FTHHH
FTHHH
3. When getting ready to take an impression you must isolate the tissue well
in order to:
a. Obtain an uncontaminated impression.
b. To maximize the effect of Hemodent.
c. To find and make a correction of the preparation.
d. A & B
e. All of the above.
4. Your patient recently had a C1I composite placed on #30. She is now
sensitive to pressure and temperature at times. The cause may be:
a. Hyperocclusion.
b. Marginal leakage.
c. Due to the “C” factor.
d. A & B
e. All of the above.
4
5. You cemented a CVC and the patient cannot tolerate cold since that visit.
Your course of treatment is:
a. Check the occlusion.
b. Advise the patient that a RCT is probably going to have to be initiated.
c. Advise the patient that symptoms will most likely diminish and resolve
completely in approximately 4 to 6 weeks.
d. B & D
7. Upon removing an existing PFM on tooth #31 you find that the retention is
compromised due to occlusal over-reduction, a short distal wall and an
overtapered facial wall. The tooth is not amenable to crown lengthening
and the patient connot afford a RCT. You can attempt to gain additional
retention by:
a. Placing two grooves on the facial.
b. Place a groove on the mesial.
c. Placing two grooves on the lingual.
d. Placing a groove (or two) on the lingual and one on the mesial.
10. Patient presents with a large disastema between #8 and 9 and has always
wanted something done about it. The best thing to do is:
a. Advise orthodontic.
b. Use a Hawley to diminish the space, then restore with compsite.
c. Present a diagnostic wax-up and then discuss options.
d. Close the space with veneers, either two or four.
e. Close the space with composite and incrementally remove some of the
restorations until the patient is pleased with the result.
1. Which factors are true when designing for preparation of a 3 unit fixed
bridge?
a. Determine which tooth to use as a “quck angle” for draw?
b. Where to place grooves if the teeth are short?
c. Build of tooth may determine preparation design.
d. All of the above
3. The interproximal contacts for a provisional should meet all the criteria
below except:
a. Be properly contoured to prevent food impaction.
b. Be in visual contact with the adjacent teeth
c. Slide the thickness of one mylar
d. Allow for flossing by the patient
4. Tooth #19 has been prepared for a DO cast inlay. The pulpal axial wall of
the preparation has been built up with a glass ionomer base. Upon
removal of the acrylic temporary at the cementation appointment, the base
has been loosened. You should:
a. Try in the casting to see if the retention has been compromised
b. Try to bond the base back into place and then seat the casting to see if
the fit has been compromised
c. Place a new base and take new impressions because the casting has
been compromised
d. Place a new base and then try in the casting to see if the retention has
been compromised
6. You are about to cement a porcelain crown on #19. Prior to removing the
temporary, you notice that the occlusal of the temporary is thin. Which of
the following might you consider:
a. The prep is underreduced
b. The patient is a heavy bruxer
c. The opposing cusps are sharp
d. You have to remake the crown
e. All of the above
7. Tooth #9 has had root canal therapy and you have used the patient’s
existing crown as a temporary after you added a temporary post. You just
cemented a new cast post and took final impressions. What is your first
option for the temporary?
a. Make an indirect provisional
b. Use the existing crown after the temporary post has been removed
c. Make a direct provisional
d. Use a pre-fabricated anterior acrylic shell and reline it.
9. Tooth #14 is sensitive. Which of the following is not indicative of root canal
pain?
a. Sensitivity to heat
b. Sensitivity to cold
c. Sensitivity to biting
d. Pain in the ear
e. All of the above
10. Tooth #30 is sensitive to chewing forces. Which of the following can
possibly be radiographically diagnosed as a cause of the pain?
a. Endodontic lesion
b. Crack tooth syndrome
c. Bruxism
d. A and B
e. All of the above
2. Pit and fissure sealants should be placed if the patient is at risk for caries
based on an evaluation of:
A. pit and fissure morphology
B. eruption status
C. caries pattern
D. patient’s perception/desire for sealant
E. all of the above
8. Permanent molars are at the greatest risk for pit and fissure caries and
therefore are the most logical recipient of preventive sealants. T
12. Cavities on the incisal edges or the cusp tips of teeth are:
A. Class I
B. Class II
C. Class III
D. Class IV
E. Class VI
5. All the following are indications for placing subgingival margins for a PFM
restorations except:
1. increase retention
2. enhance esthetics
3. restore cervical lesions
4. minimize gingival irritation from the restoration
7. The ideal minimal occlusal reduction for a maxillary molar that is being
prepared for a PFM restoration with a lingual metal collar and porclain
occlusion is:
1. 1.5mm across
2. 1.5 mm buccal cusps and 2mm lingual cusps
3. 2mm buccal cusps and 1.5 mm lingual cusps
4. 2mm across
8. List the following in the proper order as it apllies to the retention of a cast
restoration:
a. cementing medium
b. taper
c. lenghth
d. grooves and box forms
e. adjacent contacts
1. e,d,b,a,c
2. c,b,d,a,e
4. d,b,c,a,e
5. b,c,d,a,e
10. In a posterior tooth needing a cast gold restoration all the following are
indications for cuspal protection except:
1. The istmus of a restoration is greater than one half of the occlusal table
2. The tooth is endodontically treated
3. The tooth has cuspal fractures
4. The patient has a severe bruxism habit
6. The path of insertion for a posterior full or partial veneer crown is usually
___________ to the long axis of the tooth
A. Mesial
B. Lingual
C. Distal
D. Parallel
E. Buccal
3. The optimal axial reduction for a gold CVC preparation when measured at
the gingival shoulder is?
A. Dependent on the axial depth of caries at the gingival extension.
B. The width of a 6 1/2- 2 1/2-9 hoe
C. Dependent on the width of the gingival bevel
D. The width of a 10-4-8 hoe
E. The diameter of the 701 diamond
7. A patient needs a 3/4 crown on a maxillary first bicuspid. The tooth has
extruded 2 mm. The treatment plan is to restore the tooth into
proper alignment with the adjacent teeth. How much reduction of
the buccal cusp needs to be done prior to the placement of the buccal
occlusal bevel?
A. No reduction
B. .5 mm
C. 1 mm
D. 2.5 mm
E. none of the above
8. A patient presents with a tooth requiring a CVC restoration. The tooth has
a large DO amalgam restoration which terminates 1 mm occlusal to
the crest of the alveolar bone. Which of the following statements are
true concerning this situation?
a. The tooth should have crown lengthening to reestablish the proper
"Biologic Width".
b. The margin of the preparation should terminate slightly apical to the
amalgam restoration
16
c. The margin of the preparation should terminate in the amalgam at
least 2 mm occlusal to the crest of the alveolar bone so as not to
interfere with the "Biologic Width".
d. A chamfer finish line configuration should be used in this situation.
A. a B. c C. a,b D. a,b,d E. c,d
10. You are doing a minimal DO amalgam restoration for a patient. Upon
completion of the pulpal wall and the buccal and lingual proximal
extension at the level of the pulpal wall you find that the caries has
been eliminated. The preparation is still in contact with the adjacent
tooth. How much farther gingivally should you extend the axial wall of
the preparation?
A. none
B. Until you have .25 mm of separation from the adjacent tooth.
C. 1 mm
D. 2 mm
E. It depends on the height of the gingival tissue.
11. The following are steps from the handout "Cast Restorations - Adjusting,
Polishing & Finishing Techniques". What is the correct sequence
for finishing the gold restoration?
a. Evaluate the margins on the patients tooth.
b. Adjust the occlusion on the articulator.
c. Finish the margins on the die.
d. Adjust the proximal contact areas in the patients mouth.
e. Adjust the occlusion in the patients mouth.
f. Polish of the occlusal and axial surfaces.
A) c,f,b,d,a,e B) c,b,f,d,a,e C) c,f,b,a,d,e D) f,b,c,a,d,e E)
f,c,b,b,d,e,a
12. Which of the following statements are true concerning the finishing of gold
margins?
a. A dull instrument should be used to burnish the margins.
b. Polish margins with a Burlew wheel with light pressure.
c. Use fine cuttle discs to smooth and finish margins.
d. The red line will be removed when finishing the margins with the
disc.
e. The margin should not be polished with the Robinson brush as it
may remove to much gold making the casting submarginal.
17
A) a,b,c,e B) a,c,e C) a,c D) c,d,e E) c,e
16. The indications for a subgingival margin include which of the following:
a. Caries which extends subgingivally.
b. Esthetics
c. Need to increase the axial length of the preparation for retention.
d. Cemental hypersensitivity
e. Better chance for good periodontal response.
A) a,b,c B) a,c C) b,c,d,e D) a,b,c,d E) all of the above
17. A CVC casting is made for a maxillary second molar. When tried in the
patients mouth it does not seat onto the tooth completely, appears
to rock, and all the margins are open. Which of the following could
cause this problem.
a. Poor internal adaptation.
b. Failure to use tray adhesive.
c. An internal nodule.
d. Excessive thickness of die spacer
e. Tight interproximal contacts.
A) c,e B) a,b,c,e C) b,c,e D) b,c,d,e E) all of the above
18. The following are steps in the preparation of an MOD onlay. What is the
proper preparation sequence?
a. Extend occlusal to the proximal
b. Debridement
c. Gingival bevel placement
d. Proximal box form extension
e. Removal of caries which extends pulpal or axial deeper than
minimal
f. occlusal reduction
g. Proximal flare placement
18
A) a,d,f,c,g,e,b B) d,a,f,g,c,e,b C) a,d,f,g,c,b,e D) a,d,e,f,c,g,b E)
a,f,d,c,g,e,b
MCQ:
• Copal varnish is contraindicated under:
a. amalgam restoration b. resin composite restoration
c. cast gold inlay cemented with zinc phosphate cement
d. all of the above
• During manipulation of zinc phosphate cement, the following should be done to dissipate the heat from its exothermic
setting reaction:
a. use a wet glass slab b. use wide area of spatulation
c. use proper powder/liquid ratio d. all of the above
• The zinc phosphate cement is mixed over a cool glass slab in order to:
a. Decrease its setting expansion b. decrease the setting time
c. increase the working time d. all of the above
Complete
• Zinc phosphate cement is used as a base to protect the pulp against ………………………. and ……………………… irritation.
• To promote adhesion of glass ionomer cement base, the cavity preparation should first be
……………………………………………………
• The types of base materials that could be placed under an amalgam restoration:
a)………………………………………..
d)…………………………….
b)………………………………………………
e)…………………………..
a)…………………………………..
d)………………………………………….
b)…………………………………
c)………………………………….
e)…………………………………………..
f) ………………………………………….
Chapter 8:
Complete:
• ……………………are used for trituration of amalgam capsules, while …………………... are used for accurate ……………of the
alloy and for trituration.
• ----------------------occurs in zinc containing amalgam restoration due to the formation of H2 bubbles as a result of moisture
contamination.
• Overtrituration will lead to -------------------------------------------------------------------While undertrituration will lead to --------
-------------------------------------------------------
• From the objectives of Condensation of amalgam are:
1. …………………………..............................................................................................
2. ………………………………………………………………………………………..
• Dental amalgam is …………………………………………………………….
While amalgam alloy is ………………………………………………………………
• Advantages of dental amalgam:
a)…………………………………….. e)…………………………………….
b)……………………………………………… f)…………………………………..
c)………………………………………………
• Disadvantages of dental amalgam:
a)……………………………………………….. d)………………………………….
b)……………………………………………… e)…………………………………
c)……………………………………………… f)…………………………………
• Indications of dental amalgam:
a)……………………………………………….. b)…………………………………
c) ……………………………………………………………………………
• The objectives of finishing and polishing of dental amalgam are:
a)……………………………………… c)……………………………………
b)…………………………………… d) ………………………………………
• The objectives of carving of dental amalgam:
a)………………………………… c)…………………………………………
b)……………………………… d)………………………………………………..
Choose the correct answers:
• post-carving burnishing is done to
a. improve the marginal seal b. reduce surface micoporosities
c. smoothen the surface and reduce polishing time d. all of the above
• ………….is the process of forcible packing of the fresh amalgam mix into the details of cavity preparations
a. Condensation
b. mulling
c. squeezing
d. burnishing
• -------------- is the process of mixing together of Hg and alloy particles to produce a coherent plastic and homogenous
mass of amalgam
a. Condensation b. mulling c. squeezing
b. Burnishing e. trituration
• The advantage of gallium amalgam is
a. improved corrosion resistance b. better marginal integrity
c. elimination of mercury d. all of the above
• Finishing and polishing of amalgam
1. Increase its corrosion resistance.
2. Minimize gingival irritation.
3. Eliminate surface discontinuities.
4. All of the above
• Moisture contamination of zinc containing amalgam will lead to:
a. post operative pain b. delayed expansion
c. blistering d. all of the above
• Amalgam can be carved in any direction except:
a. from the restoration to the tooth structure
b. from tooth structure to the restoration
c. Resting on both tooth structure and restoration
d. None of the above
• For restoring pulp capped teeth it is recommended to use:
a. Lathe cut alloys b. Spherical alloys c. Zinc free alloys
d. High copper alloys e. All of the above
• Under triturated amalgam will be
a. high setting expansion b. weak c. with rough and corrodible surface
d. all of the above e. only b and c are correct
• The main disadvantage of amalgam is
a. brittleness
b. high expansion
c. increased leakage with time
d. low compressive strength