Saw \ 2002 Name. Typodont #_23 The first segment of this course began with the articulator mounting of diagnostic casts of your patient, Mr. Smith (the typedont). This is a simulated exercise. In real-life situations, diagnostic casts of a patient are mounted onto an articulator using a facebow transfer and an interocclusal record. itis a difficult task to accurately reference and simulate the three- dimensional positions of the human jaws. 1. When occlusal adjustment is included in a patient's treatment plan, adjusting mounted diagnostic casts: A. Helps to determine if the basic objectives can be met prior to treatment of the patient. B. Makes occlusal relationships more easily visualized. C. Allows the dentist to assess the amount and areas of tooth reduction prior to treatment of the patient. D. Provides a means for the dentist to evatuate unusual tooth _. relationships so adjustments can be planned in advance. All of the above. In the laboratory equilibration of the mounted casts, the mandibular stone cast was related to the maxillary cast by "hand-articulation". That is, the mandibular cast was stabilized to the maxillary cast with the teeth in maximum intercuspation (the maximum intercuspation position). Even with this method of relating the two casts, you found that there was still the need to adjust the teeth to acquire more ideal occlusal contacts. 2. As a result of the cast equilibration exercise, the original vertical dimension of the maximum intercuspation position (MIP) was: A. Increased greatly. A sWanth ‘ot deentemed, B. Increased slightly. C. Unchanged. D. Increased in some areas and decreased in others. © None of the above.Name. Typodont #_2 Exam 1 DENT 5902 February 20, 2002 Page 2 The technique of "Selective Grinding" during equilibration refers to the irreversible removal of tooth structure in an effort to acquire centric contacts that direct occlusal forces parallel to the long axis of the contacting teeth (axial loading). “Cusp Repositioning": -A. Refers to the process of moving centric contact points off inclined planes and toward desired fossa/marginal ridges. -B. Is accomplished by selectively grinding away tooth structure from cuspai slopes. C. Is always accompanied by a change in the original centric relation vertical dimension of occlusion. . A and B only. A, B, and C. The direction of the path of the mesial buccal cusp of tooth #30 in the horizontal plane as the mandible is moving into left working is best described as being: (helpful hint - draw a diagram) A. Posterior and buccal. B. Anterior and buccal. Anterior and lingual. Posterior and lingual. . Posterior only. The Nonworking Side (Balancing Side) is defined as the side of the mandible: @: Moving toward the median line in lateral excursion. B. Moving away from the medial line in lateral excursion. C. Toward which the mandible is moving in lateral excursion. O. AandC. E. Bandc.Name. Typodont # Exam 1 DENT 5902 February 20, 2002 Page 3 6. The term "Centric Relation" describes a positional relationship of the mandible relative to the maxilla. From the definition: A. Amandible in centric relation is restricted to a purely rotary movement about the transverse horizontal axis. XK The centric relation position is dependent upon tooth contacts. C. The centric relation position is independent of tooth contacts. Aand B. AandC. - The sequence of steps in selective grinding to acquire an equilibrated occlusion begins with the establishment of as many ideal centric contacts as is possible without mutilating the dentition. Once these centric contacts are achieved, the following steps in the sequence are involved with lateral and protrusive excursive contacts. For a canine-protected occlusion, a desired objective is to maintain the established centric contacts - wherever possible - while eliminating the excursive contacts. 7. For acanine-protected occlusion: A Posterior working side contacts can be eliminated by cutting working grooves on the lingual slopes of maxillary.buccal cusps. Posterior nonworking side contacts can be eliminated by cutting nonworking grooves in the disto-buccal direction on the lingual .. Slopes of mandibular buccal cusps. & Interrupted protrusive marks (marks from articulating ribbon) on the lingual surfaces of the maxillary incisors would most likely be caused by posterior contacts (interferences) during protrusive movement, PB. A and B. ‘A, B, and C.Name Typodont# Exam 1 DENT 5902 February 20, 2002 Page 4 8. According to the Shillingburg text, 4} One of the most probable violations of the preservation principle is =,» telated to the ease and convenience of the restoration design. (BY Preservation requires designing the restoration so that it will reinforce and protect the remaining enamel and dentin. Excessive removal of tooth structure can result in an unnecessary sacrifice of retention and resistance. Band Cc. , B, and C. Fram Shillingburg, "The geometric form of the preparation is perhaps the most important of the factors under the operator's control which determine whether or not a restoration will remain cemented to its preparation." 9. — According to Shillingburg, the geometric form: 's responsible for the physical property of cement having its greatest strength under compression. B.._ Determines the orientation of the tooth-restoration interfaces to the direction of forces encountered. ® Is unrelated to whether the cement in a given area will be subjected to tension, shear, or compression. 's not a factor in retaining the restoration when a resin-bonding technique is employed. E. Non of the above. Aa. Resistance form is described as: . The geometric shape of the prepared tooth that maximizes the nsile stress transmitted to the permanent luting agent. |The geometric shape of the prepared tooth that maximizes the the prevention of dislodgement of the restoration by forces directed in an apical direction. Being inversely related to preparation length. 8 “BD Aandc. 3K None of the above,Name. Typodont # Exam 1 DENT 5902 February 20, 2002 Page 5 11. The path of insertion and removal of a cast restoration is dependent upon: A. The type of luting agent (provisional versus permanent). “By. The shape of the opposing tooth contact areas. “G. The number of opposing occtusal contacts. D. The angle that the cutting surface of the burr makes with the long axis of the burr shaft. & None of the above. 12. The amount of resistance area provided by the geometric tooth preparation is: -*%. Directly related to the degree of taper (as the degree of taper increases, the resisting area increases). B. Is greater for the wider of two preparations of equal height and taper. 6 Can be greatly enhanced on a wide, short tooth by the addition of grooves D. Reduced proportionately as the diameter of a preparation of constant height and taper is reduced. E. Increased or decreased depending upon the mechanical advantage produced through the factor of leverage. : 13 Which of the following statements - if any - are correct pertaining to the type of stress subjected upon the cement film by occlusal forces transmitted through the full crown restoration: -*% Primarily tensile occurs when one plane of material is forced to slide by another plane.- ss Primarily compression occurs when the direction of the resultant force is apically orientated and paralle| to the path of insertion. C. Primarily shear occurs when the force is directed along a path perpendicular to the interface. . All of the above. g None of the above.Name. Typodont # Exam 1 DENT 5902 February 20, 2002 Page 6 Acompromise the restorative dentist must accept is that healthy tooth structure may have to be cut away in order to fabricate a restoration that is sufficiently strong enough to endure the forcas of occlusion. 14. The functional cusp bevel is a feature of occlusal reduction related strictly to: A. Maxillary buccal cusps. B. Mandibuiar lingual cusps. Centric cusps. D. Maxillary lingual cusps. E. Mandibular buccal cusps. 15. An over-prepared, flat occlusal surface preparation for a full crown on a posterior tooth wil! most likely result in: “A. Gingival inflammation. . Poor esthetics. Short axial walls. “B.. Plaque retention. > All of the above. From the Shillingburg text, there are three requirements for successful restoration margins: One - they must fit as closely as possible against the finish line of the preparation to minimize the width of the exposed cement. Two - they must have sufficient strength to withstand the forces of mastication. 16. According to the third tequirement, which of the following statements. concerning the location of a crown margin is correct: cs All crown margins are located SUPRAgingivally. . The entire finish line should be subgingival even if there is only a partial area of subgingival caries. . All crown margins are located SUBgingivally. . All crown-margins are located where the patient can see them. . None of the above mooName. Typodont #. Exam 1 DENT 5902 February 20, 2002 Page 7 Consider the All-Ceramic crown preparation for questions 17 through 20. 17. The main reason to consider an all-ceramic restoration is: 18. ‘A, The superior physical strength of the restorative material. . The exceptional ability of the material to adapt to the preparation finish line. ‘G. The conservative requirements of the preparation dimensions. D, All the above. {E> None of the above. Excessive reduction of the lingual concavity of a maxillary incisor for an all-ceramic restoration Would most likely result in: A. An over-contoured but durable restoration. B. A properly contoured but weak restoration. &. A poor esthetic result. A loss of resistance form due to an over-shortened lingual axial wall. E. An over-contoured restoration that causes gingival inflammation. : 19. A shoulder with a flat floor of uniform depth around the entire finish t line is desirable because: A. It atlows for the optimum esthetic value. ‘B. A shoulder is more compatible with the gingival tissue. © The flat floor will best resist forces transmitted from incisal functional contacts. . A shoulder is less likely to cause pulpal inflammation. Maxillary anteriors, especially central incisors, have sufficient bulk of structure to allow for the necessary reduction required by a shoulder.Name. Typodont # Exam 1 DENT 5902 February 20, 2002 Page 8 From the Shillingburg text: "More than any other restoration, the porcelain jacket crown depends for its very survival on the tooth preparation beneath. 20. According to the Shillingburg with reference to the previous statement, which of the following is true: “A, The overall taper of 6° is more critical for fracture resistance of the restoration than is the position of the labiat break. & The location of the finish line is more critical for the fracture resistance of the restoration than is the position of the fabial break. ‘@, Tooth support is more critical for the fracture resistance of the restoration than is the bulk of porcelain. b The height of the incisal two-thirds of the facial axial wall is more critical for resistance form than is the height of the lingual axial wall. KR None of the above.