Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the best type of implant used for missing max anterior teeth?

1. Subperiosteal implant

2. Endosseous implant

3. Zygomatic implant

4. Transosteal implant

The correct answer is: Endosseous implant

The best type of implant used for missing maxillary anterior teeth is the endosseous implant. This is primarily due to its design, which allows for superior stability and integration with the bone. Endosseous implants are placed directly in the jawbone and can effectively provide the necessary support for prosthetic teeth, particularly in the aesthetic zone where appearance is crucial. The endosseous implant's ability to osseointegrate—form a strong biological bond with the jawbone—ensures long-term success and durability. This is particularly important for the anterior maxilla where not only strength but also aesthetics play a significant role in patient satisfaction. The availability of various shapes and sizes of endosseous implants allows for individualized treatment plans that can accommodate varying anatomical considerations. In contrast, subperiosteal implants are typically used in situations where there is not enough bone to support an endosseous implant, and they are placed under the periosteum. Zygomatic implants are designed for cases of severe bone loss in the upper jaw, anchoring in the zygomatic bone rather than the maxilla. Transosteal implants, which involve passing through the bone and exiting at the oral mucosa, are less commonly used today and are generally intended for specific applications