Periodontology Treatment Modalities Quiz

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Questions and Answers

What material is recommended for scaling implants due to its great efficacy?

  • Plastic
  • Copper
  • Tephlon
  • Titanium (correct)

How do gums attach to implants compared to natural teeth?

  • Through a suction-like adherence (correct)
  • Via hemidesmosome anchor cells
  • Via connective tissue fibers embedded into cementum
  • By forming a biological bond with the titanium surface

Which type of surface coating is used to increase the microscopic surface area of implant surfaces?

  • Hydroxyapatite
  • Plasma sprayed (correct)
  • Galvanized steel
  • Polished finish

What is the biological attachment mechanism for implants called?

<p>Osseointegration (C)</p> Signup and view all the answers

Which method is NOT effective for removing the source of infection in implant maintenance?

<p>Detoxification with laser therapy (C)</p> Signup and view all the answers

What is the main limitation of systemic antibiotics in treating implant infections?

<p>Patients may wrongly perceive improvement after taking them (D)</p> Signup and view all the answers

Which tool is recommended for mechanical debridement in implant maintenance?

<p>Ultrasonic scaler with a metal tip (B)</p> Signup and view all the answers

Why do gum tissues not attach to implants in the same way as natural teeth?

<p>'Parallel connective tissue' allows gingival tissue to adhere to titanium (C)</p> Signup and view all the answers

'Arestin', 'Actisite', and 'Atridox' are examples of:

<p>Local delivery chemotherapeutic agents (B)</p> Signup and view all the answers

What is a primary etiologic factor for peri-implantitis?

<p>Increase in cocci, spirochetes, and motile bacteria (A)</p> Signup and view all the answers

Which factor contributes to early healing around implants?

<p>Immediate implant placement (D)</p> Signup and view all the answers

What is a necessary requirement to prevent peri-implant mucositis?

<p>Presence of attached keratinized gingiva (C)</p> Signup and view all the answers

Which inflammatory mediators lead to bone destruction in periodontitis and implantitis?

<p>IL, MMP, TNF-a (C)</p> Signup and view all the answers

What can be a consequence of lacking healthy tissue around implants?

<p>Gingival graft requirement (B)</p> Signup and view all the answers

Which type of bacteria invades connective tissue and leads to bone loss in implantitis?

<p>Gram-negative anaerobic flora (A)</p> Signup and view all the answers

What is the goal when decontaminating the implant surface during regeneration?

<p>Creating an environment for re-osseointegration (D)</p> Signup and view all the answers

What treatment might be needed if attached keratinized gingiva is absent in peri-implant mucositis?

<p><strong>Gingival graft</strong> procedure (B)</p> Signup and view all the answers

Which of the following is NOT a mechanical method for implant surface detoxification?

<p>Tetracycline (A)</p> Signup and view all the answers

Which of the following is a regenerative technique aimed at promoting bone growth around a failing implant?

<p>Emdogain (B)</p> Signup and view all the answers

Which of the following chemotherapeutic agents has been shown to suppress fibroblast attachment to the implant surface?

<p>Phosphoric acid and citric acid (A)</p> Signup and view all the answers

In the surgical protocol for failing implants, which of the following steps is NOT performed?

<p>Laser therapy (C)</p> Signup and view all the answers

Which of the following regenerative techniques involves the use of a membrane screwed onto the implant?

<p>Membrane screwed onto implant (C)</p> Signup and view all the answers

What percentage of bone gain can be achieved with regenerative techniques around failing implants?

<p>40-90% (B)</p> Signup and view all the answers

Which of the following statements is true regarding the maintenance of implants?

<p>Implants 'unzip' 30% faster than natural teeth (B)</p> Signup and view all the answers

If endotoxins or other contaminants are left on the implant surface, what is the consequence according to the text?

<p>Biologic repair and re-osseointegration cannot occur (B)</p> Signup and view all the answers

Which of the following is NOT a step in the surgical protocol for failing implants?

<p>Perform guided bone regeneration (C)</p> Signup and view all the answers

What is a factor associated with peri-implantitis?

<p>Older ages (B)</p> Signup and view all the answers

Which factor is NOT mentioned as a cause of marginal bone loss around an implant?

<p>Correct implant system choice (C)</p> Signup and view all the answers

What technique should be used for peri-implant probing to avoid creating a pocket?

<p>Horizontal technique (B)</p> Signup and view all the answers

Which factor is NOT mentioned as contributing to implant failure?

<p>Proper abutment fitting (B)</p> Signup and view all the answers

What can help prevent some issues related to implant systems according to the text?

<p>Using the platform switch technique (C)</p> Signup and view all the answers

Which disease is NOT listed as a hormonal factor that may affect peri-implant health?

<p>Celiac disease (C)</p> Signup and view all the answers

What should be checked to identify if abutment or crown is loose around an implant?

<p>'X-ray' images (B)</p> Signup and view all the answers

Why can results obtained with peri-implant probing not be interpreted the same as for natural teeth?

<p>'Different surrounding tissues' supporting implant teeth (C)</p> Signup and view all the answers

'Platform switch' is a technique used in implants to prevent what issue?

<p>'Bone loss around implants' (D)</p> Signup and view all the answers

'Detoxification of implant surface' is crucial in preventing what complication?

<p>'Peri-implantitis' (A)</p> Signup and view all the answers

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