3. Routine use of an interproximal brush should be encouraged for at-home cleaning around implants because it: a. Causes no damage to the tissue around the implant even if used aggressively. b. Provides the only way to get interproximal areas clean because flossing is contraindicated. c. Can penetrate up to 6 mm into the gingival sulcus or pocket. d. Provides additional access for routing hygiene. 4. How frequently during maintenance visits should the dental provider take radiographs to monitor implant bone levels? a. Periodically as indicated and appropriate. b. Once a week for the year following implantation. c. Every 16 months. d. Never. 5. Compared with an implant, the periodontal fiber orientation of the gingival cuff is: a. Identical for both a natural tooth and an implant. b. Perpendicular to the long axis around implants. c. Parallel to the long axis around implants. d. Perpendicular to the long axis of the tooth. 6. One difference between natural teeth and implants is that implants have: a. A strong epithelial attachment. b. Increased vasculature in the surrounding gingival tissue. c. A mucosal seal that is a less effective barrier to plaque. d. A mucosal seal that is a more effective barrier to plaque. 7. Which clinical evaluation should dental providers perform only when signs of infection, such as exudate and swelling, are present? a. Radiographic examination. b. Occlusion evaluation. c. Mobility evaluation. d. Probing. 8. Which of the following statements is correct regarding probing around dental implants? a. Only titanium probes should be used when probing around dental implants. b. Dental practitioners should avoid using periodontal probing depths as a clinical indicator for implant health or peri-implant disease. c. The probing depths around implants are typically double the size of probing depths around natural teeth. d. Probing around dental implants should be done at every recall appointment. 9. Currently, the best indicator for the diagnosis and/or prediction of implant failure is the presence of: a. Bleeding. b. A probable pocket. c. Mobility. d. Inflammation. 10. When monitoring the health of peri-implant soft tissues, the practitioner should be cognizant of changes in color, contour, and: a. Consistency. b. Pigmentation. c. Vascularity. d. Opacity. 11. The presence of a fistulous tract may indicate: a. Impending implant fracture. b. An allergy to the metal of the implant. c. Insufficient implant diameter. d. Damage from use of stainless steel instruments.
12. Bleeding on probing has presently been associated with: a. P-implant disease. b. Prosthetic screw loosening. c. Osseointegration. d. Trismus. 13. One of the most useful clinical parameters for evaluating the status of an endosseous dental implant is: a. Biting sensitivity. b. The presence of mobility. c. Increased probing depths. d. Radiographic interpretation. 14. Bone loss of 1.0 to 1.5 mm during the first year after c. A sign of implant occlusal overload. d. An indication for further evaluation. 15. Dental professionals should avoid using instruments that can scratch, contaminate, or cause a galvanic reaction at the implant-abutment surface; these are typically instruments made of: a. Plastic. b. Titanium. c. Stainless steel. d. Wood. 16. Ultrasonic scalers should be used to clean around implants only: a. In conjunction with pumice for enhanced polishing. b. With air powder abrasive units. c. When probing with a metal probe shows normal pocket depths. d. With a plastic sleeve over the tip to reduce the potential for damage. 17. Which of the following can detach the soft-tissue connection with the coronal portion of the implant, leading to emphysema? a. Ultrasonic scalers. b. Air powder polishing units. c. Gauze strips with tin oxide. d. Instruments made of Teflon. 18. The titanium or titanium alloy surfaces of dental implants can safely be polished with: a. Flour of pumice. b. An ultrasonic scaler. c. An air powder polishing unit. d. A gauze strip with tin oxide. 19. With regard to the home care of implants, automated mechanical toothbrushes: a. Will loosen fixation screws. b. Will damage the surface of the implants. c. Are a good adjunct to home care. d. Are not as effective as a manual toothbrush. placement of the implant is: a. A sign of peri-implantitis. b. Normal. 20. Which of the following statements is true regarding optimal at-home maintenance for implant-supported restorations? a. Additional research is needed to determine optimal techniques. b. Patients should brush only once per day to avoid damaging the implant. c. The required at-home care is minimal. d. Patients do not require education regarding at-home care.
Page 109 Course Code: DCA01MD
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