the maxillary sinus?

    <p>From the time of surgery to 10 years after prosthetic rehabilitation</p> Signup and view all the answers

    What is the primary purpose of applying Dexamethasone topically during surgery?

    <p>To reduce neural inflammation and enhance recovery</p> Signup and view all the answers

    What is the recommended approach to remove bone during osteotomy in dense bone?

    <p>Removing small increments of bone at a time</p> Signup and view all the answers

    What should be avoided when a bone drill becomes lodged in the bone during preparation?

    <p>Wiggling the handpiece back and forth to disengage the drill</p> Signup and view all the answers

    What type of bone is more prone to complications during osteotomy?

    <p>Hard bone (D1–D2)</p> Signup and view all the answers

    What is the concentration of the intravenous form of Dexamethasone used for topical application?

    <p>4 mg/mL</p> Signup and view all the answers

    What is the benefit of using intermediate burs during osteotomy?

    <p>Removing smaller amounts of bone at a time</p> Signup and view all the answers

    What is the primary benefit of achieving a higher level of accreditation for an implant dentist?

    <p>Greater mastery of oral implantology</p> Signup and view all the answers

    What is the purpose of conducting a literature review in oral implantology?

    <p>To identify potential complications</p> Signup and view all the answers

    What is the significance of informing patients about the advantages, disadvantages, risks, and potential complications of each treatment option?

    <p>To promote informed decision-making</p> Signup and view all the answers

    Why is it essential to avoid rushing through the treatment sequence and timelines in implant dentistry?

    <p>To avoid substantial complications</p> Signup and view all the answers

    What is the primary focus of follow-up care in oral implantology?

    <p>Identifying potential complications</p> Signup and view all the answers

    What is the underlying principle of the advice 'not to be the first, nor the last' in oral implantology?

    <p>Avoiding unproven methods</p> Signup and view all the answers

    What is a possible consequence of nonpatency of the maxillary ostium?

    <p>Infection or erosion of the implant through the ostium</p> Signup and view all the answers

    Where may dental implants migrate to via extrusion through the ostium or erosion through the medial wall of the sinus?

    <p>Nasal cavity</p> Signup and view all the answers

    What is the relation between the floor of the orbit and the roof of the maxillary sinus?

    <p>The floor of the orbit coincides with the roof of the maxillary sinus</p> Signup and view all the answers

    What is a reason for poor bone quality leading to implant migration?

    <p>The bone lacks density and strength</p> Signup and view all the answers

    What can cause overpreparation of the osteotomy site?

    <p>Using a conventional drill sequence with poor bone quality</p> Signup and view all the answers

    What may occur due to overpreparation of the osteotomy site?

    <p>Insufficient bone at the crestal level to maintain rigid fixation</p> Signup and view all the answers

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