Patient Care & Post-Operative Management 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 Care & Post-Operative Management flashcards as text
Which sign best differentiates early implant failure (pre-osseointegration) from normal post-operative discomfort?
Answer: Clinically detectable implant mobility
Any degree of implant mobility indicates failed osseointegration, as a successfully integrating implant must remain immobile throughout healing.
Post-operative radiographs are taken after implant placement primarily to verify:
Answer: Correct implant position and proximity to vital structures
Immediate post-placement radiographs confirm implant depth, angulation, and safe distance from the inferior alveolar canal or maxillary sinus.
A patient reports a bad taste and odor from the implant site 10 days post-operatively with no fever. This most likely represents:
Answer: Localized implant site infection or poor oral hygiene around the abutment
Halitosis and dysgeusia without systemic signs typically indicate localized bacterial accumulation or early peri-implant infection requiring debridement.
What is the recommended head position during sleep for the first 48 hours after implant surgery to minimize edema?
Answer: Elevated head at 30–45 degrees above heart level
Head elevation reduces hydrostatic pressure in the surgical area, limiting fluid accumulation and thereby reducing post-operative edema.
A patient on bisphosphonate therapy for osteoporosis presents for post-operative care after implant placement. The primary concern during healing is:
Answer: Medication-related osteonecrosis of the jaw (MRONJ)
Bisphosphonates inhibit osteoclast-mediated bone remodeling, increasing MRONJ risk especially after surgical trauma to the jaw.
Which patient instruction is INCORRECT and should NOT be given after implant surgery?
Answer: Rinse vigorously with saline immediately after surgery to clean the site
Vigorous rinsing in the first 24 hours dislodges the blood clot and disrupts the fibrin scaffold critical for early wound healing.
At what post-operative interval is osseointegration typically sufficient to allow prosthetic loading of a standard dental implant in normal bone quality?
Answer: 3–4 months
Conventional loading protocols recommend 3–4 months for mandibular and up to 6 months for maxillary implants to allow adequate bone-implant contact before functional loading.