Title: Chapter 32: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Which type of implant is most commonly used?
- Subperiosteal
- Transosseous
- Endosseous
- Subosseous
- Transosteal
A: Endosseous

Q: Implants may be indicated for patients who:
- have an edentulous maxilla
- demonstrate poor oral hygiene
- are undergoing orthodontic treatment
- have severe periodontal disease
A: have an edentulous maxilla

Q: Endosseous implants are made from what material?
- Ceramic-coated titanium
- Gold
- Plasma-sprayed stainless steel
- Plasma-sprayed titanium
A: Plasma-sprayed titanium

Q: The term osseointegration means:
- an implant that penetrates both cortical plates and passes through alveolar bone
- a biologic seal to prevent microorganisms from entering the tissue
- structural and functional union between implant and bone
- infusion of connective tissue cells between the implant body and bone
- a patient's implant has failed
A: structural and functional union between implant and bone

Q: The risk for implant failure in smokers is:
- the same as in nonsmokers
- greater than in nonsmokers
- lower than in nonsmokers
- so small that it is not a concern
A: greater than in nonsmokers

Q: What region is most susceptible to having bone loss resulting from excessive lateral forces?
- Mandibular posterior
- Mandibular anterior
- Maxillary anterior
- Maxillary posterior
A: Maxillary posterior

Q: In the disease control program it is important to address care of the implant and the natural teeth because:
- transmission of microorganisms from natural teeth to peri-implant tissue can occur
- the biofilm around natural teeth is different from the biofilm surrounding implants
- osseointegration will not occur
- negative biomechanical forces increase the risk of failure
A: transmission of microorganisms from natural teeth to peri-implant tissue can occur

Q: All of the following interdental implements could be recommended to a patient with implants except:
- synthetic yarn
- folded strip of gauze
- floss threader
- round wooden toothpicks
- metal core interdental brush
A: metal core interdental brush

Q: Case Study 1
Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth.

Reference: Ref 32-1

Open and read the attached case to answer the following question. Allison's implant seems to be:
- a failed implant
- a failing implant
- an ailing implant
- healthy
A: an ailing implant

Q: Case Study 1
Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth.

Reference: Ref 32-1

Open and read the attached case to answer the following question. The description of the tissue around the implant indicates:
- periodontal disease
- peri-implantitis
- gingivitis
- peri-implant mucositis
A: peri-implant mucositis

Q: Case Study 1
Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth.

Reference: Ref 32-1

Open and read the attached case to answer the following question. The dental hygienist decides to irrigate with an antimicrobial and have the patient perform daily irrigation at home. What type of antimicrobial rinse should be used?
- Iodine
- Chlorhexidine
- Peroxide
- Fluoride
- Distracter
A: Chlorhexidine

Q: Case Study 1
Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth.

Reference: Ref 32-1

Open and read the attached case to answer the following question. The dental hygienist recommends a professionally applied fluoride before Allison leaves the office. What type of fluoride should the dental hygienist use?
- Stannous fluoride
- Neutral sodium fluoride
- Acidulated phosphate fluoride
- Paint-on acidulated phosphate fluoride
A: Neutral sodium fluoride

Q: Case Study 1
Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth.

Reference: Ref 32-1

Open and read the attached case to answer the following question. When probing around the implant, what should be used?
- Stainless steel probe
- Wooden rounded toothpick
- Plastic probe
- Surgical guide
A: Plastic probe

Q: Biofilm around the titanium abutment should be removed with which of the following?
- Gauze strips
- Ultrasonic scaler
- Stainless steel curette
- Rubber cup and fine prophy paste
A: Gauze strips

Q: All of the following can be used to remove calculus from the implant surface except:
- plastic curette
- titanium curette
- high-power ultrasonic scaler with regular tips
- gold-plated scaler
A: high-power ultrasonic scaler with regular tips

Q: Endosseous implants are placed:
- through the cortical plates and alveolar bone
- just over the bone of the mandible
- in only a two-phase process
- fully within the bone
A: fully within the bone

Q: All of the following are characteristics of fibrous encapsulation except:
- Sharpey's fibers
- fibrous integration
- failure of osseointegration
- implant mobility
- infusion of connective tissue cells between implant and bone
A: Sharpey's fibers

Q: All of the following make a patient a poor risk for dental implants except:
- periodontal disease
- uncontrolled diabetes mellitus
- alcoholism
- anticoagulant medication
- beta blocker medication
A: beta blocker medication

Q: Which of the following is a characteristic of a failing implant?
- Inflammation with no mobility
- Incipient bone loss
- Incipient mobility
- Radiographic vertical bony defect
A: Incipient mobility

Q: While each patient has a personalized appointment interval, maintenance appointments during the first year after implant placement may be every:
- 6 to 8 months
- 1 to 2 months
- 3 to 4 months
- week
A: 1 to 2 months