Sinai University Final exam.

PRS 412
Faculty of Dentistry
Removable Prosthodontics Department 9 \ 6 \ 2014

Student’s Name: ‫ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ‬

Student’s ID: ………………………………………………………….....
I) For each of the following MCQs select the one most appropriate (20 Degree)
1. The advantage of tooth supported over denture are
a) Preservation of proprioceptive response.
b) Preservation of alveolar hone.
c) Patients are most appreciative of this treatment.
d) All of the above.
e) a & b
2. The disadvantage of the tooth supported over denture are.
a) Caries susceptibility.
b) Encroachment of the interocclusal distance.
c) Bony undercuts.
d) All of the above.
e) a & c.
3. Indication of the over denture tooth supported are
a) Cases having few remaining teeth.
b) Mobile tooth up to grade III mobility.
c) Patients presenting with congenital defects as cleft palate.
d) All of the above.
e) a & c
4. Combination Syndrome is the characteristic features that occur when an completely
edentulous
a) Mandibule opposed by natural maxillary anterior teeth.
b) Maxilla opposed by natural mandibular posterior teeth.
c) Mandibule opposed by natural maxillary posterior teeth.
d) Maxilla opposed by natural mandibular anterior teeth.
e) None of the above
5. Contraindications of over denture tooth supported are
a) In cases with poor oral hygiene.
b) Inadequate interarch distance.
c) Abutments exhibiting mobility, which exceeds grade II.
d) All of the above
e) a & b

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

6. Magnets attachment for implant supported over denture provides

a) Less resistance to vertical dislodging force.
b) Greet resistance to lateral force
c) Easily moved in horizontal direction
d) More lateral force is transmitted to the implant.
e) All of the above.
7. In the socketed type of immediate denture the cast is excavated to approximately 1
mm on
a) The lingual side and flash with the gingival margin on the labial side.
b) The same depth at lingual and labial.
c) The labial side and flash with the gingival margin on the lingual side.
d) None of the above.
8. Immediate denture is a denture which is.
a) Entirely constructed after the extraction of the teeth.
b) Inserted immediately after the extraction.
c) Cannot be evaluate its esthetics until the insertion appointment.
d) All of the above
e) b & c
9. The advantages of the immediate denture are
a) Healing period is faster and less painful.
b) Centric relation is easier to record.
c) Prevent the change in the tongue size
d) All of the above
e) b & c
10. In the gum fitted type of immediate denture the cast is excavated
a) The lingual side and labial side are flash with the gingival margin.
b) The side lingual at depth 1mm and labial side flash with the gingival margin
c) The labial side at depth 1mm and lingual side flash with the gingival margin.
d) None of the above
11. In case of upper single denture opposing severely tilted lower first molars and
modification is not possible. The first choice to overcome the occlusal disharmonies is
a) Selective grinding
b) Cast gold crowns, onlays, or a fixed bridge
c) Orthodontic repositioning
d) Root canal treatment and over denture is indicated.
e) Extraction is necessary

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

12. One situation with single dentures should be avoided.

a) Single mandibular denture made to occlude against natural maxillary teeth,
b) Single mandibular denture made to occlude against partially edentulous maxillary arch
c) Single maxillary denture made to occlude against natural mandibular teeth,
d) a & b
e) a & c
13. The usual cause of clicking of posterior teeth when a patient speaks is
a) Decreased vertical dimension of occlusion
b) Increased vertical dimension of occlusion.
c) Posterior teeth set too far lingually.
d) Posterior teeth set too far facially.
e) All of the above
14. To obtain maximum stability of a lower denture, the occlusal plane of the lower teeth
should be slightly
a) below the bulk of the tongue
b) Above the bulk of the tongue
c) At the mid distance of inter arch space.
d) None of the above.
15. The causes of tongue crumbing are all the following except
a) Posterior teeth set inside the ridge.
b) Molar teeth which are too broad bucco-lingually.
c) Decreased the Freeway space
d) Inwards setting of molar teeth.
16. Each of the following factors postively influences complete denture stability except.
a) Excessive interach space.
b) V-Shaped palatal vault.
c) Even occlusal contact.
d) Well-formed residual ridges.
17. A patient with a history of repeated denture fracture may have.
a) Rapid rate of residual ridge resorption.
b) Large broad frenal attachment.
c) V-shaped palatal vault.
d) a & b.
e) a & c.

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

18. In edentulous patient with bilateral enlarged tuberosities it is advisable to:

a) Surgically reduce both tuberosities:
b) Blockout both undercuts.
c) Blockout one and use the other as an aid for retention.
d) a & b.
e) a & c.
19. Treatment of pain from V-Shaped ridge In the upper denture is by
a) Alveoloplasty followed by relining the denture
b) Relief over the crest of the alveolus.
c) Selective grinding
d) a & b
e) a & c
20. The cause of difficulty in swallowing may be due to
a) Extension of the upper denture on the soft palate
b) Excessive pressure in the rugae area,
c) Distally overextension in the lower denture in the lingual pouch.
d) All of the above.
e) a & c
21. Patient's complain inability to eat anything is mainly confined to:
a) patients who are wearing complete dentures for the first time
b) Flattening of the cusps of the posterior teeth.
c) The use of cuspless posterior teeth.
d) Overclosure.
22. Inability to eat meat may be due to:
a) The use of cuspless posterior teeth.
b) Overclosure.
c) Inexperience.
d) All of the above.
e) a & b
23. Costen's syndrome may result from
a) Reduced vertical dimension.
b) High vertical dimension
c) V-shaped palatal vault.
d) All of the above
e) a & c

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

24. Nausea or gagging is commonly caused by

a) Dentures slightly overextended.
b) Dentures underextended.
c) Thick posterior border
d) All of the above
e) a & c
25. Lisping on pronouncing the consonants S, may result from
a) The anterior part of the upper denture, covering the hard palate, is thick.
b) The anterior teeth are placed too far back.
c) The anterior part of the upper denture, covering the hard palate, is narrow.
d) a & b
e) a & c
26. In V-shaped palate, which of the following is diminished.
a) Retention by adhesion.
b) Stability of the denture
c) Support of the denture
d) All of the above
27. Reasons for relining and rebasing:
a) Immediate dentures at three to six months after construction.
b) When the residual alveolar ridges have resorbed
c) When abused soft tissues are present.
d) All of the above
e) a & b
28. Indication for duplication of complete denture
a) Elderly patients.
b) Spare denture.
c) Research reasons.
d) All of the above
e) b & c
29. Reason for the difficulty in case of V-Shaped palate are
a) Retention by adhesion is diminished.
b) Acrylic denture bases tend to warp during curing
c) Stability of the denture is diminished
d) All of the above.
e) a & b

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

30. Whistling on pronouncing the consonants S, may result from

a) The dental arch is too narrow.
b) The anterior teeth are placed too far posteriorly.
c) Cramped tongue.
d) a & b
e) a & c
31. Treatment case of V-shaped palate is
a) A cast metal plate.
b) Vestibuloplasty.
c) Careful blocking out of the V-Shape area on the model
d) All of the above.
e) a & c
32. Reason for the difficulty of case of flat lower ridge is
a) No resistance to lateral movement of the denture
b) Retention by adhesion is diminished.
c) Acrylic denture bases tend to warp during curing
d) All of the above.
e) a & b
33. In flat ridge cases; the most suitable impression material for taken final impression is
a) Rubber base.
b) Alginate.
c) Zinc oxide & eugenol.
d) None of the above.
34. The most suitable artificial teeth for flat ridge cases is
a) Zero degree teeth.
b) Anatomic teeth
c) Semi anatomic
d) a & c
35. Reason for the difficulty of cases with gross undercuts and large tuberosities is
a) Retention will be reduced
b) Stability will be reduced
c) Loss of peripheral seal
d) All of the above
e) a & c

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

36. Treatment of cases with gross undercuts and Large tuberosities is

a) Careful blocking out of the undercut areas on the model.
b) Alveoloplasty to reduce the undercut.
c) Soft liners may also be used to engage the undercuts.
d) All of the above
e) a & c
37. Treatment of cases with knife-like lower ridge
a) Relief
b) Resilient lining
c) Alveoloplasty.
d) All of the above
e) a & c
38. Contra Indications of relining and rebasing when.
a) An excessive amount of resorption has taken place.
b) Abused soft tissues are present.
c) The dentures have poor esthetics.
d) All of the above
e) a & c
39. Contra indications of relining and rebasing occur when.
a) The dentures create a major speech problem.
b) Severe osseous undercut exist.
c) the residual alveolar ridges have resorbed and the adaptation of the denture bases to
the ridges is poor
d) a & b
e) a & c
40. A cause for denture dislodgement by eating is:
a) The use of anatomic teeth in balanced occlusion.
b) Cuspal interference.
c) Improper lip support.
d) The use of non-anatomic teeth in balanced occlusion.
e) Poor denture appearance.
41. A cause for denture dislodgement when opening the mouth is:
a) Well denture border extension.
b) Adequate tongue space.
c) Good peripheral seal.
d) Adequate amount and consistency of saliva.
e) Tight lips.

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

42. A cause for denture dislodgement when coughing or sneezing is:

a) Well denture border extension.
b) Inadequate tongue space.
c) Poor peripheral seal.
d) The explosive nature of coughing and sneezing.
e) Adequate amount and consistency of saliva.
43. A cause of clattered complete denture teeth is:
a) Too low vertical height.
b) Gross cuspal interference.
c) Well retained dentures.
d) The use of acrylic teeth.
e) Balanced articulation.
44. A cause of cheek biting is:
a) Insufficient overjet.
b) Good centric occluding relation.
c) Good tongue space.
d) Decrease tongue space.
e) Increased overjet.
45. A cause of tongue biting is:
a) Insufficient overjet.
b) Good centric occluding relation.
c) Good tongue space.
d) Decreased tongue space.
e) Good overjet.
46. Which of the following is not an Immediate complication of denture insertion
a) Pain
b) Bleeding and ulceration
c) Bone resorption
d) Loss of retention before functional movements
e) Loss of retention when performing functional movements
47. Uneven occlusion may be manifested clinically by:
a) Heavy occlusal contact on one side.
b) Heavy occlusal contact on the premolar area.
c) Heavy occlusal contact on the molar area.
d) All of the above.

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

48. Which of the following should be treated by using a tissue conditioning material?
a) Immediate denture.
b) Maxillary single denture.
c) Irregular absorption.
d) All of the above
e) a & c
49. Difficulty in pronouncing the consonants F occurs if.
a) The occlusal plane is set either too high or too low.
b) The anterior teeth are placed too far palatally.
c) The anterior part of the upper denture, covering the hard palate, is thick.
d) a & b
e) a & c
50. Reline a denture is a process of replacing the denture base material
a) True.
b) False.
51. The esthetics of the immediate denture can be evaluated before the insertion
appointment.
a) True
b) False
52. The single complete maxillary denture opposing all or some of the mandibular
natural teeth is a very common clinical situation.
a) True.
b) False.
53. Centric relation is difficult to record in immediate denture construction.
a) True
b) False
54. Patients are most appreciative to over denture than conventional complete denture.
a) True
b) False
55. In high vertical dimension small white patches are to be seen in the painful area, relief
of the denture over these white patches is the best treatment.
a) True.
b) False.
56. Pain from reduced vertical dimension is associated with new dentures
a) True.
b) False.

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

57. Allergy to acrylic denture is common condition.

a) True.
b) False.
58. Selective grinding is the most accurate method of correcting cuspal interference.
a) True.
b) False.
59. The over denture can readily be converted to conventional complete denture.
a) True.
b) False.
60. CAD \ CAM can be used for denture duplication.
a) True.
b) False.

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 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

II) Write short notes on: (10 Degree)

Over-denture tooth supported.

Good luck
Dr. Yasser Baraka

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