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Questions and Answers
Which of the following is the MOST important consideration when planning an implant restoration?
If a patient has a canine-guided occlusion, what should the clinician consider when placing an implant in the canine position?
Which of the following occlusal schemes would be the LEAST desirable for an implant restoration?
What is the MOST important factor to consider when determining the appropriate implant position based on the planned restoration?
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Which of the following occlusal schemes would be the MOST desirable for an implant restoration?
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What is the primary factor that determines whether a screw-retained or cement-retained implant restoration is used?
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What potential issue may arise when restoring a tooth with a steep curve of Spee during lateral excursive movements?
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Which of the following factors is most directly related to the orientation of adjacent teeth in relation to an edentulous space?
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What is the primary concern when considering the interarch space during implant restoration?
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Which aspect of occlusion is most directly related to the orientation of adjacent teeth in relation to an edentulous space?
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What is the primary reason why the Archer relationship of the patient is an important consideration when planning an implant restoration?
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A patient presents with a collapsed vertical dimension of occlusion. How might this impact the planning and timing of an implant restoration?
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A patient presents with a skeletal Class III relationship. How might this affect the planning of an implant restoration?
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How does the patient's range of motion and occlusal scheme impact the planning of an implant restoration?
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Which of the following is the MOST important factor to consider when planning an implant restoration based on the information provided?
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Which of the following statements about patients with Class II and Class III skeletal patterns is true?
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When considering the occlusal scheme for a restoration, which of the following factors should be taken into account?
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What is the significance of arch form when placing multiple implants?
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If a patient is missing three teeth in a row, what factors should be considered when determining the restoration plan?
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Which of the following statements about TMJ status is true?
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What is the likely TMJ status of the patient based on the information provided?
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What is the likely Angle classification of the patient's skeletal relationship?
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How would the patient's occlusal scheme be best described?
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What is the likely range of motion of the patient's mandible based on the information provided?
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What is the most appropriate treatment approach for this patient?
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Which of the following is the most important factor in determining the prognosis of a patient's treatment plan?
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Which of the following statements about the relationship between age and visible teeth during speech is correct?
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Which of the following is the most important consideration when splinting multiple implant-supported restorations together?
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Which of the following statements about the relationship between gender and smile line is correct?
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Which of the following is the most important factor in determining the occlusal scheme for a patient's restorative treatment plan?
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Which of the following statements about the importance of considering a team approach in restorative treatment planning is most accurate?
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Which of the following is the most important consideration when determining the appropriate occlusal scheme for a patient's restorative treatment plan?
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Which of the following statements about the relationship between muscle tone and visible teeth during speech is correct?
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Which of the following is the most important factor in determining the appropriate treatment plan for a patient with multiple missing teeth?
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Which of the following statements about the importance of considering occlusal principles in restorative treatment planning is most accurate?
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What is the importance of assessing occlusal schemes before planning implant restorations?
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Based on the passage, what is a common issue encountered when patients request specific treatments?
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What does the author imply about the role of dental students in assessing patients' overall dental needs?
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What is a crucial skill for dentists when discussing treatment plans with patients?
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Study Notes
Occlusal Plane and Implant Restoration
- The orientation of the occlusal plane is crucial when restoring an implant, especially with a steep curve of Spee
- A steep curve can cause interferences during lateral expressive movements
- The orientation of adjacent teeth to the space is also important, considering esthetic and functional issues
Implant Space and Restoration
- The space for the implant is from the soft tissue on top of the implant to the occlusal of the opposing tooth
- There are two types of crowns: screw-retained and cement-retained
- The type of restoration is determined by the space available, not by the bone position
Forces on Implant
- Forces on the implant should be planned to be down the long axis of the implant to avoid shear and tensile forces
- Software is used to plan the implant and determine the forces on the restoration
Clinical Exam Considerations
- Pre-implant considerations include the patient's existing occlusion, occlusal plane, and tooth orientation
- The proximity of adjacent teeth and their orientation are also important factors
- A clinical exam should include evaluating the patient's existing vertical dimension of occlusion
Additional Factors to Consider
- The arch relationship (Class I, II, or III) and the patient's range of motion and occlusal scheme
- The TMJ status and arch form (e.g., ovoid, squarish, triangular)
- The location of missing teeth and their impact on the restoration plan
- Lip line and smile line considerations, which vary by age and sex
Team Approach and Patient Education
- A team approach is essential in implant restoration to avoid unwanted forces and ensure a good prognosis
- Patients should be educated about the importance of occlusal principles and the need to address underlying issues before restoring an implant
- Dental students should learn to assess the entire oral situation and prioritize the patient's needs accordingly
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Description
Test your knowledge on how patients with limited range of motion and grinding habits can affect occlusal scheme for dental restorations. Explore the importance of considering TMJ status in treatment planning.