WELLSOPERATIVE DENTISTRY

1. Caries activity could well increase

a. During pregnancy
b. Following radiation therapy in the head and
neck region
c. Following a serious emotional problem
d. Following periodontal surgery
1. A,b
2. B,c
3. A,c,d
4. All of the above
2. The location of teeth in the arch and the tooth
morphology affect their caries susceptibility.
Those least susceptible to caries attack in the
permanent dentition are
1. Maxillary cuspids
2. Mandibular incisors
3. Mandibular premolars
4. Maxillary incisors
5. Maxillary 3rd molars
3. The principal bacterial agent involved in the
caries process is
1. Lactobacillus acidophilis
2. Streptococcus sanguis
3. Streptococcus salivarius
4. Streptococcus mutans
4. Three factors required for the initiation of dental
caries
1. Polysaccharides, microorganisms and
enamel
2. Enamel lamellae, lactobacilli and
polysaccharides
3. Susceptible tooth, suitable substrate
and a bacterial enzyme system
4. Bacterial plaque, suitable tooth and
polysaccharides
5. Fluorides affect the tooth structure in the ff
manner to make it more resistant to dental
caries
a. Fluoride removes the organic component of
the enamel matrix
b. Fluoride ios chemically react with
hydroxyapatite crystals and replace the
hydroxyl ions
c. Fluoride ions react chemically with the
calcium in the enamel.
d. When topically applied, the fluoride ions only
affects the outer layers of enamel.
e. Fluoride ions react with the apatite crystal to
make it more resistant to acid.
1. A,b,d
2. B,d,e
3. C,d,e
4. All of the above

6. The optimum concentration of fluoride in the

community drinking water is considered to be
1. 0.5 PPM
2. 0.75 PPM
3. 1 PPM
4. 2 PPM
5. 4 PPM
7. Commonly used acid for etching teeth in
conjuction with pit and fissure sealant is
1. Hydrochloric acid
2. Phosphoric acid
3. acetic acid
4. Sulfuric acid
8. Bacterial plaque can be most effectively
removed from the proximal surfaces of teeth by
using
1. Dental floss
2. Tooth brush
3. Interdental stimulator
4. Water pick
5. Periodontal aid
6. All of the above
9. Chronic dental caries differs from acute dental
caries in that
a. There is greater pigmentation of lesion
b. There is greater depth than width to the
lesion
c. The unsupported enamel is usually fractured
away
d. There is usually minimal sensitivity
1. a,b
2. a,b,d
3. b,c,d
4. a,c,d
5. all of the above
10. The radiographic appearance of a proximal
carious lesion is
1. Larger than the actual lesion
2. Smaller than the actual lesion
3. An accurate reproduction of the size
of the lesion
4. Variable depending upon the
exposure time and development
process
11. Proximal caries typically progresses in a pattern
characterized by a double cone or pyramid as it
extends through the enamel and into the dentin.
The apices of each cone are
1. Directed toward the pulp
2. Pointing in opposite directions
3. Touching each other at the
dentinoenamel junction
4. Directed toward the enamel surface
12. Bitewing radiographs are a useful diagnostic tool
for the detection of
1. class I carious lesion
2. proximal surface caries
3. caries on the facial surface

Page | 1

13.

14.

15.

16.

17.

4. caries on the lingual surface

5. all of the above
The characteristic shape of smooth surface
carious lesions in enamel relates to the
1. striae of retzius
2. incremental lines of Owen
3. direction of enamel rods
4. mamelons of tooth
5. direction of Tomes fibers
if following placement of metallic restoration, the
tooth remains sensitive to heat, cold, and
pressure after occlusal adjustment, the dentist
should
1. remove the restoration and place a sedative
temporary restoration
2. initiate the endodontic therapy
3. grind the opposing tooth to free it from any
occlusal contact
4. tell the patient to put up with the discomfort
and it will eventually go away
a split tooth could well display which of the ff
characteristics?
a. Not visible radiographically
b. Sensitive to pressure
c. Sensitive to temperature change
d. Mild to moderate pain which
comes and goes
1. b,c
2. a,d
3. b,c,d
4. all of the above
a proper treatment sequence would include of
the ff in what order?
a. complete diagnosis and treatment plan
b. control of pain
c. prophylaxis and home care instruction
d. temporization of deep carious lesion
e. restorations placed
1. a,b,c,d,e
2. b,d,a,c,e
3. c,b,a,d,e
4. b,c,d,a,e
The restorative materials considered suitable for
restoration of the distal of a canine involving the
contact include
a. direct filling gold
b. amalgam
c. gold casting
d. composite resin
e. filled acrylic resin using acid etching
1. a,b
2. a,b,c
3. b,d
4. b,c,d
5. a,d,e
6. all of the above

18. Pulpal hyperemia results when some form of

trauma causes an inflammation. The
characteristics of hyperemia includes
a. pain of short duration
b. no radiographic indication of pulp
pathology
c. increased sensitivity to cold temperature
d. reversibility under usual condition
1. a,b,c
2. a,b,d
3. b,c,d
4. all of the above
19. approx 1 moth ff the placement of large mesiooccluso-distal amalgam with deep proximal
boxes, the patient experiences definite pain in
the region of the tooth. The probable cause for
the pain is
1. moisture contamination of the amalgam
causing delayed expansion
2. an undetected exposure of pulp horn
3. supraocclusion
4. gingival excess
5. open contact due to a faulty matrix
application
20. Pain ff the placement of an amalgam restoration
is most frequently related to
1. heat
2. cold
3. occlusal pressure
4. galvanic shock
21. The rotational instrument which leaves the
roughest surface on cut tooth structure is a
1. medium grit diamond at low speed
2. cross cut fissure bur at ultra speed
3. cross cut fissure bur at low speed
4. garnet disc a low speed
5. medium grit diamond at ultra speed
22. The hazards of using air only as a coolant when
cutting at ultra high speed are that it may
a. cause dehydration
b. supercool the tooth
c. cause post-operative hypersensitivity
d. result in the odontoblast becoming
disoriented and drawn into the dentinal
tubules
e. interfere with visibility
1. a,b
2. b,d,e
3. a,c,d
4. all of the above
23. the second number on those instruments having
a three- number formula indicates the
1. angle of the cutting edge in degrees
centigrade
2. length of blade in tenths of a
millimeter

Page | 2

24.

25.

26.

27.

28.

3. length of the blade in millimeters

4. width of blade in millimeters
in order to maintain periodontal health the best
position for the cavosurface margin is
a. in the gingival sulcus midway between
the crest of tissue and the epithelial
attachment
b. at the epithelial attachment
c. at the gingival crest
d. occlusal to the gingival crest
1. a
2. a,c
3. b,c
4. c,d
an endodontically treated teeth maxillary first
permanent molar with a small carious lesion on
the mesial and distal would be restored best by
1. a MOD cast gold inlay
2. a MOD amalgam
3. a MOD cast gold onlay
4. full crown
5. a crown
in restoring an endodontically treated maxillar
central incisor with an abraded incisal edge and
moderate composite resins on the mesial and
distal, the treatment of choice would be
1. post-retained porcelain jacket crown
2. pin ledge gold casting
3. composite resin using acid etch
4. post retained porcelain metal crown
the rubber dam, in addition to maintaining a dry
field, also serves to
1. retract the cheeks and soft tissue
2. protect the operator and assistant
3. protect the patient
4. improve accessibility
5. save time
6. all of the above
if the interdental papillae protrudes from beneath
the rubber dam, likely cause is
1. failure to ligate each tooth
2. too heavy gauga rubber dam material
3. too light gauge rubber dam material
4. punching the holes too close together
5. punching the holes too far apart

29. when applying a rubber dam to control the

operating field for Class V restoration that is
located at the cervical line, the dentist should
a. place a ligature around each tooth to force
down the papilla
b. punch the hole for the involved tooth to the
lingual of the normal alignment
c. use a 212 clamp for gingival retraction
d. punch the hole for the involved tooth to the
facial direction of normal alignment
e. use a hatch clamp prior to placing the dam
to the retract tissue

30.

31.

32.

33.

34.

35.

1. a
2. b,c
3. c,d
4. b,e
5. d,e
the most widely utilized current for
electrosurgery in dentistry is
1. electrodessication
2. fulguration
3. electrocoagulation
4. electrosecion
retraction cord containing racemic epinephrine
has the potential hazard of
1. localized vasoconstriction
2. caustic reaction on the tissues it contacts
3. systemic vasoconstriction action
4. localized astringent action
5. there are no hazards to its use
the chemical tissue packs used for soft tissue
management prior to impression taking are
classified as
a. caustics
b. astringents
c. anticoagulants
d. vasoconstrictors
e. vasodilators
1. a,c
2. b,d
3. b,c
4. c,e
5. a,d
in positioning an assistant so that a right-handed
operator is assured of visibility and access to the
field of operation, it is generally agreed that the
assistant sit at
1. right rear of the patient and the same height
as the operator
2. left side of the patient and somewhat higher
than the operator
3. left side of the patient and the same height
as the operator
4. any position that is comfortable for the
assistant
the dental assistant must be comfortably seated
on a stool which supports the back and legs and
permits the feet to
1. hang freely
2. rest on the floor
3. rest on a platform or ring approximately 8
inch off the floor
4. rest on a ring or platform approximately 4
inch off the floor
an adverse pulpal reaction is most likely to occur
when which of the ff materials is placed directly
into a deep cavity preparation?
1. Silver amalgam
2. Zinc oxide-eugenol

Page | 3

36.

37.

38.

39.

40.

41.

42.

3. Polycarboxylate cement
4. Silicate cement
5. Zinc phosphate cement
6. Calcium hydroxide
Following the placement of an amalgam
restoration, the patient may experience
sensitivity result of
1. Cold
2. Sweets
3. Heat
4. Biting pressure
5. Galvanic shock
Following the placement of a gold onlay in a
mandibular second bicuspid, the patient
experiences hypersensitivity under chewing
pressure only. This indicates
1. Chemical irritation caused by the cementing
medium
2. Irritation resulting from the high thermal
conductivity of the gold
3. Hyperemia of the pulp
4. Periodontal ligament involvement
When a patient experiences a throbbing pain in
a specific tooth which is sensitive to pressure
and when the pain is aggravated by heat and
relieved by cold ,the most likely diagnosis is
1. Suppurative pulpitis
2. Radicular cyst
3. Follicular cyst
4. Occlusal hyperfunction
5. Hyperemia
The reduction of cusps tend to decrease
1. Outline form
2. Resistance form
3. Retention form
4. Convenience form
5. The width of occlusal table
The form given to a cavity to resist displacement
of the restoration in any direction is
1. Outline form
2. Retention form
3. Resistance form
4. Convenience form
Those instruments normally used for placing
gingival bevels are
a. Safe side diamond disks
b. Margin trimmers
c. Angle formers
d. Tapered carbide burs
e. Fine tapered diamond stone
1. A,b,c
2. A,b,e
3. B,c,d
4. B,d,e
5. All of the above
A line angle that can be found in a
proximoocclusal cavity its
1. Mesioaxial line angle

43.

44.

45.

46.

47.

48.

49.

2. Facioligual line angle

3. Gingivoaxial line angle
4. Faciooclussal line angle
The outline form of a cavity implies the shape of
1. Cavity following the removal of caries
2. Cavity alter the resistance and retention for
has been established
3. The preparation as it relates to the surface
of the tooth
4. All of the above
That instrument which creates the roughes cut
surface on a tooth is
1. Cross-cut fissure bur at ultra-speed
2. Plane fissure bur at ultra speed
3. Cross-cut fissure bur at low speed
4. Plane fissure bur at low speed
5. Medium sandpaper disk at low speed
That form in Class III cavities which helps to
insure the proper line of force for condensation
of direct filling gold is
1. Outline form
2. Resistance form
3. Retention form
4. Convenience form
The retention form for a Class II amalgam
preparation is achieved by
1. Flat gingival wall
2. Parallel facial and lingual walls
3. Facial and lingual grooves placed at the
axial line angle
4. Walls converging in an occlusogingival
direction
5. All of the above
Finish of the enamel margin at the gingival
cavosurface on a cavity prepared for amalgam is
1. Not indicated because of the poor tensile
strength of amalgam
2. Accomplished by creating a steep
cavosurface bevel
3. Not required since no stress is placed on the
restoration in this region
4. Accomplished by removing all unsupported
enamel rod or prisms
Stainless steel pins are principally used in
conjunction with amalgam restorations to
enhance the
1. Retention
2. Strength
3. Resistance form
4. All of the above
5. Only 1 and 2
To provide a maximum strength in an amalgam
restoration, the cavosurface angles should
a. Approach a 75o angle with the outer
surface
b. Approach a 90o angle with the outer
surface

Page | 4

c. Be supported by sound dentin

d. Be located in areas free of occlusal
stress
1. A,c,d
2. A,c
3. B,c,d
4. C,d
50. In tipping the cusps for a complex amalgam
restoration, the cusps should be reduced
1. 0.5-1 mm
2. 1-1.5 mm
3. 1.5-2mm
4. 2-3 mm
5. 3-4 mm
51. When utilizing self threading, friction-locked pins
for the retention of amalgam, it is generally
agreed that pin should extend about equally into
the dentin and alloy. The recommended depth is
about
1. 1 mm
2. 2 mm
3. 3 mm
4. 4 mm
52. Posterior teeth that have been endodontically
treated teeth are better restored by a cast gold
inlay because
1. Gold is more aesthetic than amalgam
2. Gold renders the tooth more resistant to
recurrent caries
3. Maximum protection is afforded to the tooth
4. Gold is less likely to disturb the gutta-percha
filled canals than condensation of amalgam.
53. The gingival margin and occlusal cavosurface
angles are beveled for a gold inlay preparation
because this
a. Protects the enamel at the margins
b. Improves marginal adaptation
c. Helps to evaluate the accuracy of
impression
d. Improves the seal of the cavity
e. Facilitates finishing
1. A,b,d
2. A,c,e
3. B,d,e
4. B,c,d
5. All of the above
54. Gold inlays have improved retraction when
1. There is large cement film thickness
2. The opposing walls diverge towards the
occlusal
3. There is less surface area involved in the
preparation
4. The axial length in the cavity preparation is
increased
55. To help insure the maximum gingival adaptation
of a gold inlay restoration the dentist should

56.

57.

58.

59.

60.

61.

1. Use a soft gold alloy

2. Employ the direct wax pattern procedure to
avoid inaccuracies in the die
3. Employ the indirect wax pattern
4. Utilizes a gingival reverse bevel
5. Establisha a precise gingival cavosurface
bevel
In the preparation of proximal cavities the
gingival extension is influenced by
a. The need to create adequate retention for a
cast gold inlay restoration
b. The degree of gingival recession
c. The position of contact area
d. The location and extent of caries
1. A,d
2. B,c
3. B,c,d
4. A,c,d
5. All of the above
Retention form is created in a Class V cavity
prepared for a direct filling gold at
1. The mesial and distal axial line angles
2. The occlusal and gingival axial line angles
3. The four point angles of the cavity
4. Circumferentially around all four walls
Retention form for a Class III cavity prepared
from either the labial or lingual approach is
placed in the
a. Incisal point angle
b. Linguoaxiogingival point angle
c. Labioaxiogingival point angle
1. A,b
2. A,c
3. B,c
4. All of the above
Retention form for composite resin restoratios is
achieved by
1. Chemical bond with the tooth
2. Adhesion to the enamel and dentin
3. Mechanical undercuts
4. All of the above
The margins of a porcelain inlay are fragile and
must be considered in the design of Class V
preparation. This is accomplished by
1. Preparing the walls with labial convergence
2. Preparing the walls with a large labial
divergence
3. Deepening the axial wall
4. Preparing the cavosurface angle to
approximate 90o
The primary factor in developing the outline form
for a composite resin restoration on the proximal
surface of an anterior teeth is
1. Position of the contact
2. Relationship to the adjacent tooth
3. The aesthetics required
4. The extent of caries involvement
5. Extension for prevention

Page | 5

62. Retention form for composite resin restoration in

Class III preparations is achieved by
1. Sharp, well-defined line angles
2. Parallel walls
3. Rounded undercuts at the incisal and
gingival point angles
4. Sharp, acute point angles at the incisal,
labioaxiogingival and linguoaxiogingival.
63. In class V preparations to receive composite
resin the extension is determined by the
1. Position of the gingival crest
2. Contour of the tooth
3. Caries susceptibility of the patient
4. Extent of caries involvement
5. All of the above
64. Preparations for porcelain-bonded-to metal
restorations should have a
1. Should all around the tooth
2. Shoulder on the lingual and proximal
surfaces and the chamfer on the labial
surface
3. Beveled shoulder on the labial surface and a
chamfer on the lingual surface
4. Feather edge around the entire tooth to
facilitates finishing
65. When compared to a porcelain jacket crown
preparation, a tooth prepared for a porcelainbonded-to-metal restoration has
a. More tooth structure removed on the
labial surface
b. More tooth structure removed on the
lingual surface
c. Less tooth structure removed on the
labial surface
d. Less tooth structure removed on the
lingual surface
1. A
2. B
3. C
4. D
5. A,d
6. B,c
66. A commonly used acid solution for etching
enamel in conjunction with composite resin
restoration
1. 50% phosphoric acid
2. 50% sulfuric acid
3. 70% phosphoric acid
4. 50% silicophosphoric acid
5. 70% hydrofluoric acid
67. Direct filling resins can be activated by
a. Tertiary amines
b. Benzoin methy ether
c. Benzoyl peroxide
d. Hydroquinone
1. A
2. A,c

68.

69.

70.

71.

72.

73.

74.

3. A,b
4. B,d
5. All of the above
Tin is incorporated into an amalgam alloy for
purpose of
1. Increasing expansion and strength
2. Reducing expansion and hardness
3. Increasing strength
4. Acting as a scavenger
Most amalgam alloys are comprised of
approx.what percentage of silver?
1. 50%
2. 70%
3. 80%
4. 90%
In melting gold preparatory for casting, the
appropriate zone of the flame to use is
1. Reducing zone since it is not as hot
2. The oxidizing zone to remove oxides
3. The reducing zone since it prevents
oxidation and is a higher temperature than
the oxidizing zone
4. Either zone may be used, since with the
current type of alloys both provide
satisfactory results
Hardness and strength are increased in a gold
alloys by the addition of
a. Zinc
b. Silver
c. Copper
d. Platinum
1. A,c
2. B,c
3. B,d
4. C,d
5. D
Direct filling gold can be supplied in a
noncohesive condition by
1. Alloying the metal with calcium
2. Employing a special sintering process
3. Applying surface contaminants
4. None of the above
Gold foil, mat gold, and powdered gold differs
from each other by the
1. Ppercentage of pure gold present
2. Degree of cohesiveness
3. Method of fabrication
4. All of the above
5. None of the above
Silver amalgam should be considered within 4
min following trituration because
1. Excess will be more easily removed
2. The final set takes place within 5min
3. Time studies indicate this is the most
efficient working time
4. Beyond this time the residual mercury
retention is markedly increased

Page | 6

75. A minimal mercury bevel for amalgam varies

with the brand of alloy used but it falls within the
range of
1. 40%-50%
2. 46-53%
3. 50-55%
4. 55-60%
76. When an amalgam is prepared using the
minimal mercury technique, and compared with
a high mercury content technique, it is found to
a. Have a higher 1-hour strength
b. Set more rapidly
c. Require less pressure during
condensation
d. Have greater plasticity and thereby
better adaptability to cavity walls
e. Eliminate the need for a squeeze cloth
1. A,b,c
2. A,b,e
3. B,c,d
4. B,c,e
5. D
77. The principal reasons for using a wedge in
conjunction with a matrix preparatory to
condensing a Class II amalgam are to
a. Retracts gingival tissue
b. Separate the teeth minimally to insure
the creation of proper contact
c. Adapt the matrix band firmly against the
tooth cervical to the gingival margin
d. Prevent seepage of fluids into the
prepared cavity
1. A,b,c,d
2. B,c
3. A,b,d
4. B
5. C
78. When a carving a wax pattern, the occlusal
surface should be
1. Left a little high so that the final restoration
will be certain to have adequate occlusal
contact
2. Carved to establish a proper occlusal
contact relationship in centric as well as the
excursive movements
3. Carved just out of occlusion to provide for
the thickness of cement during the seating
of restoration
4. Carved according to the opposing arch
relation when the mandible is in its most
retruded position
79. One of the principal advantages of a cast gold
restoration is its
1. Aesthetic qualities
2. Ability to inhibit recurrent caries
3. Pulp protection because of the thermal
insulating qualities of the cementing medium

4. Ability to restore anatomic form

80. Asbestos is utilized to line a casting ring in order
to
1. Help uniformly distribute the heat throughout
the mold
2. Facilitate venting of the mold
3. Permit expansion of the mold
4. All of the above
81. The main reason for placing a cavosurface bevel
on an inlay preparation is to
1. Remove the undermined enamel
2. Facilitate the marginal adaptation
3. Reduce the marginal percolation
4. Improve the visibility for the operator
5. Increase the resistance form
82. The amount of force which must be applied in
order to compact direct filling gold adequately is
influenced by the
1. Angle of the compacting instrument relative
to the surface of the tooth
2. Depth and therefore the bulk of the
restoration
3. Surface area of the condenser point
4. Annealing time
83. During condensation the surface hardness of a
direct filling gold
1. Increases
2. Decreases
3. Remains the same
4. Increases or decreases in relation to the
amount of force applied
84. Compared to unfilled resins, composite resins
have
1. Greater compressive strength
2. Less solubility
3. Greater working time
4. Smoother finished surface
5. Greater color stability
85. Metal instruments are contraindicated for use
with composite resins because of the
1. Metal is abraded by the filler and discolors
the restoration
2. Monomer reacts with the metal and forms
corrosive products which affects the final
shade
3. Polymer reacts with the metal to affect the
shade
4. Metal inhibits the polymerization
86. The best surface finish on a composite resin
restoration is created by
1. The 12 fluted finishing burs
2. Fine silica grit disks
3. Lubricated cuttle disks
4. The matrix band with no additional finish
87. One should select the shade for a composite
resin utilizing a

Page | 7

88.

89.

90.

91.

92.

93.

1. Bright light
2. Dry shade guide
3. Dry tooth isolated by the rubber dam
4. All of the above
5. None of the above
When a metal casting is prepared to receive a
porcelain veneer, the interior angles of the area
to be veneered should
1. Have sharply defined undercuts to help
retain the porcelain
2. Have rounded channels to enhance
porcelain retention
3. Not have undercuts but sharply defined
angles for uniform thickness
4. Have rounded interior angles to enhance
adaptation
Calcium hydroxide is regarded as a good pulp
capping agent because
1. The pulp responds by forming the secondary
dentin
2. It creates a better cavity seal than other
materials
3. Its alkaline nature is nonirritating to the pulp
4. It has sedative effect on the pulp
Cavity varnish is desirable under amalgam
restoration because it
1. Eliminated the possibility of galvanic shock
2. Improves the marginal seal of the restoration
3. Completely seals all dentinal tubules
4. Is an effective thermal insulator
5. All of the above
One of the best materials for pulpal sedation is
1. Cavity varnish
2. ZOE
3. Calcium hydroxide
4. Zinc phosphate
5. Polycarboxylate cement
A material which is contraindicated as base
under the resin restoration is
1. Carboxylate cement
2. Calcium hydroxide
3. ZOE
4. Zinc phosphate
The interim restoration of choice for placement
between completion of the cavity preparation

and has seating of the cast MOD inlay

restoration is
1. ZOE
2. Zinc phosphate
3. Polycarboxylate cement
4. Acrylic onlay cemented with ZOE
94. Interim restoration which will of necessity, be in
the mouth for longer periods of time must take
into consideration
1. Pulp response
2. Occlusion
3. Contact and contour
4. Patient comfort
5. 1 and 4
6. All of the above
95. An interim dressing cement is considered down
into the pin holes of a pin ledge inlay preparation
because failure to do this will result in a
nonretentive temporary
1. Both the statement and reason are correct
and related
2. Both the statement and reason are correct
but not related
3. The statement is correct but the reason is
not
4. The statement is not correct but the reason
is an accurate statement
5. Neither statement nor reason is correct

96. Which of the ff relates to the functionally

generated path for occlusal registration
1. Centric relation
2. Anatomic registration
3. Vertical dimension
4. Most retruded mandibular position
5. Static registration of dynamic occlusion
97. Occlusal correction is
1. Only considered when patient presents with
TMJ problem
2. Never essential if only one tooth is affected
3. A terminal treatment performed only after all
restorative work is complete
4. Performed as an initial and final procedure

Page | 8