1 Which of the following clinical situations usually has the poorest prognosis?

(a) Maxillary single complete denture opposing full natural mandibular dentition (b) Maxillary single complete denture opposing mandibular Kennedy Class I !" (c) Maxillary single complete denture opposing mandibular Kennedy Class I# !" $(d) Mandibular single complete denture opposing full natural maxillary dentition (e) a and b (f) b an c % When considering the clinical scenario &nown as 'Combination (Kelly(s) )yndrome*+ all of the following are true ,-C,!./ (a) .his scenario is most commonly associated with a fully edentulous mandibular arch opposed by a partially edentulous maxillary arch (Kennedy Class I)0 (b) It is helpful to maintain maxillary anterior teeth (e1en as o1erdenture abutments) to pre1ent this clinical scenario from occurring0 (c) .his syndrome results mainly from an imbalance in loading and support between the dentate and edentulous portions of the opposing arches0 (d) .his syndrome is a common clinical scenario when the patient is fully edentulous in both arches0 $(e) a and c (f) a and d (g) b and d 2 When considering the material to use for the artificial teeth in a single complete denture opposing natural dentition+ all of the following statements are true ,-C,!./ (a) 3crylic resin artificial teeth bond chemically to the polymethyl4methacrylate (!MM3) denture base and are easy to ad5ust and reshape0 (b) 3lthough porcelain artificial teeth are difficult to ad5ust+ they ha1e the ad1antage of causing less wear (abrasion) to opposing natural teeth than acrylic0 (c) 3lthough cast metal occlusal surfaces can be custom designed to match to opposing natural teeth+ the techni6ue is often expensi1e and time4consuming0 (d) '3malgam stops* are placed in the occlusal surfaces of artificial porcelain teeth to reduce the wear of the porcelain by the natural teeth0 (e) a and c $(f) b and d 7 If a patient has 'Combination syndrome* it is probable that we will see all of the following ,-C,!./ (a) 3nterior rotation of the mandible during occlusion (Class III 8 prognathic relationship) (b) !apillary hyperplasia of palatal soft tissue (c) eduction of the #ertical "imension of 9cclusion (d) Maxillary anterior residual ridge resorbs and replaced by resilient flabby ridge (e) 9cclusal plane tilts anteroposteriorly/ anteriorly upwards and posteriorly downwards $(f) !endulous o1ergrowth of the retromolar pads (g),pulis :issuratum in maxillary labial 1estibule ; 3ccording to Monson(s )pherical .heory of 9cclusion+ a number of occlusal landmar&s lie on the surface of a 1< cm radius sphere with its center in the region of the glabella0 .hese landmar&s include all of the following ,-C,!./ $(a) .he labial gingi1al margins of the mandibular central incisors (b) .he centers of rotation of the mandibular condyles (c) .he cusp tips of the mandibular second molars (d) !oints approximately between the bottom two4thirds and top one4third of the mandibular retromolar pads (e) !oints approximately at the mesial slope inclines of the mandibular canines = When ma&ing the final impression of the lower edentulous arch+ the patient is as&ed to exert a closing force while the dentist exerts a downward pressure0 .his is to acti1ate/ (a) .he masseter (b) .he !terygo mandibular raphe

(c) .he !terygo mandibular raphe and the masseter (d) Medial !terygoid and the !terygomandibular raphe0 $(e) .he masseter and medial pterygoid0 > Impressions for rebasing of existing complete dentures are made without using a 'closed mouth* impression techni6ue0 In the final rebased dentures+ which of the following errors is most li&ely to occur/ (a) premature occlusal contact on the anterior teeth (b) premature occlusal contact on the right side of the mouth if the operator is left4handed (c) premature occlusal contact on the right side of the mouth if the operator is right4handed $(d) premature occlusal contact on the posterior teeth (e) reduced o1erall 1ertical dimension of occlusion ? 91erdenture abutments are fa1orable for all of the following reasons+ ,-C,!./ (a) .hey reduce residual ridge resorption (b) .hey pro1ide the patient with impro1ed propriocepti1e feedbac& during mastication (c) .hey pro1ide the psychological ad1antage of 'natural feeling* for the patient $(d) .hey always pro1ide additional retention for the o1erdenture (e) .hey pro1ide impro1ed support for the o1erdenture (f) @one of the abo1e A 3n 3rcon articulator is one in which a0 the condylar elements are placed on the upper member of the articulator $b0 the condylar elements are placed on the lower member of the articulator c0 there are no condylar elements d0 the articulator acts as a simple hinge e0 @one of the abo1e 1< .he speech sounds that bring the mandible closest to the maxilla are the $a0 's* and 'ch* sounds b0 'f* and '1* sounds c0 't* and 'th* sounds d0 1owel sounds 11 In lateral mo1ements+ the non4wor&ing condyle mo1es in what direction? a0 out+ bac& and up b0 up+ bac& and down $c0 down+ forward and medially d0 down+ forward and laterally e0 none of the abo1e 1% Which of the following statements about balanced occlusion is8are false? a0 Balanced occlusion occurs rarely in the natural dentition and when it does+ it is damaging to the gnathostomatic system0 b0 9ne of the concepts that balanced occlusion is based on is Bonwill(s triangle which suggests that the maxilla and mandible are adapted to an e6uilateral triangle0 $c0 9ne of the concepts that balanced occlusion is based on is the Cur1e of )pee+ which says that the cusp and incisal edges display a cur1ed alignment when obser1ed from the frontal plane0 d0 9ne of the concepts that balanced occlusion is based on is Monson(s )pherical .heory+ which states that the composite arrangement of the occlusal surfaces of all teeth conforms to a segment of a sphere0 12 ChristensenCs phenomenon refers to/ a0 the angle of the articular eminence b0 the amount of separation of the anterior teeth in excursions $c0 the separation of the posterior teeth during protrusion d0 the translation of the condyles during opening 17 .he indications for a subgingi1al margin include which of the following/ 10 Caries which extends subgingi1ally0 %0 ,sthetics

20 @eed to increase the axial length of the preparation for retention0 70 Cemental hypersensiti1ity ;0 Better chance for good periodontal response0 a) 1+%+2 b) 1+2 c) %+2+7+; $d)1+%+2+7 e) all of the abo1e 1; .he ideal minimal occlusal reduction for a maxillary molar that is being prepared for a !:M restoration with a lingual metal collar and porclain occlusion is/ a) 10;mm buccal and lingual cusps $b) 10; mm buccal cusps and %mm lingual cusps c) %mm buccal cusps and 10; mm lingual cusps d) %mm buccal and lingual cusps 1= 3ccording to the ma5ority of scientific studies+ which of the following margin placements will result in the least amount of gingi1al inflammation (assuming all other factors are the same)? a0 )upra4gingi1al b0 ,6ual4gingi1al c0 )ub4gingi1al by 0; mm d0 3t the base of the gingi1al sulcus $e0 a D b are the same0 1> 3 patient presents with a tooth re6uiring a C#C restoration0 .he tooth has a large "9 amalgam restoration which terminates 1 mm occlusal to the crest of the al1eolar bone0 Which of the following statements are true concerning this situation? 10 .he tooth should ha1e crown lengthening to reestablish the proper Ebiologic widthE0 %0 .he margin of the preparation should terminate slightly apical to the amalgam restoration 20 .he margin of the preparation should terminate in the amalgam at least % mm occlusal to the crest of the al1eolar bone so as not to interfere with the Ebiologic widthE0 70 3 chamfer finish line configuration should be used in this situation0 a) 1 b) 2 c) 1+% $d) 1+%+7 e) 2+7 1? 3 pro1isional restoration may be made by the direct or indirect method0 .he ad1antages of a pro1isional restoration made by the indirect method include/ a) better marginal fit0 b) increased strength0 c) better biocompatibility0 d) a D b $e) a D b D c 1A 3 patient comes into your office with a loose crown0 3fter remo1al of the crown you determine the reason for the crown coming loose is the walls on the buccal and lingual are only % mm in length0 .he buccal and lingual margins terminate 0; mm occlusal to the crest of the gingi1al tissue0 .he buccal and lingual sulcular depth is 10; mm0 .he mesial wall is o1er tapered and terminates at the crest of the gingi1al tissue0 What is the best way to impro1e the retention of the preparation? 10 Fengthen the buccal and lingual walls by % mm0 %0 Fengthen the buccal and lingual walls by 1 mm0 20 !lace a groo1e on the buccal wall parallel with the path of insertion0 70 !lace a groo1e on the buccal wall parallel with the mesial wall0 a) 1+7 b) 1+2

$c) %+2 d) %+7 ,) 1 %< .he main reason a facebow is used is/ a0 to relate the maxillary cast to the lower member of the articulator b0 to relate the lower member of the articulator to the upper member of the articulator c0 to establish the proper 1ertical dimension of occlusion $d0 to relate the maxillary cast to the upper member of the articulator e0 to relate the maxillary cast to the upper and lower members of the articulator %1 .he Bennett mo1ement is best described as the/ $a0 medial shift of the orbiting condyle b0 lateral mo1ement of the wor&ing condyle c0 lateral shift of the mandible in the direction of the wor&ing condyle d0 bodily shift of the mandible in the direction of the non4wor&ing condyle %% 3nterior guidance is a result of/ $a0 horiGontal and 1ertical o1erlap b0 1ertical and posterior cusp height c0 horiGontal o1erlap and posterior cusp height d0 intercondylar distance and freeway space e0 intercondylar distance and postural 1ertical dimension %2 .he design of a restored occlusal surface is affected by the/ 10 contour of the articular eminence %0 position of the tooth in the arch 20 amount of medial shift in the orbiting condyle 70 degree of compensation of the Cur1e of Wilson ;0 degree of compensation of the Cur1e of )pee a0 2 H = only b0 1+ %+ 2+ H 7 c0 % H 7 only $d0 1+ %+ 2 H ; e0 all of the abo1e %7 If patient 3 exhibits more Bennett side shift than patient B+ then patient 3 will re6uire his wor&ing and non4wor&ing groo1es to be more mesial on the lower teeth and more distal on the upper teeth than patient B will re6uire0 $a0 .rue b0 :alse %; What effect will a nodule left on the internal surface of a cast restoration ha1e on the restoration at the time of the try4in? 10 .he casting will be in high occlusion0 %0 .he casting will ha1e open margins0 20 .he casting will be in hypo4occlusion0 70 .he proximal contacts will be excessi1ely tight0 a) 1 b) 2 c) 1+ %+ 7 $d) 1+ % e) %+ 2+ 7 %= When trying in a casting on a patient you identify that the casting roc&s and the margins are slightly open0 .he casting fits perfectly on the wor&ing cast and on a second4pour untouched die0 .he proximal contacts are not tight0 .he casting has no obser1able internal debris or nodules0 Which of the following might explain the problem?

a0 Improper water8powder ratio in the in1estment0 b0 .he cusp tip of the die spaced die was minimally abraded0 $c0 .he impression was inaccurate (distorted)0 d0 b D c e0 a D b D c f0 none of the abo1e %> If the final cast crown fits accurately on the laboratory stone die+ but it does not fit well on the patient(s tooth+ then which of the following is most li&ely to be . I,/ a0 .he final impression or final cast may be inaccurate b0 .he in1estment procedure may be inaccurate c0 .he casting procedure may be inaccurate d0 .he finishing and polishing procedures may be inaccurate e0 a D b f0 c D d g0 all of the abo1e %? .he optimal taper of a casting preparation is =J0 3ccording to the study done by Korgensen (1A;;) a preparation with a taper of 1;J will ha1e approximately what percent of decrease in retention? a0 1< L b0 1; L c0 %; L $d0 ;< L e0 >; L %A .he definition of retention when applied to the cast restoration is/ a0 .he ability of the preparation to pre1ent dislodgement of the restoration by forces directed in an apical direction0 b0 .he ability of the preparation to pre1ent dislodgement of the restoration by forces directed in an obli6ue direction0 c0 .he ability of the preparation to pre1ent dislodgement of the restoration by forces directed in an horiGontal direction0 $d0 .he ability of the preparation to pre1ent dislodgement of the restoration by forces directed occlusally and parallel with the path of insertion0 e0 @one of the abo1e0 2< .he principles of preparation for a cast restoration are go1erned by the following factors 10 !reser1ation of tooth structure %0 etention and resistance 20 )tructural ductility 70 Marginal Integrity ;0 !reser1ation of the periodontium a0 1 and % b0 1+% and 2 c0 %+2 and 7 d0 1+%+2 and 7 $e0 1+%+7+ and ; f0 1+%+2+7 and ;0 21 etraction cord impregnated with epinephrine is contraindicated on patients with cardio1ascular disease0 3bsorption of epinephrine through mucous membranes is 6uite slow and negligible0 $a0 the first statement is true+ the second statement is false b0 the first statement is false+ the second statement is true c0 both statements are true d0 both statements are false

2% 3nte(s Faw is no longer considered a rigid law in e1aluating bridge abutments0 3ccording to this law+ the combined surface area of the periodontal ligament of the abutment teeth should be a0 ,6ual to that of the teeth being replaced b0 Fess than that of the teeth being replaced $c0 Mreater than or e6ual to that of the teeth being replaced d0 Fess than or e6ual to that of the teeth being replaced e0 @o relation 22 .he minimum amount of gutta percha that should be left in the root canal when preparing a canal for a post is a0 142mm b0 %47mm $c0 24;mm d0 ;4?mm e0 14%mm 27 Which type of post has the most retention? a0 !arallel sided b0 .apered c0 .hreaded $d0 )errated and parallel e0 )mooth sided and parallel 2; .he following are features of successful design for a cast post and core 10 3de6uate apical seal %0 Minimal enlargement 20 3de6uate post length 70 !ositi1e horiGontal stop ;0 #ertical wall to pre1ent rotation =0 ,xtension of final restoration onto sound tooth structure a0 1+%+2+7 b0 %+2+7+= c0 1+%+7+= d0 %+2+7+; $e0 all of the abo1e0 2= Which of the following acids is indicated for etching porcelain prior to cementation of all4ceramic restorations such as ,mpress crowns? a0 phosphoric acid b0 nitric acid $c0 hydrofluoric acid d0 citric acid e0 sulfuric acid 2> Now far should implants be placed from one another? a0 at least %mm $b0 at least 2mm c0 at least 7mm d0 at least ;mm 2? What is the correct se6uence for finishing and fitting a full cast crown? 10 ,1aluate the margins on the patientCs tooth0 %0 3d5ust the occlusion on the articulator0 20 emo1e internal nodules 70 3d5ust the proximal contact areas in the patientCs mouth0 ;0 3d5ust the occlusion in the patientCs mouth0 a) 2+7+%+1+; $b) 2+%+7+1+; c) 2+%+1+7+;

d) %+2+1+7+; e) %+2+7+;+1 2A 3 fixed partial denture will be supported by both an osseointegrated implant and natural teeth0 Which of the following is the M9). serious potentialproblem? a0 the path of insertion will be difficult b0 the implant has no hydroxylapatite coating c0 esthetics will be difficult to reproduce $d0 the implant and natural teeth ha1e different mobility 7< Which of the following describes osseointegrated implants? a0 they ha1e a direct structural and functional connection with bone only at the radiographic le1el of detection $b0 they are anchored directly to li1ing bone as determined by radiographic and light microscopic analyses c0 .hey form a 5unctional epithelium with the surrounding tissue d0 .hey form pseudo4periodontal ligament 71 3n e1aluation of which of the following represents the most important aspect in shade selection (for the restoration to match an existing dentition)? a0 hue $b0 1alue c0 chroma d0 siGe e0 shape 7% .he dentist tried4in the metal framewor& for a porcelain fused4to4metal crown and the margins were closed0 When the completed crown was returned from the lab+ the margins are all open0 .he most li&ely reason for this is the a0 die was o1ertrimmed b0 lab cut off the margins c0 casting distorted during the porcelain application d0 porcelain proximal contact areas are o1er4contoured 72 When a non4rigid connector is used in fixed partial denture+ the path of insertion of the &ey into the &eyway should be parallel to the paths of insertion of/ a0 the retainer carrying the &eyway b0 the retainer not in1ol1ed with the &eyway c0 both retainers d0 it doesn(t( matter 77 What is the name for the phenomena of porcelain appearing different under different lights? a0 fluorescence b0 incandescene $c0 metamerism d0 isomerism e0 translucency 7; Which of the following syringe materials is the most rigid and+ therefore+ the most difficult to remo1e from the mouth? $a0 polyether b0 polysulfide c0 addition silicone d0 condensation silicone e0 re1ersible hydrocolloid 7= 9pa6ue porcelain showing through on the facial surface of a metal4ceramic restoration (headlighting) may be caused by

>

a0 the metal being too thic& b0 inade6uate tooth preparation c0 the opa6ue porcelain being too thic& d0 inade6uate thic&ness of the body porcelain $e0 any of the abo1e 7> esistance of base metal appliances to corrosion and tarnish in the oral ca1ity is due to the formation of a0 :e%(9N)2 b0 3n adherent tin oxide film $c0 3 complex chromium oxide film d0 3 thin+ blue film of cobalt oxide 7? 3lginate impressions should be poured immediately after they are made because a0 .hey undergo imbibition and therefore shrin& $b0 .hey undergo syneresis and therefore shrin& c0 .hey undergo syneresis and therefore expand d0 .hey undergo imbibition and therefore expand 7A 3n implant is placed to replace a single missing maxillary central incisor0 If the planned restoration is cement4retained+ the long axis of the implant may be placed more OOOOOOOOOO than a cement4retained restoration0 a0 mesially b0 labially c0 distally d0 palatally ;< .he presence of an anti4rotational (index) feature between the prosthetic abutment and the implant body is/ 10 essential in single tooth implant restorations0 %0 essential in multiple unit implant restorations0 20 essential in angulated abutments0

a0 1 D % b0 1 D 2 c0 % D 2 d0 1 D % D 2

10

.he rate of residual ridge resorption is generally greater in the mandibular residual ridge than the maxillary0 Now much greater? a) b) c) d) e) % times greater$ 2 times greater 7 times greater ; times greater .he statement is incorrect0 .he rate of bone resorption in the mandibular residual ridge is the same as the rate of bone resorption in the maxillary residual ridge

PQR 3ll of the followings are borders of the buccal shelf area except/ P)R S PCR ,xternal obli6ue ridge PCDR Masseter muscle PCR etromolar pad PCR Buccal frenum PCR .he crest of the residual ridge PQR egarding retromylohyoid fossa/ ?

P)R S PCR It is the &ey support area in the mandible PCR It is bounded anteriorly by the superior constrictor muscle PCR It is bounded laterally by the tongue PCDR It is distal and lateral to the internal obli6ue ridge PCR It is not essential for retention PQR egarding the genial tubercles/ P)R @ PCR .hey are the insertion of multiple muscles PCR .hey need relief in the denture in the 1ery resorbed ridges PCR .hey are almost in the midline of the mandible PCR .hey are bony prominences co1ered by thin soft tissues PCDR 3ll of the abo1e PQR .he distal extension of your lower denture could be affected by/ P)R @ PCR .he superior constrictor muscle PCR the palatoglossus muscle PCR .he pterygomandibular raphea PCR .he ramus PCDR all of the abo1e