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Questions and Answers
Fixed restorations can only be attached at the implant level and never at the abutment level.
False
Using a one-piece implant is recommended for narrow spaces and with Zirconia implants.
True
Excess cement in fixed restorations is linked to signs of peri-implant disease in a significant majority of cases.
True
Two-piece implants provide no advantage during the bone healing phase as they remain permanently loaded.
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Cement retained one-piece implants offer great diversity in abutments and are ideal for all situations.
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One-piece implants can be beneficial in situations with limited space.
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Cement retained one-piece implants allow for a significant range of abutment options.
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Using excess cement during implant procedures has not been linked to any complications.
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Two-piece implants provide the advantage of being loaded during the healing phase.
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Zirconia implants necessitate informing the patient and selecting an appropriate diameter before placement.
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The position of a one-piece implant is not critical compared to two-piece implants.
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The primary advantage of using a telescopic crown is to help achieve a better cosmetic outcome.
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Study Notes
Restorative Options Overview
- Restorative options for dental implants include fixed (cement-screw) and removable (friction-attachment) options.
Fixed Restorations
- Implant Level Restorations: Directly attached to the one-piece implant.
- Abutment Level Restorations: Involves an intermediate abutment between the implant and restoration.
One-Piece Implants
- Recommended for narrow spaces in the dental arch.
- Frequently used with Zirconia implants, which also require a one-piece configuration.
- Excess cement on restorations is linked to peri-implant disease in 81% of cases.
- Prioritize patient education and proper diameter selection when planning for Zirconia implants.
Telescopic Crowns Advantage
- Elevate the margins of the restoration for a more equigingival alignment with neighboring teeth.
Cement Retained One-Piece Implants
-
Pros:
- Simplicity in design.
- Fewer mechanical components.
- Effective in narrow spaces.
-
Cons:
- Risk of loading during the healing period.
- Limited diversity in available abutments.
- Critical positional placement required.
- Excess cement can lead to bone loss.
Two-Piece Implants
- Enable unloading during the bone healing phase, ensuring less stress on the implant site.
- Allow for adjustment of the prosthetic angle based on the selected abutment (angled or straight).
Restorative Options Overview
- Restorative options for dental implants include fixed (cement-screw) and removable (friction-attachment) options.
Fixed Restorations
- Implant Level Restorations: Directly attached to the one-piece implant.
- Abutment Level Restorations: Involves an intermediate abutment between the implant and restoration.
One-Piece Implants
- Recommended for narrow spaces in the dental arch.
- Frequently used with Zirconia implants, which also require a one-piece configuration.
- Excess cement on restorations is linked to peri-implant disease in 81% of cases.
- Prioritize patient education and proper diameter selection when planning for Zirconia implants.
Telescopic Crowns Advantage
- Elevate the margins of the restoration for a more equigingival alignment with neighboring teeth.
Cement Retained One-Piece Implants
-
Pros:
- Simplicity in design.
- Fewer mechanical components.
- Effective in narrow spaces.
-
Cons:
- Risk of loading during the healing period.
- Limited diversity in available abutments.
- Critical positional placement required.
- Excess cement can lead to bone loss.
Two-Piece Implants
- Enable unloading during the bone healing phase, ensuring less stress on the implant site.
- Allow for adjustment of the prosthetic angle based on the selected abutment (angled or straight).
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Description
This quiz explores the different restorative options for dental implants, focusing on fixed and removable methods. Learn about the implications of using one-piece implants and the importance of correct cement application to avoid peri-implant disease. Test your knowledge on the nuances between various implant levels and materials.
