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Collected Prostho

The document discusses various dental scenarios and management strategies, including issues with implants, crowns, and dentures. It covers clinical challenges such as insufficient space for impressions, occlusal adjustments, and the impact of medications on dental procedures. Additionally, it addresses patient concerns and treatment options for aesthetic and functional improvements in dental restorations.
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0% found this document useful (0 votes)
93 views27 pages

Collected Prostho

The document discusses various dental scenarios and management strategies, including issues with implants, crowns, and dentures. It covers clinical challenges such as insufficient space for impressions, occlusal adjustments, and the impact of medications on dental procedures. Additionally, it addresses patient concerns and treatment options for aesthetic and functional improvements in dental restorations.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Single implant at the 15 position. X Ray given.

Insufficient mesiodistal width


between 14 & 16 coping attached to implant?
How will you manage making the impression with insufficient space
1. Grind distal of 14
2. Grind mesial of 16
3. Modify the existing impression coping to accomodate the implant
4.remove soft tissue at gingival area
Q2 After screwing abutment and crown you notice gap at cervical margin.
Wat do u think is the reason when you have given35N force on screw
crown is1-2 mm in hyper occlusion:
1. Soft tissue overgrowth cervically
2. Bone overgrowth cervicallly
3. Tight proximal contact (over contoured crown in proximal area)
4. Debris between crown n neck of implant
5. Insufficient force
Q3. How will u go for this problem
1. Remove soft tissue
2. Remove bone overgrowth
3. Modify proximal contact
4. Clear the debris
5. Increase force tighten the screw
Q4: patient returns after 2 months after you fixed the problem on delivery
day. Patient returns with Pain , tenderness,of 45.What will you do first?
1.Check ooclusion again and make necessary adjustment if needed
2. Iopa of 45
3. Pulp test of 45
4. Do Rct of 45
Q-5What was the error in the bitewing -
A) improper angulation
B) cone cut distally
C) bitewing when iopa should have been taken
3331B

73.What will be the challenge in restoration of the canine?


a. difficult to establish proper contact with lateral incisor
b. Marginal seal
c. Canine guidance
d. Shade matching was another option
e. difficult to put rubber dam was there

C
76.Canine grossly decayed(mesiobuccal part of canine is grossly decayed )Faced most difficulty
during treatment.
What will be the challenge in treatment of the canine?
a. difficult to establish proper contact with lateral incisor
b. Marginal integrity
c. Canine guidance
d. Shade matching was another option
e. difficult to put rubber dam was there

The crown are fit well on cast die when you try to insert it on pt not fully
insert problem
A. Delay poring of impression
B.Over CONtouring of proximal surfaces
C. Technician trim from proximal surfaces

C
Poulami Ghosh Three situations- crown is short with open margins, its because of delay to
pour the impression, or distorted impression. Crowns when they don't fit together , but fit
alone, obviously overcontoured proximal. That is why together they don't fit, same thing
happens if the technician trims the adjacent tooth. Third situation ,when the die has been
trimmed by the technician, obviously the crown will now be tight, and won't fit on the crown.
The trimmed portion will be taken by the crown metal , and will thus be an unfit.

A vital tooth has a crown cemented to a pin-retained amalgam core; where does
a failure occur:
A. Between crown and cement
B. Between core and cement
C. In the crown and the root
D. In the core and the margin preparation
B
A Female patient wearing Removable Acrylic denture for only aesthetic reason. The denture is
not functional at all and does not help in mastication. Patient wants it to b functional but finance
issue, what to do immediately to help the patient?
A. Reline
B. New acrylic denture
C. New co cr denture
D. PFM
E. Implan
A
The contraction of gold alloys on solidifying is approximately:
A. 0.5%
B. 2.5%
C. 1.40%
D. 3%
C

143. The un-polymerized monomer in Self-cured resin is approximately:**


A. 0.5%
B. 2.5%
C. 5%
D. 10%
C

144. A volume shrinkage of methyl meta cyrelate monomer when is


polymerized:**
A. 12%
B. 15%
C. 18%
D. 21%
D

53 years old have upper complete denture and in the mandible have 35 to 45. There are composite
filling good in appearance on 45 and 44. He has going through the recent divorce and has been
prescribed SSRIs for stress control. He works in a quarry and drinks cola-wine and chew gums in
breaks and smokes 20 cigarettes a day. He has not been to the dentist in past 3 years and only
wants to visit when there is a problem. He has mild sensitivity on 45 and 44. You complete the
clinical examination and find hard dentin and saucer shaped defects on the occlusal
surface of lower anterior.
Q1 What does this appearance suggests: A- Extrinsic erosion
B- Intrinsic erosion
C- Attrition
D- Abfraction E- Abrasion
Q2 You decide to perform some treatment on the given teeth but will need local
anaesthesia with adrenaline. Does the patient’s current medication allows this
A- No, SSRI is not contraindicated with adrenaline
B- Yes, SSRI is contraindicated with adrenaline
C- There is no contraindication to the local aesthetic with adrenaline
Q3 The appearance of incisal surface of lower anterior suggest: A- Calcification of pulp
B- Staining caused by cola
C- Caries
D- Pulp exposure
Q4.The reason for gingival enragement around 44 and 45 is A. Use of serotonin inhibitor
B. Locally due to plaque
C. Due to gum chewing
D. Traumatic from occlusion
Q5. Smoking causes:
A- Dilatation of blood vessels and peridontium B- Constriction of blood vessels and
peridontium C- Hyperkeratosis
D- Increase resistance to the immune response E- Dilates blood vessels
F- Masks periodontal disease by less bleeding
AAABF

A maxillary complete denture exhibits more retention and stability than a mandibular one because it
1. covers a greater area.
2. incorporates a posterior palatal seal.
3. is not subject to as much muscular displacement.
4. is completely surrounded by soft tissue.
A. (1) (2) (3)
B. (1) and (3)
C. (2) and (4)
D. (4) only
E. All of the above.
A

You can increase the retention of Maryland bridge byA. Incorporate mesh work in wax pattern
B. Perforation techniques in the metal cast
A

Decision to employ cusped or without cusps teeth is influenced by:**


A. Reverse Overjet
B. TMJ problems
C. Cranio mandibular skeletal relationship
C
Which of the following arrears CAN NOT be determined by survey analysis of partially edentulous
cast
A. Areas to be revealed as blocked out to properly loca?? Rigid parts of a frame work
B. Areas to be shaped to properly loc?? Rigid parts of framework
C. Areas used for guideline planes
D. Areas used for retention
E. Areas used for support
F. Depth of rest seats
E

A female patients, on examination, was found to have swollen gingivae


around a crown that has been placed a few years ago on tooth 36. The
papillae were particularly inflamed and showing some recession.
1. What common procedural damage could
have been done?
A. Violation of biological width.
B. Premature occlusion with opposing.
C. Finish line placed subgingivally.
D. Finish line place equigingivally irritating the free gingiva.
E. Pulp damage.
2. What is the most important feature of a crown that may also be
responsible for this?
A. Material of the crown.
B. Occlusion.
C. Proximal contour.
D. Labial contour.
E. Surface finish.
3. Knowing that this PFM crown margins were optimum, what is
another possible consideration for this condition?
A. Peripaical abcess.
B. Periodontal abcess.
C. Gingival abcess.
D. Hypersensitivity.
E. Drug allergy.
4. What is your first measure to assess the current damage?
A. Remove the crown and do sensibility tests.
B. Test cavity through the crown.
C. Periapical x-ray.
D. Periodontal probing.
E. Bone sounding.
5. Which of the following is the most common situation in which sub
gingival margin placement is indicated?
A. Subgingival erosion
B. Subgingival decay
C. Crown restoration of an upper incisor with high lip line.
D. Short clinical crown.
E. Crown lengthening

ACDEC

Middle-age woman has seen a dentist 3 years ago, no treatment was


required back at that time.Now she is concerned about her teeth. She
has money and want her teeth to be fixed. She has lot of caries & pain
(almost half of tooth gone) & discolored restoration on front teeth
especially she wants her smile to be perfect 3years before when she
visited dentist no dental problem recently moved to new place
*Picture
Photo1 – from the front. (proximal caries on 11 and large caries on 23
Multiple caries on front teeth, but I couldn’t see fillings
Photo 2 – upper arch
14, 15 are missing
1) What’s problem with eye if tooth (left upper 3) not treated ?
a Cavernous sinus thrombosis
b. canine space infection
c. involvement of maxillary & other paranasal sinuses
d. intracranial infections & brain abscess
2) What examination would u do for 23 to aid in diagnosis
a Vitality test
b. Percussion
c. Probing
d. Gingival bleeding
3) What is the major challenge in treating 23?
a-. Rubber dam placement
b- Stabilizing canine guidance
c- Establishing good contact with 21
d- inability to achieve proper marginal seal
4) what is your immediate next step or immediate treatment
a)GIC
b) composite
c) stopping or ceasing the causative agent
5]She had a friend, who did implants in the front and quiet happy
with them. If she decides to get the maxillary centrals extracted and
wishes to keep the diastema what would be the best replacement
option?
a) implant
b) RPD
c) Cantilever or some bridge
d) FPD
6) She also wanted 2 implants to replace her missing premolars
Patient can afford & heard about implant (patient has missing
premolars upper right ). What should be considered when planning
implants in that region (in comparison with anterior region)?( What
can complicate the implant placement?)

a. Quality if bone is not as good as in anterior region


b. Maxillary sinus will not allow placement of implant in this region
c. Insufficient mesiodistal width for placement of two implants
d. Inadequate buccogingival thickness of bone
e. Interocclusal distance
AABCAB
Question about the reasons why she got problems with her teeth in since last dental check-up?
A. Changes in saliva production.
B.Failed previous restoratio
i. Recent change in saliva ii. poor oral hygiene restorative work was not good iii. Move to new area
iv. Stress v. Erosion due to orange juice

AI

SBQ 8:LADY WITH overcontoured, very White restoration .She is not happy with the appearance of
one of her upper left tooth.(on a retained primary canine.)Retained deciduous 63. Xray showed
impacted 23.
36. What is true regarding the impaction of Maxillary Canine?
A. 20% impacted
B. 12% impacted
C. Max Canine more commonly impacted buccally
D. Max Canine more commonly impacted palatally.
E. % of the impacted maxillary canine cause resorption of the premolar.
37.what treatment is unlikely to improve on the esthetics of c?
A. Increasing the value of the tooth shade for composite veneer replacement? B. Changing and
replacing the veneer?
C.Change the veneer and improve on the size and shape of the tooth? 38- Best x ray for impacted
canine
A.CBCT
B MRI C.PA D.Occlusal
39.For aesthetic, patient requested direct veneer( something they mentioned direct veneer) What is
not needed
A.Increase the Composite colour value B.Wax up and die
C.Reduction of buccal contour D.Silicone putty

DAAB
A male patient presented with a chipped porcelain 3 unit PFM bridge. It was
made by another dentist who moved interstate. Edge to edge bite is clearly
seen. 3 unit bridge, porcelain chipped off in the region of 11, 12. He has a
meeting today and needs it to be fixed urgently.
Q1. What is the most probable main cause for this defect in bridge:
A. Improper framework
B. Unfavourable bite
C. Bridge design
D. Hard biting
E. Thin porcelain
Q2. What is the name of this defect:
A. Adhesion cohesion defect
B. Adhesion
C. Cohesion
Q3. If you want to repair the fractured porcelain in the chair, what you will
do:
A. CAD/CAM or similar option
B. Etching with 4% hydrofluoric acid for 20 sec and restore with composite
C. Etching with 4% hydrofluoric acid for 5 min and restore with composite
Q4. How would you prevent similar fracture in future?
A. Occlusion
B. Use splint at night
C. Make group function occlusion
D.Proper framework
Q5. For a new bridge if you wanted to construct high strength metal free
bridge, what material would you use?
A. Feldspathic
B. Procera
C. Zirconia(Ref Philips)
D. Scintered aluminia
E. Porcelain
Q6. Resin bonded bridges loose retention between:
A. Resin-enamel
B. Resin-metal
C. Within resin
Q7. At a later date when you want to replace 3 unit bridge, what do u want to
alter
A. Change the labial contour
B. Alter the bridge design
Q8. How many mm will you reduce the Fabrication of the Metal Ceramic
Crown Restoration:A. 1.2 mm to 1.5 mm for the labial surface, 0.5 mm to 0.7 mm for
the
lingual surface, 2.0 mm for the occlusal surface
Q9. What main problem when need to provide aesthetic bridge to patient in
future:
A. Gingival margin
B. Grind incisal edge of 11 more
C. Extract and placement of implants
Q10. What would be the most challenging or difficult aspect in replacing this
bridge:
A. Removing the bridge
B. Lip or smile line
BACDCABAAA

The MOST important consideration in planning a denture for a patient with a cleft palate is :
A. All remaining teeth should be extracted first
B. The retention of all useful teeth
C. Orthodontic treatment should not be used prior to construction of the appliance
D. Treatment should not be commenced before the age of 18 years
B

In removable partial dentures, the principle of an indirect retainer is that it:


1. Stabilises against lateral movement
2. Prevents setting of major connectors
3. Restricts tissue movement at the distal extension base of the partial denture
4. Minimises rotation about the fulcrum line
4

In removable partial dentures, the principle of an indirect retainer is that it:


a. Stabilises against lateral movement
b. Prevents setting of major connectors
c. Restricts tissue movement at the distal extension base of the partial denture
d. Minimises movement of the base away from the supporting tissue
D

An impression of a full metal crown preparation is made. Assessment of the


impression reveals that there is superficial damage to an adjacent tooth not
involving the proximal contact. At the next appointment, the most
appropriate management is to
A. cement the finished crown, then apply topical fluoride to the involved enamel surface.
B. cement the finished crown, then polish the involved enamel using a polishing strip.
C. polish the enamel surface and then cement the finished crown.
D. polish the enamel surface and remake the impression and then cement a new crown
C

For one patient crown cutting (upper molar think so) and all perfect..no excessive reduction of tooth
structure. patient returns after 2 weeks complaining of sensitivity
A. Adjust occlusal contacts
B. apply desensitising agent by reflecting gingiva
C. Tooth mousse to apply at home.
-This same Patient has same side lower premolar pain.
A. check occlusal contacts
B.pulp vitality test
Bleaching should be done for how long before restoration?
A 1 to 2 weeks (pg 80 paul abbott)
B.5 to 6 weeks
C.6 months
When will be the bleaching performed in a root canal treated tooth?
A. when the pulp chambers are sealed
B. before permanent restoration
C. after permanent restoration
ABAB

A 70 year old lady, wearing dentures since last 20 years, never had any problem
withthem. Her new denture (12 months old) is giving her problem. It is fine when at rest
or talking but the lower denture becomes loose when eating.She got her teeth extracted
early in age, on her second baby, and she is wearing dentures since then. She recentlyhad
a hip replacement procedure done, and is in early stage of Parkinson.Lower anteriors
present (from Canine to Canine), upper completely edentulous),(Maxilla- maxillary ridge
has undercuts, a red elevated spot in the incisor area, flabby ridges, buccal frenum slightly
more prominent, bulbous maxillary tuberosity.Mandible- marked resoprtion of
mandibular posterior region, with supra-erupted anteriors and triangular embrasure gap
between them). On examination, you found that the denture fits well and is made to a high
standard. She says her lower incisors are becoming long and she should get them all
extracted now, when she is fit and healthy.
Q1. What is the red spot on the upper ridge:
A. Incisive papilla
B. Insertion of labial frenum
C. Root fragment
D. Abscess
Q2. By looking at the picture, how would you describe Maxilla?
A. Undesirable labial undercut
B. Excessive resorption of anterior ridge
C. Exostosis of anterior maxilla
D. Unmanageable buccal frena
E. Overhanging/enlarged maxillary tuberosities
Q3. In making Lower denture (of high quality), what is the most significant difficulty
that you will face?
A. Lingual plate showing through the lower incisors embrasure
B. Hypertrophy of tongue/ inadequate area for the tongue- to manage it in the lower denture.
C. High occlusal plane(due to over erupted incisors)
D. To get retentive area on Canine, as undercut lies in the gingival third
E. Problematic buccal frenum
Q4. Reason for the denture to become loose during function
A. Canine interference on lateral excursionB. Unfavourable palatal anatomy
C. Decrease saliva (xerostomia) / changes in saliva quality
D. Involuntary muscle action on denture, due to Parkinson disease
Q5. Before the procedure? (Patient had undergone hip replacement, what will you do
before performing the procedure/extraction)
A. No prophylaxis required
B. Refer to Orthopedic to consult regarding prophylaxis
Q6. What will be the difficulty in making new denture?
A.Recording jaw relation(most difficult)
B. Taking impression
Q7. If all mandibular teeth are extracted, which ridge will be resorbed more:
A. Upper ridge palatally
B. Mandible loses more bone from the buccal than lingual
C. Mandible loses more bone from lingual than buccal
D. Same amount of bone is lost on either side
E. Upper ridge buccally
Q8. When you construct the mandibular distal extension partial denture what is the
most significant problem you will face:
A. Inability to get enough undercut on canines
B. Marked ridge resorption
C. Big tongue
Q9. What was the principal complication or difficulty to design new denture for this
patient:
A. Resorption of anterior ridge
B. Large buccal frena
C. Her medication case
D. Parkinson disease
Q10. What material will u use for final impression of the lower jaw?
A. Alginate
B. PVS
C. Polyether
D. Impression plaster
E. additional silicone

ABCAAACBDB
You decide to place overdenture for a patient who has sound abutment teeth, the order of
preference while choosing abutment teeth would be:
a. Molars, premolars, canines, incisors.
b. Molars, canines, premolars,incisors.
c. Canines, molars, premolars, incisors.
d. Canines, premolars, molars, incisors.

X-ray. Implant 15 is to be made and there is not enough space between 14 and 16 and
space for accurate impression does not exist.
Q1What the first step to be done:
A.Order close impression technique\
B.Disking of 16 and 14
C- electrocautery of soft tissues
D- scalpel to cut soft tissues
Q2. The implant is placed ,what is the problem seen in the pic which led to failure?
A. Hyperocclusion
B. Infraoccluded
C. Not seated properly
Q3.whats is the predisposing factor of implant failure?
A-Over contoured crown at proximal surfaces
B-the implant fixture and adhesive not properly in place
Q4 How will you correct the problem:
A. Send back to laboratory, because abutment and crown do not fit implant
B. reduce the proximal conture
c- Torque the screw
Q5. After adjusting crown, patient returns 1 week later and has pain on lower right.
Reason?
A. Check premature occlusion contacts on crown
B. Pulpitis
C. TMJ disfunction
Q6. Minimum space required for two implants of 3.5 mm diameter ?
A. 7mm
B.11mm
C.13mm
D. 14mm

ACAAAC

After adjusting crown pt returns 1 week later and has pain on llwer right. Reason
A. Check premature occlusal contacts on crown
B. Iopa of lower 45
B

Which of the following is incorrect regarding veneering the tetracycline-stained tooth?


A. A more esthetic result can be achieved by leaving a thin layer of enamel.
B. Ensure proximal extensions are into contact area.
C. Ensure all discolored enamel is removed to expose dentin.
D. Extend gingival margin into sulcus

SBQ 9
A male patient comes to you complaining his lower teeth are loose and painful.
Upper edentulous, lower canine to canine present Lower incisors have grade 3
mobiltiy. You agreed on extraction and replacement with immediate denture
Q1 What test or procedure will help you in diagnosis?
a. Vitality
b. Percussion
c.Transillumination
d. Probing
Q2) You decide to give immediate denture, what material will you recommend
to the patient?
a. Acrylic
b. Cobalt chromium
Q3) If you decide to give Acrylic denture, what is the advantage of acrylic over
cobalt chromium?
a. Can add teeth in
future
b. Does not break easily
c. Durable
Q4) What impression material will you use for final impression?
a. Alginate
b. ZnOEugenol
c. PVS
d. Polyether
e. Impression plaster
Q5) After giving the denture, what instructions will you give to the patient?
a. You will need a new denture or relining will be required
b. Nothing, denture will be best for life
c. Denture will help in healing the socket
AAAAA

SBQ8
A patient wearing full dentures has angular cheilitis.
Q1. What was seen in the palate?
A. Chronic atrophic candidosis
B. Chronic hypertrophic candidosis
C. Hyperplastic candidosis
D. Atrophic candidosis
Q2. Which microorganism can cause this lesion
A. Candida albicans
B. Streptococcus mutans
C. Staphylococcus aureus
Q3. What will be your first treatment for denture stomatitis if aesthetics Permit?
A. Leave the denture outside of the mouth(Ref. TG)
B. Keep wearing the denture
C.Nystatin lozenges
D.Make a new denture
E.Give antibiotics
Q4. What is incorrect in relation to its treatment?
a. Dentures always need to be remade
b. Increase the vertical height
Q5. The lesion showing raised tissue/inflamed reddish mucosa in multiple
areas with angular cheilitis we expect it to be
A. Chronic atrophic stomatitis
B. Acute atrophic stomatitis
C. Chronic hypertrophic stomatitis
D. Acute hypertrophic stomatitis
E. Acute hyperplastic gingivitis
Q6. Patient comes back after a week and the lesion was not healed, what will be your
next step?
A. Amphotericin lozenges 10mg or Miconazole gel 2%(Ref. TG)
B. Antifungal
C. Antiviral
D. Biopsy of lesion with 2 mm of normal tissue
E. Leave the denture out
Another picture (3rd) in this case showing vesicles on palate. Few days after
giving new denture and treating atrophic candidiasis, patient was wearing new
denture and was unwell. On examination – vesicles presented on palate
unilaterally.
Q6. What is the diagnosis:
A. Herpes Zoster
B. Burn
C. Denture allergy
D. Aphthous ulcer
AAAAAA

SBQ 5
Patient with Alzheimer’s disease has class V multiple lesions.You came to elderly people station for
4 month check-up, you
investigate about 70 year old patient with Alzheimer’s disease. His wife cares about his teeth and
would like his teeth would be restored. Dental formula was given with missing posteriors in quadrant
2 and 3
Q1. Keeping in mind his condition and his inability to sit for a long
time what is the treatment:
A. Clean with high rotary instrument and place resin
B. Clean with high rotary instrument and place GIC
C. Remove soft caries with hand instrument and place GIC
D. Clean with pumice and water and place GIC
Q2. The electric pulp tester interferes with :
a. Pacemaker
b. Hearing aid’
c. atrioventricular node
Q3.Patients composite filling always coming out.conservatively how
to fix it :
A. Metal ceramic crown
B.Gold type 1
C.cad cam fabricated composite
D.Full ceramic
E.gold type 3
Q4. Patient’s wife was worried about his nutrition, may absence of
teeth influence his nutritional balance, what will you tell his wife:
A. Advise to wife that teeth can be restored with RPD
B. Patient has enough teeth to maintain his nutrition
C. Advise implants
Q5. His wife worries that she cannot take care about teeth and his nurses are very often
exchanged. How to keep his teeth as long as
possible?
A. Regular debridement.
B. Educate staff
C. Powered toothbrush
D. Not do anything
Q6. If you discuss implants with patient’s wife
A. Possible with good OH maintenance
B. OH is poor. It is contraindication for implants
Q7. Patient’s wife said that patient is looked after in nursing home and the nurses
always changing. What advice would you :
A. Educate nurses in nursing home how to look after those
patient’s OH
B. Give one off OH educational appointment to patient so he can maintain his OH .
C. Continue regular appointments

CACBBBA

SBQ3
You are rostered in dental centre for elderly people with four other dentists, 400 km from Sydney.
1. The first cast present was Ms. Baker had immediate complete denture for 4 years,
with fracture many time, present today with midline fracture,
1.Whats is your treatment:
A. Fix the fracture segment and reline all surface.
B. Reline just posterior area.
C. Place stainless steel wire and fix the fracture denture.
D. Place stainless steel wire and fix the fracture then reline
2. Your second patient is Ms. Baker husband present for relining, which of the following
considered as an indication for relining:
A. Assessment of VD before relining as then it would increase 2 mm after relining.
B. Assessment of VD as it decreases 2 mm after relining
C. Adjust periphery of denture + decrease VD for relining.
D.
3.Your next patient is Mr. John 80 yrs. old with gagging related complete denture is
inserted two months ago, what's your initial treatment:
A.Increase VD
. B. Adjust retention and peripheral seal and give anti emetics.
C. Reline the posterior area.
D. Reduce the posterior area to completely avoid hamular notch
and junction between hard and soft palate.
4. Next patient with upper acrylic denture with lateral extracted 2 months ago,
how you replace it:
A. Take impression with denture in place and send it to lab.
B. Take impression alone without denture and send it to lab.
5. Next patient present with chrome cobalt complctc denture with fracture clasp on
lower premolar from point of emersion, what you do?
A. Advice the patient that denture need to replace it.
B. Leave it as there is enough clasps on opposite side can provide good retention
C. Resolder it
D. use wrought wire in replacement
AABAD

Why don’t we use porcelain in long span bridge works:


A. Because of the high casting shrinkage of porcelain

Which of these muscles may affect the borders of mandibular complete denture,
A. Mentalis
B. Lateral pterygoid
C. Orbicularis oris
D. Levator angulioris
E. Temporal

A
RPD Framework doesn't fit the patient’s mouth but seated on cast
A. Distortion of impression
B. Inadequate expansion of investment

What is the Bilaminar Zone in TMJ:


A. Formed of, or having, two laminae, or thin plates. Which is the distal attachment of
superior hard lateral plate
B. A vascular, innervated tissue that plays an important role in allowing the condyle to move
forward

Which of the following best describes the retrodiscal tissues referred to as the bilaminar zone of the
TMJ?
a. elastic and fibrous tissue that is highly innervated by the auriculotemporal nerve
b. a thin ligamentous structure that is reinforced laterally by the temporomandibular ligament
c. avascular hyaline cartilage
d. vascular, highly innervated fibrocartilage
e. fibrous connective tissue innervated by the temporal nerve

A
The bilaminar zone in reference to TMJ refers to:
A. The upper and lower joint spaces
B. The distal attachments of the lateral pterygoid to the condyle

ANSWER: B

FROM ODELL:
1. External auditory meatus;
2. bilaminar region of disc;
3. posterior band of disc;
4. intermediate zone of disc;
5. anterior band of disc;
6. insertion of lateral pterygoid.
The tooth preparation for a porcelain veneer must create a/an
1.rough surface.
2. space for the veneer material.
3. margin at least 1mm supragingivally.
4. definite finish line.
A. (1) and (3).
B. All of the above.
C. (1) (2) (3).
D. (4) only.
E. (2) and (4)

E
The bilaminar zone in reference to TMJ refers to:
A. The upper and lower joint spaces
B. The distal attachments of the lateral pterygoid to the condyle
C. Having two laminae, or thin plates. Which is the distal attachment of superior hard lateral plate
D. A vascular, innervated tissue that plays an important role in allowing the condyle to move
foreward
E. B&D

In bridge work, which of the followings terms is NOT CORRECT


A. A retainer could be a crown to which a bridge is attached to
B. A connector connects a pontic to a retainer or two retainers to each other
C. The saddle is the area of the edentulous ridge over which the pontic will lie and comes in contact with pontic
D. A pontic is an artificial tooth as part of a bridge

In an edentulous maxilla, the direction of


resorption of the alveolar ridge is
A. upward and palatally.
B. upward and facially.
C. uniform in all directions.
D. upward only.

A
For mandible downward n backward lingually

Resin bonded bridges loose retention between


A. Resin-enamel
B. Resin-metal
C. Within resin

In-regards to Partial dentures, how do you establish reliable vertical dimension


A. Wax rims if the remaining teeth occlude
B. Previous pictures for the patient
C. Canine guidance
D. Wax bite if remaining teeth occlude together
D (sept 2018)

Rank the following impressions materials according to their flexibility


A. Alginate> Polysulphide> Silicone> Zinc Oxide Eugenol
B. Silicone> Alginate> Polysulphide> Zinc Oxide Eugenol
C. Alginate> Polysulphide> Zinc Oxide Eugenol>Silicone
D. Alginate> Silicone> Polysulfide> Zinc Oxide Eugenol
E. Alginate> Zinc Oxide Eugenol> Silicone> Polysulphide
A

A casting may fail to seat on the prepared


tooth due to all of the following factors except :
A) Temporary cement still on the prepared tooth after the temporary restoration has been
removed.
B) Proximal contact(s) of casting too heavy/tight.
C) Undercuts present in prepared tooth.
D) The occlusal of the prepared tooth was under reduced.
D

To improve denture stability, mandibular


molar teeth should normally be placed
A. over the crest of the mandibular ridge.
B. buccal to the crest of the mandibular
ridge.
C. over the buccal shelf area.
D. lingual to the crest of the mandibular
ridge.
A

A canine with a longitudinal fracture, what is the most difficult part of treating this tooth?
A. Color.
B. proximal contact.
C. marginal integrity.
D. lateral excursion movement.
E. protrusion and retrusion of the mouth.
D
Why is it difficult to restore maxillary canine
a. difficult to establish proper contact with lateral incisor
b. Marginal seal
c. Canine guidance
d. Shade matching was another option
e. difficult to put rubber dam was there
C

What is TRUE in regard to the preparation of occlusal rests:


A. Use an inverted cone bur
B. Use a flat fissure bur
C. Parallel to occlusal plane
D. At right angle to the long axis of tooth
E. Apex of the preparation is sloping to the center of the occlusal of the tooth
E

In-regards to Partial dentures, how do you establish reliable vertical dimension


A. Wax rims if the remaining teeth occlude
B. Previous pictures for the patient
C. Canine guidance
D. Wax bite if remaining teeth occlude together
D
Impression without elastomer in custom tray has been taken for crown preparation; it will be two
days before impression gets to the laboratory for construction of the crown. Which impression
material is preferred
A. Polyether
B. Thiokol or meraptan rubber
C. Condensation silicone
D. Vinyl polysiloxane
D
A cast partial denture replacing teeth 3.5 - 3.8
and 4.5 - 4.8 was permanently relined with
acrylic resin. At the delivery appointment,
when the rests of the framework are fully
seated on the abutment teeth, the denture base
does not contact the supporting tissues. Themost likely cause of the problem is
A. the denture reline resin shrunk during
polymerization.
B. excess pressure was placed on the rests
during the impression procedure.
C. excess pressure was placed on the denture
base area during the impression
procedure.
D. the patient’s tissues have remodeled

Management of chronic denture hyperplasia is very important because:


a. Its very painful
b. It has neoplastic activity
c. It affects denture retention
d. It affects denture stability
e. Superinfection is arregular complication

When should metallic framework not be contaminated during the fabrication of a porcelain fused to
metal crown?
A. Between bisque stage and glazing stage.
B. Between preheat and opaque stages.
C. Between opaque and bisque stages.
D. Between one opaque and two opaque stages
B

Which of these muscles may affect the borders of mandibular complete denture
A. Mentalis
B. Lateral pterygoid
C. Orbicularis oris
D. Levator anguliori
A

The floor of the mouth is formed by the


A. Digastric muscle.
B. Genioglossus muscle.
C. Mylohyoid muscle.
D. Styloglossus muscle
C

The extension of the lingual anterior border of a mandibular denture is limited by the
A. mylohyoid muscle.
B. geniohyoid muscle.
C. genioglossus muscle.
D. fibres of the digastric muscle
C
Which muscle acts on the disto-lingual contour of lower denture:
A. Mentalis
B. Masseter
C. Mylohyoid
D. Buccinator

C
The tooth preparation for a porcelain veneer
must have a
1. rough surface.
2. space for the veneer material.
3. margin at least 1mm supragingivally.
4. definite finish line.
A. (1) (2) (3)
B. (1) and (3)
C. (2) and (4)
D. (4) only
E. All of the above.
C

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