CIT Patient Assessment & Clinical Evaluation 2

Question 1

Which systemic condition most significantly increases the risk of implant failure due to impaired osseointegration?

Accepted Answer

Uncontrolled type 2 diabetes (HbA1c >10%)

Answer

Uncontrolled diabetes impairs immune function, wound healing, and bone metabolism, all of which compromise osseointegration.

Question 2

A patient presents with a probing depth of 6 mm and bleeding on probing at site #19. What does this finding most likely indicate?

Accepted Answer

Moderate to severe periodontitis requiring treatment before implant planning

Answer

Probing depths ≥6 mm with bleeding on probing indicate active periodontitis, which must be resolved before implant placement.

Question 3

Which imaging modality provides the most accurate three-dimensional assessment of bone volume and density prior to implant placement?

Accepted Answer

Cone beam computed tomography (CBCT)

Answer

CBCT provides 3D volumetric data including bone height, width, and density that 2D radiographs cannot capture.

Question 4

When reviewing a patient's medication list, which drug class is most directly associated with medication-related osteonecrosis of the jaw (MRONJ)?

Accepted Answer

Bisphosphonates

Answer

Bisphosphonates inhibit osteoclast activity and are the drug class most commonly implicated in MRONJ.

Question 5

During a clinical examination, a technician notes inadequate attached gingiva at a proposed implant site. Why is this clinically significant?

Accepted Answer

Adequate attached gingiva is needed for a stable peri-implant seal and hygiene maintenance

Answer

Adequate keratinized attached gingiva supports a stable peri-implant seal, resists inflammation, and facilitates effective plaque control.

(CIT) Certified Implantology Technician Practice Test