Occlusion

1. A patient came with the complain of looseness of denture while

eating, on examination teeth on right side does not meet, doctor
advised him a new denture. A balanced occlusion in new denture is
essential
a) For patient to masticate properly
b) Adequate denture retention
c) To ensure even pressure to all parts of arch, which maintain the
stability of denture when the mandible is centric and eccentric
position
d) psychological satisfaction of patient as there is nothing wrong
with the denture.
Answer is C
Zarb, prosthodontics treatment for edentulous patients
2. A Patient is complaining that my denture is tight when first put in
the mouth but seen loose after several hours of use of it specially at
intake of food, this is symptom is usually as indication of
a)
b)
c)
d)

Flabby ridge form

Psychological problem
Problem on impression surface
Error in occlusion

Answer is D
Zarb, prosthodontics treatment for edentulous patients.
3. A patient is referred to a prosthodontic department with the
complain of newly made denture which is loose and causes soreness
even after repeated adjustment. What is the most important thing to
do in such case
a)
b)

To check occlusion
To take another impression and reline the denture
immediately

c)
d)

To the relieve the denture at the sore spots

Ask the patient to use fixative and tolerate the denture

Answer is A
Zarb, prosthodontics treatment for edentulous patients.
4. The error in occlusion is observed in a newly made complete
dentures of 40 year old female patient after first insertion of denture
can result from
a) Inaccurate maxillo mandibular record
b) Error made in transverse of records to articulate
c) Failure to seat occlusal rims on the cast
d) Failure to close the flask completely

Answer is A
Zarb, prosthodontics treatment for edentulous patients.

5. You are delivering a complete denture to 50 year old patient the

occlusion of complete denture should be checked
a) after 24 hours
b) after 48 hours
c) after 1 week
d) immediately

Answer is D
Zarb, prosthodontics treatment for edentulous patients.

Aesthetic consideration
1. A 40 year old male with all upper teeth missing come to the
prosthodontic department, his main concern is esthetic and
function, best esthetic for maxillary denture is achieved when
a. Teeth are placed facial to the alveolar ridge
b. Teeth are placed at crest of the alveolar ridge
c. Teeth are placed lingual to the alveolar ridge
d. None of the above
Answer is A
Zarb, prosthodontics treatment for edentulous patients

2. A patient with limited mouth opening and reduced interocclusal

space and had recent extractions wants a complete denture. While

selecting teeth for complete denture which teeth suites best.
a.
b.
c.
d.

Porcelain teeth
Resin teeth
Plastic teeth
Metal teeth

Answer is B
Zarb, prosthodontics treatment for edentulous patients

3. A young female patient requires a fixed-fixed restoration, the

pontic design of choice in the appearance zone of maxilla and
mandibular bridge
a.
b.
c.
d.

Hygienic
Modified ridge lap
Saddle
Conical

Answer is B

Shillingburg
4. A patient reports to the dental opd with complain of black
traingles between denture and natural teeth, when she smile in her
anterior teeth of cast partial dentures. These negative space occurs
because?
a. failure of teeth setup
b. failure during flasking
c. error in occlusion.
d. absence of straight guide planes.
Answer is D
McCrackens removable partial prosthodontics
5. A complete denture patient complains of excessive teeth display
and clicking noise of the denture when he talks and eats. What could
have gone wrong?
a. increased RVD /OVD
b. decreased RVD/OVD
c.overs extended denture
d. under extended denture
Answer is A
Zarb, prosthodontics treatment for edentulous patients

Team approach
1. A patient who is currently wearing a bilateral distal extension
removable partial denture that was fabricated 5 years
ago reports to the Prosthodontist about loosening of denture.
Patient has poor oral hygiene and lingual surface on the lower
left canine of that was used as an abutment shows severe

bone loss, BPE score is 4 when examined. what is the protocol

of treatment plan ?
a. Extract the abutment, introduce a Kennedys bar major
connector.
b. No treatment.
c. Refer to periodontist to evaluate the abutment and
refabricate the prosthesis according to the changes that
follows.
d. Prosthodontist perform scaling and root planning and reuse
the same prosthesis after healing is complete.
Correct answer is = C
Mc crackens removable partial prosthodontics
2. A 57 year old patient reports to a prosthodontist, patient has
lower edentulous jaw. Upon examination, irregular bony
prominences which are extremely painful on palpation are
revealed. Patient is uncontrolled diabetic and is taking
medication for rheumatoid arthritis. What should be the
protocol to ensure a successful treatment plan?
a.

There is no absolute or relative contra indication for such

conditions, only prosthodontics management is required.
b. Patients physician is consulted for diabetes, relief is provided
to the lower complete denture for irregular bony prominences.
c. Patients physician is consulted for diabetes, oral maxilla facial
surgeon performs alveoloplasty after diabetes is controlled and
a denture is made after adequate healing.
d. OMFS performs alveoloplasty and prosthodontist gives
immediate complete denture.
Correct answer is = C
Zarb, prosthodontics treatment for edentulous patients

3. A 25 year old coal mine worker reports to the prosthodontist

for replacement of his anterior teeth 13,12,11,21,22,23 which

lost in a road traffic accident. Patient is non affording, Upon

examination patient has poor oral hygiene and labial frenum
attachment is found to be on crest of alveolar ridge of
edentulous area. What are the necessary steps for successful
management of patient?
a. Provide relief in prosthesis
b. Provide implant retained fixed prosthesis.
c. Frenectomy is performed by OMFS and a cast partial denture
is provided.
d. Periodontal treatment followed by Frenectomy by OMFS and
finishing with a Cast partial denture.
Correct Answer is D.
Mc crackens removable partial prosthodontics
Endodontically treated teeth
1. Mandibular right second and third molars were treated
endodontically 6 months ago. The patient is asymptomatic.
Radiographic evaluation reveals narrow canals with poor
density fillings. Little shaping of the canals is evident. A
decision has to be made as to the acceptability of the root
canal treatment prior to a fixed restoration.
a. Proceed with the provision of crowns.
b. Re endo is advised and then provide the crowns and patient
remains under observation.
c. Extract the teeth and provide implant retained fixed
prosthesis.
d. Place crown on both teeth and patient shall remain under
observation for another six months.
Correct answer is = B
Shillingburg
2. A 30 year old male patient reports to dental opd with the a
significant teeth discoloration complain on the anterior
teeth. Patient revealed he had got bleaching done
previously twice now the discoloration has reappeared and

teeth are sensitive too. Bleaching had caused root

resorption and the tooth structure is lost. Teeth are treated
endodontically and structure has been reduced further.
What is the treatment plan best for the patient?
a.
b.
c.
d.

a.
b.
c.
d.

Dowels and crowns for the anterior teeth.

Composite core build up and crowns.
A metal post, composite core build up and crowns
Fibre post, composite build up and crowns.
Correct answer is = D
Contemporary of fixed prosthodontics 4th edi

3. A female patient reported to the dental opd with the

complain of pain and dislodged crown of an endodontically
treated maxillary right canine. Upon radiographic
examination a metal post was found in the canal that
exceeded 2/3 of canal and oblique radiolucent line
suggesting oblique fracture in the root. What could be the
causes.
Threaded metal post generates torque and post exceeded the
desired length compromising in the apical seal.
Metal post are contraindicated in anterior teeth.
High occlusal stress.
Poor root canal.
Correct Answer is = A
Contemporary of fixed prosthodontics 4th edi

Communication with lab

1. A dentist prepared a six unit anterior bridge. At trying in sixunit anterior metal-ceramic framework did not seat. After
sectioning between the incisors, the adaptation of the
individual components was satisfactory. But the dentist
sectioned this FPD incorrectly, the soldering gap is much too
wide. A remake of at least one of the FPD components is
indicated. This situation could have been avoided if
a. The dentist should have provided the laboratory with signed
written instructions detailing the work and design of FPD .

b. The responsibilities lies only with technician to be in contact

with the dentist.
c. This is not a communication lapse mere a co incidence.
d. The FPD design by the technician was poor.
Correct answer is A

Contemporary of fixed prosthodontics 4th edi

2. A patient returns to a dentist after getting a FPD 11,12,13
complaining about bulkiness of teeth as compared to rest of
anterior teeth underlying cause could be?
a. Failure of identification of undercut while tooth preparation
by dentist.
b. Over contouring of tooth framework by technician because
of Inadequate tooth reduction in the cervical third for a
metal-ceramic restoration.
c. Under contouring of tooth framework by technician because
of Inadequate tooth reduction in the cervical third for a
metal-ceramic restoration.
d. Failure of dentist to report to ceramist about over
contouring of framework at try in.
Answer is = D
Contemporary of fixed prosthodontics 4th edi
3. At the insertion of complete denture dentist found occlusion to
be incorrect and different from trial. He attends the pictures
and records of try in of denture and identifies the mistake.
What should he have done to prevent this from happening.
a. Dentist should have allowed the technician to record jaw
relation and trying of prosthesis.
b. Dentist should have called the technician to come over and
show him the changes that have occurred at the time of
insertion and let him correct them by taking check record.
c. Dentist should have send away the patient.
d. Dentist should have taken check record informed the
technician to correct it also provide him pictures of trying in.
Correct Answer is D
Zarb, prosthodontics treatment for edentulous patients