Prosthetic Dentistry-Dent Mat Flashcards
A 62-year-old male presents to your office for the first time in several years. He has complete dentures that have been feeling loose for the last few months. Upon examination, you observe that the denture borders do not extend to cover all the supporting soft tissue. The patient is not ready for the fabrication of a new complete denture because he is comfortable with the way the teeth come together. What is the best treatment for this patient?
A. Stress that fabricating new dentures is the only treatment option
B. Rebase the denture
C. Reline the denture
D. Instruct the patient on how to use denture adhesive
B. Rebase the denture
NOTES:
REBASE- new base
RELINE- same based but modified to fit
A caliper-like device used to record the patient’s terminal hinge axis relationship.
A. Facebow
B. Labomate
C. Hanau articulator
D. Stephan articulator
A. Facebow
A combination clasp is a circumferential clasp that has a retentive arm made of wrought metal, thus making it more flexible than a similar arm constructed from cast alloy. The reciprocating arm, made of cast metal, must be rigid to counteract the forces generated by the flexible wrought metal. What part of the retentive is the most flexible?
A. The terminal half
B. The middle third
C. The terminal third
D. The shoulder hal
C. The terminal third
A dentist replaces an amalgam on tooth 14 and notices a small pulpal exposure. Which of the following best predicts success?
A. Size of the lesion
B. Isolation of the lesion
C. Use of calcium hydroxide
D. Age of the patient
B. Isolation of the lesion
A lingual plate mandibular major connector may be selected because
A. The mandibular incisors are tilted lingually
B. Mandibular tori is present
C. There is high lingual frenum
D. All of the above
D. All of the above
A patient of yours walks into your office with the following complaint, “When I smile, my upper denture does not hold.” Which area of the denture base needs to be adjusted?
A. Labial notch and labial flange
B. Buccal notch and buccal flange
C. Posterior border
D. Distobuccal flange
B. Buccal notch and buccal flange
A positive reproduction of the prepared tooth and consist of a suitable hard substance and sufficient accuracy
A. Master cast
B. Diagnostic cast
C. Die
D. Working cast
C. Die
Addition silicone (aka polyvinylsiloxane) is one of many impression materials used for crown and bridge final impressions. Addition silicone has greater dimensional stability than polyether but they also come with some disadvantages. Which of the following is NOT a disadvantage?
A. Hydrophobicity
B. Temperature sensitivity
C. Latex can interfere with setting
D. Surface detail
D. Surface detail
Alginate (irreversible hydrocolloid) is a hydrocolloid consisting of a solution of alginic acid and has a physical state that is changed by an irreversible chemical reaction forming insoluble calcium alginate. What are the methods for decreasing setting time of the alginate?
A. Increase water temperature, mix more rapidly, decrease water:powder ratio
B. Decrease water temperature, mix less rapidly, decrease water:powder ratio
C. Increase water temperature, mix less rapidly, decrease water:powder ratio
D. Decrease water temperature, mix more rapidly, increase water:powder ratio
A. Increase water temperature, mix more rapidly, decrease water:powder ratio
All new dentures should be evaluated:
A. 3 hours after installation
B. 6 hours after installation
C. 24 hours after installation
D. 48 hours after installation
C. 24 hours after installation
All of the following are advantages of infrabulge retainers as compared to suprabulge retainers EXCEPT
A. More efficient retention
B. Less tooth contact
C. Less bothersome to vestibular tissue
D. Less prone to caries
C. Less bothersome to vestibular tissue
All of the following are disadvantages to immediate denture therapy. Which one is considered the major disadvantage to immediate denture therapy?
A. increased post-insertion care
B. increased post-insertion soreness
C. not being able to have an anterior tooth try-in to evaluate esthetics
D. greater complexity of clinical procedures
C. not being able to have an anterior tooth try-in to evaluate esthetics
All of the following are indications for using a linguoplate as a mandibular major connector EXCEPT one. Which one is the exception?
A. When the lingual frenum is high or the space available for the lingual bar is limited
B. In Class I situations in which the residual ridges have undergone excessive vertical resorption
C. For stabilizing periodontally weakened teeth
D. Severe anterior crowding
D. Severe anterior crowding
All of the following statements concerning pontics are true EXCEPT one. Which one is the EXCEPTION?
A. With regard to the ease of cleaning and good tissue health; proper pontic design is more important than the choice of
material used in fabricating the pontic
B. The contour and nature of the pontic contact with the ridge is very important
C. The area of contact between the pontic and the ridge should be small
D. The portion of the pontic approximating the ridge should be as concave as possible
D. The portion of the pontic approximating the ridge should be as concave as possible
All of the following techniques can decrease the setting time for Gypsum except one. Which one of the following is the
EXCEPTION?
A. Increasing the powder to liquid ratio
B. Decreasing the rate and time of spatulation
C. Contamination of the mixture
D. Decreasing the mixing temperature
B. Decreasing the rate and time of spatulation
An edentulous patient with a diminished vertical dimension of occlusion is predisposed to suffer from which of the following
conditions?
A. Epulis fissuratum
B. Pemphigus vulgaris
C. Papillary hyperplasia
D. Angular chelosis
D. Angular chelosis
An overextended distobuccal corner of a mandibular denture will push against which muscle during function?
A. Zygomaticus
B. Orbicularis oris
C. Temporalis
D. Masseter
D. Masseter
Any dowel should not exceed _____ diameter of the root at any place
A. ¼
B. 1/3
C. ½
D. 2/3
B. 1/3
Centric occlusion is an example of a/an:
A. Tooth-to-tooth relation
B. Occlusal relation
C. Bone-to-bone relation
D. Balanced relation
A. Tooth-to-tooth relation
Centric relation is an example of a/an:
A. Tooth-to-tooth relation
B. Occlusal relation
C. Bone-to-bone relation
D. Balanced relation
C. Bone-to-bone relation
Centric relation is the maxillomandibular relationship in which the condyles are in their most
A. Superior position with the disc in its most anterior position
B. Posterior position with the disc interposed at its thickest avascular location
C. Supero-anterior position with the disc interposed at its thinnest location
D. Posterior position with the disc interposed at its thinnest avascular location
C. Supero-anterior position with the disc interposed at its thinnest location
Ceramic shade matching is an important step in achieving natural esthetics in dental tooth restoration. What is the most
important dimension of color for dental restorations?
A. Color
B. Value
C. Hue
D. Chroma
B. Value
Creep value of which of the following is the highest
A. Low copper amalgam alloy
B. Admixed alloy
C. Single composition alloy
D. High copper amalgam alloy
A. Low copper amalgam alloy
Dental impression compound is also known as
A. Irreversible material
B. Thermoplastic material
C. Hydroelastic material
D. Rubber impression material
B. Thermoplastic material
During a recall appointment, your patient states that he has finally decided to take your recommendation of extraction of his
upper posterior teeth. You discuss with him the sequence of his treatment plan that includes partial upper and lower
dentures. After extractions, root canal therapy, and periodontal therapy, you must survey and contour natural teeth and
crowns. What is the modification sequence one should follow to complete tooth preparations for final impressions?
A. Retentive contours, rests, parallel guiding planes, heights of contour
B. Parallel guiding planes, heights of contour, retentive contours, rests
C. Heights of contour, retentive contours, rest, parallel guiding planes
D. Parallel guiding planes, heights of contour, rests, retentive contours
B. Parallel guiding planes, heights of contour, retentive contours, rests
During the denture border moulding and final impression appointment, it is important to observe which support and relief
areas are for primary support in both maxilla and mandible. What are the primary denture support areas on the maxilla and
mandible?
A. Residual ridge, buccal shelf
B. Rugae, residual ridge
C. Residual ridge, residual ridge
D. Rugae, buccal shelf
A. Residual ridge, buccal shelf
Fabricating a complete denture requires many important steps from impression taking to tooth shape and shade selection.
What are the three factors for successful fit of a complete denture once it has been fabricated?
A. Stability, resiliency, and temperature
B. Stability, support, and retention
C. Retention, resiliency, and temperature
D. Support, temperature, and retention
C. Retention, resiliency, and temperature
From which of the following list of components of an RPD, which must be rigid?
A. Major connector, minor connector, and retentive clasp
B. Wrought wire clasp, rests, and minor connector
C. Minor connector, rests, and major connector
D. All of the above
C. Minor connector, rests, and major connector
How would you classify an RPD in which a portion of the functional load is carried by the residual ridge at one end of the
denture base segment while the other end of the base segment is supported by natural teeth?
A. A tooth-borne RPD
B. A bilateral distal extension RPD
C. A unilateral distal extension RPD
D. None of the above
C. A unilateral distal extension RPD
In 1 hour, you will see your first complete denture patient as a “real dentist.” In your excitement and just to keep on the safe
side, you review the proper steps for each appointment from beginning to end for the fabrication of a complete upper and
lower denture. Which of the following complete denture appointments is the longest appointment?
A. Tooth setup try-in
B. Border molding and final impressions
C. Delivery/insertion
D. 24-hour follow-up
C. Delivery/insertion
In arranging prosthetic teeth for balanced occlusion, increasing the incisal guidance will lead to what?
A. Increased compensating curve
B. Increased condylar guidance
C. Decreased height of the cusps
D. Increased plane of orientation
A. Increased compensating curve
In metal-ceramic restorations, failure or fracture usually occurs:
A. At the porcelain-metal interface
B. In the metal
C. In the porcelain
D. None of the above
C. In the porcelain
In mixing plaster, which of the following acts as a retarder?
A. Gypsum
B. Potassium sulfate (less than 12%)
C. NaCl (less than 20%)
D. Borax
D. Borax
In the definition pertaining to a complete denture, the resistance to horizontal or rotational force is
A. Retention
B. Stability
C. Support
D. None of the above
B. Stability
Inadequate rest seat preparation for a removable partial denture can cause
A. Tooth mobility
B. Ligament widening
C. Occlusal rest fracture
D. Occlusal rest distortion
C. Occlusal rest fracture
It is important to select an aesthetic tooth shape and to consider alignment features when fabricating any type of prosthesis.
Considered in treatment planning and evaluation of patients smile analysis, what is the acceptable midline deviation?
A. 1 mm
B. 2 mm
C. 3 mm
D. 4 mm
B. 2 mm
It is the unacceptable type of finish line
A. Knife edge
B. Feather edge
C. Chisel edge
D. Bevel edge
B. Feather edge
Lack of reciprocation of a removable partial denture (RPD) clasp is likely to cause
A. Tissue recession due to displacement of the RPD
B. Abutment tooth displacement during removal and insertion
C. Insufficient resistance to displacement
D. Fracture of the retentive clasp
B. Abutment tooth displacement during removal and insertion
Most designs of stress breakers will rather effectively dissipate vertical forces to terminal abutments. However, this occurs at
the expense of what supporting entity?
A. The periodontal ligament of the abutment teeth
B. The alveolar support of the abutment teeth
C. The residual ridge
D. All of the above
C. The residual ridge
Periodontal health of the gingival tissues is a major concern when planning any fixed prosthodontic treatment. For optimum
periodontal health, restoration finish lines should be:
A. Within the sulcus at least 1.0 mm and away from the free gingival margin without encroaching on the biologic width
B. Supragingival whenever possible (at least 0.5 mm from the free gingival margin) to allow for hygienic cleansing
C. Terminated at free gingival margin
D. As far as possible subgingivally into the attachment apparatus
B. Supragingival whenever possible (at least 0.5 mm from the free gingival margin) to allow for hygienic cleansing