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Prostho Question 2009-2015
Prostho Question 2009-2015
Prostho Question 2009-2015
4. When planning any bridge we must take into account the periodontal support of the
teeth (Ante's low). All of these cases do NOT apply Antes’ Law but only one of them can
be applied clinically with good prognosis. Which one is it?
A. If the wisdom tooth roots are converging 14***18 (BAD CHOICE)
B. long root of 13 and 17 has flared roots 13***17 (GOOD CHOICE)
C. If the lateral has a wide root 11,12****17 (BAD CHOICE)
D. 13**16 (BEST CHOICE)
E. 22***13 (BAD CHOICE)
P.S. This is a problematic question. Because it asks you to pick the bridge that does NOT
apply to Ante’s Law but has a good prognosis.
This example is written in Schillinburg page.110 and it quotes: That 13**16 does not
apply Ante’s Law but it is a predictable bridge with a good prognosis.
5. Difference in thermal expansion coefficients between the metal to porcelain in PFM
crowns form a connection (adhesion) type:
A. Mechanical connection as a result of microscopic penetration
B. Chemical connection (Van Der Waal)
C. Mechanical connection as a result of stress (pressure)
D. Chemical connection between ionic bonds
E. Chemical connection (linking covalent)
The answer is in Shillinburg page 456
6. When constructing a complete denture, what is the effect of steep condylar guidance
(steep slope of the articular eminence)?
A. the cusps will be steeper
B. Monson curve will be greater
C. Bigger Free Way Space
D. Will not affect the occlusion
E. the cusps will be shallow
7. When preparing a complete denture, what movement would you ask your patient to
perform to get the effect of the temporomandibular raphe (ligament)?
A. Lateral movements of the jaws
B. Maximum mouth opening
C. open mouth to 2 cm
D. Closing the mouth
8. Upon setting the teeth for a complete denture, what do you do if you get a separation
between the posterior teeth when performing protrusion?
A. Reduce the condylar guidance
B. Reduce the compensating curves
C. Reduce the anterior guidance (to make it shallow)
D. Reduce the masticatory curve
E. Reduce the height (steepness) of the cusps
9. Which occlusion type we are interested to present in a complete denture?
A. simultaneous contacts between all the teeth in all the movements to get
the best maximum stability of the denture
B. Canine guidance to prevent TMJ disorders
C. Full contact between the teeth only on protrusion, to get a good retention for the
upper denture
D. Contacts between the lower supporting cusps and the upper guiding plane in the
working side
12. Initial (primary) carries lesion was found distal to tooth 34 while preparing 35 for a
crown. In which stage of treatment can you treat this lesion?
A. In the Initial treatment phase (always remove carries before)
B. In the re-evaluation phase
C. In the Follow-up phase
D. As a part of a maintenance therapy
13. What gives the best prognosis for a fixed partial denture (bridge)?
A. Long Span between the prepared teeth
B. Occluso-gingival short teeth
C. Steep (deep) curve of Spee
D. Occluso-ginigval long teeth
E. Shallow (flat) curve of Spee
14. (Ferrule Effect) concept refers to?
A. Sealing of dentinal tubules with calcium oxalate which affects the bonding
B. A high crown that does not fit the margins because of the viscous cement
C. A processed surface of titanium implants with hydroxyapatite crystals
D. Resistance of wedging forces with a crown surrounding healthy tooth
material with a previously placed custom made post
15. Rapid removal of the tray containing an elastomeric impression material from the
patients’ mouth can cause:
(( و ليس اخراجها قبل,القصد في السؤال الحركة[ السريعة[ عند اخراج المادة[ بعد ما تنشف بالكامل
)ما تنشف
A. Polymer chains can go back to normal stage (before Insertion in the mouth)
B. Increase the dimensional distortion of the material
C. Decreases the tearing resistance of the material
E. The materials’ characteristics does not change
20. What is preferable to do to lengthen the working time of ZPC (zinc phosphate
cement)?
A. Fast mixing
B. Add water
C. To use a thick and warm glass mixing pad
D. To use a thick and cold glass mixing pad
2010
8. When raising the temperature, difference between polyetheres and additional silicone?
A. Working time lengthens only polyether
B. Longer working time only additional silicone
C. Both longer working time
D. Both shorter working time
10. What is the disadvantage of cement composite resin when cementing a PFM crown?
A. High viscosity.
B. Difficult to remove excess
C. Short working time
D. All true
12. If the patient complains of the upper full denture falling when masticating food. What
would you do?
A. Add material to the posterior palatal seal
B. Selective Grinding of the denture
C. Relining
D. Ask the patient to buy denture glue
E. Do a new denture
13. Which cement does not function with the mechanical interlocking principle alone?
A. ZPC
B. Resin cement
C. GIC
D. None of the above
14. What helps for the resistance of a prepared tooth for a crown?
A. Preparing vertical fissures in the proximal walls
B. Preparing vertical fissures in the axial walls
C. A preparation that is not too round
D. deepening of the central fossa
15. What is the difference between the upper major connector to lower major connector?
Answer: The lower connector does not support the prostheses
17. There are dental materials which are characterized by their ability to release fluoride
and absorb fluoride. Sort in descending order the materials that have a greater capacity
to absorb fluoride: Compomer, GIC, Resin modified GIC, Composite
Answer: GIC > RMGI > compomer > composite
19. A woman brings her father for you to do a complete denture for him. He did not own
a denture for the past 20 years. He did one 5 years ago but he never used them. What is
the right thing to do in this situation?
A. Do not construct a denture if the patient does not want it
B. Do not construct a denture even if the patient wants it
C. Construct a denture because this is what his daughter wants
D. Construct an overdenture on implants. Because it has higher success rates
20. What is the main function of the REST (RPD)?
A. Prevents lateral movements
B. Support
C. Direct retention
D. Indirect retention
21. Which of these teeth can be prepared for a fixed partial denture (bridge)?
A. Root canal treated tooth without a post and core
B. Root canal treated tooth with a post and core
C. Natural tooth
D. All of the above
E. B+C are correct
22. How much would you remove occlusaly to prepare a tooth for a porcelain crown?
A. 1 mm
B. 2 mm
C. 3 mm
22. With what would you take a primary impression for a complete denture?
A. Stock tray, Alginate
B. Special tray, alginate
C. Special tray, polymer
D. Stock tray, polymer
25. When do you use a full-coverage (major connector type in RPD) in the upper arch?
A. All the molars and premolars are missing
B. All the premolars + 1st molars are missing
C. It is the most common major connector used
D. Never use it
26. In the time that you want to cement a crown you found a miss fitting part in the
finish line (no marginal integrity). What would you do?
A. Fill the gap with a restorative material
B. Cement it, because the cement itself would fill the gap
C. Take a new impression
D. Ask the technician to fill this gap himself
27. What is the advantage of PVS “polyvinyl siloxane” = additional silicone, over other
impression materials?
A. Good detail reproduction and dimensional stability up to 48 hours
B. Dimensional stability up to 7 days
C. Biocompatible
D. Antibacterial
E. Good resistance while taking them out from the mouth and in humidity
28. What is the type of finish line that should be performed in the furcation area?
Answer: Knife edge
30. What is NOT a function of the wax rims (in complete dentures)?
A. Determining the centric relation רישום יחס מרכזי
B. Midline, Canine lines and smile line
C. Choice of size and shape of teeth
D. Creating a bilateral balanced occlusion
E. placing of the arch according to the lips, cheeks and tongue
32. What is the advantage of replacing an amalgam filling with a porcelain inlay?
A. Esthetics
B. Biocompatibility
C. Less bacterial adherence (plaque formation)
D. All of the above
34. Determining the occlusal plane while constructing a complete denture is done by?
A. Campers plane
B. Frankfort’s plane
C. Tragus-Canthus line
D. Midline of the face and the smile line
35. Frenectomy of the anterior and buccal lower lesions in a patient wearing a lower
complete denture is done in which of these cases?
A. Height of the frenum reaches the height of the alveolar ridge
B. If the patient asks you to do it
C. Do not do a frenetomy as long as it does not interfere with speech
D. Do not do a frenectomy without deepening the sulcus
36. After extracting all the teeth in the lower arch, how long would you wait before
constructing a lower full denture?
A. 3 months
B. 6 months
C. 9 months
D. 18 months
E. 24 months
37. What is the most important character needed in a noble alloy to be used in a PFM?
A. Ability to connect to porcelain by forming the oxide layer
B. The thermal expansion is equivalent to porcelain
C. Melting temperature is equivalent to porcelain
D. The biocompatibility is lower than that of porcelain
38. What is the main function of the reciprocal arm on a tooth level?
A. To resist the dislodging forces of the denture
B. To resist the sinking of the denture
C. To resist the retentive arm
D. To strengthen the minor connector
39. What is the main function of the temporary base and wax rim in the making of an
RPD?
C. Setting of teeth
A. 0.3 mm
B. 1 mm
C. 2 mm
D. 3 mm
42. You made a gold-veneer crown with buccal acrylic facing. In the delivery you
noticed that there is NO interproximal contact points. What is the right thing to do?
A. Ask the technician to add acryl or composite in the proximal surfaces of the crown
B. Cement the crown and wait for the teeth to move and close the gap with time
D. Ask the technician to remove the acrylic facing, add gold to the
proximal surfaces and do a try in session
E. Create the contact points using amalgam fillings in the neighboring teeth
43. A young woman came to your clinic complaining of pain in her posterior left side
near her ear that began 3 days ago. Before 2 days it became difficult to open her
mouth. 1 day ago she did not sleep. What is your diagnosis?
C. Pulpitis
D. Pericoronitis
44. While preparing a 2 mm whole for placing a pin inside the dentine. You felt that
the pin is pushed easily inside the tooth beyond 2 mm. What do you think
happened?
45. What is the advantage of FLOURIDE-FLUX use in the soldering of the cobalt-
chromium?
46. To make sure your implant has osseointegrated in the alveolar bone:
47. You made multiple RCTs for a patient that has no money to continue his
treatment and crown them all. What would you advise him to do?
A. At least crown tooth no. 15 (because it is the weakest tooth in the mouth and
would break easily after RCT)
2011
5. Polysulfide:
A. Bad dimensional stability because it loses water with time
B. Needs a special tray
C. Hydrophilic
D. A + B
6. Which contacts should a cantilever pontic have with the opposing teeth?
A. IC (intercuspation) + lateral movements
B. contacts in IC with NO lateral movements
C. NO contacts in IC + NO contacts in lateral movements
D. No contacts in IC + contacts in lateral movements
7. Upon examining the occlusion of a patient with a new crown on a mandibular molar, a
steep condylar guidance angle was registered compared with the patients’ mouth without
the new crown. What do you see while trying to fix this problem (balancing the
occlusion)?
A. Interference in protrusion
B. Loss of vertical dimension
C. Interference in retrusion
D. A + B
8. After preparing a 3-unit bridge you find it hard to insert it. What could the cause be?
A. There is no path of insertion
B. the spacer is thick
C. Small occluso-gingival height
D. All of the above
9. Which cement is recommended to use when you have non-vital tooth (crown
cementation)?
A. ZPC (zinc phosphate cement) because of the high success rates
B. GIC, because it has a high tensile strength
10. If you have a missing 36 in a patient who has no carries. What is the proper
treatment?
A. Implant + Crown
B. 2 implants + crowns
C. Bridge 37*35
D. There is no need to replace it
11. You had to extract tooth no.14 and there is no chance to place an implant instead.
How would you replace it?
A. Bridge: *15 + rest on 13
B. Bridge: 15*13
C. Bridge: *15 with 14 as a cantilever
D. Bridge: 16, 15 *(14 cantilever)
P.S. according to Shillinburg the answer is D. It is not B because the canine is not a good
choice to place under a bridge. It is preferable that it stays intact and guide the mandible
(canine guidance)
13. Polysulfide?
A. Does not have a good dimensional stability because it loses water with time
B. Needs a special tray
C. Hydrophilic
D. A+B
15. As a result of injury of which muscle does the jaw moves to the right?
A. Injury to left lateral pterygoid
B. Injury to right lateral pterygoid
16. Which type of GOLD you should NOT be used to cast crowns?
A. Type l
B. Type ll
C. Type lll
D. Type lV
17. You got a prepared RPD from laboratory, the first thing you check is?
A. The stop is not covered with acryl
B. Polishing
C. Suitable frame to the metallic framework
18.Increased vertical dimension can cause?
A. Injury to the supporting tissue
B. Atrophy of muscles/lower muscle tone
C. Less retention
D. Smaller naso-labial angel
E. No trauma at all.
2012
3. In a class I patient, Tooth no. 28 has over erupted about 2.5 mm. In which of these
movements would you find a problem?
A. Retrusion
B. Protrusion
C. Lateral-protrusion
D. A+C are correct
4. In ADHESION, what is the definition of contact angel?
A. The contact between two cemented surfaces
B. The wettability of a material to a surface
C. Describes the surface energy of a materials surface
6. Which one of these anatomical land marks is considered the posterior seal/border for
a lower complete denture?
A. Retromolar pad
B. Palatoglussus
C. Massater
D. Fovea palatine
8. Denture stomatitis?
A. Burning sensation and painful usually
B. Asymptomatic
C. Can be treated with anti-fungal medications
12. You got a PFM crown from the lab with the porcelain bisque stage (a stage where
you try in the porcelain without the glaze) and the crown does not enter all the way to
the finish line. But when you examined the metal try in it was fit. What could be the
reason here?
A. Bubbles inside the metal
B. Remaining cement on the tooth
C. Porcelain was added excessively on the area of the finish line
D. B+C are correct
2/2015
1. Which movement of the posterior teeth _ (FOA) functional outer aspect usually
doesn't participate?
A. Jaw movement "working side"
B. Jaw movement "non-working side"
C. Protrusion movement
D. Lateral protrusion
2. Internal derangement with reduction in the left TMJ?
A. Limited mouth opening, no problem on closure
B. Mouth opening deviation to the right
C. Click on opening, not on closure
D. Pain on opening mouth
6. Patient with angle class l, the upper 16 tooth with excessive eruption due to
premature tooth 46 loss. The state may cause occlusal interference between tooth 16
and opposing when?
A. Retrusive movement
B. Working movement
C. Non-working movement
D. Intercuspal occlusion state
7. Determining the level of occlusion during the preparation of a complete denture is
done by?
A. Checking the occlusion
B. Frankfort plane
C. Campers plane
D. Until the middle of the face, the smile line
10. What is the most reliable way to pick the size of teeth for a denture?
A. Age and sex of the patient
B. Shape of the residual ridge
C. The patient should choose his own teeth
D. the technician should choose the size of teeth
E. Pre-extraction models
13. How do you determine the VDR (vertical dimension at rest) in a complete denture?
A. There should be a 3cm space between teeth
B. Ask the patient to open his mouth wide
C. The patient resting with the upper wax rim in his mouth
D. The anterior wax rims should be in contact but posterior there is space
15. Which part of a CR-Co RPD has the potential to be broken the most?
A. Occlusal rest
B. Reciprocal arm
C. Retentive arm
D. Proximal plate
16. What is the main difference between the upper major connector (in RPD) and the
lower major connector?
A. The upper major connector can increase the retention
B. The upper major connector should be thicker than the lower
C. The lower major connector does not give support like the upper
D. The lower major connector is only to help in the design
20. What should you first check in a special tray (to do a complete denture) after
receiving it from the lab?
A. Ask if the primary impression was poured in the first 2 hours, if not it
should stayed in the fridge
B. The acryl used for the special tray is dimensionally not stable with temperature
C. The tray should be 1.5 mm short at the edges with 3 tissue-stoppers
D. The tray should fit the cast perfectly with the relief of undercuts
P.S. It does not matter if the tray is 1.5 short for border molding, with stoppers or not as
long as the primary impression with alginate was not poured immediately. If the
impression was distorted then the special tray will not fit the patient. Though C seems to
be the right answer here!
25. A young patient with Angel class II, has no carries, how would you treat a missing 36
in his mouth?
A. 1 implant + 1 crown
B. 2 implants + 2 crowns
C. Bridge 35*37
D. No need to replace it
In a case where the gingival level is higher6 mm the implants head, which kind of .27
?prosthesis would you choose
A. Cemented prosthesis
B. Screw-retained prostheses
C. Removable prostheses
D. Telescopic Prostheses
An implant replacing tooth no.11 with a 15 degree angulation. Which kind of .28
?prostheses would you choose for it
A. Cemented crown on an abutment
B. Screw-retained crown
C. Removable prostheses is only acceptable
D. Cannot do any prosthetic replacement
What is the main disadvantage of using auto-polymerizing acryl for relining a .30
?complete denture
Answer: Loss of adhesion (does not adhere to the acryl of the denture)
2014
3. When balancing the occlusion of a complete denture you had no problem in the
centric relation but you found an interference between the buccal cusps of tooth 46 in
the working side. What should you do?
A. Remove from the lower buccal cusps
B. Remove from the upper buccal cusps
C. Remove from the upper palatal cusps
D. Remove from the lower lingual cusps
4. Denture Stomatitis mostly occurs in patient who?
A. Small VDO
B. Abraded and worn-out teeth
C. Smokers
D. Alcohol drinkers
E. Sleeps with the denture at night
5. When constructing a complete denture, which movement would you ask the patient to
perform to register the effect of the pterygomandibular raphe?
A. Lateral movements
B. Maximum mouth opening
C. Closing the mouth
D. There is no need to register the pterygomandibular raphe upon constructing a
complete denture
?What is the first thing you do after taking an impression for a FPD in the lower arch .8
A. Take an impression of the upper jaw
B. Remove the excess of the impression material from between the teeth
C. Cement the crown
?How do you treat the distal saddles when constructing an RPD .11
Answer: exactly like treating a complete denture case
?What is the line connecting the ALA NASI (of the nose) to TRAGUS (of the ear) .12
Answer: Campers’ plane
2009
3. In articulator there is interference on the non-working side, in the patient mouth there
is not?
A. Problem on IC registration
B. Problem on CR registration
C. Condylar guidance angle is shallow in relation to mouth (shallow condylar
angle) - It means that the condylar guidance angle in the patients mouth is steep and in
the articulator is less steep or shallow
D. Condylar inclination steep in relation to patient mouth (steep condylar angle)
14. While examining a study model you found a wear facet on the mesio-lingual cusp of
tooth no. 36. What could be the reason?
A. Retrusive movement
B. Movement between the retruded contact position to intercuspal position
C. Working side movement
D. Latero-protrusive movements
E. A+C are correct
15. The goal from doing REMOUNT in complete denture is to solve which problems?
A. Pressure on residual ridges
B. Over extension of the denture
C. Occlusal interferences
D. Faulty esthetics
E. Faulty setting of teeth
16. The impression material used for a final impression for a lower mobile residual ridge
should be?
A. Low viscosity + high flowability
B. High viscosity + low flowability
C. Hydrophilic
D. Hydrophobic
E. There is no importance regarding the viscosity and flowability
17. The main factor for the retention of the lower complete denture is?
A. Adhesion
B. Cohesion
C. Peripheral Seal
D. Surface tension
E. Muscular control
18. An upper complete denture broke in half to 2 pieces. What is the least thing you
could do?
A. Send the denture to the technician
B. Send the patient with the denture to the technician
C. Send the technician to the patient
D. Take an impression with the denture inside the mouth and send it to the technician
E. Renew the denture
19. The choice for the size of denture teeth is best done by?
A. Face shape, age and sex of the patient
B. Shape of the residual ridge
C. The shape of teeth available on a study model before extracting them
D. A+B are correct
20. Which phenomenon is not related to “Combination Syndrome”?
A. Papillary hyperplasia
B. A resorbed pre-maxilla
C. Non balanced occlusion
D. Flaring of upper anterior teeth
E. Resorption of lower posterior two saddles
21. The use of alginate impression with a custom made tray for RPD fabrication is
allowed in which situation?
A. Kennedy class I with all the molars missing
B. Kennedy class I with one modification
C. Kennedy class III with missing bilateral premolars and one molar
D. Kennedy class IV
E. All of the answers are correct
22. The term retention in FPD is defined as the resistance to which direction?
A. Long axis of the tooth
B. Path of insertion
C. Finish line preparation
D. A+B are correct
23. The reduction of 0.5 mm of a tooth for a PFM crown would cause?
A. Thin metal and thin porcelain
B. Over-contoured crown
C. Good color matching
D. A+C are correct
E. A+B are correct
24. The edges of the crown are apical to the post and core because:
A. Increases the chance of tooth survival
B. Decreases the chance of marginal leakage to core/tooth interface
C. Decreases the chance of secondary carries
D. Decreases the chance of tooth cracks
E. All of the above are correct
27. What is true about choosing the color of the porcelain in a PFM crown?
A. High VALUE is more suitable for old patients
B. the HUE can be changed with external stains
C. Adding translucent porcelain would increase the VALUE
D. None of the above is correct
28. The SILANES are components that are used to create a bond:
A. Between filler particles and the composite matrix
B. Between amalgam and composite
C. Between porcelain and composite
D. Between 4-META and composite
E. A+C are correct
Random
In Try-In phase of porcelain (BISQUE), the crown should be seated in its place passively.
If the crown doesnt sit completely till the finish line, what is the most common cause?
A. Positive bubbles on the inner surface of the casting
B. Inadequate impression.
C. Late pouting of the impression.
D. Over-contoured proximal surfaces
P.S. BISQUE is a term that refers to the porcelain crowns before the glazing. You can try
it in the patients mouth to check the occlusion and fit and then send it to glazing.