QUESTIONS #4
1) Patient have anterior crown with visible fremituse what management?
A. Decrease the insical edge of lower
B. Reduce the palata Isurface of the crown in mouth
C. Remnove the criwn and reduce the palatal surface in lab
2) Stroke patient needs assistance for cleaning of dentures after eating
A)Tell to rinse frequently✔
B)Wooden spatula
C)Modified tooth brush
D)Use finger to remove
3) 65 year old patient with xerostomia due to multiple drugs, complete denture not
preferred by patient . what prosthesis to give
Hybrid dentures?
A)1 implant supported overdenture
B)2 implant supported overdenture?
C) Hybrid?
4) A removable denture planned in a preschool going child due to hypodontia. After what
time interval it needs changing
1. 1.5-2years✔
2. 2-2.5 years
3. 2.5-3.5 years
5)Patient has a deep bite. The bite was raised anteriorly with composites. Posteriorly
which crowns will you give?
a) Ceramic
b) PFM
c) Composite
d) Metal✔
6) A pic of full mouth implants placed non parallel. Ideal impression technique
a)Closed tray
b)Open tray
c)Open tray with splinting✔
?7) Patient has lost 4 anterior teeth and want to restore with FPD. But pontic will come
on interabutment axis, What should be done?
A)Take 1 PM on one side
B)Take 1 PM on both sides✔
C)Take 2 PM on both sides
8)To retard zinc oxide eugenol paste?
A)Add drop of water
B)Add drop of olive oil✔
??
9)Level of Gingival zenith of lateral incisor?
A)0.3
B)0.5✔
C)1.1
GINGIVAL ZENITH : -
Centeral incisor : 1 mm distal
Lateral incisor :0.5 mm distal
Canine : at center.
Length of interdental papilla to gengival zenith
Central: lateral : canine= 4 : 3 :4
10) pt. With lower anterior teeth wear and posterior teeth rotated and malopposed with
loss of vod and need mandible rehabilitation what kind of occlusion should be used ?
A. Re. Organized occlusion✔
B. unilateral occluion
C. Bilatéral balanced
Criteria for reorganised occlusion is rotation and loss of VD?
A “reorganised occlusion” is an occlusion in which the pattern of occlusal contacts is
deliberately changed or reconstructed.
The patient's occlusion may be reorganised if the existing intercuspal position is
unacceptable and needs to be changed or when extensive treatment is to be
undertaken to optimize patient's occlusion.
11) Pt with recurrent carcinoma begin to recive radiotherapy with 16 various and
34’35,46,47have large restoration ttt include?
A. Restoration 16 and replacing destructed restoration✔
B. Restoration 16 and crowning all teeth
C. Restoring 16 with post and core
???12) Pt with good health 65 y old ready for implant surgery with edentulous max. And
mandible flat ridge . Ttt plane ?
A. Implant fixed prosthesis upper and lower
B. Upper complete and lower 2 implant over denture
C. Upper complet and lower 4 implant over denture
D. Upper and lower convention denture
13)what is the Cement used for post insertion ?
A. Zph
B. Cic
C. Resin cement?✔
D. Temp. Zeo
First choice is Resin, but If it says lutting cement in the question then we choose zinc
phosphate.
14)Cause of discoloration of complete denture 3 months after treatment
A. Unreacted benzoyl✔
B. Urethene di methacrylate
-Discoloration of heat cured restoration or permnsnt is due to= unreacted benzoyle
peroxide
-Discoloration of provisional due to unreacted urethane?
15) Patient with severe Bruxism and loss of vertical dimension, free way space is 5 mm
to be resoted with the porcelain onlay veneers. What is the thickness of amount of
reduction?
a) 0.3 mm
b) 0.5 mm
c) 1 mm ✔
D) 2 mm
16/ A patient required maxillary posterior implants premolar and molars., what's the
treatment plan?
A)3 implants straight line and single crowns
B)3 implants staggered arrangement single crowns
C)3 implants staggered arrangement splinted crowns✔?
D)3 implants straight line splinted crowns
-For pps the main is retention
• For post dam is retention, food,shrinkage,tongue
17)Most common type of fracture in all ceramics?
a) lunar b) semilunar✔ c) Compound d) Crack
18) Long term wear of a mandibular removable partial denture opposing a maxillary
complete denture may result in tissue changes collectively called” Combination
syndrome”, which of the following changes is NOT associated with combination
syndrome?
a) Loss of bone from the anterior part of the maxillary ridge
b) Overgrowth of the tuberosities
C) papillary hyperplasia in the hard palate
D) extrusion of the mandibule anterior teeth
E) Osseous hyperplasia under the RPD bases✔?
19) increase the flexibility of retentive arm:
a) decrease the diameter of retentive arm
b) decrease the length of retentive arm
c) increase the length of retentive arm✔
•Increase the lenghth and decrease the diameter
20)Bennet angle is the angle formed during lateral movement, by the path of the
advancing condyle and the:
a) Horizontal plane b) Anterior plane c) Lateral plane
d) Sagittal plane✔
21) Occlusal splint device is used during: a) increase vertical dimensions
b) Alleviate muscles of mastication c) Occlusal plane
d) All✔
22) Bad taste and smell in the patient's mouth, there are bubbles in the retainer cervical
area, diagnosis is:
a) Loosening of the retainer✔
b) more occlusal forces
c) food impaction under the retainer
d) breakage between connector and retainer
23) Best way to choose artificial teeth
a) Pre extraction record✔
b) Arch size
c) Face shape
24)Best cement for crown:
a) RMGI
b) ZINC PHOSPHATE
c) RESIN✔
———-
Kife edge (selective pressure)
Flappy ridge (window impression with plaster)
Flat ridge (admix impresion)
Flat ridge with submandibular gland defect (butterfly impresion)
————
That is why post is used to enhanced the compromised retention during taking alginate
impression for RPD patient , while removing alginate from patient mouth it adhere and
attached between teeth ..problem
a) Improper water powder ratio b) Not enough mixing
c) Teeth are too dry✔
25)Elastomers are:
a) Hydrophilic polyether
b) Hydrophobic✔ all others
c) Water-loving impression material d) Potassium alginates
e) None of the above
26) Which tooth of the mandibular anterior teeth that touch the lingual surface of the
maxillary anterior teeth in normal centric relation?
a) Central incisor. b) Lateral incisor. c) Cuspid (Canine). d) None.✔
27)Patient has upper CD denture for 3 years. He’s a Cl I edentulous lower, only have his
lower anterior. On examination what will you notice?
a) severe bone loss on posterior lower ridges
b) severe bone loss in anterior edentulous lower ridge c) severe bone loss in anterior
edentulous upper ridge✔
28)Shade guide for cement during porcelain veneer restoration you must:
a) use cement base that is lighter than porcelain
b) trying the base without catalyst✔
c) trying catalyst alone
d) trying the base cement mixed with small amount of catalyst
29) Cheek biting in lower denture can occur (OP=occlusal plane)
a) OP above tongue
b) OP below tongue ✔c) OP at lower lip d) none above
30) Occlusal plane level in association with distal end of retromolar pad
A. 1-2 mm lower✔
B 2-3 mm lower
31) Distal extension of lower denture should cover the retromolar pad up to :
a. 1/2
b. 2/3 ✔
c. 1/3
d. Both A &B
32) Implant crown for short abutment height of upper lateral
A)Screw
B)Cement
C)UCLA✔
-UCLA is recommended in the following; limited interocclusal space, to improve
esthetic, for abutments places too close to each other, and in patient with chronic gingival
hyperplasia adjacent to conventional titanium abutment cylinder.
If in options we see UCLA we choose it if not screw
33)Whats more damaging implant placement less thn 3mm or vertical bone loss ??
Distance less than 3 mm between implants✔
34) What is the character of the skin overlying median palatine raphe?
a. Keratinized
b. Non keratinized
c. Non resilient ✔
d. Resilient
??35)Patient have anterior crown with visible fremitus what management
A. Decrease the insical edge of lower
B. Reduce the palata Isurface of the crown in mouth
C. Remnove the criwn and reduce the palatal surface in lab
36) Picture of posterior tooth with 2 walls missing, What type of post & core advised?
a. amalgam
b. composite ✔
c. cast
As just 2 walls are missing no need for cast, Amalgam only in grossly decayed
37) Main Cause of failure of partial denture results from?
A) Caries of the abutment
B) Resporption of the ridge✔???
C) Interferences with the function of the tounge
D) Fracute of metal frame work
38) To prevent dislodgment of abutment in distal extention RPD it is required to have a :
A) Positive denture – base tissue relationship
B) stress breaker??
C) indirect retainer
D) Multipe clasping
39) Which on of the following best occlusion with healthy pt class I Kennedy?
A. Canine guidance
B. Group function ?
C. Unilateral balance
D. Bilateral balance
40) Pin retained restoration what is not Indicated
A.stiff pins✔
B.cover the restoration
C. pin replaces each cusp
at the beginning
41) Protrusive guidance solely depends on:
a) Incisors
b) mesial incline of maxillary molars
c) mesial incline of mandibular molars✔
(Distal of maxilla
Mesial of mand)
???42) Patient complain from dropping the angle of the mouth which of the following is
cause
a) Short teeth used for setting up
b) vary deep vertical overbite???
c) Increase inter occlusal distance
d) Excessive vertical dimension
43)Kennedy classification 2 question one:
Was all teeth are missing in upper arch except canine and premolar
Which classification? kennedy 1✔
One question was central and lateral
missing uper which class? If on one side K3 if both side K4
44)pt extracted tooth #11 best location for esthetic result: pontic
-a)exact mesiodistal point
-b)below incisal position of opposing
C)-below cingulum of opposing
D)-socket of root of extracted tooth
45)patient is having headache with wear of teeth and restoration, pain when record
centric relation to diagnose the patient:
-a)CT
-b)muscle palpation
-c)range of motion
-d)anterior deprograming device✔Lucia jig
46)the most bone defect that affect implant is
-a)space between implants <3mm✔
-b)vertical bone loss
-c)horizontal bone loss
-buccal bone concavity
47)pic of upper, lower cd with no contact In right side of
posterior teeth with loose lower denture:
-a)lab remount for cr
-b)remake upper and lower denture✔
C)Repeat
48)#15 4mm over erupted and vital with limited space for
lower:
-a)extraction and implant
-b)elective rct and crown✔
-c)crown
49) Patient comes back to clinic wit loose implant crown .what s the reason.
A. Implant crown n abutment defect
B. Defect in screw and implant crown✔
C.crown defect
50) Patient has decreased vd and long term denture wearer, what is the classification of
muscle tone?
A) class 1
B) class 2
C) class 3✔?
51) What is the most important criteria in immediate loading protocol for an anterior
implant?
a. Atraumatic extraction of tooth
b. Slight palatal implant placement to engage the palatal bone✔
c. Synthetic bone grafting in space between buccal wall and implant
d. Slight occlusal contact between the provisional crown and opposing tooth
52)Percentage of bone lost after occlusion truma????
53) Steps of crown length of patient have diabetes????
A) do after control
b) refer to surgical
54) Orthodontist and you have same patient what to do???
a) nothing just send to ortho
b) make diagnosis and start treatment
c) make diagnosis and treatment plan then send to ortho before starting any treatment
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1. case with bilateral tori and 10ml from floor of the mouth to gingiva,which major
connector you use: -lingaul plate
2. Timing off definitive obturator???? 3-6 months
3. Before surgery u take impression for surgical obturater
4. if the surgery was done n u didn’t take impression so u give delayed after a week or
ten days from surgery
5. Surgical obturater can be only given if the border are well defined
6. if not they ill give delayed final obturator given from 3 to 6 month
7. Lucia jig-anterior deprograming device
8. Auricular implant supported prosthesis (left & rt) if right side 9 to 11 if left 1 to 3
9. Determine the size of the implant cbct
10. disadvantage of double bar: alter tongue position
11. patient has posterior crossbite teeth of CD: - cheek biting
12. cleaning surface of onlay restoration with: runny water
13. best surgical guide for implant placement: barium sulfate with hole on occlusal
surface
14. patient took opg but couldnt detect mandibular canal , his socioeconomic statue is low
, what is best technique to locate the canal: taking opg 5 degree below FHP
15. implant overdenture sucess according to article: equal on both
16. implant failed after 10 years due to: bending overload
17. pic of RCT molar,during prep of palatal root bleeding point the patient feel pain was
exposed,buccaly why: perforation of root buccaly.
18. pic of case with lower edentulos ridge and patient want to do implant prosthsis bu
using 5 implants( thin bone anterior: 5 interforamina
19. type of bag used by assistant for steralization./
stainlesssteeltraywithplasticwrapper.
20. missing 22with space of 6mm and 11 with space off 8 mm what is the size of
implants: 5mm on #11, 3mm on #22
21. retraction cords was not good by using double retraction cord or paste ,which material
you should use: electosurgery
22. Also remember they use diamond bur 30. post space according to shillinburg: 5ml for
Gp
23. easiest way to control shade of restoration is to choose: -lower chroma
24. most difficult part in molding of upper complete denture: a. -distobuccal area
25. mucosal tissue of tubirosity area. Resilient ???
26. best retention for obturator comes from: -clasp on obturators
27. auricular prosthesis best implant location: depend on left or right explained above -
9,11 o clock right-1,3oclock left
28. best prosthesis for bruxic patient: -zerconia
29. Remember any case of bruxism is given zirconia, if zr not available as option you
give metal crown for posterior and pfm for anterior
30. patient undergo surgery with undefined border removal: intrem obturator
31. -difinitive obturator ??
32. -immidiate obturator ??
33. extension of velopharyngeal defect affect on speech: vasophagal iseffucincy
remember the code s for speech
34. patient did cardiac surgery and currently taking medications, he has an allergic side
affect for amoxicillin, which medication you should give: -clindamycin
35. case with elevated floor of mouth and edentulous area .which impression technique
you use: -butterfly
36. If case about flappy tissue u choose window or plaster impression
37. If case you have resorbed ridge /flat selective /admixd
38. For normal also selective
39. panoramic x ray with upper complete and lower rpd, which occlusal scheme you
provide: -balance
• Any removable opposite removable /balanced
• patient has rpd diagnosed with paget disease , what is management for the prosthesis:
remake denture
• pic of missing 46,45 and space 14mm mesiodistal and 7.5mm buccolingual, which size
of implant you choose: premolar size 4mm and molar size 4mm
• obturators healing time: -6 months
2-aramany classification crossing medline :-IV
• putty wash spacer reason:to reduce the clinical time from cutting the putty for light
body
• tilted 48,47with bit of movement missing 46 : half crown for 47 and prep 45
• PFM crown appear so grayish : -opaque layer too thin
type of polyvinyl reaction. -addition polymerization
1. adaptation of muscle to cd: 1-2 months
2. doctor didnt explain side effect for patient,10/ informed consent. from parents and
start treatment
3. case with bilatral tori and 10ml from floor of the mouth to gingiva .,which major
connector you use:lingaul plate
4. disadvantage of double bar: -alter tongue position
5. patient bite his lip has inadiquate horizontal overlap of his denture ,what should you
do?? a-reduce overbite. b-reduce extensionsbuccaly. c-Reduce 2/3 of incisal of lower
this option would be there
6. patient has posterior crossbite teeth of CD: cheek biting
7. patient has white line on buccal mucosa and indintationon her tongue. she is smoker.-
linea alba
8. porosity of denture from boiling temperature: -thickest portion
9. voids on margins of casted metal crown; -narrow sprue diamter.
10. the most adhesive bonding factor: -enamel,
11. cleaning surface of onlay restoration with: -runny water,
12. patient came for full mouth rehab has grade 3 mobilityon 3 maxilla upper and 3rd
mandibular tipping, you did cons, with ortho, maxillo and ecided to start. what you
should do : start extraction of hopless teeth.
13. same patient came for treatment , you did consultationfor ortho and
maxillofacial,what you should check if he decided that we can do treatment
14. best surgical guide for implant placement:barium sulfate with hole on occlusal
surface
15. patient came with missing kennedy class 3 , case is indicated for dual path insertion.
which clasp you use???:a-ring. b-akar. c-circumferential
16. charcterestic index (DRI) for TMD, I-b is:-myofacial pain
