CIT Pharmacology & Medications in Implantology 2

Question 1

Patients taking bisphosphonate medications (e.g., alendronate) present an elevated risk for which serious implant-related complication?

Accepted Answer

Medication-related osteonecrosis of the jaw (MRONJ)

Answer

Peri-implant mucositis

Answer

Implant surface corrosion

Answer

Accelerated bone resorption around the implant

Question 2

Which corticosteroid is sometimes prescribed pre-operatively before implant placement to reduce post-surgical edema?

Accepted Answer

Dexamethasone 4–8 mg single dose

Answer

Prednisone 5 mg daily for 7 days

Answer

Hydrocortisone cream applied topically

Answer

Betamethasone 0.1% oral rinse

Question 3

Which hemostatic agent can be placed directly into the implant socket to aid in bleeding control during implant placement?

Accepted Answer

Oxidized regenerated cellulose (e.g., Surgicel)

Answer

Tranexamic acid tablets

Answer

Topical thrombin spray

Answer

Aluminum sulfate solution

Question 4

A patient taking warfarin is scheduled for implant surgery. The primary concern with this medication is:

Accepted Answer

Prolonged bleeding and difficulty achieving hemostasis

Answer

Increased risk of infection at the surgical site

Answer

Impaired osseointegration of the implant surface

Answer

Interference with local anesthetic efficacy

Question 5

Which NSAID should be avoided in patients with known aspirin sensitivity who require post-implant pain management?

Accepted Answer

Ketorolac

Answer

Acetaminophen

Answer

Tramadol

Answer

Codeine

Question 6

What is the rationale for prescribing a short course of systemic antibiotics AFTER implant surgery (post-operative antibiotic therapy)?

Accepted Answer

To prevent or treat early-stage peri-implant infection during the critical healing window

Answer

To accelerate bone mineralization around the implant

Answer

To reduce scar tissue formation at the incision site

Answer

To neutralize the cytotoxic effects of chlorhexidine

Question 7

Which drug interaction is most clinically significant when a patient is prescribed both an NSAID (ibuprofen) and a blood pressure medication from the ACE inhibitor class?

Accepted Answer

NSAIDs can reduce the antihypertensive efficacy of ACE inhibitors and increase renal risk

Answer

NSAIDs enhance the antihypertensive effect of ACE inhibitors

Answer

ACE inhibitors potentiate NSAID-induced gastric ulceration

Answer

The combination produces additive sedation