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3. In patients with high caries index, where the prime consideration in choosing a cement is its
capability to provide maximal resistance to caries at the marginal areas of the restoration,
what will be the best choice of cement?
a. Zinc phosphate cement d. Zinc polycarboxylate
b. Zinc oxide eugenol cement cement
c. Glass ionomer cement
7. The following should be part of the dentist's checklist before sending an impression to the lab:
a. Finish lines are distinct
b. No blood or saliva are present in the impression
c. No voids, tears, defects in the impression
d. Absence of undercuts
e. All of the above
8. The type of margin recommended for preparing a tooth for an all porcelain crown is
a. Shoulder c. Shoulder with bevel
b. Heavy chamfer d. Feather edge
9. What is an abutment?
a. The portion of the bridge that unites the retainer with the pontic
b. The suspended unit of a fixed bridge that replaces the lost natural tooth
c. The tooth or root that retains or supports the bridge and is united with the bridge
proper by means of the attachment
d. The portion of the bridge that unites the abutment tooth with the suspended portion of
the bridge
10. The following statements are true for ovate pontic design EXCEPT
a. It is mainly used for esthetic reasons
b. It is used for maxillary anteriors only
c. There is maximum tissue contact
d. Socket preservation techniques should be performed like ridge augmentation
11. During metal coping try-in, we check for the following EXCEPT
a. Proper contacts c. Clearance
b. Proper margin adaptation d. Accurate fit
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12. These are factors that affect tooth preparation design in fixed denture prosthodontics
EXCEPT
a. Crown length c. Periodontal health
b. Ante's law d. None of the above
13. ___________________ is the straight line direction which a restoration follows as it is seated
on its preparation.
a. Resistance form c. Path of insertion
b. Retention form d. Tooth reduction
14. In order to protect the pulp during restoration, the clinician should
a. Conserve tooth structure
b. Control the amount of tooth reduction
c. There should be rapid continuous removal of tooth structure
d. There should be use of coolants to alleviate the heat
e. All of the above
f. Only two of the above
15. The following are factors that would affect retention and resistance form of the tooth
preparation EXCEPT
a. Rounded line angles c. Taper of the preparation
b. Axial wall height d. Surface area coverage
16. Ideal axial inclination for tooth reduction for fixed prosthodontics is
a. 2 – 5o c. 0 – 2o
b. 5 – 7 o
d. 6 – 8o
18. Ideally where should a crown margin be placed in relation to the gingival crest?
a. Supragingival c. Equigingival
b. Subgingival d. In enamel
19. The finish line can be moved subgingivally because of the following reasons:
a. Achieve a more esthetic result
b. Removal of caries that extend to the gingival area
c. Inadequate crown length
d. All of the above
20. Which of the following features will not improve the retention and resistance of an
extracoronal restoration?
a. Grooves and boxes
b. Parallelism
c. Multiple paths of insertion
d. Maximum surface area included in the preparation
21. What is the optimum crown:root ratio of a tooth that is being considered as an abutment for a
fixed bridge?
a. 1:1 c. 3:4
b. 2:1 d. 2:3
22. Which of the following is not something that can be seen in a periapical radiograph?
a. Width of the periodontal ligament
b. Number of roots of the tooth and their morphology
c. Axial inclination of the tooth
d. Occlusal relationship of the maxilla and mandible
23. In taking the medical history of the patient, the following should be noted:
a. Allergy to any kind of drug
b. Previous dental treatments
c. Chief complaint
d. Patient's expectations for the outcome of the treatment
24. Which of the following procedures should be the first priority in making a treatment plan for a
patient?
a. Fabricating a lower partial denture to replace missing molars
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25. The following are indications for doing an RPD rather than an FPD EXCEPT
a. Bilateral missing lower 2nd premolars and 1st molars
b. A distal abutment tooth is absent and support is needed from the edentulous ridge
c. There is significant bone loss in the anterior ridge area where there is need to replace
missing anterior teeth
d. None of the above
26. When extending a margin subgingivally the following guideline should be followed:
a. The subgingival margin should be at least 1.0 mm above the alveolar crest
b. Extend the margin as far into the gingival sulcus to maximize the increase in crown
length gained for increased retention
c. Violating the biologic width will result in periodontal problems
d. All of the above
27. Bevelling the functional cusps during a crown preparation for posterior tooth fulfills which
principle of tooth preparation?
a. Preservation of tooth c. Structural durability
structure d. Marginal integrity
b. Retention and resistance
31. A 90o cavosurface angle is critical on the margins of an all porcelain crown preparation
because
a. It provides more space at the margin to create a more esthetic restoration
b. It prevents fracture of the porcelain at the margins
c. It facilitates easier impression taking of the preparation
d. The margins are easier to detect and finish
32. Centrict contact on an all porcelain crown should ideally be found in the
a. Middle third of the lingual wall
b. Cervical third of the lingual wall
c. Incisal third of the lingual wall
d. No contact at all
33. The following are problems that may be encountered when the labial surface of an anterior
tooth is prepared only in 1 plane instead of 2 planes EXCEPT
a. The pulp may be perforated in the labial surface
b. There may be an area in the PFM crown where the porcelain is thin
c. The PFM crown may be overcontoured
d. None of the above
34. Selection of an abutment tooth should be based upon the following EXCEPT
a. Crown:root ratio
b. Whether the tooth has been endodontically treated
c. Number and shape of the roots of the tooth
d. Alignment of the tooth
35. All other factors being equal, the most retention is provided by the
a. Full crown preparation c. Onlay
b. ¾ crown preparation d. Inlay
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38. How much labial tooth reduction is needed for a PFM crown?
a. 0.25 – 0.5 mm c. 1 – 1.5 mm
b. 0.5 – 1 mm d. 1.5 – 1.75 mm
39. The PFM crown required what type of labial finish line on the preparation of anterior teeth?
a. Knife edge c. Shoulder
b. Chamfer d. Shoulder with bevel
41. What is the chief contraindication for using epinephrine impregnated retraction cord?
a. It is chemically irritating to the tissue, causing sloughing
b. It produces systemic reactions affecting the cardiovascular system
c. It produces inadequate retraction of the tissues
d. Its size makes it difficult to use where the gingival sulcus is shallow and the tissues
firm
42. Why is it advisable to use a custom tray when taking impressions with rubber based
impression materials?
a. The material is too fluid to be retained in a stock tray
b. The material needs the additional support afforded by a custom tray
c. A custom tray controls the thickness of the impression material and increases
accuracy
d. It is cheaper to use a custom tray than a stock tray
43. The chief disadvantage of hydrocolloid compared to the polyvinylsiloxane impression material
is that it
a. Requires a stock tray
b. Is not as accurate
c. Requires a dry field free of blood, saliva, etc
d. Is dimensionally unstable so it must be poured immediately
44. A temporary crown should fulfill the same general requirements as the final restorations
EXCEPT for
a. Durability c. Occlusal contact
b. Esthetics d. Marginal adaptation
45. Why should the dentist trim (ditch) the die before they are sent to a dental technician?
a. The dentist should have better manual dexterity
b. The dentist should have a better knowledge of the location of the finish line
c. The dentist has the proper cutting instruments
d. The technician is not trained to recognize finish lines
46. What is the chief advantage of the all porcelain crown over the PFM crown?
a. It is generally more esthetic
b. It is less expensive
c. It is easier to adjust and repolish
d. It usually achieves better marginal fit
47. What are the layers of porcelain that are fused over the metal coping of a PFM crown?
a. Coping, incisal and body layers
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48. How thick must the metal coping be to resist deformation under occlusal stress?
a. 0.1 – 0.3 mm c. 0.5 – 0.75 mm
b. 0.3 – 0.5 mm d. 0.75 – 1 mm
49. Occlusal contact should never occur at the juncture of the porcelain and the metal because
a. Prematurities are hard to detect in this area so adjustments are difficult
b. Contact produces flow or burnishing of the metal leading to fracture of the porcelain
c. Bonding in this area is usually weaker
d. The metal layer is considerably stronger than the porcelain so stress distribution is
uneven
52. The patient complains of sensitivity a few days after cementation of a fixed partial denture
with polycarboxylate cement. What is the most likely cause?
a. Irritation from the cement d. An open margin
b. A loose retainer e. None of the above
c. Premature occlusion
57. Ridge lap pontics cause pressure atrophy of the residual ridge resulting in
a. Chronic inflammation of the ridge and papillae
b. Ulceration of the ridge tissue
c. Destruction of support of the abutment teeth
d. All of the above
58. One of the chief disadvantages of using polyether impression material is its
a. Poor dimensional stability
b. Poor odor and taste
c. Weak tear resistance
d. Hydrophobicity
59. The characteristic of a tooth preparation which tends to prevent a seated restoration from
tipping or rotating around the preparation by occlusal forces directed in an apical or oblique
direction is
a. Resistance c. Ante's law
b. Retention d. Crown:root ratio
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60. The type of margin indicated for all surface margins of an all metal crown is
a. Shoulder c. Knife edge
b. Chamfer d. Shoulder with bevel
61. The amount of occlusal reduction needed for an all metal crown preparation on the lingual
cusps of an upper 2nd molar is
a. 1 mm c. 2 mm
b. 1.5 mm d. 0.5 mm
62. Overtrimming a die will result in the production of what kind of restoration?
a. Undercontoured restoration
b. Bulky or overcontoured restoration
c. Restoration with open margins
d. Thin restoration
64. Leaving excess temporary cement in the gingival sulcus may result in
a. Gingival inflammation c. Open margins
b. Pulpal irritation d. None of the above
65. An endodontically treated tooth was restored with a cast post-and-core and a PFM crown.
Three months later, the patient complains of pain, especially on biting. Radiographic findings
and tooth mobility are normal. The most probable cause of pain is
a. A loose crown
b. Vertical root fracture
c. Premature eccentric contact
d. Psychosomatic
66. For an occlusal appliance used for muscle relaxation to be effective, the condyles must be
located in their most stable position from a musculoskeletal perspective. This is
a. Centric occlusion
b. At the vertical dimension of rest
c. Centric relation
d. Maximum intercuspal position
67. Which of the following statements is(are) true concerning the evaluation of the occlusion of a
crown?
a. The crown is in proper occlusion if it holds the articulating paper (shim stock)
b. The crown is in proper occlusion if the adjacent teeth hold the articulating paper
c. The crown is in proper occlusion when the articulating paper marks multiple points of
contact on the restoration
d. All of the above
68. Which of the following is the single most important predictor of clinical success of a casted
post-and-core?
a. Amount of remaining coronal tooth structure
b. Post length
c. Post diameter
d. Positive horizontal stop
69. The impression material that is mainly composed of sodium or potassium salts of alginic acid
is
a. Polyether c. Polyvinylsiloxane
b. Irreversible hydrocolloid d. Polysulfide
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71. A patient is unhappy with the esthetics of an anterior PFM crown, complaining that it looks
too opaque in the incisal third. The reason for this is most likely
a. Using the incorrect opaque porcelain shade
b. Inadequate vacuum during porcelain firing
c. Not masking the metal well enough with the opaquer
d. The tooth was prepared in a single facial plane
72. Which of the following teeth is the least desirable to use as an abutment for a FPD?
a. Tooth with pulpal involvement
b. Tooth with minimal coronal structure
c. Tooth rotated and tipped out of line
d. Tooth with short, tapered root with long clinical crown
73. A patient with high caries index, short clinical crowns and minimal horizontal overlap requires
restoration of a broken-down maxillary central incisor. The restoration of choice is
a. Veneers c. Pin ledge restoration
b. All porcelain crown d. PFM crown
75. A permanent maxillary first molar has extruded 4 mm beyond the plane of occlusion into the
space where the corresponding mandibular molar is missing. This situation should be
corrected by
a. Extracting the extruded maxillary molar and constructing fixed prostheses for both
spaces
b. Restoring the maxillary molar to a satisfactory plane of occlusion with a cast
restoration then constructing a mandibular FPD
c. Cutting the extruded maxillary molar to the new occlusal plane after the mandibular
FPD is cemented
d. Reshaping and repolishing the maxillary molar to an acceptable occlusal plane by
selective grinding, then constructing a mandibular FPD.
76. In recording centric relation, the mandible can be retruded by having the patient
a. Relax the jaw muscles while the dentist manually manipulates the chin up and down
b. Turn the tongue backward toward the posterior border of the palate
c. Protrude and retrude the mandible repeatedly
d. Make repeated swallowing movements
e. All of the above
77. Each of the following factors influences a patient's ability to clean a FPD EXCEPT
a. Pontic design
b. Openness of embrasures
c. Occlusion of the prostheses
d. Adaptation of the retainer to the finish line
78. The phenomenon where porcelain appears different under varying light conditions is
a. Metamerism c. Opacification
b. Transmittance d. Translucency
80. Syneresis and imbibition are inherent properties that affect the dimensions of which
impression material?
a. Silicones c. Hydrocolloids
b. Polysulfide rubber d. Polyether
81. The best means of extending the working time on an irreversible hydrocolloid impression
material is
a. Extend spatulation
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82. When making a polyether impression for a crown, custom trays are usually preferred over
stock trays for the following reasons EXCEPT
a. Custom trays require less impression material
b. Custom trays facilitate uniform contraction of the impression material
c. Stock trays may be short in the flange areas
d. Impressions made in custom trays are easier to remove from the mouth
83. It is advisable not to wear latex gloves when manipulating what kind of impression material?
a. Polyether c. Condensation silicone
b. Polysulfide d. Addition silicone
84. When luting a fixed prosthesis, which of these cements will produce the smallest post
cementation marginal opening?
a. Polycarboxylate c. Resin
b. Zinc phosphate d. Glass ionomer cement
86. This material that is used for taking interocclusal records. Its disadvantage is great deal of
resistance upon closure so it can alter closing pattern of the mandible.
a. Polyether material c. Plastics
b. Waxes d. Zinc oxide eugenol pastes
87. It is the embracing or hugging effect to protect the whole tooth circumference to prevent
fracture.
a. Resistance c. Ferrule effect
b. Mutually protected d. Canine guided occlusion
occlusion
89. In constructing a full metal crown, future inflammation of the gingival tissues can be most
effectively prevented by
a. Narrowing the occlusal table by 1/6
b. Accurately reproducing the tooth form in the gingival 1/5
c. Slightly overcontouring the tooth form in the gingival 1/5
d. Extending the margins of the crown 1 mm into the gingival sulcus
92. A crown with a chamfer margin fits the die. In the mouth, the crown is open approximately
0.3 mm. A satisfactory fit and an accurate physiologic contour of the gingival area of the
crown can best be achieved by
a. Hand burnishing
b. Making a new impression and remaking the crown
c. Using finishing burs to remove the enamel margins on the tooth
d. Relieving the inside of the occlusal surface of the crown to allow further seating
93. Arrange the following steps for clinical trial insertion and adjustment of a FPD.
1. Check margins
2. Check centric contacts
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a. 1, 2, 4, 3
b. 1, 4, 2, 3
c. 2, 1, 3, 4
d. 4, 1, 2, 3
96. Radiographic signs of trauma from occlusion includes the following EXCEPT
a. Root resorption
b. Bone loss
c. Widening of the PDL space
d. Thickening of the bone trabeculae
97. Each of the following is a reason for restoring an endodontically treated posterior tooth with a
dowel or post EXCEPT
a. To strengthen the root
b. To enhance retention of the core
c. To enhance the lateral force resistance
d. None of the above
98. Porcelain failure in an all porcelain crown can best be avoided if the
a. Occlusal forces are minimal
b. Ceramic material is not over ½ mm in thickness
c. Ceramic material is 1 ½ mm in thickness
d. Angles of preparation are rounded
99. Which of the following is the best reason for pouring a condensation impression material as
soon as possible?
a. The degree of polymerization of the condensation polymers is initially high and then
decreases with time
b. Evaporation of a volatile by-product causes shrinkage of the set material
c. If left unpoured, condensation impression materials expand as they absorb water
from air
d. Condensation polymers will start to react with the polymer of the impression tray and
cause distortion
100. When seating a crown, the dentist usually finds the initial interferences on the
a. Margins c. Proximal contacts
b. Axial walls d. Lingual
ANSWER KEY
1. B 7. E 13. C
2. E 8. A 14. E
3. C 9. C 15. A
4. F 10. B 16. B
5. E 11. C 17. D
6. A 12. D 18. A
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