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Question #2

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0% found this document useful (0 votes)
120 views70 pages

Question #2

Uploaded by

Aatif Khan
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
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Question#2 Part 1:

1-space on tray for alginate to maximise tear streangth in (mm)


-1
-2
-3 ✔ ( at least)
2-patient has rpd diagnosed with page disease, what is management for the prosthesis:
A)remake denture✔
B)rebase denture
C)rebase with altred cast D)rabase or remade when needed
3- pic of missing 46,45 and space 14mm mesiodistal and 7.5mm buccolingual, which size
of implant you choose:
A) 2 implants size 5 mm
B) 3 implants size 3.5mm
C)premolar size 4mm and molar size 4mm✔
D)molar size 4mm and premolar size 3.5mm
4- pic of missing 46 and spacing in anterior, how can you chose size of implant:
-diagnostic cast -wax
-clinical examination -cbct✔
5- 15 years old patient with congenital missing lateral has composite bonded to
neighboring tooth and connected with composite of lateral tooth, the reason of this
step is:
A) restoration for esthetic
B) space maintainer
C) space retainer until restoration
D) for ovate pontic preparation
6- 15 years old mentally retarded patient came to clinic for restoring carious teeth with
his parents, he refused to get treatment ,what is your management:
A)oral sedative
B)nitrous oxide it is other name inhalation anesthesia
C)-ask his parents to hold the patient
D)-ask staff to hold patient
7- factor that cause highest risk for implant failure:
A) sever bruxism✔
B) excessive vertical height
C) implant position
8- patient complain from undisplayed of anterior teeth of cd, what is the management:
A. set up teeth at cr
B. set up teeth at mip
C. arrange the teeth with appropriate smile analysis✔
9- case with over erupted tooth 25,26 mounted on semi adjustable articulator and has
irregular occlusale plane, how to record the occlusal plane:
A. pantograph
B. determine index
C. simplified occlusal plana analyser SOBA
10- patient is having headache with wear of teeth and restoration, pain when record
centric relation to diagnose the patient:
-CT
-muscle palpation
-range of motion
-anterior deprograming device
11-patient has a single crown on 11 ,how to make an ideal occlusion for this crown;
-increase overjet -increase over bite
-increase concavity of lingual aspect
-follow the same neighboring tooth
12-distobuccal surface of lower cd attach to:
A -masseter
B-buccinator✔
C-ptryogomandibular raphe
( Direct contact is with buccinator ,when we activate the massetor muscle ,it pushes the
buccinator medially towards the denture that's y we give another distobuccaly called
massetirc notch. Lower denture buccinator upper masseter)
13-measurment of lateral m-d width with:
-bolton analysis
-golden proportion
-wax up ✔
-diagnostoc cast
14 -distance from ala of the nose indicate
A)width of whole anterior teeth
B)distance from tip of canine to other canine✔
15-resection of periodontally compromised molar with furcation, what is
management:????
-resection with 2 half separated
-resection with 2 half splinted
-1 wide implant
-2 narrow implant
16-case with deflective contact of teeth after time patient's bite has no problem , cause:
-patient adapted to new bite
-movement of teeth
-worn out of the teeth
17- cast type (iv) was distorted after removal of polyether:
-0.9 water and plaster ratio✔
-cast was left more than 20 min to set
18- rpd cast left along time under running water ,what will happen:
-weaken cast
-chalky appearance
-Eroded cast✔
19-case for planning to place missing maxillary lateral incisor by implant, what is best
way to measure the mesiodistal best shape of the tooth:
-articulated cast
-contralateral lateral incisor ??✔
-diagnostic wax
-bolton analysis
20-same q as question 60 but most accurate way to determine implant position:
-articulated cast -diagnostic wax stent
-cbct -surgical stent
21-case with upper and lower cd has erythrematous tissue at fitting surface of denture :
-eating spicy food -low iscorbic acid intake
-vitaminosis -defective occlusion✔
22. detection of unseated margin by:
A. Prob✔
B. Periapical x
C. XrayPanorama
D. Occlusal bit x Ray
23. pt. Came with implant mobility dentist ask for radiograph. what is that
indicate?
A. implantitis
B. Loss of ossiointegration
C. Implant fexure fractuer
D. Implant abutment fracture
24. the same case with anterior lower teeth crowned periodontally comperamised and
posterior implants present in bruxism pt. Dentist should make
A. Occlusal hard splint oNLY anteriorly
B. Occlusal hard splint with soft liner posteriorly✔
C. Occlusal hard splint for all arch
25. length of interdental papilla in upper central incisors from zenith point to
contact area in MM?
A. 3 B.4
C.5 D.6

26. The lateral excursion of mandible will affect what?


Cusp height and cusp angle
Cusp height only
Cusp height, angle and ridge and groove directions
27. 35y/o patient presented with hypodontia. A fixed removable prosthesis was
planned. In what sequence should it be done?
Fixed first Removable first
Fixed followed by removable✔
Both together
28. After few weeks of delivering an FPD the patient had bleeding while brushing along
with pain. What is the cause?
Insufficient embrasures
Pontic displaces the gingiva
29. A female patient who was very apprehensive will get her dentures for the first
time. She was extremely worried about how she will eat and speak using these
dentures. How long in weeks will such a patient and her musculature take to get
used to the new dentures.
4-8 weeks
30. You give the lab technician a face bow record, interocclusal record and u/l
impressions. The technician asks you for protrusive records. What is the purpose?
Condylar angle
31/Which of the following cements should be mixed slowly to gain its maximum
properties?
a. Zinc phosphate✔
b. Zinc eugenol
c. GIC
32. It is a common practice of placing a post in an endodontically treated tooth.
What is a consideration for post length? (just this much mentioned and no other
details
a. At least the length of the crown
b. 3/4th the length of the root
c. Not more than 6 mm length
d. As long as the root
33. A 25 year old female patient with missing Max. Premolar. A diagnostic waxup
was done and it revealed short clinical height of abutments. A connector space of
about 6 mm2 was calculated with 3 mm occlusogingival height and 2 mm
buccolingual width. Which all ceramic material should be used in this case?
a. Procera Alumina (Procera Nobelbiocare)
b. Partially stabilized Tetragonal Zirconia Polycrystal (Lava Framework 3M
ESPE)✔
c. Lithium disilicate
34. Missing Max. premolar patient wanted aesthetic bridge in anterior region.
Procera Alumina Inceram selected which was to be layered. What should be the
minimum thickness of the framework on the abutment?
a. 0.3 mm
b. 0.5 mm
c. 0.9 mm✔
d. 1.3 mm

35. case with elevated floor of mouth and edentulous area. which impression
technique you use:
a.butterfly✔ b.mucocompressive c.selective
36.Rpd relining, what is the proper technique:
A.finger pressure. B.occlusal contact.
C.impression D. material under the base
37. rct done with premolar teeth, dentine around the pulp chamber was enough but still
it needs additional feature to resist fracture. What dentist should do:
a.Onlay✔ b.All ceramic crown c.All metal crown d.Metal Ceramic crown
38. Time required for Cd to convert into implant supported
A. 6 months ✔ B. 8 months
39. mild bony undercut in posterior buccal aspect of maxilla:
a.surgically remove one
b.Remove both
c.relieve intaglio surface of denture in area of bony undercut✔
40. regarding occlusal error in processed denture little bit difference
a. Selective grinding no need of anything else
b. lab remount and then clinical remount before doing selective grinding
c. Lab remount and then selective grinding
41. patient with anodontia missing many teeth and many malformed teeth, dentist
decide to give fixed and removable
a.Fixed first✔ b.Removable first c.both same time
42. case of upper natural teeth and lower complete denture, Selective grinding of
natural teeth are done
a.To prevent opposite prosthetic teeth wear
b.safe for enamel
c.to release pressure from long axis of the teeth something like
43. complete denture patient wearer due to different medicine having xerostomia is
able to wear denture
a.Hybrid denture✔
b.sectional implant fixed prosthesis
c.one implant supported overdenture
d. 2 implants supported overdenture
44.A radiographic stent is used to scan the positions to receive implants. It can be also
used as a surgical guide without any modification.
a-Both are true b-Both are false
c-First is true, second is false✔
d-First is false, second is true
45. In FPD bridges, flossing under pontics is necessary for good oral hygiene.
While super flossing under pontics is not necessary:
a-Both are true b-Both are false
c-First is true, second is false✔
d-First is false, second is true
?46- An abutment tooth exhibiting an unfavorable survey line should:
a. be restored
b. has unfavourable contours improved
c. be bypassed in the frame work design
d. receives only a rest and not be clasped

47- Which of the following uses an open cycle reaction to reduce setting contraction:
a-Addition silicone b-Polyether
c-Hydrocolloid d-Poly sulfide
48. Guidelines in setting maxillary anterior teeth in complete denture:
a.short lip, should less incisors show.
b. Short lip show more teeth
c.long lip, more incisors show.
49. Pt take anaesthesia 2% lidocaine and 1:100000 epinephrine after 30 seconds he
syncope due to
a-Brady cardia✔ b-techy cardia
c-Cerebral hypoxia d-Toxic reaction of epinephrine
50. pt treated with radiation to put implant
a-should wait at least 6 months after radiation for implant surgery
b-increased time of integration
c-stop smoking
d-preoperative and postoperative treatment of hyperbaric oxygen
e-all of the above
51/Greatest potential hazard of mercury toxicity occurs due to:
a-Skin contact with mercury.
b-Inhalation of mercury vapours. ✔
c-During amalgam restoration.
d-Ingestion of amalgam scrap during removal

52/ we need to remove any interferences before fabrication of final restoration:


a-to preserve anatomic feature of restoration
b-to prevent adjustment at day of insertion
c-to make an ideal occlusion for final restoration
53./pankey-mann schyler:
a-canine guidance
b-group function ✔
c-balance
d-protrusive with disocclusion on working side only
54./patient came with bilateral missing posteriors and recession on anterior teeth
complain from it what should you do:
a-restore posterior and cover anterior with acrylic base
b-restore posterior and cover anterior with pink composite✔
c-restore posterior and cover anterior with pink porcelain.
55./ patient with missing laterals at age of 19 has 3mm over bite and 2 mm overjet,
what type of prosthesis:
a- maryland b- implant
c- cantilever of 2 teeth. d- rpd
56./The polysulfide rubber impression materials are:
a) Not sensitive to temperature when curing
b) Quite sensitive to temperature when curing✔
c) Less sensitive to temperature than silicone rubber
d) The same sensitivity to temperature as silicone rubber e) None of the abov

57./???Most common cause of implant Screw losing one week after finishing
work:
A/Bond resin between implant and abutment
b) Gingival tissue overgrowth
c) Using provisional restoration
d) Using definite permeant restoration
OR:
a) Gingival hyperplasia around crown
b) Crown opening restored with GIC as permanent cement.
c)Fixed with provisional crown
58- pt came for implant crown, dr. informed him about screw and cemented, that
cemented is:
-less esthetic
-less prone to fracture✔
-easy for retrivability
-more expensive
59-bruxic pt with 4 neighboring implant
-4 implant staggered non splinted
-4 implant staggred splinted
-4 implent parallel not splinted
60/ inclination of anterior teeth as we go posterior
-mesial incline increasing distally
-mesial incline decrease distally✔
-distal incline increase msialy
-distal incline decrease mesialy
61. patient came for cementation of crown, what is best way to detect open margin.
-explorer.up to 100micron✔
-bitewing.
-tectile sense.
62. case with bilatral tori and 10ml from floor of the mouth to gingiva, which major
connector you use:
-lingaul plate, ✔ -lingual bar,
-double bar, -strikebake plate
63. patient with edentulos anterior and frenum attatchement at crest of ridge,
sequence of treatment:
_fabrication of denture with relief
_refer to surgeon for frenum reposition and fabrication of denture after healing.

-refered to perio then surgeon the fabrication after healing.
64/ adaptation of muscle to cd,:
-1month -2 months✔ -4months -6months
65/Best type of bone for implant:
-equal cortical and trabicular
-thick cortical and dense trabecular (type II)✔
-thin cortical and thin trabicular
-low height and width

66/PFMcrown appear so grayish:


-opaque layer too thin✔
-metal was too thick
-over firing of porcelain -contamination of porcelain during firing
??67/ patient with anodontia missing many teeth and many malformed teeth, dentist
decide to give fixed and removable
a. Fixed first b. Removable first c. both same time
68/You fit a new completed denture and the patient complains of cheek biting, what
would you do
a) grind buccal of lower teeth✔
b) grind buccal of upper teeth
c) grind lingual of lower teeth
d) grind lingual of upper teeth
??69/ What can make porcelain crown lighter:
a) Value
b) Chroma
c) hue
70/After implant placement, an edentulous patient should
a) avoid wearing anything for 2 weeks✔
b) immediately have healing abutments placed over the implants
c) Should wear an immediate denture to protect the implant sites

71/ What is the purpose of levelling (flattening) the curve of Spee:


a) correct open bite
b) correct deep bite
c) correct angulation of the teeth
d) change arch diameter
72/What is the most important advantage of resin veneer compared with porcelain
veneer (All are the advantage of porcelain veneer compared to resin veneer except):
a) Esthetic
b) Cost
c) tooth preservation
??73/Question for 15 years old girl low lip line missing anterior tooth Tx:
- RPD ✔ (space maintainer)
- 3-unit FPD
- implant crown
- something else (not resin bonded bridge)
74/ Pt. Gone for plastic surgery for his cleft lip and palate, he developed hypernasilty the
palate is short tx:
- speech aid
- obturator
- palatal lift
75/ Doctor (the cheif) is a good doctor but he is angry to his college mistakes and always
be like that (something like this) What his response should be:
- apologize and take anger management class
- I do this don’t care (something like that)
76/Doctor made endo procedure before that pt. Signed a consent. Later during the
procedure, the doctor did root perforation:
- doctor is free from any liability
- doctor is completely liable/blame and responsible
- doctor is less liable but not fully liable because the proper consent signed by
the pt.
77. Shade selection to choose value but the tooth had severely stained resin in the
middle how to choose the value:
- middle
- cervical
- incisal
- other option (adjacent tooth)
78. The posterior palatal seal of maxillary complete area can be detected by the
following except:
a) Hamular notch
b) Fovea palatine✔
c) Anterior vibrating line
d) Posterior vibrating line
79.Patient need to graft vertical and horizontal graft:
- submucosal graft
- onlay graft

80. Patient presented to you with immediate denture done 5 - 10 months ago
complaining of pain in the labial area of the mandible what is the diagnosis
a) Epulis fissuratum
b) Anterior bone undercut
c) Hypertropic labial frenum
?81. When the patient wants denture and extraction of all teeth is inevitable what is the
prosthesis that can be done for this patient?
a) Interim immediate denture
b) Conventional immediate denture
c) copy denture.
82. The posterior seal in the upper complete denture serves the following functions:
a) It reduces patient discomfort when contact occurs between the dorsum of the
tongue and the posterior end of the denture base
b) Retention of the maxillary denture
c) It compensates tor dimensional changes which occur in the acrylic denture base
during processing
d) A type of occlusion which is similar to the occlusion of the natural teeth
e) a and b
83.Principle of tooth preparation in all except
a) Preserve tooth structure
b) Supra gingival margin ✔
c) Resistance and retention
d) Structural durability
84.Which of the following impression materials can be electroplated without risk of
distortion?
a) Polyether
b) Addition silicone
c) Polysulphide✔
d) Hydro colloid impressions
e) Condensation silicone
85. With which of the following impression material care should be taken while
removing the cast from the impression:
a) Addition silicone
b) Polyether✔
c) Polysulphide
d) Condensation silicone
86. Complete denture end in:
- posterior to vibrating line by 2 mm
- posterior to vibrating line by 4 mm
- anterior to vibrating line in 2 mm
- anterior to vibrating line 4 mm
87. Which of the following statements regarding recording the space between extention
denture base and opoosing dentition is correct?
A : ask the patient to close on 20 gauge green casting wax and tapping in centric
occlusion
B : ask the patient to close on 28 gauge green casting wax and tapping in centric
occlusion
C : ask the patient to close on 28 gauge green casting wax and tapping in centric
relation
D : ask the patient to close on 5 gauge green casting wax and tapping in centric
relation
88/Impression material in which you can pour two times:
a) Poly ether
b) Polysulphide
c) Additional silicone✔
d) Alginate
89. Die is done to:
a) Allow for better waxing ✔
b) Adjust the errors in preparation
c) Make investment easier
d) Adjust correct finish line

90/Edentulous patient class II kenndy classification. 2nd premolar used as abutment


with mesial undercut what is the proper clasp used:
a) Wrought wire with round cross section
b) wrought wire with half round cross section
c) cast clasp with round cross section d) cast clasp with half cross section
91/Clinical remounting is:
a) usually require face bow record
b) usually require split cast
c) usually require centric relation record✔
d) indicating in gross occlusion error
92/Property of material that doesn't distort with tensile stress:
a) Ductility b) Malliability c) Solubility

93/Most common type of occlusion comfortable for patient and easy to fabricate?
a) Mutually protected✔
b) Unilateral
c) Bilateral balanced
94/Porous denture management:
a) Reline
b) Rebase✔
c) Remake
95/How much is facial reduction in Veneers?
a) 0.5mm
b) 0.7mm
c) 1mm
d) 2mm
96/Patient with denture complains of poor retention, when you press on palate you see
bubbles in posterior extension near the palatal seal, good retention in the anterior
Vestibule and Buccal vestibule, what is the problem:
a) Over extention
b) Over postdamming
c) Under postdamming✔
d) Under extension of postdam
97/The forces action through a FPD on to the abutment tooth should be directed:
1. As far as possible at right angles to the long axes of the teeth.
2. Parallel to the long axes of the teeth.
3. By decreasing the facio-lingual dimension of the pontic
4. By decreasing the Mesio-lingual dimension of the pontic.
5. In a mesial direction, teeth nearer the midline will offer additional support.
a) 1+3+4
b) 1+2+5
c) 1+4+5
d) 2+3✔
e) 2+4
f) 2+5
98/The main purpose of flux in soldering is to:
a) dissolve surface oxides and prevent further oxidation✔
b) prevent recrystallization and grain growth.
c) prevent oxidation and lower the melting range of the solder.
d) dissolve surface oxides and lower the melting range.
99/ preliminary impression for the CD which material:
-agar agar
-polyether
- irreversible hydrocolloid✔
- Condensation silicone
100. After crown lengthening (or perio surgery) you wait for 6 months before
placing crown for:
a) Maturation of periodontium✔
b) New Junctional epithelium formation
c) Complete epithelialization
d) cementum formation
101.Patient with flabby tissue on ridge, what would u advice the:
a) impression will compensate the tissue✔
b) tissue provides stability
c) surgical removal of tissue
102/ patient has upper #6 RCT with small MOD caries, best treatment
a) MOD gold inlay
b) MOD gold onlay✔
c) gold crown
103.The most ideal film thickness cement:
a) zinc phosphate✔
b) zinc polycarboxylate
c) GIC
d) Resin cement
104/ Patient comes to clinic complaining of loss of retention of her denture that she has
done 1 year ago and wore it daily without removing it what is your treatment:
a) Vestibuloplasty
b) Alveoloplasty
c) recovery treatment✔
105/Implant supported complete denture, the patient complains of loss of retention, he
said in the first 2 weeks of denture delivery he had difficulty in placing it and then the
retention started decreasing gradually, denture is supported by 2 implants in the lower
jaw. Clinically there is an inflammation of the tissue over the ridge, why the retention is
decreased?
a) Ridge resorption
b) Looseness of ball abutment of implant
c) Distortion of the rubber part of the implants not parallel✔
106/The ideal gap distance for ceramic solder joint is:
a) 0.1 mm
b) 0.5 mm
c) 0.2mm✔
d) 1.0mm
107. The ideal gap distance for a pre-ceramic solder joint is:
a) 0.1 mm
b) 0.5 mm
c) 0. 15 mm - 0.3mm✔
d) 0. 5 mm - 0.75 mm
e) 0.3 mm - 0.5 mm
??108. patient received a complete denture. After a few days he comes to you
complains from pain and white spots on the residual ridge and you do relief in that area
and give him ointment. After a few days he comes again complaining the same but in
another area. The main cause is:
a) Uneven pressure on the crest of alveolar ridge?
b) Rough tissue contacting surface of denture
c) Increase vertical dimension
d) Absence of balancing occlusion?
??109. Patient with complete denture has painful lesion in floor of mouth. The patient
has been diagnosed as carcinoma what should you ask the patient:
a) is the denture ill fitting
b) history of alcohol and smoking
c) did you have systemic manifestation recently
110.Best maxillary arch shape for stability and retention of denture
a) U shape✔
b) Tapering
c) flat
d) high vault
111/Stock trays compared to custom trays for a removable partial denture impression:
a) Custom trays less effective than stock trays
b) Custom trays can record an alginate impression as well as elastomeric
impression
c) Custom trays provide even thickness of impression material✔
??112/ An old patient had a complete denture, he came to you after delivery
complaining that the lower denture moves from the ridge when he just moves his
tongue, you put a (pip) paste and checked the denture and there are no any areas of
pressure or over extension no occlusal discrepancy, what is the problem?
a) Under extension of borders
b) Over extension of borders
c) High occlusal plane
d) Cramped tongue✔
?? 113/patient has set of complete dentures functioning well but has discoloration
and cracks on polished surface what to do
a/ make new denture b/ reline
c/ rebase d/ copy denture
???114/ Guiding plane for the partial denture:
a) Cervical
b) Occlusal
c) Distal
d) Buccal
115/Best retention for surgical obturator comes from:
a. -Extension of obturator.
b. -Clasp on obturators.
c. -Fitting surface
d. Zygomatic wiring
( B for dentulous D for edentulous)
116/What is the method of removal of alginate impression from the patient mouth in
order to maintain the recorded tissue surface from wear and tear:
a) Remove gently
b) Remove with snap✔
c) Remove forcefully
117/Minimum width of the remaining tooth structure around the post and core in
millimetre:
a) 3
b) 2
c) 1✔
118/ Best way to disinfect impression
a) Autoclave
b) UV chamber
c) Disinfectant✔
d) Chemical sterilization
??119/Minimum amount of incisal reduction for lithium disilicate crown:
a) 1
b) 1.5
c) 2
d) 2.5
120/about treatment protocol for class II acc. To I.C.O.I 2007implant:
a) Cholorhexiden
b) Bone aguemntation
121.Dentist talked with pt. in waiting room coz clinic is full ..what principal was breach
out:
a) Autonomy
b) Confidentiality
c) Beneficence
122. Pt with wide and hard palate ..what is the shape of PPS (posterior palatal seal):
a) Wide
b) Shallow
c) Line
d) Cupid arrow
123.What is the worst thing affecting implant placement in bone:
a) Less than 3mm between adjacent implants
b) Vertical bone loss
c) Horizontal bone loss
124. Which cusp does maxillary buccal cusp touch in balancing side:
A. Buccal inclin of buccal cusp of mand molar
B. lingual incline of buccal cusp of mandibular molar
C. central fossa
D. touch nothing
125. First thing to consider in apc pdi:
A. Mental status of patient*
B. Maxillomandibular relation
C mucosal condition
D ridge resorption✔
126/in planning an obturator for patient with maxillary defect, team work is required.
what is the order
a. surgeon, prosthodontist, lab technician
b. lab technician, prosthodontist, surgeon
c. prosthodontist, lab technician n surgeon✔
127. Panoramic pic. Showing crown & rct for 36 ..and crown made from metal as I
think.. so what is the best occ.to be made to decrease load on it:
a) Group function
b) Canine function
c) MIC
d) Centric relation
Pt need metal base what’s the thickness 0.2, 0.3, 0.4
128/ one case scenario pt with upper all natural teeth and lower completely edentulous
with 10mm interarch space. what is the best treatment?
a. implant fixed full arch with 3 sectioned prosthesis
b. 3 implant bar supported overdenture.
c. 4 implants bar supported overdenture
Soldering the fracture clasp or wrought wire ?
Which one is the easiest and more conservative treatment? Wrought wire.
129. Ethical issues resolved by whom
A Team of ethical committee✔
B Legal Authority
C Solely dependent on physician DMatter is subjective
130/ What is the most important thing in medical Practice??
A) Tracking Patient
B) Tracking patient diagnosis
C) Maintain the patient information✔
131/ Patient with short implants, Best occlusal scheme is
1:cusp to fossa
2:group function✔
3:2mm overbite and overjet
4:increase in iterarch space
132/ Lower Bilatelra distal ext pt missing all molars and 2nd premolars with undercut
mesiobuccal, Best clasp
1:t bar RPI
2:i bar RPI✔
3: RPA
133/ Had Radiotherapy in the region of 16 what is the treatment with broken cusp irt 16
2 weeks.1 bach
A) replace amalgam with composite
B)strict oral hygiene with topical fluoride✔
134/ patient has undercut and wants RPD what is the best material to take second
impression? Polysulfide?
a- alginate
b- PVS✔
c- ZOE
d-polyether
135/ take impression for upper RPD with undercut:
a-close undercut and use Alginate (if primary impression)
b- polyether
c-polysulfide✔
d-plaster
( Polysulphide is first material of choice for undercut and for recovery pvs, Pvc for both
but if you have custem tray you should choose polysulp)
136/ patient need teeth rehab and he is bruxer:
a- cast metal
b- pfm
c- monolithic zi layered with lithium
d- glazed Zirconia
137- best position of gingival zenith on central and incisal upper:
a- with long axis
b- mesially to long axis
c- distally to long axis✔
138-when to put definitive obturator after surgery:
a- 1 year
b- 8 months
c- 3 months or more✔
d- 1 month
139/In metal-ceramic restorations, failure or fracture usually occurs at the porcelain-
metal interface rather than in the porcelain.
The combination of porcelain and metal, fused together, is stronger than porcelain
alone.
• both statements are true
• both statements are false
• the first statement is true, the second is false??
• the first statement is false, the second is true
140/ Occlusion In CD class 2
A. Dynamic
B. Balanced✔
C. Canine guided
141- picture of upper and lower CD with no contact in right side of posterior teeth, with
loose lower denture:
a-lab remount
b-re make upper and lower✔
c-repeat lower impressions
142-the most bone defect that affect implants is:
a-vertical✔
b-horizontal
c-buccal bine concavity
143- pfm crown after 10 years porcelain brake, cause?
a-truma✔
b-inadequate preparation
c-contamination
??145. Make occlusal coverage with:
a) Casted RPD
b) Acrylic RPD
c) Implant
d) ......................full crown
??146/ Most common cause of failure of implant
A)Periodontal disease
B)Occlusal trauma
147/A healthcare Authority recieves a complain about a doctor who is taking a lunch
break and he is outside clinic and the patient is sitting inside clinic. Before taking any
action against him Authority wants to hear his explanation because he is very sincere
and dedicated doctor. What principle of ethics is this??
a.Teleology
b.Deontology
c.virtue ethics
d.utilinalarism
148/. What is it called when external authority involved in grading the improvement in
healthcare of hospital
a. Root cause study
b. Accreditation✔
c. mortality and morbidity
149. why Is porcelain considered an esthetic option
A. translucent✔
b. new materials have promising results
150/-procedure to make base of complete impression and preserve sulcus;
-Wax boxing
-Boxing impression✔
-Beading
151. magnet on implant supported overdenture:
-Chrome cobalt magnet
-Iron magnet tarnish
-Magnet in implant or tooth
-Rare element✔
152. diabetic patient with excessive gag, only anterior teeth remaining, mobile.
Which connector?
-U shape
-Swing lock
-A P bar
-Palatal strap
153- fracture filling in carious lesion in female pt maxillary molar, what type of crown
used:
a-cast metal
b- porcelain jacket crown
c- core post with heated pressed ceramic✔
154/ pvs adhesive should be left to dry on a tray for how long:
a-7-15 min
b-48 hours
most of the files picked these two answers. which one is correct?? -Ideal 48 hours
155/For preparation of subgingival margin:
TC bur.
Diamond bur.
Light soft movement of bur.✔
With electric handpiece at 2000 RPM.
156/Patient with fixed fixed bonded resin mobility and bad odor
Deboned on of abutment✔
Fracture of connecter
??157. Patient came because its is loose and have gingival inflammation. What is the
most frequent problem that occur with screw rerained single crowns over implant?
A-Implant fracture
B-Gingival inflamation?
C- Ceramic fracture✔
D-Abutment fracture
158/lower left second premolar had RCT and post core, came to your clinic with
horizontal fracture near to gum:
ferrule✔
subgingival finish line supragingival finish line
159.Short implants in posterior maxilla, what occlusion to be avoided
1: canine guidance
2: extensive curve of wilson
3: flat curve of spee✔
4: cusp to fossa
160.Preparation of gold crown with expects of gingival recession, most proper extent of
preparation:
1mm under the gingival margin
Make it on the fifth Make it on the third
At the gingival margin
161.The width of lower teeth:
1/2 maxillary anterior teeth in normal jaw relation.
3/4 maxillary ant. Teeth.✔
162.Providing space for light body is important in which technique
a-2 viscosity 1 step
b-2 viscosity 2 steps….✔
163. guidelines in setting maxillary anteriors in complete denture:
short lip, less incisors show
short lip, more incisors show✔
long lip, less incisors show
long lip, more incisors show

164/The addition of violet stain to a metal ceramic crown with a yellow chroma will:
Reduce chroma and increase value.
Increase chroma and reduce value.
Increase chroma and increase value.
Reduce chroma and reduce value.
Reduce chroma and reduce translucency.
165.Fixed bridge with rocking what to do?
Remake
Cut the defected abutment and fix it then reattach cement it with force
Cut and soldering
166/Full porcelain crown the shade is too light than others but the crown is good &
sitting well no problems except the shade, what should doctor do?
A/send back to darken the shade
B/just cement
C/bleach other surrounding teeth
167/How did the direct provisional restoration get hold on the tooth
A)undercut B)bonding
C)shrinkage D)expansion
168/ bleaching in clinic:
A) 38% sodium perborate
B) 38% hydrogen peroxide✔✔
C) 10%hydrochloric acid
D) 5-22 % carbamide peroxide
169/Dentist when received the porcelain metal crown the porcelain extended over
metal due to:
less chamfer
less metal
less collar✔
170/important factor in post and core:
Should have minimum flexure strength
Should have high compressive strength✔
Should be able to adhesion to tooth structure
coefficient of thermal contraction
171/child 9 year with have damaged maxillary incisor with little mobility and no pain in x
ray, there is apical third fracture of the tooth:
Render palliative ttt
Immediate RCT
Splinting without RCT
Do nothing
( If the q 12 years then extracted)
172/Endo treated tooth with PFM crown and need retreatment. dentist decided to open
access through crown. Which bur he use
Cut end
Round diamond✔
Round end
Flat end
173/How to increase rigidity for mid palatal strap major connector:
Heat treated✔
Increase Thickness of minor connector attachment
Pear shaped cross section
174/Cast partial denture with distobuccal rest seat and retentive arm engaging
distobuccal undercut. what type of lever is it?
Class I.✔
Class Il.
Class Ill.
175/Patient with ectodermal dysplasia, with multiple missing teeth. planning for fixed
removab appliance. what is the sequence of treatment?
Deliver a fixed appliance first then removable.✔
Deliver both together.
Deliver removable appliances first then fixed.
(When we do veneer and crwon we do both together)
176/Most common cause of failure of implant
A) Periodontal disease
B) Occlusal trauma✔
177/mechanism of action of dahl.
A. fixed or removable on anterior✔
b. build up on posterior
178/Anterior tooth with root canal and conservative access and intact contacts what
is not favorable treatment?
insert dowel and resin restoration
Post and veneer facing
post and crown cover✔
Resin restoration only
179/How to remove calcas on implants:
Teflon in semicircular motion ( because vertical motion is contraindicated with
implant)
180/A drawing for a mandibular premolar tooth with survey line buccal surface and all
other posterior teeth are lost, Q is which clasp is indicated?)
RPA RPY RPI ✔
??181/ Patient on stress form his work and he newly received denture and there a risk
what is your management:
Give him night guard Remove interference
182/When you examine a pt. (palpation), there is pain when clenching teeth and when
opening his mouth and when bite in separator but no pain when protruding mandible
against force, what muscle affected:
Superior Lateral Pterygoid
Inferior Lateral Pterygoid
Buccinator
Masseter✔
??183/Female pt. with pain and locking TMJ on left side, what muscle affected:
Temporalis
Medial Pterygoid
Lateral Pterygoid
Masseter
184/The most accurate adaptation in partial or complete denture
processed resin base
poured resin base
metallic base✔
185/ Posterior pontic material for bruxism;
If its no.8 its gold, 7 and 6 are zirconium, If opposite natural teeth gold, any other
zirconium.
186/Discoloration of temporary crown:
A. Unreacted benzoil peroxide✔
B: urethane dimethacrylate
187/you are doing a questionnaire (something like that) with depression patient you
first explain it to the patient and then tell them the reason for doing it for research then
started to ask them what you are doing full I chose that
a. extradite
b. exempt ✔
c. conflict of interest
188/Cause of gag old users' complete dentures:
Candidiasis
Hormonal changings**
Adenoids
B def anemia
?189/you are doing clinical examination for maxillary edentulous ridge and found a
severe undercut at the maxillary tuberosity. What should the surgeon do?
use blade number 15 to displace the distal end of the tuberosity***
make Buccal and palatal slopes from the tuberosity
( In sever cases surgical correction so it is the answer but in mild cases it needs relief)
190/In anterior area the esthetical zone. The most critical for implant placement for
esthetic?
Fibrous and thick gingiva
The gingiva is more 3 mm
The gingival papilla is flat✔
191/The dentist has ordered the laboratory technician to give flat emergence profile in
the fpd that was to be made. Which type of gingival is associated with a flat emergence
profile?
a. Thick fibrous gingival
b. Thin and smooth surface gingival ✔
c. Gingival with 3mm thickness
d. Thick and textured gingival
192/dentist wants thin and smooth emergence profile, the best gingival biotype is??
a-Thin
b- thick ✔
c- smooth
(thin means flat, thick best for esthetic)
193/Level of Gingival zenith of lateral incisor
0.3 0.5✔ 1.1
??194/Adhesive used for tray in elastomer impression what time to dry before use
1-3 min 2-4 5-17✔
195/The minimal cortical thickness around neck of implant:
1mm✔ 1.5mm
196/When performing immediate implant placement in a fresh extraction site, the
implant platform should be placed:
Flush with the buccal bone level
0.5 mm under the bone level
1.0 mm under the bone level
1.5 mm under the bone level
2 mm under the bone level
??? 197. What is the minimal distance needed between two implants (center to center)
to accommodate one Hader clip for the prosthesis? (Assume an implant diameter of 4
mm.)
7 mm
12mm
20 mm
24 mm
198/ Severe undercut, what type of impression material used:
Alginate.
Polyether.
polyvinyl siloxane.
Polysulfide.
199. Movement does not happened in sagittal plane:
Extreme lateral✔
Protrusion Open and close
200. Patient teaches good work to his student principle??
Veracity Justice beneficence✔
201. Autonomy……contraindicated in
older
partial retarded children✔
202. Child came with gardiaen, no parents, with avulsed tooth. Type of consent?
- Implied - Expressed - Informed
203/ The more compatible impression with epoxy resin
1:polyether✔ 2:condensation 3:polysolphide 4:addition
204/ patient had truma on upper interior and want to put implants, has flat interdental
papilla:
a- 4 narrow implants and crowns✔
b- b- on lateral area
c- 4 wide implants and crowns
??205. Which of the following materials can cause highly enamel abrasive when
used?
A: IPS Empress 2
B: IPS Empress
C: Cerinate
D: Finesse
206. Final impression for RPD can be made at:
a. Impression stage with custom tray
b. Framework stage
c. Delivery stage
d. All of the above
??207. Mechanical failure in metal ceramic restorations is mainly due to
a. Abutment selection
b. Faulty impression
c. Bite registration
d. Coping design✔
( Usually the cause if failure in PFM are excessive occlusal force, trauma, improper lab ,
improper design. Rosensteil states that occlusal contact near to metal porcelain
interface are main reason for porcelain chipping This can be due to improper BITE.
REGISTRATION)
208. What of the following is correct regarding PTS for implants?
a. Affected by age
b. Increased when there is 18 mm separation
c. decreased if implant length is less than 10 mm
d. Not affected by separation and implant length✔
?209/ Crown with open margin mesial and distal most common cause
A. Over taper preparation
B. Lake of the path of seating ✔
C. Expansion of core material
D. Shrinkage of metal
? 210.Unilateral Bridge patient is asymptomatic what is important to do
A. Make restoration in pt occlusion✔
B. Record cr and keep as reference point before restoration.
211.Core for Alumina
0.9 0.6✔ 0.5
212.the ideal theoretical occlusion
a-same like physiologic(normal) occlusion
b-used as a reference to know what type of the patient occlusion✔
c-the type of occlusion use every time of construction of prosthodontic
restoration
d-occlusion that will not do any TMD problems
213. improper margin of restoration should be adjusted because it:
a-trap food debris
b-Lack of plaque removal✔
c-Mechanical irritation
214.Bone defect and Insufficient buccolingual in 2nd lower premolar, Best graft
locatin
1: Symphasis
2: Iliac
3: Palate
215.Patient had repeated # of posterior crowns. She has excessive over jet and over
bite. How to avoid this in recent prosthesis?
A. Flat cusp
B. Long Cusp
C. Short Cusp
D. Narrow BL width

Part 2

1-tooth with occlusal trauma:


-widening of pdl and thickening of dense cortical bone✔
-widening of pdl and thinnening of dense cortical bone
2-patient has A3 shade and choose the color with dr most important step:
-right consent form and then treat✔
-primary impression and wax up
-prep and temp
Always if concern is there and treatment is fixed u always choose that
3-panoramic x ray with upper complete and lower rpd which occlusal scheme you
provide:
-balance✔ -group function -canine guidance
4-badly decayed #13 was endo treated and crowned. What is best occlusal guidance for
long term survival for the tooth #13 on working:
side:
-guided by #13 only
-guided by #23,13
-guided by ##13,#14✔
5-patient came with incomplete palatal cleft from surgery that was made 3 years ago :
-velopharyngeal incompetance
-vasopharyngeal insefficunce✔
6-space on tray for alginate to maximise tear streangth in (mm)
-1 -2? -3✔
7- best time for taking impression for esthetic crown lengthening:
-4 -12 -16 -20✔
After crown legthing 3 to 6 month
8- best time for taking impression for functional crown lengthening:
-4
-12
-16
-20
9-after how many minutes you can remove alginate from mouth:
-1 -2 -3✔ -4 -5
10- pic of border molding on free end saddle, what is this material:
-compound cake
-compound modeling stick✔
11- patient has rpd diagnosed with page disease, what is management for the
prosthesis:
-remake denture✔ -rebase denture
-rebase with altred cast -rabase or remade when needed.
?12-patient has free end saddle rpd with good occlusion and good extensiom except
when she bite posterior the denture rotate around fulcrum, what is your management:
-take impression with altred cast. -adjust occlusion
14-pic of missing 46,45 and space 14mm mesiodistal and 7.5mm buccolingual, which
size of implant you choose:
-2 implants size 5 mm
-3 implants size 3.5mm
-premolar size 4mm and molar size 4mm✔
-molar size 4mm and premolar size 3.5mm
15-pic of missing 46 and spacing in anterior, how can you chose size of implant:
-diagnostic cast -wax
-clinical examination -cbct✔
on ask about inter arch space mounted cast
16-#15 4mm over erupted and vital with limited space for lower:
-extraction and implant -elective rct and crown✔ -crown
17-pt with complete denture, wore them for 5 years, what is possible finding:
-epilus fissaratum✔
-papillary hyperplasia
Coz of bone resrption under the denture u choose that option papillary related only if he
mensssion to u ulceration on the palate
18- pic of upper, lower cd with no contact ln right side of posterior teeth with loose
lower denture:
-lab remount for cr
-remake upper and lower denture✔
19- 5 months infant has leakage of milk from his nose, upon examination, he has
incomplete soft and hard palate with intaxt pre maxilla, veau classification:
-I -ii✔
20-pic of RCTed premolar 25 with more than 2mm wall on buccal, palatal and
distal, with 1.5mm mesial
-extraction implant
-casted post and zirconia crown✔
-prefabricated post and ceramic crown
-crown lengthening for distal of restoration +crown
Best option if there is distraction u always choose post and core that always have to be
restored if big then post and core if small restoration anterior composite is given
posterior amalgam
Crown legthing never done at one end it is done all ovr the tooth
Cast restoration are choosen for gross destroyed tooth Cast post post better then
prefabricated
21-patient took medication after minutes he felt itchy and skin reddnes:
-drug drug reaction
-food drug reaction
-hypersensite immune✔
22- factor cause gaging that is difficult to treat:
-adenoid -denture fault -psychological✔
Either on of three cases psychological ,denture over extension ,systemic disease

23- pt extracted tooth #11 , best location for esthetic result:


-exact mesiodistal point
-below incisal position of opposing
-below cingulum of opposing
-socket of root of extracted tooth
25- tissue at flat emergance profile
- thin✔
-thick
Remember thin means flat papilla less bone available papilla minimam 3mm should be
there thick means good esthetic and good papilla

26-distobuccal of lower denture:


-masster -buccinator ✔ -trygomandibular raphe
27-old patient came with old denture, has good support but discolored base and wear
teeth, what should you do:
-replace a new denture✔
-pick up impression for old denture
-pick impressiom to shange teeth only U cant do relineing tooth of denture gone
28- patient extracted his teeth from 14-25 , has sever bone loss horizontal and vertical ,
best treatment option:
-removable prosthesis✔ -fixed prosthesis
29- placement of removable denture on which phase:
-I -II -III -IV -V✔
?30.15 years old mentaly retarded patient came to clinic for restoring carious teeth with
his parents, he refused to get treatment, what is your management:
-oral sadative
-nitrous oxide it is other name inhalation anesthesia?✔
-ask his parents to hold the patient
-ask staff to hold patient
31- the person who’s responsible for inventory equipment, communication with
restorative and surgery office:
-prosthodontist
-dental technician
-dental assistant
-implant coordinator✔
32-patient has implant supperted ball attachment over denture, complain from food
stagnation on anterior area, upon examination you found that final impression was
done improperly ,what is your management:
-Retake impression with same attachments.✔
33-best single restoration oppsing natural used for bruxic patient :
-polished porcalin -glazed zirconia✔ -layered zirconia
34-foundation restoration used for post, previous restoration, tooth loss due to caries,
which of the following indicate foundation restoration:
-utilized pins
-more than half of tooth is missing✔
-third of tooth is missing
?35- factor that cause highest risk for implant failure:
-sever bruxism✔ -execcive vertical height -implant position
36-patient complain from undisplayed of anterior teeth of cd, what is the management:
-set up teeth at cr
-set up teeth at mip
-arrange the teeth with apropriate smile analysis✔
37-case with over erupted tooth 25,26 mounted on semi-adjustable articulator and
has irregular occlusal plane, how to record the occlusal plane: -pantograph
-determine index
-simplified occlusal plana analyzer✔
38- patient is having headache with wear of teeth and restoration, pain when record
centric relation to diagnose the patient:
-CT
-muscle palpation✔
-range of motion
-anterior deprograming device
(It is used for diagnose of occluso muscle disorder by relieving the occlusion so if the
patient feel comfortable within minutes so the occlusion is the cause of pain and if the
pain continues its disc proplem)
(For initial diagnosis both range of motion and muscle palpation can be used for
confirmative diagnosis anterior deprogramming splint and clench test. Just reviewed)
**(Here he ask u about diagnosis so first I should do muscle palpating to know either it s
tmj or not for conforming the centric by lucia jig)
39-patient has a single crown on 11 ,how to make an ideal occlusion for this crown;
-increase overjet -increase over bite
-increase concavity of lingual aspect
-follow the same neiboring tooth? ✔
40-arrangment of selection of shade:
-hue chroma value✔
-hue value chroma
-chroma hue value
-value hue chroma
41- best way to choose shade is to select:
-high value low chroma✔
42- implant is better than rpd is that implant has:
-class 1 lever - retention ✔
43-distobuccal surface of lower cd attach to:
-masseter -buccinator ✔ -ptryogomandibular raphe
?44-measurment of lateral m-d width with:
-bolton analysis
-golden proportion✔
-wax up
-diagnostoc cast.
45-distance from ala of the nose indicate
-width of whole anterior teeth
-distance from tip of canine to other canine✔

46-resection of peridontaly compromised molar with furcation, what is management:


-resection with 2 half separated✔
-resection with 2 half splinted
-1 wide implant -2 narrow implant
47-case with deflective contact of teeth after time patient's bite has no problem, cause:
-patient adapted to new bite✔
-movement of teeth
-worn out of the teeth -
-
48-case with two implant and crowns with heavy force, after 1-year movement of 2
crowns, cause: -fixture fracture
- loss of osteointegration✔
-scrow related
50-pic of ring clasp
51-cast type (iv) was distorted after removal of polyether:
-0.9 water and plaster ratio✔
-cast was left more than 20 min to set
Water powder ratio Is more that is why option A
52-rpd cast left along time under running water, what will happen:
-weaken cast
-chalky appearance
-Eroded cast ✔
-Implant fractured after 10 years of service why.
a) Bending load.✔
b) poor crown design.
c) Occlusion.
After 10 months it's overload> implantitis

53- final impression for rpd crowns will be taken:


-after adjunctive therapy treatment
-after periodontal treatment
-after modification and preparation of abutment✔
54- case with cd has ereythromatous and reddness below denture:
ask the patient to discontinue the denture for some time✔
??55-pic of crowned molar with post: what type of post:
-threaded -screw -parallel -tap
56- pa taken for loose implant crown for checking:
- implant fixture fracture
-implant abutment fracture
-screw abutment fracture? ✔
-crown abutment fracture
57-pfm crown after 10 years porcalin brake, cause?
-physical trauma✔ -inadequate preparation -contamination
58-case with manibuloctomy of one half wit deviation of his mandible, he cannot hold
his jaw on closing , which appliance should you use:
-palatal flange -mandibular guided flange✔
59- case with overprepared 36, cause:
-over pressure on tooth
-tilting bur toward the tooth✔
-tilting bur away from tooth
60-case for planning to place missing maxillary lateral incisor by implant ,what is best
way to measure the mesiodistal best shape of the tooth:
-articulated cast
-contralateral lateral incisor
-diagnostic wax✔
-bolton analysis
61-same q as question 60 but most accurate way to determine implant position:
-articulated cast -diagnostic wax stent -cbct ✔
62-case with upper and lower cd has erythrematous tissue at fitting surface of denture:
-eating spicy food
-low iscorbic acid intake
-vitaminosis
-defective occlusion✔
if occlusion is not option given n he speak about some lesion then its asorpic acid

63-case with edentulous lower arch with kennedy class 2 and 8mm from floor of the
mouth to gingival margin
- 3mm for gm, 3mm for bar , 2mm to floor of mouth
- 2mm for gm, 4mm for bar , 2mm to floor of mouth
- 3mm for gm, 4mm for bar , 1mm to floor of mouth✔
- 3mm for gm, 2mm for bar , 2mm to floor of mouth
Minimum space from gingival margin is 3 and bar thickness is 4 mm

64- most properties that should be avoided in a crown having heavy load:
-less abrasive
-less fleaxure streangth✔
65-the most bone defect that affect implants is:
-space between implants <3mm
-vertical bone loss most common✔
-horizontal bone loss the most difficult to treat -buccal bone concave
(thats means the most common failure is vertical bone loss)
What is the worst thing affecting implant placement in bone?
a) Less than 3mm between adjacent implants✔
b) Vertical bone loss
c) Horizontal bone loss
——- Part 3.
1. Child with food and fluids regurgitation. on examination there was defect in
hard and soft palate but not involves the premaxilla. According to VEAU which
type of cleft is this:
a) Type I (soft palate only)
b) Type II (hard+ soft up to incisive foramen)✔
c) Type III (hard+soft+unilateral alveolar ridge and lip)
d) Type IV (hard +soft+bilateral alveolar ridge and lip)
2. According to SIBERT horizontal bone loss is:
a) Class l (buccolingual with normal height) ✔
b) Class ll (vertical with normal width)
c) Class lll (combination of l+ll)

3. Pt with class l bone defect according to sibert classification. what to do:


a) Bone advancement✔
b) No need for bone advancement
4. Pt undergone surgery for defect repair but he developed hypernasality
resonance.which device is needed to correct this:
a) Speech aid appliance✔
b) Palatal lift prosthesis
5. Pt with bruxism has PFM restoration. What will happen to restoration:
a) Chipping of facial part✔
b) Wear of occlusal
6. In color selection what is the order of selection:
a) Hue, value, chroma
b) Hue, chroma, value✔
c) Value,chroma,hue
d) Chroma, hue,value
7. In color selection, on which type of tooth I depend to select the ideal color:
a) Occlusal b) cervical c) middle✔
8. Female pt with high esthetic demand has staining and wants to make a new
bridge. how to choose the accurate shade:
a) high value, high chroma
b) high value, low chroma✔
9. prefabricated post:
a) =master cone length
b) 1⁄2 root length
c) 1/3 rooth length✔
d) 1.5mm from apex
10. When preparing canal for post, you used gates gliddin size3. While preparing
you noticed bleeding from the canal. what is the cause:
a) Over preparation with gates
b) Buccal root perforation✔
11. Pt with both central and lateral incisors are missing want to place implants.
central has 8mm width and lateral has 6mm width. The size of implants would be:
a) 4 and 3.7mm
b) 4.5 and 3.5mm
c) 5 n 3. ✔
12. Best surgical guide for implant:
a) Gutta percha on holes
b) Tooth with barium
c) Occlusal surfaces with gutta percha
d) Surface of stent with bariumhole with gutta percha✔
13. Which length of papilla to give optimum esthetics:
a) 4mm (central + canine) b) 5mmc c) 3mm (lateral) d) 2mm
14. Pt weared denture in anterior region came to change it with implants. what is
the expected challenge when achieving esthetics:
a) Papilla formation✔
15. Make occlusal coverage with:
a) Casted RPD✔
b) Acrylic RPD
c) Implant
16. Best impression material for implant:
a) PVS
b) Polyether✔
17. Dentist made a deal with implant company that he will get 25% of any implant
that he with put for a pt. what is right about this dentist:
a) Should inform the pt about this
b) The doctor is bad person
c) conflictof inttrest✔
18. Female pt who is with covered face(monagaba). the female assistant had to
leave during the treatment session for urgent purpose. The dentist called for a male
assistant:
a) It is the doctor right to do so
b) It is allowed because we need to complete the treatment
c) Should take permission from the pt✔
19. Pt came to your clinic you did your treatment then send him to orthodontist
only to gain more money.
a) Ethical
b) Unethical✔
20. To present a high value treatment for the pt it is called:
a) Beneficence✔
b) veracity
21. Pt did good quality RCT with good dentin thickness. what to do:
a) Onlay✔
b) Composite

22. Preparation before cementation of ceramic crown:


a) 9%hydrophloric acid✔
b) 20% phosphoric acid
c) 35% phosphoric acid
d) water
23. Best x-ray for implant:
a) MRI
b) OPG
c) Conventional C. T.✔
24. Pt with mobile crown over implant, doctor did P.A x-ray to:
a) Access survival
b) Access success
c) Check fractured abutment
d) Check fractured screw✔
25. Implant with pain and mobility:
a) Periimplantitis✔
b) Periodontitis
c) Periimplant mucositis
Mobility or bonelost means implantitis without tht only pocket mucocitsis
26. When to make imp. for obturators:
a) Before surgery✔
b) After surgery

27. Want to use 5 implants in the mandible:


a) 2 post- 2 ant. -one in middle
b) 3 post. - 2ant.
c) 5 interaforamina✔
28.Purpose of adding and mixing small amount of ZNP cement incrementally?
a. To get smooth workable mix
b. To dissipate heat✔
c. To improve working & setting time
29.Risk of leaving unsupported enamel is highest with which type of finish line
a. Shoulder
b. Chamfer
c. Shoulder with bevel
d. Bevel
30. When you are doing the preparation of gold crown with expects of gingival recission
the most proper way to extent the preparation is:
a.1mm under gingival margin
b. Make it on the fifth
c. Make it on the third
d. At the gingival
31/ 4-Unit bridge its 2 molar abutments upon x ray Required for endo
a) Remove bridge do endo reput bridge
b) Do endo without removing bridge✔
c) Remove bridge .do endo. remake bridge

32/Best crowns opposing each other’s


A. Gold VS gold✔
B. Goldvs resin
C. Gold VS pfm
33/Thickness of labial of emax of moderate discolored tooth?
1.2✔

39/Impression material in which you can pour two times:


a) Poly ether
b) Polysulphide
c) Additional silicone✔
d) Alginate
40/ preliminary impression for the CD which material:
-agar agar
-polyether
- irreversible hydrocolloid✔
- Condensation silicone
41/Time required for Cd to convert into implant suported
a) 2 months✔
b) 4 months
c) 6 months
d ) 8 months

42/Spacer for alter cast technique tray (acrylic tray that added to distal part of
framework) should be
a. 0.25 mm
b. 0.5 mm✔
c. 1 mm
d. 2 mm
To provide a spacer for a custom tray to receive alginate impression Spacer should be 4
mm
To receive a rubber base impression, spacer should be 2 mm
Altered cast technique is a special technique in which you remove 0.5 mm as a spacer

43.rct done with premolar teeth, dentine around the pulp chamber was enough but still
it needs additional feature to resist fracture. What dentist should do:
A) Onlay✔
B) All ceramic crown
c) All metal crown
44/After implant placement, an edentulous patient should
a) avoid wearing anything for 2 weeks✔
b) immediately have healing abutments placed over the implants
c) Should wear an immediate denture to protect the implant sites
45. A radiographic stent is used to scan the positions to receive implants. It can be
also used as a surgical guide with-out any modification.
a. First is correct, second is not correct. ****
b. First is not correct, second is correct.
c. Both are correct.
d. Both are not correct.

46.Not critical in indirect bracing:


a.Rigidity of major connector.
b.Rigidity of minor connector.
c.Affective direct retention.
d.Lingual plating. ****

47.What is the best choice of post and core to endodontically treated lower molar and
has the remaining crown destruction:
a. Coronoredial amalgam.
b. Zirconia post + composite.
c. Threated post + amalgam core.
d. Cast post and core. ****
e. Fiber post and core.
48-Which of the following uses an open cycle reaction to reduce setting contraction:
a-Addition silicone
b-Poly ether✔
c-Hydrocolloid
d-Poly sulfide
49-Laboratory remounting of dentures is for:
a-Correcting of processing errors ****
b-Correcting man. Max. relation
c-Correcting teeth positioning
d-All
50. Indirect composite inlay overcomes the direct composite by:
a) Insufficient polymerization
b) Good contact proximity
c) Gingival seal
d) Good retention
e) B and C
f) C and D
51.FPD bridge returns to the dentist from the lab with different degree of color,
although the shade is the same. The probable cause is:
a) Thin metal framework
b) Thick opaquer
c) Different thickness of porcelain✔
d) Inadequate firing of porcelain
52.patient has maxillary posterior partial denture with porcelain teeth, then lost the
mandibular posterior teeth. Now what type of teeth are used for mandibular partial
denture:
a) Porcelain✔
b) Acrylic
c) Metal or acrylic reinforced
d) Porcelain with gold occlusally
e) All the above
(Acrylic with gold occlusal has added advantage of wear resistance and less stresses on
residual ridge.
Porcelain to porcelain is good but sacrificing underlying bone and clicking sound.
Porcelain to acrylic cause acrylic abrasion and subsequent bone destruction. Reinforced
acrylic is intermediate between them.
But if 4 is not in the choices, would choose porcelain)
53. An anterior fixed partial denture is contraindicated when:
a) Abutment teeth are not carious
b) An abutment tooth is inclined 15 degrees but otherwise sound
c) There is considerable resorption of the residual ridges
d) Crown of the abutment teeth are extremely long owing to gingival recession
54. If the soft palate falls gradually during recording, it is easier to record the
posterior palatal seal if the soft palate falls abruptly during phonetics, it is difficult
to record the posterior palatal seal:
a) Both statements are true✔
b) both are false
c) first true second false
d) first false second true

55. Plastic Pouch is used to sterilize surgical and endo instruments.


• distance between implant and inferior alveolar nerve 2 mm
• And between mental foreman 5 mm
*Distance between two implants 3 mm
*Distance between implant and natural tooth 1.5
*Distance between implant and inferior alveolar nerve 2 mm
*Distance between midpoint of adjacent implants 7 mm
*Minimum buccolingual width 6-8 mm
*Mininmum bone height for implant 10 mm
*Minimum interatch space 6-8
*Minimum of 1 mm of bone buccally and lingual to the implant
*Interarch space for screw retained prosth 7 mm
*Interarch space for cement retained 8-12
*Recommend number of implants in mailla 8, mandible 6
*Minimum number of implants in maxill 6, mandible 4
*Surface coating 1-5 micron
*Stability of implant (no mobility) because of ankylosis phenomenon
*Screw retained prosth: used in limited Interarch space Non esthetic area
Bad oral hygiene
*Cement retained prosth: used in sufficient interarch soace Esthetic area
Bruxer patients
*post Length 2/3 infrabony root
Regarding to schilliburg leave 5 mm apical seal * types smooth, serrated and screw
Cylindrical or tapered
* if the crown will be lithium disilicates the core must be composite
* 360 degree metal collar or ferrule effect: minimum 1 mm encircling the tooth
* if the remaining tooth structure is more than half of the tooth the core will be
composite if less it will be amalgam??
• Gingival zenith for canine at the center for lateral 0.5 distal for central 1mm
distal
• T clasp engage distobuccal undercut
••
Two type of provisional restoration
• First is DIAGNOSTIC in phase 1
• Second one is FINAL PROVISIONAL in phase 3
• Permanent restoration also in phase 3
• For surgical: zygoma
• For definitive: clasp
••
If in exam DENTULOUS MENTIONED THEN WE CHOOSE
• CLASP
••
Insuffeciency then obturator
• Ineffeciency then palatal lift
• There may two defects in this part
• 1- velopharyngeal insufficiency: it means insufficient or short and cannot
close with the pharyngeal wall it can be treated by speech aid appliance
••
The other one velopharyngeal inefficiency or incompetence: it means that that is of
normal length but the proplem it is dropped and not functioning well so need an
appliance to lift it to close contact the pharyngeal wall called palatal lift prosthesis
••
When asked treatment: ant deprogramming device LUCIAJIG
••
To provide a spacer for a custom tray to receive alginate impression
• Spacer should be 4 mm
••
To receive a rubber base impression, spacer should be 2 mm
••
Altered cast technique is a special technique in which you remove 0.5 mm as a spacer
••
For longer follow up it is bending overload but For follow up less than an year i think it
can be due to peri implantitis
Memorize dimensions
1. Particle size of rougness / surface topography of implant: 1-2 or 1-5 microns
2. Dimensions of connectors in every material
Metal 2×3
Lithium dislocate 4×4 Alumina and zirconia 3×3
3. Dimensions of tooth preparation in every material: For PFM- Minimum metal 0.5mm,
1-1.5mm porcelain All metal - 1mm non functional, 1.5 mm functional Veneer - 0.3-
0.5mm facial, 0.7 mm in dark cases.
3. Post core dimensions- length
Post length: 2/3rd length of root or 4/5length of root, equal to or longer then crown
length, maintain 3-5mm apical seal, half the root length atleast,
, width min 2mm Width:
Min 1mm dentin around Post, should not be greater than1/3rd of width if any root at
any point
, ferrule Minimum 1mm
4. Thickness of metal mesh:0.4mm
5. Shrinkage of porcelain after firing: 20%
6.PMMA,
7.base metal,
8. investment material expansion
9. Minimum thickness for Pfm crown to avoid distortion during firing: base metal
0.2, cast gold 0.3mm
10.For GIC, etching is better to done by 10% polyacrylic acid for 10 seconds for enamel
and dentin (note: GIC contains polyacrylic acid).
For Composite, etching is better to be done by 37% orthophosphoric or phosphoric acid
for 20 seconds on enamel but for 10 seconds on dentin.

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