Patient Assessment & Clinical Evaluation Flashcards
7 cards from real CIT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
Which systemic condition most significantly increases the risk of implant failure due to impaired osseointegration?
Answer: Uncontrolled type 2 diabetes (HbA1c >10%)
Uncontrolled diabetes impairs immune function, wound healing, and bone metabolism, all of which compromise osseointegration.
A patient presents with a probing depth of 6 mm and bleeding on probing at site #19. What does this finding most likely indicate?
Answer: Moderate to severe periodontitis requiring treatment before implant planning
Probing depths ≥6 mm with bleeding on probing indicate active periodontitis, which must be resolved before implant placement.
Which imaging modality provides the most accurate three-dimensional assessment of bone volume and density prior to implant placement?
Answer: Cone beam computed tomography (CBCT)
CBCT provides 3D volumetric data including bone height, width, and density that 2D radiographs cannot capture.
When reviewing a patient's medication list, which drug class is most directly associated with medication-related osteonecrosis of the jaw (MRONJ)?
Answer: Bisphosphonates
Bisphosphonates inhibit osteoclast activity and are the drug class most commonly implicated in MRONJ.
During a clinical examination, a technician notes inadequate attached gingiva at a proposed implant site. Why is this clinically significant?
Answer: Adequate attached gingiva is needed for a stable peri-implant seal and hygiene maintenance
Adequate keratinized attached gingiva supports a stable peri-implant seal, resists inflammation, and facilitates effective plaque control.
A patient reports smoking 1.5 packs per day. How does this most directly affect implant candidacy assessment?
Answer: Smoking significantly increases the risk of implant failure and peri-implantitis
Smoking impairs vascularization and immune response, substantially increasing failure rates and peri-implant disease risk.
What is the primary purpose of a diagnostic wax-up during the pre-implant assessment phase?
Answer: To visualize the planned prosthetic outcome and guide implant position
A diagnostic wax-up allows the clinician to plan the prosthetic outcome first, ensuring implant placement is restorative-driven.