2nd Module BDS Final year

1. You replanted an avulsed tooth #11 in 12 year old child with history of trauma for which
canal disinfection is important subsequently because of extended extra alveolar dry time and
closed apex. What should be your preferred option for intra-canal medicament here to
prevent resorption in this scenario:

A. Calcium Hyroxide
B. Triantibiotic paste
C. Ledermix
D. Formocresol
E. Halogens

2. The area between two canal orifices is known as isthmus, which is usually not well
condensed and well-sealed if you are doing the cold lateral compaction technique for
obturation. Which is the preferred technique so that isthmus get well condensed with
obturating material too?

A. Thermomechanical compaction
B. Thermochemical compaction
C. Carrier based technique
D. Continuous wave compaction
E. Thermoplastic compaction

3. A 47 year old female patient reported to you with pain on biting in #36.On dental history
she told that #36 was operated with root canal treatment 5 years back. Clinical examination
showed no obvious sign however on radiographic examination, there is overfilling across the
palatal root apex of gutta percha along with sealer. This is usually because of which error:

A. Use of too small a master cone

B. Excessive heating and compaction during warm vertical condensation
C. Destruction of natural apical constriction
D. Excessive pressure of plugger
E. Maintenance of apical patency
4. Anterior tooth #22 indicated for endodontic treatment. In start of the procedure access
cavity was made in #22 but initial file of 15k was not going straight into the canal. The
common error at access cavity level in this case can be:

A. Presence of dentin collar

B. Presence of perforation
C. Presence of labial shoulder
D. Presence of lingual shoulder
E. Presence of pulpal stones
5. In Intracanal Disinfection, various combinations of irrigant solutions are used collectively or
in combinations, However various combinations are not recommended as they will decrease
irrigant efficacy by blocking tubules, staining the tooth and may carcinogenic. One such
combination is parachloroaniline PCA which is formed by the combinations of:

A. Chlorohexidiene +EDTA
B.Chlorohexidiene+Calcium hydroxide
C.EDTA+Chlorohexidiene
D.Sodium hypochlorite+Chlorohexidiene
E.EDTA +sodium hypochlorite

6. A clinician is obturating tooth #25 with Gutta percha material as obturating material along
with sealer with cold lateral condensation. Gutta-percha is the trans-isomer of poly isoprene.
Phases of gutta percha are:

A. Unheated delta and heated alpha phase

B. Unheated beta phase and heated alpha phase
C. Unheated delta phase and heated beta phase
D. Unheated eeta phase and heated beta phase
E. Unheated aplha phase and heated beta phase

7.40 year old patient reported to Outpatient department at hospital with a complain of
lingering pain in #45.After taking the proper history of the patient and examination you
diagnosed it as irreversible pulpitis for which root canal treatment is indicated. Access cavity
was formed and working length was determined by maintaining patency. Maintaining apical
patency will:

A. Requires insertion of a file 1mm to 2mm beyond the canal terminus

B. Causes irritation of the periodontal attachment apparatus and increased postoperative pain
C. Enlarges apical terminus an increase potential for extrusion of obturating materials
D. Prevents procedural errors, such as canal blockage and transportation
E. Negotiates the file up to major apical constriction

8. During root canal treatment of mandibular first molar,coronal root perforaton occurred by
gates drill in mesiobuccal root .Canal preparation was incomplete at the time of perforation.
What would be the preferred time for repairing the defect?

A. After cleaning and shaping of canal before obturation

B. At the recall visit after obturation
C. Immediately after obturation
D. Immediately after perforation before proceeding with further preparation
E. No treatment required, it will repair itself

9. A 60 year old patient presents with previously treated mandibular premolar. The canal
system has complex anatomy with multiple canals. Which of the following obturation
techniques is most suitable for this case?

A. Warm vertical
B. Single cone
C. Cold lateral
D. Thermoplastic
E. Carrier based

10. A 25 year old female patient presented with a complaint of hypoplastic lesion involving
upper right canine. The occlusal analysis confirmed that the canine guidance was intact.
It was decided to give the patient porcelain veneer. Which of the following designs will
be most appropriate for this clinical case?

A. Butt joint incisal

B. Window preparation
C. Incisal overlapping
D. Partial veneer
E. Direct veneer

11. A 23 year old patient was prepared for veneer. On insertion appointment, it was found
out that the veneer was over contoured. This is one of the drawbacks of which type of
veneers?

A. Full veneer
B. Direct veneer
C. No prep veneer
D. Indirect veneer
E. Composite veneer
12. A dental student is asked to prepare a tooth for indirect restoration. The restoration
will involve the occlusal surface not including the cusps. This kind of restoration is
called
A. Veneer
B. Crown
C. Inlay
 D. Onlay
E. 3/ 8th partial crown

13. A 22 year old female patient presents with a complaint of missing left lateral incisor.
After discussing various treatment options, the patient opted for Maryland bridge. The
primary mechanism of retention of this kind of bridge is

A. Chemical
B. Macromechanical
C. Micromechanical
D. Clasp retained
E. Cement retained

14. A 34 year old patient presented with missing left lateral incisor. The left central incisor
and canine have proximal caries. What is the restoration of choice in the above
scenario?
A. Removable partial denture
B. Maryland bridge
C. Rochette bridge
D. Fixed partial denture
E. Mesial cantilever

15. A 43 year old patient was given porcelain fused to metal crown on upper right central
incisor. The patient complains after two days that the restoration appears very bright.
Which of the following dimensions of color is increased?

A. Hue
B. Chroma
C. Value
D. Fluorescence
E. Opalescence

16. A clinician is preparing subgingival margins for porcelain fused to metal crown for upper
right central incisor. He places gingival retraction cord during preparing and before
impression making. This means of retraction is

A. Chemical
B. Surgical
C. Mechanical
 D. Electrical
E. Micromechanical

17. The major drawback related to apexification is:

A. Causes changes in the natural colour and translucency of tooth

B. Brings about changes in the natural microarchitecture of the root
C. Does not preserve vital tissue in the apical part of the root canal
D. Causes root end closure but does not cause further root development
E. Does not reliably ensure the formation of hard tissue barrier

18. Regenerative endodontics is creating new horizons in the field of dentistry. The most
likely proposed potential outcomes of pulpal regeneration in an immature permanent
tooth are?

A. Continued increase in root length only

B. Continued increase in the width of the root only
C. Provision of a reliable artificial hard tissue apical barrier along with continued root
development
D. Root end closure along with continued increase in root length and width and possible
return of vitality of the tooth
E. Root end closure only without any further increase in the width and length of the root

19. An eight years old child was presented to your clinic with the history of fall two days
back. On clinical examination you noticed that the upper left central incisor has
undergone complicated crown fracture. In emergency phase, the vital pulp therapy of
choice would be?

A. Direct pulp capping

B. Indirect pulp capping
C. Partial pulpotomy
D. Full coronal pulpotomy
E. Pulpectomy

20. Which of the following is a contraindication of pulpotomy procedure in a primary tooth?

A. History of spontaneous toothache

B. Inflammation confined to the coronal pulp
C. Inflammation extending beyond two thirds of the coronal pulp
D. Carious exposure of the coronal pulp
 E. Traumatic exposure after first 24 hours

21. A nine year old child presented to your OPD with history of fall two hours back. His
parents had a broken fragment of his upper left central incisor with them. On clinical
examination you diagnose that the tooth had undergone enamel dentin fracture. What
will be your emergency management?

A. Immediate reattachment of fragment

B. Immediate buildup of the tooth with composite resin using celluloid crown former
C. Immediate dentin seal with composite resin or compomer bandage
D. Direct pulp capping
E. Cvek pulpotomy followed by reattachment of the fragment

22. A nine years old child was presented to your clinic with the history of fall. On clinical
examination you noticed that this upper right central incisor had displaced about 3 mm
into the socket and appeared shorter than the adjacent tooth. What will be your
management of choice for this patient?

A. Immediate pulp therapy to preserve the vitality

B. Disimpaction with forceps followed by splinting
C. Surgical repositioning under local anaesthesia
D. Treat conservatively and wait for spontaneous re-eruption
E. Vital pulp therapy followed by orthodontic repositioning

23. The type of traumatic injury to the periodontal supporting tissues that results in
abnormal loosening of the tooth but no displacement is called?

A. Intrusion
B. Concussion
C. Avulsion
D. Subluxation
E. Extrusion

24. A three years old child was presented to your clinic with a recent history of fall. The child
was otherwise well but during intraoral examination you noticed that his upper left
central incisor had been partially displaced out of the socket and exhibited marked
mobility. What would be your treatment of choice?

A. Extraction of the tooth

B. Conservative treatment only
 C. Respositioning manually
D. Repoisitioning and splinting
E. No treatment

25. A four years old child who had recently fallen off his bicycle was presented for his dental
evaluation to your clinic. During evaluation of his dentition you noticed that the crown of
one of his upper incisors has been displaced palatally compared to the adjacent tooth.
How would you manage this tooth?

A. Immediate repositioning
B. Repositioning and splinting
C. Extraction to prevent damage to the permanent tooth bud
D. No treatment and wait for spontaneous realignment
E. Specialist referral

26. Splints are used to immobilize the teeth following injuries to the periodontal supporting
tissues. The recommended duration of splinting after lateral luxation injuries is?

A. 2 weeks
B. 2 months
C. 4 weeks
D. 4 months
E. 2-4 months
27. Configuration factor (C Factor) is the ratio between the number of bonded surfaces and
the number of unbonded surfaces of a composite restoration. When C Factor is
calculated for an occlusal class I composite restoration it comes out to be:
A. 3
B. 4
C. 5
D. 6
E. 7

28. . You have prepared a tooth to be restored with composite. You are using dry dentin
bonding technique. Which compound are you likely to use?

A. Acetone based primers

B. Water based primers
C. Self-etch primers
D. Self-etch adhesives
E. 4 META

29. Phosphoric acid is used for etching of enamel for bonding composite restorations. What
is the recommended concentration used?
A. 70-80%
B. 60-70%
C. 50-60%
D. 30-40%
E. 10-20%

30. Which of the following causes delayed expansion / secondary expansion of dental
amalgam?
A. Silver
B. Tin
C. Mercury
D. Zinc
E. Copper

31. Pinhole should not be positioned very close to vertical wall of prepared cavity for
complex amalgam restorations because
A. It can cause dentinal chipping
B. It will not give sufficient retention
C. Condensation of amalgam filling will be difficult
D. Resistance form will be compromised
E. pulpal perforation can occur

32. A dentist completes a vital bleaching procedure and indicates the composite fillings to be done
after 2 weeks this is due to
A. Fear of external cervical resorption
B. Reoccurrence of surface stains
C. Interference with bonding
D. Severe sensitivity
E. Chance of irreversible pulpitis
33. Composite materials set by exposure to a curing light. What is the depth of material that the light
can penetrate to achieve its adequate setting?
A. 0.5mm
B. 1mm
C. 1.5mm
D. 2mm
E. 3 mm

34. Primary indication for esthetic area where high luster is required, such a class V restorations,
which type of composite is required?

A. Micro Filled
B. Hybrid
C. Mega Hybrid
D. Conventional
E. Macrofilled

35. When phosphoric acid is applied to cut dentin for bonding purposes it causes:
A. Chemical alteration of dentin Surface.
B. Chemical alteration of collagen
C. Smear layer formation
D. Hybridized layer formation.
E. The dentin to become hydrophobic

36. The high filler content of hybrid resin composite improves:

A. resistance to Internal Discoloration
B. resistance to External Discoloration
C. flowability
D. resistance to wear
E. polishability

37. In pin-retained amalgam restorations, which property significantly decreases

A. Compressive strength
B. Retention
C. Tensile strength
D. flexure strength
E.Compressive strain

38. A disadvantage of heavy tooth reduction is associated with which type of indirect restorations?

A. Ceramic inlays
 B. Ceramic onlays
C. Composite onlays
D. Full metal crowns
E. Metal ceramic crowns

39. Shade selection for anterior tooth should be done:

A. After air drying the tooth
B. Before prolonged drying
C. After rubber dam application
D. After applying bonding agent
E. After restorative material increment placement

40. When etched dentine is dried using an air syringe, bond strength decreases substantially for:
A. Acetone based adhesive system
B. Water based adhesive system
C. Ethanol based adhesive system
D. Ethanol and acetone based adhesive system
E. Aldehyde based dentin adhesive system