ORTHODONTICS NBDE PART 2 NEWEST 2024
ACTUAL EXAM 155 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
sequence of implant patient flow - ANSWER>>> 1) assessment and
diagnosis
2) consultation (restorative and surgical)
3) treatment planning
4) surgical phase
5) restorative phase
6) maintenance phase
implant overdenture: assessment and diagnosis - ANSWER>>> -
complete patient record/HH
-complete diagnostic checklist
-exclusion criteria (unacceptable at pre-doc level):
1) PDI classification III or IV
2) requires an implant supported maxillary prosthesis
3) requires more than 2 implants in mandibular arch
,implant overdenture: surgical consultation - ANSWER>>> -diagnostic
checklist will be signed by a surgical faculty member
-if CBCT is indicated during the surgical consult, UG student provider
will plan the codes and the resident provider will take the CBCT,
complete the code, send requests for interpretation, and enter tx note
in Axium
implant overdenture: post-consultation - ANSWER>>> -if patient is
approved for UG implant care, diagnostic checklist will be signed by a
prosthodontic faculty member
-if patient is not approved for UG implant care, refer to advanced
prosthodontics clinic for further evaluation (e-referral form on Axium)
-surgical resident will be assigned (OMFS, perio, and/or prosth)
-implant manufacturer will be assigned (Dentsply EV/TX or
Straumann)
implant overdenture: treatment planning - ANSWER>>>
comprehensive tx plan completed after approval in implant clinic
T/F: surgical/radiographic guide must always be fabricated for IOD -
ANSWER>>> T
implant overdenture surgical protocols - ANSWER>>> 1) implant
surgery (stage 1):
-midcrestal incision to allow adequate visualization of anatomic
structures and undercuts
-exposed bone dimensions: minimum of 5mm B-L (coronally) and
minimum of 1mm on either side of the implant (apically)
-surgical guide
,-radiograph taken immediately post-op
2) uncovery surgery (stage 2):
-3 months after implant placement
-healing abutment placed at appropriate height (1.5-2mm above soft
tissue)
-soft tissue healing/restorative appointment in minimum of 3 weeks
implant overdenture restorative protocols - ANSWER>>> -all
restorative work occurs in the implant clinic
-check soft tissue health
-healing abutment is removed (using the hand driver) and locator
abutments placed 1.5-2mm above tissue (may measure tissue height
using the abutment depth gauge)
-locator abutments are torqued
-adjustment and seating of the mandibular denture
-chairside pickup and reline
armamentarium for implant-retained overdentures - ANSWER>>> -
denture delivery bin
-handpiece
-acrylic bur block
-implant kit (from Daisy)
-implant parts (locator abutment and locator processing male tool)
, -repair acrylic
locator abutment selection - ANSWER>>> -select the appropriate
locator abutment based on tissue height, implant system, and implant
dimensions
-locator attachments have the ability to accommodate up to 40°
angulation between 2 divergent implants
locator core tool - ANSWER>>> 3 components:
A) locator abutment driver
B) male removal tool
C) male seating tool
T/F: confirmatory radiograph is necessary to verify seating of locator
abutments - ANSWER>>> F -- no radiographs are necessary to verify
seating of the locator abutments since they are non-hexed abutments
torque wrench & hex bit - ANSWER>>> -place hex bit into the torque
wrench
-attach the locator abutment driver to the hex bit
-adjust the torque wrench to the appropriate torque value
-locator abutment driver with attached hex bit is placed over the
locator abutment intraorally
-torque wrench is attached to the hex bit intraorally
male locator processing package (housing) - ANSWER>>> 1) dual
retention kit:
-used for direct chairside pickup of the locator male
ACTUAL EXAM 155 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
sequence of implant patient flow - ANSWER>>> 1) assessment and
diagnosis
2) consultation (restorative and surgical)
3) treatment planning
4) surgical phase
5) restorative phase
6) maintenance phase
implant overdenture: assessment and diagnosis - ANSWER>>> -
complete patient record/HH
-complete diagnostic checklist
-exclusion criteria (unacceptable at pre-doc level):
1) PDI classification III or IV
2) requires an implant supported maxillary prosthesis
3) requires more than 2 implants in mandibular arch
,implant overdenture: surgical consultation - ANSWER>>> -diagnostic
checklist will be signed by a surgical faculty member
-if CBCT is indicated during the surgical consult, UG student provider
will plan the codes and the resident provider will take the CBCT,
complete the code, send requests for interpretation, and enter tx note
in Axium
implant overdenture: post-consultation - ANSWER>>> -if patient is
approved for UG implant care, diagnostic checklist will be signed by a
prosthodontic faculty member
-if patient is not approved for UG implant care, refer to advanced
prosthodontics clinic for further evaluation (e-referral form on Axium)
-surgical resident will be assigned (OMFS, perio, and/or prosth)
-implant manufacturer will be assigned (Dentsply EV/TX or
Straumann)
implant overdenture: treatment planning - ANSWER>>>
comprehensive tx plan completed after approval in implant clinic
T/F: surgical/radiographic guide must always be fabricated for IOD -
ANSWER>>> T
implant overdenture surgical protocols - ANSWER>>> 1) implant
surgery (stage 1):
-midcrestal incision to allow adequate visualization of anatomic
structures and undercuts
-exposed bone dimensions: minimum of 5mm B-L (coronally) and
minimum of 1mm on either side of the implant (apically)
-surgical guide
,-radiograph taken immediately post-op
2) uncovery surgery (stage 2):
-3 months after implant placement
-healing abutment placed at appropriate height (1.5-2mm above soft
tissue)
-soft tissue healing/restorative appointment in minimum of 3 weeks
implant overdenture restorative protocols - ANSWER>>> -all
restorative work occurs in the implant clinic
-check soft tissue health
-healing abutment is removed (using the hand driver) and locator
abutments placed 1.5-2mm above tissue (may measure tissue height
using the abutment depth gauge)
-locator abutments are torqued
-adjustment and seating of the mandibular denture
-chairside pickup and reline
armamentarium for implant-retained overdentures - ANSWER>>> -
denture delivery bin
-handpiece
-acrylic bur block
-implant kit (from Daisy)
-implant parts (locator abutment and locator processing male tool)
, -repair acrylic
locator abutment selection - ANSWER>>> -select the appropriate
locator abutment based on tissue height, implant system, and implant
dimensions
-locator attachments have the ability to accommodate up to 40°
angulation between 2 divergent implants
locator core tool - ANSWER>>> 3 components:
A) locator abutment driver
B) male removal tool
C) male seating tool
T/F: confirmatory radiograph is necessary to verify seating of locator
abutments - ANSWER>>> F -- no radiographs are necessary to verify
seating of the locator abutments since they are non-hexed abutments
torque wrench & hex bit - ANSWER>>> -place hex bit into the torque
wrench
-attach the locator abutment driver to the hex bit
-adjust the torque wrench to the appropriate torque value
-locator abutment driver with attached hex bit is placed over the
locator abutment intraorally
-torque wrench is attached to the hex bit intraorally
male locator processing package (housing) - ANSWER>>> 1) dual
retention kit:
-used for direct chairside pickup of the locator male
