Prostho Question:

Removable:
 What is the name given to the property which enables clasps to be bent.
 Classification of edentulous ridge
 Cawood classification
 Patient comes in unhappy with a denture a history of the pt complaint is given and based
on this need to diagnose what the problem is with the denture

 Why could the denture be unstable? What factors cause instability in a denture.
 Complete denture faults.
 RPI rational
 P/P design
 Free-end saddle, rationale and how to do an altered cast technique, RPI.
 Copy denture technique – lab and clinical stages.
 Support for complete dentures.
 Kennedy classification.
 Free end saddle; how to design it.

Fix prostho:

 Resin retained bridge photo discuss what are the faults with the design, What could be
used to bond it, what are the potential problems when using the cementing material if
there is too much space between the tooth and the bridge retainers.

 Give four ways in which a surface can be prepared on a bridge retainer in order to
enhance its bond to the cement (not including a mention of bonding agents)

 Fixed movable bridge (4 units) discuss the design faults and the positive features of the
bridge

 Discuss the four different zones of enamel, what is the outmost zone called and what is
special about this particular zone?

 Lots of questions on dentures and implant overdentures (i.e. asking what different types
of overdenture retention methods are available and their advantages and disadvantages.

 Copy dentures, duplicate dentures how you would carry out the various
steps/techniques available to make them. How would the definitive copy denture be
different to the denture being copied versus a duplicate denture.

 RPI system- what is its purpose, describe the features of it, how does it work

 Bridge failure
 Bridge design

 RRB failure

 AI +/- CLS. Genes involved in AI.

 Patient a large bridge with a 3mm chunk of fractured porcelain. Reasons why, how to
prevent it, double abutments.

 A 20 year old fully dentate patient presents with Amelogenesis Imperfecta. What are
the challenges and discuss treatment options.

 A 17 year old female patient presents 3 months after traumatic loss of UL1234 due to
a horse kick trauma, she also presents with associated alveolar bone loss. She is
otherwise fully dentate. How would you assess the case and what are the treatment
options?

 How have dental ceramics changed since the porcelain jacket crown. What factors
would influence your choice of ceramic material.

 Shortened dental arch

 Discuss the indications for replacing missing posterior teeth (2004)

 Following an RTA a pt has lost 21, 22, 23 6 months previously. They attend requesting
replacement of the missing teeth, and there are no other missing teeth.

 Discuss the assessment, including any special test prior to advising the pt (2001)

 Discuss the concept of and adv and limitations of a SDA concept (2002)

 A Discuss the factors you would consider in assessment of tooth as a potential

abutment, for fixed and removable care dhesive bridge shown: State type of bridge and
problem with the design.

 Different types of sandblasting.

Hypodontia
 Photo of patient with a few missing teeth (31, 32, 41 and 42) and microdontia (13 and
23) -want you to diagnose it, give a percentage of the population who have it, what are
the problems faced by the clinician, and how would you manage the particular patient
shown in the photos (discuss four methods and the advantages and disadvantages of
each method. How would you conservatively treat the 3s.

 Hypodontia

 18yr old attends with hypodontia. No previous tx and now wants to discuss cosmetic
solutions. Discuss the treatment options, listing indications and contra for each (2000/3)

 What factors would you consider important in deciding to use a fixed or removable
solution to replace missing teeth? (2003) Discuss the mx of severe hypodontia in a
young adult, illustrating teamwork (2002)

 Hypodontia and treatment options

 Prosthodontic treatment plan (30 + 15 minutes).

 22 year old female. Hypo missing two premolars.
 RBB’s:
 Materials.
 Cementation; how, which cement, alternatives.
 Design.
 How to remove.
 Implants:
 Minimum dimensions of site.
 Need for CBCT (sinus, mental nerve, lingual concavity).
 Sinus lift; materials for lift (auto/xeno).

Tooth wear
 Theory Dentinal hypersensitivity
 SN: Aetiology and tx of dentinal hypersensitivity
 What are the causes and management options for dentine hypersensitivity. Outline the
recent developments
 in this field?eories of dentine hypersensitivity.
 A patient attends complaining of tooth wear. Discuss the assessment and early mx of
the case (2000)
 SN: Aetiology of dental acid erosion
 SN: Dahl principle of relative axial tooth movement
 Bulimic patient and tooth wear.... Causes and treatment options
 TSL and treatment options
Implant:
 Give 10 reasons why you would not restore a patient with implants (e.g. wants you to
discuss MH, SH factors etc.

 What records would you require when restoring a patient with an implant supported
denture (I think it was implying what you would need to check from the clinical records)

 Implant overdentures

 Peri-implantitis

 Implant planning

 What factors contribute to a failure of osseointegration? (2002)

 A compromised tooth should be extracted and replaced with a dental implant. Discuss
the validity of this statement (2004)

 Discuss the role of radiological examination in dental implant tx (2006)

 Discuss bone augmentations techniques in implant tx (2005)

 60yr old patient who has successfully worn a Co-cr to replace 21, 11 requests
replacement with dental implants. How would you assess the patient and what would
you discuss with them? (2002)

 Causes of implant failure.

 What do you understand exactly by thin/thick gingival bio-type?
Dental Material:
 Physical properties of composite – Graph

 Understand what the best properties for composite are, ideal ones

 Modulus of elasticity and compression forces. How to interpret them on a plotted

graph. Comparing different currently available composite materials

 Different types of bonding agents-give a list of them, how do they work, which is the best
type and why? what is a smear layer, how would you go about restoring composite
restoration on dentine, how would you restore enamel with composite.

 Bonded amalgams (give four advantages), recently there is a dispute if the

technique works, what are the disadvantages if it does not work?

 What is meant by ditching of amalgam and why does it occur?

 What is the name given to the property which provides resistance to

compression/resistance to movement

 Graph showing three different composite materials and values are given for UTS,
UCS, thermal expansion and wear (no figures just graph comparisons) the sales rep
says material C is better 1) what does UCS stand for? 2) which material would you
recommend out of them and why?

 Bond testing of composite

 Composites
 How has development of resin bonded technology influenced tx in restorative care
 Composites: Tensile strength, compressive strength, thermal expansion (Graph with
values shown) Asked to deduce various things from the graph (no type of composite
mentioned, but you are expected to have an idea based on the values)

 Panavia, sand blasting and effect of various degrees of surface roughness on

bonding, ways of increasing surface roughness and bonding strength.?

 Bonded amalgam: advantages and disadvantages.

 Panavia, talk about it.

PERIO Question:
 Photo of ANUG or similar
 Diagnosis
 Differential diagnosis
 Treatment
 Antibiotics
 Reversible or irreversible condition, what may the condition cause long term to soft
tissues and hard tissues
 Draw the periodontium interface with the tooth
 What antibiotics detectable in gingival crevicular fluid

 Localised aggressive perio case (a history given of a 15 year old patient and have to
come to the diagnosis of it being localised aggressive perio and then discuss the
management)

 Antimicrobials question-when would you prescribe them, what are the advantages,
disadvantages of them (comparing local and systemic).why are local antimicrobials
better and what is the problem when using them for perio compared to when using for
other stuff (need to talk about plaque biofilm resistant to the antimicrobials difficult to
penetrate etc) list four different antimicrobials their generic name and percentage of the
drug used.

 Discuss the antibiotics (or antibodies) found in the GCF

 Histopathology of ANUG and discuss the different zones found within the histology
specimen. Which people are likely to suffer from ANUG and describe the clinical
features. Describe the histological features that would be seen.

 Draw a diagram showing what the biological width is

 Pathogenesis of periodontal pockets
 Pharmacology of ibuprofen
 Smoking and oral health
 Aggressive periodontitis
 Clinical presentation, treatment and histological layers of NUG.
 Draw the dento-gingival complex with an emphasis on the epithelium. ?BW. Daily rate
of crevicular fluid. Height in number of cells of the junctional epithelium.
 Biologic width; draw diagram and definition
 Local antimicrobials availbale: tradenames and active ingredient,
 Radiograph showing Localised aggressive periodontitis, drugs used in tx and microbes
seen etc
 Histologic appearance and zones in ANUG, how is it managed and predisposing/risk
factors.
 Biologic width: (draw, label define and significance in restorative dentistry).
 Discuss the role of oral biofilms in dental diseases (2003)
Endodontic:
 Implant vs endodontic treatment

 Justify decision for one or the other to a patient

 Histopathology slide of one of Nair’s papers regarding pulp complex

 Name required for the cells indicated

 Endodontic instruments

 R-phase importance

 Difficulty in treating an ageing population and difficulties in endodontic treatment

relevant to such a change

 What are the various tx options what are the advantages and disadvantages? What tx
would you carry out and why?(pt has already had a root tx and the previous GP is poorly
condensed.

 Endodontic preparation

 What are the possible causes of pulp injury? If this injury was due to preparation of a
full coverage MCC how could this be minimised? (2002)

 Why redo RCT

 Quality of RCT’s and x-rays.

 Open apex, MTA, warm GP.

 Extra-oral abscess from a failed endo: Causes of failure of endo tx, why did the peri-
apical abscess present extra-orally and not intraorally, management of the abscess and
the resulting scars

 How would you restore a root filled tooth, what materials and techniques would you
use and the suitability of this tooth as a retainer.

 Perio-endo lesions.
Conservative:
 What features improve cutting efficiency and their influence on the instrument

 How to disinfect impressions

 Three different methods of disinfection

 Picture showing a white lesion (asking what you think it is) was a white spot lesion but
some people wrote other diagnoses. Asked to discuss the management of the lesion and
instructions you would give to the patient and what tx would you carry out?

 Internal bleaching
 Bleaching (vital/non-vital)

 Discuss the current practice of teeth whitening

 Early caries (?hypoplasia). Prevention, Fl, zones of caries under polarised light (which
is the largest by volume).

 Discoloured teeth
 Discuss the aetiology, dx and mx of a discoloured permanent tooth in an 18 yr old pt
(2003)
 What are the causes of tooth discoloration and how may these be managed (2007

 SN: Diagnosis and management of cracked teeth/ cusp

 Occlusion/ Cracked teeth

 Discuss the aetiology and management of a cracked lower first molar tooth in a 30 year
old patient.

 Discuss the aetiology and mx of root caries (2004/9)

 Discuss the methods for dx of dental caries in the adult patient? (2002)
 Evaluate the recent advances in caries dx and mx (2006)

 Enamel: know anatomy, physiology and histology. (Asked different layers of enamel
under polarised light).

 People are getting older retaining more teeth. Discuss the implications.

 Factors affecting restorative prognosis of the dentition

 How does smoking affect restorative care provision (2004)

 Caries: methods of detecting caries, blunt or sharp probe, force of probing etc
 Root caries, active/arrested, colour methods of differentiating.
Medical Problem:
 Patient scenario:

 Vasovagal attack in a pregnant lady

 Diabetic patient management

 Patients taking warfarin, bisphosphonates-how do bisphosphonates work? What does

INR stand for? What is the upper limit for INR when carrying out an xla?

 Patient has a lesion on the face, have to diagnose as (discharging sinus).Why has this
occurred on the face? i.e. need to talk about muscle planes etc.

 What would you recommend for the facial scarring?

 HIV patient question discusses CD4 counts. What does this mean, what oral lesions
are common for pts suffering from HIV.

 What other value is important to look at apart from the CD4 count when treating
patients with HIV?

 Immunocompromised patient

 Parkinsons disease and patient management

 Cleft lip and palate

 Anaphylactic reaction.

 CBCT image of something in the antrum.

 INR: define, max value etc

 Bisphonate related oral osteonecrosis (general theme): different management/treatment

strategies, diagnosis etc.

 treatment options of broken down teeth in pt with Hep C

 What materials may cause allergic reactions in the dental setting and how can this affect
pt care? (2006)

 A patient presents taking warfarin. Outline how this affects your mx in tx planning
(2002)

 How can diabetes affect a pts dental care?

 Discuss the management of a pt presenting with severe xerostomia (2003)
TMJ:
 TMJ anatomy picture shown and need to label

 Patient comes in with symptoms-want you to diagnose it as TMPDS, discuss the

management.

 Discuss how to construct a splint

 Features of splints, theories of how they work

 Oro-facial and TMD

 Discuss the aetiology, dx and mx of TMD (2005)

 Discuss the management of oro-facial pain, in terms of Ix and Mx (2002)

 SN: Occlusal adjustment in TMD

 Label the TMJ and discuss the movement of the mandible.

Radiograph
 A patient has a swelling in the palate hx of 1 year, rad shown with 26 and 27 both root
treated. How would you diagnose which tooth is the cause? The dentist decided to
extract both teeth but the swelling persists, CT scan is taken. Have to list the
differential diagnosis causing the swelling based on the presenting history and the CT
scan

 How does a DPT dose compare to that from a CT scan.

 X-ray dose levels, CBCT.

Viva
General viva – Restorative and Specialist (30 minutes).
ANYTHING GOES.
Chronic perio, aggressive perio, NSPT (stages), local and systemic AB’s.
Three RPD cases.
Occlusal trauma.
Restorability, prognosis.
Two erosion cases.
Over-dentures.
Composite resin build-ups; how to decide on length of teeth, use of matrices.
Biotype.
Peri-Implantitis.