1. Of the following most difficult impaction to extract isA.

Mesioangular

B. Vertical
C. Distoangular
D. Horizontal
Ans. C

Distoangular impactions (mandibular molars) require more bone removal and may
weaken the ramus and more prone for fracture.

2. Which of the following impactions of mandibular molats are easy to extract

A. Mesioangular
B. Vertical
C. Distoangular
D. Horizontal

Ans. A
Mesioangular is the most common and least difficult of all impactions

3. According to Pell & Gregory classification , if occlusal plane of impacted tooth

is between occlusal plane and cervical line of 2nd molar, type of impaction is of

A. Class A
B. Class B
C. Class C
D. Class D
Ans. B

4. Bulls eye type of appearance in IOPA is seen in

A. Lingually placed mandibular III molar

B. Buccaly placed mandibular III molar
C. Inverted mandibular III molar
D. Disto angular impaction

Ans. A

5. An approach to an impacted mandibular molar is achieved by

A. Envelop flap
B. Bayonet flap
C. L shaped flap
D. All of the above
Ans. D

All these flaps are muco periosteal flaps. They have a posterior and an anterior limb
without an intermediate limb. Wards incision is the other nane for the L shaped incision,
which is most commonly practiced for removal of impacted teeth.

6. During extraction of lower impacted right molar bone is removed

A. To expose maximum dimension of tooth

B. Upto CE junction
C. Upto furcation area
D. Upto half of roots
Ans. A
2 ways of bone removal:

A) High speed handpiece & bur

B) Chisel and mallet technique
technique

* psychologically acceptable by the * less acceptable by the patient

patient * The jaw bone should be immobilized to
* continous irrigation should be done prevent fracture
with coolant to reduce necrosis of bone * less bone necrosis
* post operative swelling is more * less postoperative pain and swelling

7. The complications of using aerotor at 30,000 rpm for impacted molar is

A. Necrosis of bone
B. Tissue laceration
C. Tissue necrosis
D. Emphysema

Ans. D
Bone removal with aeroter is usually contra indicated because of the danger of
developing emphysema. Drying the root canal with air syringe is also contraindicated for
the same reason.

8. Extraction of disto angular impaction of mandibular 3rd molar can cause

A. Slippage in lingual pouch
B. Fracture of ramus of mandible
C. Excessive haemorrhage
D. Dry socket

Ans. B
Distoangular impaction is difficult to remove beacause of its pathway of delivery into
ascending ramus. Large amount of bone removal is required, which makes the ramus
weak and more prone to fracture.

9. The advantage of lingual split technique for extraction of mandibular third

molar impacted teeth is/are

A. Bone loss is minimal

B. Easy and quick method
C. Tissue trauma is minimal
D. All of the above

Ans. D
Usually buccal bone is removed during extraction of the mandibular 3rd molar. Lingual
split technique was given by sir William Kelsey Fry. Kelsey Fry described the tooth
division technique for removal of horizontal impaction to avpid excess bone removal.

10. Contributing factor to pericoronitis of an impacted mandibular third molar is

A. Trauma by opposing tooth

B. Previous radiation therapy
C. Systemic disease
D. Infected follicular cyst

Ans. A
Operculum covering the partially erupted third molar may be traumatized during normal
bite by opposing teeth