Mock Test for Implantology

1. Incision on severely resorbed mandibular ridge in the mental foramen area should be:
A. Split thickness on the buccal
B. Split thickness on the lingual
C. Full thickness on the buccal
D Full thickness on the lingual
2. The minimum required space between the crest of the bone and the occlusal plan for a
mesobar and overdenture is:
A. 7 mm
B. 9-13 mm
C. 18 mm
D. 20 mm
3. Which one of the following occlusal arrangements provide optimal occlusal
relationships and force distribution on a fixed prosthesis connecting a natural tooth to an
implant anteriorly.
A. Equally heavy contacts on natural teeth and implants in centric contact with heavy
bite force.
B. Lateral forces can be present on natural teeth in lateral movements but no lateral
forces should be placed on implants.
C. Light contact similar on implants and natural teeth in centric bite.
D. Heavy contacts not as important on anterior teeth in centric occlusion as posterior
teeth.
4. In designing a subperiosteal implant the most important consideration affecting longterm success is to avoid:
A. Placing struts superior to mental foramen.
B. Placing struts immediately adjacent to genial tubercles
C. Placing struts over the mylohyoid ride.
D.
5. What are some abnormal chemistry values found in a patient with cardiac disease.
A. BUN, SGOT, uric acid, LDH
B. Billirubin, SGOT, Alkaline Phosphatase, LDH
C. LDH, CPK, Potassium, SGOT
D. LDH, SGOT, Alkaline Phosphatase, Potassium
6. A life threatening consideration when drilling an oteotomy in the anterior mandible,
the greatest risk is
A. Facial artery
B. Lingual artery
C. Air embolism
D. Edema

7. Calcium channel blockers may cause

A. Xerostomia
B. Gingival hyperplasia
C. Anemia
D. Elevated BP
8. Longitudinal studies in non-grafted periodontal cases show:
A. Complete elimination of pockets is necessary for health
B. Some pockets will persist after successful periodontal therapy
C. Normal color and tone of gingival tissue is necessary for health
D.
9. Pre-operatively, bone density is best determined by
A. Housfield units
B. Lateral cephalometric
C. Magnetic resonance image
D. Computerized tomography
10. A patient who has an implant supported complete denture ha difficulty swallowing.
Possible problems are:
A. Excessive interocclusal space\
B. Insufficient interocclusal space
C. Maxillary anterior teeth too far palatally
D. Mandibular anterior
11. A 37 year oldmale whose mandible was resected, presents for dental reconstruction
of a large defect, whichresults in the loss of ten teeth was grafted and placed 18 months
ago.
A. Utilize a hyperbaric chamber for 12 sessions before surgery
B. Six sessions both before an after surgery
C. The dentist must start antibiotic theraphy 1 hour prior to surgery and continue for
14 days
D. The implants can be place without any other intervention
12. Onlay bone graft is best utilized in a
A. 1 wall defect
B. 3 wall defect
C. 4 wall defect
D. 5 wall defect
14. After the patient was anesthesized, patient became unconscious, not breathing and no
pulse, what is the best treatment:
A. intubation
B. criccothyrotomy
C. mask mouth

15. implants on 12, 13 and pontic on 14. If biting force was placed on the center of 14,
What are the forces on 12 and 13:
A. 12 tensile, 13 compression* (misch book)
B. 12 compression, 13 tensile
C. 12 and 13 compression
D. 12 and 13 tensile
16. Patient has implant bridge connected from posterior to anterior teeth. After 3 wks,
patient came back and complaint of pain on chewing and biting:
A. take bridge out of occlusion
B. Make the anterior guidance
C. group functioning
D. eliminate protrusive guidance.

19. How long is the health history accurate for?

A.
B.
C.
D.

1 month
3 months
6 months
1 year

20. 50 year old man has been edentulous for a long time. What is the main consideration
when you are treatment planning implants in the symphiseal arefor this patient?
A.
B.
C.
D.

A-P spread
Mesio-distal relation
Crown to root ratio
Distal cantilever

21. Patient had a sinus graft done a week ago. Returns with foul smell, bad taste in
mouth. Patient was on Clindamycin 150 q6h. What would you do?
A.
B.
C.
D.

Amoxicillin and Augmentin

Clindamycin with Flagyl
Culture sensitivity
Refer to an Otolaryngologist

22. What is the best X-ray to evaluate space for a missing lateral?
A.
B.
C.
D.

Panorex
Tomogram
PA
CT scan

28. What is the most important factor when immediately placing an implant?
A. The implant must be HA coated
B. Primary stability
C. The implant should be at least 2mm under the crest of bone
29. A patient presents missing #20. There has been bone loss in the buccal-lingual
deminsion. You discuss with an orthodontist distalizing #21 into the #20
position. Then an implant can be place in the #21 position. What bone deminsion
can you expect in the #21 position?
A.
B.
C.
D.

Loss of buccal bone only

Loss of lingual bone only
Loss of vertical height only
There should be no loss of buccal, lingual or vertical bone.

30. When fabricating an implant supported overdenture which of the following is

important?
A.
B.
C.
D.

The prosthesis should be cuspid guilded.

The patient should be restored into group function
The patient should have balanced occlusion
Occlusion is not important with an implant supported overdenture

31. What type of tissue does the sinus membrane consist of?
A. Stratified squamous
B. Ciliated columnar.
C. Ciliated cuboidal
41. One of the stages of wound healing
A. Inflammation
42. Which surface best encourages boney ingrowth?
A. HA
B. Polished
C. Porous
43. Best way to prevent screw loosening.
A.
B.
C.
D.

Re-torque after initial tightening

Use external hex implant
Comp in access
Use screw lock material

44. Implants in 28, 29 supporting a distal cantilever to 30. In function force 28 is :

A.
B.
C.
D.

60% of force on 30
100 %
140%
180%

45. The anatomic structure most problematic to placing an implant in the maxillary
incisor area.
a. Midpalatine suture
b. Nasal floor
c. Maxillary sinus
d. Nasopalatine canal
46. The primary purpose of sinus augmentation is:
a. Create adequate bone height
b. Decrease the size of the antrum
c. Give initial implant stability
d. Created adequate width
47. A 50 y/o female has six root form implants place 1 years ago to support
maxillary overdenture reports the bar loosened at 4-6 weeks, two screws have
broken and the bar is loose, but the implants are tight. The most likely problem
is:
a. The screws have inadequate preload
b. The cantilever is too long
c. The bar doesnt fit passively
d. The bar flexes
48. When doing a CT planned subperiosteal implant you need to have what when
you send the patient for a CT scan
a. Face mask stabilizer
b. Surgical stent w/ vertical rods
49. When doing a complete maxillary fixed prosthesis what is of most concern?
a. Esthetics
b. Hygiene considerations
c. Passivity of the prosthesis
50. What is the most common material used for subperiosteal implants
a. CrCoMolb
b. TiAlloy
c. Stainless steel

51. After surgical procedure the patient has a post-op bleeding that results in
obstruction of the airway
a. The drill bit perforates the inferior border of the mandible
b. Sever the greater palatine artery
52 The most widely used CLINICAL allograft material
a.freeze dried bone
b.DFDB
c.HA
d. irradiated cancellous

96. In order to create an esthetic papillae when uncovering an implant replacing a

congenitally missing #7 the incision must be made as follows:
A.
B.
C.
D.

Midcrestal to midcrestal
Palatally from the distal line angle of #6 to the distal line angle of #8.
Buccal split thickness flap created, reflect the lingual full thickness.
Lingual split thickness flap created, reflect the buccal full thickness.

97. The most important factor preventing successful osseointegration of an implant is:
A.
B.
C.
D.

Micromovement
Infection
Inflammation
Size of implant

98. After placing a graft to fill in the concavity on a buccal plate a 2mm gap exists as
closure is attempted. The best way to get closure is:
A.
B.
C.
D.

Alloderm
Free gingival graft
Scouring the buccal mucosa
Connective tissue graft

99. The patient present with a fixed mandibular prosthesis with bilateral cantilevers over
5 implants in the edentulous mandible. What kind of force is exerted on the middle
implant?
A.
B.
C.
D.

Compression
Tension
Lateral
Axial

100. In an ailing of failing implant the type of microorganisms found around an implant
is:
A.
B.
C.
D.

Anerobic gram negative bacteria

Aerobic gram negative bacteria
Streptococcus mutans
Peptostreptococcus Linguis

106.The most important consideration in implant occlusion:

a. narrow occ table
b. wide occ table
c. lingualized occ
d. axially directed loads*
107.Five mandibular implants were placed in mandibular symphysis region. What is the
MOST common postoperative problem.
a. gingival inflammation
b. opening of the suture
c. inadequate keratinized tissue
d. denture sore spots
108.If a single two-stage implant and a single plate form implant are placed and restore
together , the doctor should expect:
a. osseointegration of the the root form & fibrous integration of plate form
implant
b. osseointegration of both
c. fibrous integration of both
d. cement prosthesis with provisional cement
109. A 55 year old patient has been edentulous for 15 years, what is the greatest influence
on development of excessive force on implant?
a. implant diameter
b. crown: implant ratio
c .length of most distal implant
d. length of distal cantilever
110. Patient schedule for sinus lift. Due to the flora involved in sinus infection, what kind
of antibiotic would you use to pre-medicate the patient (patient is not allergic to any
medication).
a. Metronidazole
b. Tetracycline
c. Clindamycin
d. Amoxicillin

111. Where would be most likely a fibrous interface develop:

a. Carbon ceramic materials
b. Commercially pure titanium

c. Titanium alloys
d. Aluminum Oxide
112. Correct definition of osteoinduction
from undifferentiated mesenchimal cells
113.Provisional implants are:
a. loaded immediately

115. Bacteria found around implant is Strep Sanguis and Actinomycetes viscosis. What
should you expect
A. No detectable response
B. 1 mm of inflammatory response
C. Gingival necrosis
116.Placement of second molar mandibular implant-consider what anatomical structure.
A. Inferior alveolar nerve
B. Posterior superior alveolar nerve
C.
D.
117. All of the following are allografts except
A. Bovine bone
B. Demineralized freeze dried bone
C. Radiated cancellous bone
D. Mineralized freeze dried bone
118. Question about Ramus frame-cant remember
120. Best esthetic result on implant placement is determined by:
A. Emergence point
B. Trajectory
C. Depth
D. Implant width
121. HA material is :
A. Osteogenic
B. Osteoplastic
C. Osteoconduction
D. Osteoinduction

122. Patient has matured anterior dentition (posterior implant supported bridge in the
mandible) develops pain after insertion of posterior implant supported bridge in the
mandible.
A. Establish a balanced occlusion
B. Remove protrusion prematurities
C. Establish Cuspid guidance (cuspid protected occlusion)
D. Take bridge out of occlusion
123. The best example of osteoinduction is:
A. HA
B. DBDF bovine bone
C. Demineralized freeze dried bone
D. Autogenous bone
124. Young female present with an unusual syllabic S sound position where the incisal
edges of the mandibular teeth approach the cingulum of the maxillary incisors.
This will make it difficult to:
A. Alter the curve of Spee
B. Alter the anterior guidance
C. Lenghten her maxillary central incisors
D. Autogenous bone
125. If a patient is taking Phenothiazine, what side effect would the patient complain
about?
A. Dry mouth
B. Mucosal change
C. Uncontrolled motor twitches
D. Constipation
126. Patient has prosthetic heart valve and is on 7.5mg coumadin. What is the INR value
for maintenance of coagulation of wound and maintenance of value?
A. 1.5-2.0
B. 2.5-3.5
C. 4.0-5.0
D. 6.5-8.0
127. Laboratory values in anemia or bleeding can be best assessed by:
A. WBC count
B. Hemoglobin level
C. Eosinophil count

D. Hematocrit level
128. The primary purpose of the membrane tack in particulate bone grafting?
A. Contain the graft.
B. Contain the membrane
C. Prevent epithelial down growth
129. Did not report.
130. When the patient appears for 14 days post-op appointment the dentist notes that the
implant cover screw and a 4mm by 2mm area of surrounding bone are exposed. The
patient is asymptomatic. The best treatment for this situation is?
A.
B.
C.
D.

Place the patient on Amoxicillin 500mg q6h for 10 days.

Place the patient on Clindamycin 150mg q6h for 10 days.
Freshen epithelial edges with scalpel and re-suture.
Allow the area to heal by secondary intention.

131. Wolffs Law of Bone Physiology:

A. Quantifies forces transmittal into bone by implant function.
B. Describes the process of bone modeling and coupled response to function.
C. Describes alteration in architecture of bone structures that may occur in response to
function.
D. Describes the process of bone remodeling and on uncoupled response to function.

132. Law of Beams says flexures increases with length.

A.
B.
C.
D.

Exponentially
Linearly
Log linearly
Variably

133. Cant remember.

134. A 35 year old male presents with missing #13, #14 and admits to recreational IV
drug use and alcohol usage. Oral exam reveals plaque, gingival bleeding around teeth and
a scalable pseudomembranous area on the palate and alveolus. The patient should be
evaluated for.
A. Periodontal disease
B. Human Immunodeficiency Syndrome

C. Lichen Planus
D. Psychological problem
135. Provodone-Iodine is not effective against?
A.
B.
C.
D.

Hep A
Gram positive
Gram negative
TB

136. How many mm from surgical site can bone be affected and/or damaged during
osteotomy preparation?
A.
B.
C.
D.

0.01mm
0.1mm
1.0mm
10mm

137. In preparing the osteotomy for a blade implant, the most important bone
consideration is to?
A.
B.
C.
D.

Generate as little heat as possible

Make precise straight line osteotomy
Drill a series of pilot holes to a uniform depth of 3mm
Condense the osteotome with a site former.

138. Which of the following is the thinnest suture material?

A.
B.
C.
D.

2-0
5-0
Chromic gut
PGA

139. Lowering mechanical stress to the crestal bone-implant interface can best be
accomplished by use of?
A.
B.
C.
D.

Increase diameter of implant

Decrease diameter of implant
Vertical align
Thread pitch