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AAID IMPLANT QUESTIONS QUESTIONS AND CORRECT ANSWERS!

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Ace the AAID (American Academy of Implant Dentistry) implant certification exam with this comprehensive question bank featuring over 150 exam-style questions and verified correct answers. Designed for dental professionals seeking implant credentialing, this resource covers every major topic tested on the AAID implant exam. Each question is presented in a clear Q&A format with the correct answer highlighted, allowing for efficient self-assessment and rapid knowledge reinforcement. What You Will Master: Implant Surgery & Osteotomy Preparation Safety zone above inferior alveolar canal (2mm minimum) Minimum spacing between adjacent implants (3-4mm) Platform placement in esthetic zone (2mm apical to adjacent CEJ) Bone density classification (D1 1250 HU, D HU, D3 350-850 HU, D4 150-350 HU, D5 150 HU) Division bone classification (Division A = root form implants; Division B = 2.5mm wide; Division D = subperiosteal implants) Drilling protocols based on bone density (D4 bone – use osteotomes/compress, NOT complete drilling sequence) Prosthetics & Restorations Implant crown occlusal contacts (central fossa with apical forces) FP classification (FP-1 = crown only; FP-2 = crown + root; FP-3 = crown + soft tissue/pink) RP classification (RP-4 = fully implant supported; RP-5 = implant + soft tissue supported) Cantilever calculation per A-P spread (mandible: 2.5× A-P spread; maxilla anterior: 1×) Cementable vs. screw-retained (cementable = easier passive fit, NOT greater retention with low interocclusal space) Bar overdenture space requirement (14-16mm between bone crest and incisal edge) Implant Complications & Management Failed implant management (remove the implant) Failed implant with buccal bone loss on uncovery (remove and graft – DO NOT salvage) Neurapraxia (mild nerve injury/retraction – monitor) Lingual artery injury (perforation of lingual plate → sudden floor of mouth swelling – most critical) Inferior alveolar nerve injury (prognosis better than lingual nerve injuries) Lingual nerve location in retromolar pad area (stay buccally toward external oblique ridge to avoid) Implant spinning at stage II uncovery (remove implant – failed) Pharmacology & Patient Management Penicillin-allergic patient pre-surgical antibiotic (Clindamycin 600mg 1 hr pre-op, then 300mg TID for 1 day) AHA antibiotic prophylaxis for previous endocarditis (Amoxicillin 2g 1 hr pre-op) Pre-operative steroids indication (decrease post-op edema, swelling, nausea) Bisphosphonate (oral, 6 months) – low risk for BON (treat as normal patient) IV bisphosphonate (Zometa) – high risk for BON (offer alternative treatment or get CTX test) Antihistamines after sinus graft – NO proven benefit Anesthetic with longest duration (0.5% bupivacaine with 1:200,000 epinephrine) Oral sedation for implant surgery (Halcion/Triazolam – patient needs driver) Grafting & Bone Regeneration Socket grafting with lost facial bony plate (place barrier membrane on facial and occlusal portion) Collatape wound dressing (resorbs in ~8 days, made from bovine product) Bleeding points in extraction socket (supply blood cells, induce RAP, access cancellous bone) Osteoconductive materials (allograft, alloplast, autogenous chips, synthetic polymers – ALL of the above) Osteoinductive materials (mineralized allograft + demineralized freeze-dried bone allograft – A and E) Autogenous block graft indication (Division B → Division A ridge conversion) Anatomy & Surgical Considerations Greater palatine artery (bleeding during maxillary posterior incision – most likely source) Kiesselbach's plexus (bleeding during premaxilla lateral incisor osteotomy – most likely cause) Mylohyoid muscle (encountered when reflecting lingually in patient with long-term RPD) Nasopalatine nerve encroachment (causes bony defect on central incisor implant) Mandibular flexure (0.8mm movement in 1st molar area – affects cross-arch splinting) Osteotome technique for sinus elevation (Summer's Technique, SA-2 type – greenstick fracture, same-stage implant placement) Instruments & Techniques Zimmer 1.25mm hex tool (insertion of transfer posts, removing cover screws, torquing abutments – ALL) Reverse Torque Test (RTT) – counterclockwise torque of 10-20 N-cm Open tray impression advantage (flaring/diverging implants – prevents impression tearing) Closed tray impression advantage (no tray modification, simpler, no unscrewing transfers – ALL) Laser welded bar overdenture advantage (more cost-effective than cast bar) Computer milled abutment advantage (no laboratory misfits) Diagnostic Imaging Most accurate for bone length (digital periapical radiograph) CT scan enables (drill surgical guide/surgical stent) Surgical template purpose (proper position of implant platform) Surgical guide for flapless surgery (CAT scan with radiopaque markers from diagnostic wax-up) Scanning appliance for CT (NOT required for all CT referrals – false statement) Success Criteria & Failure Signs Criteria for success (rigid fixation, bone loss 0.2mm after first year, esthetics – NOT 7mm pockets) Failing implant sign (pain only upon percussion – NOT mobility, NOT 5mm pocket without exudates) Periimplantitis (inflammation with 0.1mm bone loss over 2 years – NOT failing/failed) Healthy implant with bone loss? (periimplantitis is correct for inflammation + minimal bone loss) Medical History & Contraindications NOT a contraindication (hypothyroidism – acceptable) Age for implant placement in males (22 years old – growth complete) Smoking effects (decreased capillary blood flow, lower chemotaxis, decreased PMNs – NOT increased phagocytic activity) Medications affecting bleeding (aspirin, Plavix, Coumadin – ALL) Hemoglobin level (assesses anemic condition) Normal adult pulse rate (60-100 bpm – 140 is abnormal) Key Exam-Ready Features: 150+ AAID-style questions with verified correct answers Clear Q&A format for rapid review Covers surgical, prosthetic, grafting, and complication management Includes bone density, division classifications, and radiographic guidelines Perfect for implant dentistry board certification preparation

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Institution
AAID Implant
Course
AAID Implant

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AAID IMPLANT QUESTIONS QUESTIONS AND CORRECT
ANSWERS!




Where should the occlusal contacts be on an implant crown


A. On the buccal aspect of the occlusal surface
B. On the distal aspect of the occlusal surface
C. On the central fossa of the occlusal surface if it produces apical forces on the
implant

D. The contact can be anywhere because this is an implant crown - ANS✅✅c.
On the central fossa of the occlusal surface if it produces apical forces on the
implant


What would be the bestpre-surgicalantibioticprotocolregimenfor a penicillin
allergic patient?


A. Clindamycin 1200mg 2hrs pre-operative followed by 600mg tid for7 days
B. Augmentin500mg 1 hr pre-operative followed by 500mg for 24 hours
Amoxicillin 2000mg1 hr pre-operative followed by 1000mg tid for 5-7 days
A. Clindamycin 600mg 1 hr pre-operative followed by 300mg tid for1 day -
ANS✅✅d.Clindamycin 600mg 1 hr pre-operative followed by 300mg tid for1
day


The advantage of a papilla sparing incision is that:

,A. The clinician can perform this more quickly saving time and money and this
procedure is more often performed in the non esthetic zone.
B. The clinician can make a complete sulcular incision around the adjacent teeth
to examine the roots for periodontal disease
C. The papilla is less likely to recede and cause black triangles.
D. The papilla is more likely to recede and allow for the use of interproximal
periodontalbrushes into large embrasure spaces - ANS✅✅c.The papilla is less
likely to recede and cause black triangles.


The use of steroids pre-operatively in implant dentistry in mainly indicated to:


Help the patient relax
Decrease post operative edema, swelling and nausea
Decrease the risk of sedation

Treat acute infection - ANS✅✅b.Decrease post operative edema, swelling and
nausea


The main anatomic structure the implant surgeon needs to be aware of in the
posterior mandible area if he/she perforates the boney plate of the jaw is the:


The greater palatine nerve
The buccal nerve
The maxillary artery

The lingual artery - ANS✅✅The lingual artery

,The most commonly recommended minimum distance between the implant and
adjacent tooth is:


4-5 mm
6-7mm
1.5-2mm

0.25mm-0.5mm - ANS✅✅1.5-2mm


The platform on an implant placed in an esthetic zone should be placed at:


5 mm apical to the adjacent teeth CEJ
5 mm below the crestal bone regardless of its height
2 mm apical to the adjacent teeth CEJ
1 mm coronal to the adjacent teeth CEJ so that the machined collars are exposed
and cleansable - ANS✅✅2 mm apical to the adjacent teeth CEJ


What is the most commonly recommended minimum spacing between two
adjacent implants?


A. 1-2 mm
B. 3- 4mm
C. 5-6mm

D. 7 or more mm - ANS✅✅b. 3- 4mm


The purpose of a surgical template made from a dental stone model is that it:

, A. Allows us to evaluate the volume of bone
B. Provides the clincian with the proper angulation for our implant
C. Helps to give us the proper position of our implant platform
D. Allows us to place the implant without evaluating our implant position in the
mouth and eliminates the use of intraoperative radiographs. - ANS✅✅c. Helps
to give us the proper position of our implant platform


After taking an implant impression we try in the abutments and the metal
substructures (castings for the porcelain to metal crowns). The metal
substructure does not fit. What are the best and most efficient next steps.


A. Take a new fixture level impression and send it back to the lab to remake a
whole new substructure
B. Take an abutment level impression in the mouth
C. Section the metal framework, fixate with GC resin and take a pickup
impression

D. Order duplicate abutments and make a new metal substructure - ANS✅✅c.
Section the metal framework, fixate with GC resin and take a pickup impression


Which of the following is not an advantage for cementable restorations
compared to screw retained restorations:


A. Less screw loosening and screw fractures
B. Better gingival health
C. Improved esthetics

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Uploaded on
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