NBDE Quiz # 77
NBDE practice questions
A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants may be an option for people who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason.
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NBDE Quiz # 77
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1. Question
Which of the following diseases would con-traindicate the placement of dental implants in an elderly patient?
CorrectThe correct answer is B. The geriatric patient group can be divided into three categories: the elderly (ages 65-74years), the aged (ages 75-84 years), and the very old (ages 85 and older).
Diseases or conditions contraindicating den-tal implants in the elderly patient include:
• Dementia
• Diabetes mellitus (poorly controlled)
• Cardiac infarction
• Hemorrhage syndromes
• Psychosis
• Cerebral stroke
• Epilepsy
• Extreme dyskinesia
• Hepatic cirrhosis
• Cortisone-medication effect
• Radiation effects
• Alcoholism
• Cardiovascular transplant
Hypertension is not considered a contraindi-cation for the placement of dental implants in the elderly. Normal blood pressure (BP) is defined as systolic BP less than 120 mm Hg and diastolic BP less than 80 mm Hg. Pre-hypertension is defined as systolic BP 120 to
139 mm Hg, or diastolic BP 80 to 89 mm Hg. Stage 1 hypertension is defined as systolic BP
140 to 159 mm Hg or diastolic BP 90 to 99 mm Hg. Stage 2 hypertension is classified as a systolic BP > 160 mm Hg or diastolic BP > 100 mm Hg.
Hypercholesterolemia increases a patient’s risk of cardiovascular disease (i.e., atheroscle-rosis). Hypercholesterolemia is not considered a contraindication for the placement of dental implants in the elderly.Atrial fibrillation is the most common car-diac arrhythmia. During atrial fibrillation, the atrial muscles fibrillate rather than contract with coordination. Many patients with atrial fibrillation will be treated with anticoagulants by their primary medical doctors or cardiolo-gist. Careful coordination and communication is necessary between the implant surgeon and prescribing physician. The patient may be ad-vised to discontinue anticoagulant use prior to implant placement and resume the anticoag¬ulant after surgery. Local measures should be taken to ensure adequate hemostasis at the sur¬gical site. Atrial fibrillation is not considered a contraindication for the placement of dental implants in the elderly.
IncorrectThe correct answer is B. The geriatric patient group can be divided into three categories: the elderly (ages 65-74years), the aged (ages 75-84 years), and the very old (ages 85 and older).
Diseases or conditions contraindicating den-tal implants in the elderly patient include:
• Dementia
• Diabetes mellitus (poorly controlled)
• Cardiac infarction
• Hemorrhage syndromes
• Psychosis
• Cerebral stroke
• Epilepsy
• Extreme dyskinesia
• Hepatic cirrhosis
• Cortisone-medication effect
• Radiation effects
• Alcoholism
• Cardiovascular transplant
Hypertension is not considered a contraindi-cation for the placement of dental implants in the elderly. Normal blood pressure (BP) is defined as systolic BP less than 120 mm Hg and diastolic BP less than 80 mm Hg. Pre-hypertension is defined as systolic BP 120 to
139 mm Hg, or diastolic BP 80 to 89 mm Hg. Stage 1 hypertension is defined as systolic BP
140 to 159 mm Hg or diastolic BP 90 to 99 mm Hg. Stage 2 hypertension is classified as a systolic BP > 160 mm Hg or diastolic BP > 100 mm Hg.
Hypercholesterolemia increases a patient’s risk of cardiovascular disease (i.e., atheroscle-rosis). Hypercholesterolemia is not considered a contraindication for the placement of dental implants in the elderly.Atrial fibrillation is the most common car-diac arrhythmia. During atrial fibrillation, the atrial muscles fibrillate rather than contract with coordination. Many patients with atrial fibrillation will be treated with anticoagulants by their primary medical doctors or cardiolo-gist. Careful coordination and communication is necessary between the implant surgeon and prescribing physician. The patient may be ad-vised to discontinue anticoagulant use prior to implant placement and resume the anticoag¬ulant after surgery. Local measures should be taken to ensure adequate hemostasis at the sur¬gical site. Atrial fibrillation is not considered a contraindication for the placement of dental implants in the elderly.