Simple extraction
1- The movement of used for extraction of upper central incisor is:
a- Apical
b- Apical and labial
c- Apical and palatal
d- Apical and rotation
2- The beaks of an extraction forceps is designed so that most of the extraction pressure is
transmitted to:
a- Cemento-enamel junction
b- Crown of the tooth
c- Root of the tooth
d- Alveolar bone
3- Which of the following teeth are extracted by standing behind the patient?
a- Maxillary left molars
b- Maxillary right molars
c- Mandibular left posterior side
d- Mandibular right posterior side
4- Absolute contraindication of extraction of teeth in dental clinic:
a- Hypertension
b- Diabetes
c- Heart disease
d- Central hemangioma
5- The blades of all lower molar forceps are:
a- Acute angle to its handles
b- Right angle to its handles
c- Obtuse angle to its handles
d- None of the above
6- Straight forceps are used for extraction of:
a- Lower anterior teeth
b- Upper premolars
c- Supernumerary tooth
d- Upper anterior tooth
7- The important anatomical vital structure during extraction of upper first molar is:
a- Nasal septum b- Root of zygoma
c- Maxillary sinus d- Nasal floor
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8- Most important principle during extraction:
a- Least trauma to bone while extracting whole tooth out
b- Least trauma to mucosa while extracting whole tooth out
c- A and B
d- None of the above
9- The important anatomical vital structure during extraction of lower third molar is:
a- Mental foramen
b- Mandibular foramen
c- Inferior alveolar nerve
d- All of the above
10- The extraction of the following is most difficult in maxilla:
a- Lateral incisor
b- First premolar
c- Upper canine
d- Second premolar
11- Which contact of tooth and forceps is not permissible?
a- Ideal fit
b- Two points contact
c- One point contact
d- All of the above
12- The only forceps which come in pairs is the:
a- Lower molar forceps
b- Upper molar forceps
c- Upper premolar forceps
d- None of the above
13- Massler’s technique of extraction is a method of extraction in patients having:
a- Myocardial infarction
b- Bleeding disorders
c- Supernumerary teeth
d- Impacted teeth
14- Moot’s law of dental extraction outlines the rule for extraction in patients with:
a- Diabetes
b- Hypertension
c- Dental infections
d- None of the above
15- In extraction of all teeth, operator should stand at 7 O’clock except in:
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a- Lower right teeth
b- Lower left teeth
c- Upper right teeth
d- Upper left teeth
16- The rotational extraction movement is indicated in extraction of:
a- Upper first premolar and lower second premolars
b- Mandibular first premolars and maxillary second premolars
c- Mandibular second premolars and maxillary second premolars
d- Mandibular second premolars and upper central incisors
17- Bayounet forceps is used for the extraction of:
a- Upper central incisor
b- Remaining roots in the maxillary posterior region
c- All of the above
d- None of the above
18- The most common tooth fractured during extraction:
a- Lower second premolar
b- Upper first premolar
c- Upper central incisor
d- Lower canine
19- To extract the mandibular second molar the first movement should be:
a- Buccal movement
b- Lingual movement
c- Apical and lingual movement
d- Apical and buccal movement
20- Importance of retraction and support of the left hand are all of the following except:
a- Provide adequate access to the surgical field
b- Protects the lip and the cheek and tongue from injury
c- Supports the alveolus
d- Avoid traumatizing the teeth of the opposite jaw
21- When primary molars are to be extracted, we should avoid the following except:
a- Excessive force
b- Curetting the socket
c- Rotational movement
d- Buccal movements
22- When maxillary and mandibular teeth are to be extracted in the same session, the order
of extraction should be:
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a- Maxillary teeth followed by mandibular teeth
b- Mandibular teeth followed by maxillary teeth
c- It does not matter which teeth are removed first
d- For the anterior region mandibular first and for the posterior region the maxillary first
23- All of the followings are contraindications for extraction except:
a- Uncontrolled diabetes
b- Osteoradionecrosis
c- Osteopetrosis
d- Osteoporosis
24- The aim of extraction movements are:
a- Expansion of the alveolus
b- Cutting and separation of soft tissue attachment
c- Luxation and removal of the tooth
d- All of the above
Answers
1- d 2- c 3- d 4- d 5- B 6- D 7- C 8- C
9-C 10-B 11-C 12- B 13- B 14- B 15-A 16-D
17-B 18-B 19- C 20-D 21-D 22- A 23- D
Surgical removal of teeth
1- Purpose of bone removal is:
a- Gaining access to tooth
b- Reduce resistance for tooth removal
c- Provide a point of application for elevator
d- All of the above
2- Principle of using apexo elevator is:
a- Wedge only
b- Wedge and lever
c- Lever only
d- Wheel and axle and wedge
3- Bard parker blade used for intraoral inaccessible areas like maxillary tuberosity is number:
a- 10
b- 11
c- 12
d- 15
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4- Absorbable suture material is the following except:
a- Chromic catgut
b- Polyglycolic acid (Dexon)
c- Polyglactin 910 (Vicryl)
d- Polypropelene (Prolene)
5- Bard parker blade used for intraoral incision of intraoral localized abscess is number:
a- 10
b- 11
c- 12
d- 15
6- An elevator can be used to advantage when:
a- Multiple adjacent teeth are to be extracted
b- Tooth to be removed is isolated
c- Adjacent tooth bone is used as a fulcrum
d- Adjacent tooth is not to be extracted
7- All of the following are non-absorbable suture material except:
a- Chromic catgut
b- Silk
c- Stainless steel
d- Nylon
8- What is the principle used by root tip elevators:
a- Wedge only
b- Pulley
c- Wheel and axle
d- None of the above
9- The fulcrum when using straight elevator to luxate lower 8 is:
a- Buccal bone
b- Lingual bone
c- Inter-radicular bone
d- Inter-septal bone
10- When using socket applicator, the ………….. bone is removed.
a- Inter-septal bone
b- Inter-radicular bone
c- Alveolar bone
d- All of the above
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11- Methods of bone removal include:
a- Chisels
b- Rotary instruments
c- Bone Rongeur
d- All of the above
12- The most common used suture intraorally is:
a- 3/0 or 4/0
b- 1/0 or 2/0
c- 5/0 or 6/0
d- Any of the above
13- In using unibeveled chisel:
a- Bevel is towards the bone which is to be saved
b- Bevel is towards the bone which is to be sacrificed
c- Bevel direction is not important
d- Flat surface is perpendicular to the bone surface
14- Cross bar elevators work on mechanical principle of:
a- Wedge
b- Lever
c- Wheel and axle
d- Pulley
e- Hammer and axle
15- Which elevator is used to luxate upper third molar or last standing molar with distally
curved root?
a- Buccal applicator
b- Socket applicator
c- Miller elevator
d- Curved apexo elevator
16- Indication of transalveolar extraction includes the following except:
a- Geminated teeth
b- Brittle teeth
c- Transplanted teeth
d- Impacted teeth
e- None of the above
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17- To obtain a good blood supply for a mucoperiosteal flap:
a- The base of the flap should be equal to the top
b- The base of the flap should be broader than the top
c- The base of the flap should be narrower than the top
d- The proportions are insignificant
18- Buccal cortex used as a fulcrum for elevation of………….. impacted lower third molar:
a- Distoangular
b- Class I
c- Class A
d- Vertical
19- The straight elevator is used to luxate or remove:
a- Last standing mandibular molars with full completeness of teeth
b- Last standing mandibular molars with distally curved roots
c- Luxation of mandibular teeth in case of clearance
d- All of the above
20- The dental elevator that gives the greatest force utilizes the following mechanical
principle:
a- The wedge principle
b- The wheel and axle principle
c- The lever principle
d- None of the above
21- The lingual plate in the lower molar area is used during:
a- Removal of the lower first molar
b- Removal of lower second molar
c- Removal of lower third molar
d- None of the above
22- When using triangular flap the first key suture is performed at:
a- The base of releasing (semivertical) incision
b- At the papilla where the releasing incision is performed
c- At the distal end of the gingival incision
d- At the middle of releasing incision
23- The most common type of suture used after surgical extraction in dentulous patient is:
a- Continuous regular suture
b- Continuous with lock suture
c- Interrupted suture
d- Vertical mattress suture
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24- Mucoperiosteal flap used for removal of torus mandibularis in an edentulous patient is:
a- Pyramidal flap
b- Crestal straight line flap
c- Semilunar flap
d- Gingival flap
25- Cooling is required during bone removal when we use:
a- Bone rongeurs
b- Surgical burs
c- Chisels
d- All of the above
26- Requirements of flap are:
a- Flap must be designed to provide an adequate exposure of the surgical site
b- Broad base and good vascular supply
c- Should rest on healthy bone when repositioned
d- All of the above
27- Bone removal is done by all of the following except:
a- Rotary surgical burs
b- Bone rongeurs
c- Chisels
d- Bone curettes
Answers
1- D 2- A 3- C 4- D 5- B 6- A 7- A 8-A
9-D 10-B 11-D 12-A 13-B 14-C 15-C 16-C
17- B 18-D 19-D 20- B 21- D 22- B 23-C 24-B
25- B 26- D 27-D
