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29 Cards in this Set
- Front
- Back
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What is immediate placement of implant placement? |
Immediately following extraction |
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What is early placement with soft tissue healing? |
Typically 4 to 8 weeks (what's done at school) |
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What is early placement with partial bone healing |
Typically 12-16 weeks |
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What is late placement? |
Typically 6 months or longer |
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What is Immediate Restoration ? |
Inserted within 48 hr of implant placement, no occlusion with opposing dentition. |
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Immediate Loading? |
Placed in occlusion with the opposing dentition within 48 hr of implant placement |
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Conventional Loading? |
Prosthesis is attached after a healing period of 3 to 6 months (what is done at school) |
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Early Loading? |
A restoration in contact with the opposing dentition is placed at least 48 hrs after implant placement but no later than 3 months afterwards |
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Delayed loading? |
The prosthesis is attached in a procedure that takes place some time later than the conventional healing period of 3 to 6 months. |
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What constitutes a esthetic site? |
where the mucosal margins of the teeth or tooth replacements will be visible upon full smile, or area of esthetic importance to the patient |
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What are the determinants of classification? |
1. Esthetic vs. Non Esthetic 2. Complexity of the process 3. Risks of complications |
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What are some biological risk factors? |
∗ Hardandsofttissuevolume * Presence of infection |
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What are some technical risk factors? |
*Restoration design * Lab issues |
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What are some esthetic factors? |
*Need to replace missing soft tissue volume in an esthetic site *Shape of tooth crowns *Lip line
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What are some Patient factors? |
*Esthetic needs or expectations exceed what can be reasonably achieved *Willingness of patients to commit to their role in TX plan |
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What are the different classifications of risk for a patient with a smoking habit? |
Low: Non-smoker Moderate: Light (<10 cigs/day) HighL Heavy (>10 cigs/day) |
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What are the different classifications of risk for gingival biotype? |
low: low scalloped, thick moderate: medium scalloped, medium thick High: high scalloped, thin |
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What are the different classifications of risk for Tooth shape?? |
Low: Rectangular shape High risk: Triangular |
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What are the different classifications of risk for Bone level at adjacent teeth?? |
Low: <5mm to contact point Moderate: 5.5-6.5mm to contact point High: >7mm to contact point |
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What are the different classifications of risk for Bone level at adjacent teeth?? |
Low: Alveolar crest without bone deficiency Moderate: Horizontal bone deficiency High: Vertical bone deficiency |
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What are some process factors? |
*Issues related to the number of steps involved or complexity of the steps ∗ Factors that may impact on the coordination of scheduling of the Tx process |
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What are some general modifiers? |
1) Clinical competence and experience 2) Compromised Patient Health 3) Growth Considerations 4) Iatrogenic Factors |
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What are some restorative Modifiers? |
General Dental Healthy Restorative Volume Intra-arch discrepancies Volume of the edentulous span Occlusion |
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What are some parameters under general dental health? |
Presence of active disease Condition of adjacent teeth Reason for tooth loss |
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What are some parameters under restorative volume? |
Inter-arch distance Mesio-distal space Span of the restoration |
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What are some parameters under Occlusion? |
Scheme (presence of anterior guidance) Involvement in occlusion Occlusal parafunction |
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What are some criteria that make a case straightforward? |
-A non-esthetic site, hence the esthetic risk is minimal (ie. posterior) -The restorative process is expected to be uncomplicated and involves few steps -The restorative outcome is readily predictable -There is a low risk of complications |
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What are some criteria that make a case advanced? |
-There is a discernable esthetic risk -The restorative process may have increased number of steps, but the outcome is predictable -The resorative outcome can be accurately visualized -The risk of complications is low to moderate |
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What are some criteria that make a case complex? |
-The esthetic risk is moderate to high -The restorative process involves multiple steps and the tx plan may need to be re-evaluated as a consequence of the outcome of one or more of these steps -The restorative outcome cannot be readily visualized prior to tx -The risk of complications is high, and multiple branching plans may be necessary to deal with these issues. The long term outcome of the restorative process may be compromised by these complications -Detailed coordination, communication and sequencing if tx procedures between restorative dentist, surgeon and lab. Tech are essential for success. Pt's understand and accept the potential for compromised outcomes. |
