Restorative

Question 1

Q1 A middle-aged gentleman attended your surgery with the metal ceramic crown from his upper right central incisor in his hand. He has no pain. You notice that the dentine core has fractured off inside the crown. There is no history of previous root canal therapy

1. What four features of the remaining tooth tissue of the central incisor might indicate whether it can be successfully restored or not? (4 marks)

Question 2

Q1 A middle-aged gentleman attended your surgery with the metal ceramic crown from his upper right central incisor in his hand. He has no pain. You notice that the dentine core has fractured off inside the crown. There is no history of previous root canal therapy

2. The tooth is restorable; list and briefly describe 3 ways in which the space can be restored in the short term (6 marks)

Question 3

Q2 A 27-year-old male with congenitally absent maxillary lateral incisors attends your practice. He has been wearing an upper acrylic denture to replace his missing teeth for the past 10-years and now wishes to discuss alternative treatment options.
After discussion with the patient, you decide to restore the spaces with bridgework. (pic on word)

1. Which type of bridgework design would be most suitable for this care?

Question 4

A 27-year-old male with congenitally absent maxillary lateral incisors attends your practice. He has been wearing an upper acrylic denture to replace his missing teeth for the past 10-years and now wishes to discuss alternative treatment options.
After discussion with the patient, you decide to restore the spaces with bridgework.

2. which teeth would you choose as abutments

Question 5

A 27-year-old male with congenitally absent maxillary lateral incisors attends your practice. He has been wearing an upper acrylic denture to replace his missing teeth for the past 10-years and now wishes to discuss alternative treatment options.
After discussion with the patient, you decide to restore the spaces with bridgework.

3. List what clinical records you would obtain from the patient to allow the dental technician to accurately manufacture the bridgework (4 marks)

Question 6

A 27-year-old male with congenitally absent maxillary lateral incisors attends your practice. He has been wearing an upper acrylic denture to replace his missing teeth for the past 10-years and now wishes to discuss alternative treatment options.
After discussion with the patient, you decide to restore the spaces with bridgework.

4. Other than bridgework, what alternative tooth replacement options could be available to this patient (2 marks)

Question 7

Q3 A 43-year-old man attends your surgery with severe toothache. He admits that he is not a regular attender and knows he has neglected his teeth. Clinical examination reveals many broken restorations and carious cavities. The pain is associated with his lower left second molar (37) which is tender to percussion. (pic on word)

1. Specify three questions you would ask this patient that may lead you to a diagnosis of the cause of the pain from tooth 37 (3 marks)

Question 8

Q3 A 43-year-old man attends your surgery with severe toothache. He admits that he is not a regular attender and knows he has neglected his teeth. Clinical examination reveals many broken restorations and carious cavities. The pain is associated with his lower left second molar (37) which is tender to percussion.

2. From the photograph and radiograph above, list three findings that are relevant to the patient’s symptoms from tooth 37 (3 marks)

Question 9

Q3 A 43-year-old man attends your surgery with severe toothache. He admits that he is not a regular attender and knows he has neglected his teeth. Clinical examination reveals many broken restorations and carious cavities. The pain is associated with his lower left second molar (37) which is tender to percussion.

3. what is the periapical diagnosis? (2 marks)

Question 10

Q3 A 43-year-old man attends your surgery with severe toothache. He admits that he is not a regular attender and knows he has neglected his teeth. Clinical examination reveals many broken restorations and carious cavities. The pain is associated with his lower left second molar (37) which is tender to percussion.

4. Which immediate pain relief treatment options will you offer your patient on completion of assessment of 37

Question 11

Q4 A patient attends with a fractured 26 MOD amalgam which has also been root treated

1. what restorative options are available for this tooth

Question 12

Q4 A patient attends with a fractured 26 MOD amalgam which has also been root treated

2. The GP has been exposed for 6 months - what is your new treatment plan and why

Question 13

Q4 A patient attends with a fractured 26 MOD amalgam which has also been root treated

3. what are the features of a Nayyar core

Question 14

Q4 A patient attends with a fractured 26 MOD amalgam which has also been root treated

4. Name 2 restorative materials in dentistry that can bond amalgam to tooth

Question 15

Q4 A patient attends with a fractured 26 MOD amalgam which has also been root treated

5. which bond strength is stronger - amalgam or composite

Question 16

Q5 A 33-year-old patient presents with a discoloured upper left central incisor tooth. The patient has no caries or restorations of any kind in any teeth and is fit and healthy. The discolouration first noticed two years ago, has been getting steadily worse. There are no symptoms, and the patient is concerned with the appearance. He recalls a blow to the tooth when playing sport a few years previously.

1. Indicate how you might determine the aetiology of the discolouration (3 marks)

Question 17

A 33-year-old patient presents with a discoloured upper left central incisor tooth. The patient has no caries or restorations of any kind in any teeth and is fit and healthy. The discolouration first noticed two years ago, has been getting steadily worse. There are no symptoms, and the patient is concerned with the appearance. He recalls a blow to the tooth when playing sport a few years previously.

2. state three sequelae of dental trauma that may influence your treatment planning for this tooth (3 marks)

Question 18

A 33-year-old patient presents with a discoloured upper left central incisor tooth. The patient has no caries or restorations of any kind in any teeth and is fit and healthy. The discolouration first noticed two years ago, has been getting steadily worse. There are no symptoms, and the patient is concerned with the appearance. He recalls a blow to the tooth when playing sport a few years previously.

3. List and describe two restorative procedures you may carry out to improve the aesthetics of this tooth (4 marks)

Question 19

Q6 A patient has the following missing teeth: 38, 37, 36, 35, 45 and 46. You decide to provide a definitive removable partial denture. The patient has a well maintained mouth with no active disease and you can assume has suitable survey lines.

1. What supporting components would you use? List the type, tooth (FDI and surface (3 marks)

Question 20

Q6 A patient has the following missing teeth: 38, 37, 36, 35, 45 and 46. You decide to provide a definitive removable partial denture. The patient has a well maintained mouth with no active disease and you can assume has suitable survey lines.

2. List the retentive components that you would use. Indicate component name, what tooth (FDI) and position if appropriate (3 marks)

Question 21

Q6 A patient has the following missing teeth: 38, 37, 36, 35, 45 and 46. You decide to provide a definitive removable partial denture. The patient has a well maintained mouth with no active disease and you can assume has suitable survey lines.

3. Name the major connector(s) and state the reasons for your choice including the choice of material (3 marks)

Question 22

Q6 A patient has the following missing teeth: 38, 37, 36, 35, 45 and 46. You decide to provide a definitive removable partial denture. The patient has a well maintained mouth with no active disease and you can assume has suitable survey lines.

4. What feature of your design would provide indirect retention (1 mark)

Question 23

Q7 what is the shortened dental arch

Question 24

Q7 why is the SDA considered acceptable

Question 25

Q7 what are the indications for shortened dental arch

Question 26

Q7 what are the contraindications for shortened dental arch

Question 27

Q7 how may the shortened dental arch be extended

Question 28

Q8 complete denture

1. The illustration (see word) is of an upper edentulous ridge. Please identify the anatomical landmarks indicated (3 marks)

Question 29

Q8 complete denture

2. In terms of complete dentures, what is meant by the following terms
   a) stability
   b) retention

Question 30

Q8 complete dentures

3. how do you achieve adequate retention in a conventional complete upper denture? (3 marks)

Question 31

Q9 (see word for pic) A fit and healthy 75 year old male presented to his dentist requesting new dentures. His current 20 year old set which had been tolerated well, had become progressively loose and were showing signs of wear over the previous 18 months. He was made replacement complete dentures which he is unable to tolerate. The 20 year old dentures are pictured on the left of each picture and the new on the right

1. Name three features that are grossly different in the new dentures (3 marks)

Question 32

Q9 (see word for pic) A fit and healthy 75 year old male presented to his dentist requesting new dentures. His current 20 year old set which had been tolerated well, had become progressively loose and were showing signs of wear over the previous 18 months. He was made replacement complete dentures which he is unable to tolerate. The 20 year old dentures are pictured on the left of each picture and the new on the right

2. Which denture construction technique would have been more appropriate to give this patient a replacement denture he can tolerate? (1 mark)

Question 33

Q9 (see word for pic) A fit and healthy 75 year old male presented to his dentist requesting new dentures. His current 20 year old set which had been tolerated well, had become progressively loose and were showing signs of wear over the previous 18 months. He was made replacement complete dentures which he is unable to tolerate. The 20 year old dentures are pictured on the left of each picture and the new on the right

3. What is the name of the feature denoted by ‘A’ in the complete upper denture above? (1 mark)

Question 34

Q9 (see word for pic) A fit and healthy 75 year old male presented to his dentist requesting new dentures. His current 20 year old set which had been tolerated well, had become progressively loose and were showing signs of wear over the previous 18 months. He was made replacement complete dentures which he is unable to tolerate. The 20 year old dentures are pictured on the left of each picture and the new on the right

4. Other than replacement dentures, state two other treatment methods which can be used by a dentist to improve retention and stability in a loose complete denture in an edentulous patient (2 marks)

Question 35

Q9 (see word for pic) A fit and healthy 75 year old male presented to his dentist requesting new dentures. His current 20 year old set which had been tolerated well, had become progressively loose and were showing signs of wear over the previous 18 months. He was made replacement complete dentures which he is unable to tolerate. The 20 year old dentures are pictured on the left of each picture and the new on the right

5. Describe briefly three important features of complete dentures that you would check during the try in stage of complete dentures (3 marks)

Question 36

Q10 A 53 year old female patient requests new complete dentures. She has worn her present set for 15 years and they are now becoming loose. Her medical history is clear. The photograph shows her upper arch with dentures removed. The palatal denture-bearing mucosa is red (see word for pic)

1. Which organism is most likely to have proliferated in the denture bearing area (1 mark)

Question 37

Q10 A 53 year old female patient requests new complete dentures. She has worn her present set for 15 years and they are now becoming loose. Her medical history is clear. The photograph shows her upper arch with dentures removed. The palatal denture-bearing mucosa is red (see word for pic)

2. Name the three most likely contributing local factors to this infection (3 marks)

Question 38

Q10 A 53 year old female patient requests new complete dentures. She has worn her present set for 15 years and they are now becoming loose. Her medical history is clear. The photograph shows her upper arch with dentures removed. The palatal denture-bearing mucosa is red (see word for pic)

3. List four interventions which would form an appropriate treatment plan (4 marks)