BY DR.
NAJAM UDDIN
Removable Prosthodontics
Removable Prosthodontics (1–25)
1. The primary stress-bearing area in maxillary complete dentures is:
A) Rugae
B) Incisive papilla
C) Buccal shelf
D) Horizontal hard palate
Correct Answer: D
Explanation: The horizontal hard palate and posterior ridge are ideal for stress distribution in
the maxilla.
2. The best anatomical landmark to locate the posterior limit of a maxillary denture is:
A) Hamular notch
B) Retromolar pad
C) Incisive foramen
D) Rugae
Correct Answer: A
Explanation: The hamular notch marks the distal extension of the maxillary denture base.
3. The vibrating line is found between:
A) Hard and soft palate
B) Posterior nasal spine and incisive papilla
C) Rugae and mid-palatal raphe
D) Uvula and soft palate
Correct Answer: A
Explanation: It's the junction of movable and immovable palatal tissues and aids in denture
border placement.
4. The retromolar pad is an important landmark in:
A) Maxillary arch
B) Mandibular arch
C) Palatal seal
D) Occlusion
Correct Answer: B
Explanation: In the mandible, the denture must extend to cover the retromolar pad for support
and stability.
5. The purpose of border molding is:
A) Record vertical dimension
B) Determine esthetics
C) Capture functional width and depth of sulcus
D) Determine centric relation
Correct Answer: C
Explanation: Border molding helps shape the denture flange accurately in function.
6. The most stable maxillary arch form is:
A) V-shaped
B) U-shaped
C) Flat
D) Square
Correct Answer: D
Explanation: A square arch form offers better retention and support for dentures.
7. Which muscle limits the buccal flange of a mandibular denture?
A) Mylohyoid
B) Buccinator
C) Orbicularis oris
D) Temporalis
Correct Answer: B
Explanation: The buccinator defines the buccal vestibule and impacts denture extension.
8. Denture retention depends most on:
A) Occlusal balance
B) Saliva viscosity
C) Suction
D) Peripheral seal
Correct Answer: D
Explanation: The peripheral seal creates a vacuum that helps retain the denture.
9. A common cause of sore spots in new dentures:
A) Saliva
B) Overextended borders
C) Underextended borders
D) Balanced occlusion
Correct Answer: B
Explanation: Overextension can impinge soft tissues, causing irritation and ulcers.
10. What is the purpose of a facebow in complete denture fabrication?
A) Determine OVD
B) Transfer occlusal relationship to articulator
C) Select tooth size
D) Record lip support
Correct Answer: B
Explanation: The facebow helps orient the maxillary cast relative to the hinge axis.
11. A good impression material for edentulous patients is:
A) Alginate
B) ZOE paste
C) Impression compound
D) Polyether
Correct Answer: B
Explanation: ZOE paste is mucostatic and records fine detail in soft tissues.
12. The posterior palatal seal compensates for:
A) Teeth movement
B) Denture weight
C) Polymerization shrinkage
D) Ridge resorption
Correct Answer: C
Explanation: It ensures contact of denture base with tissues despite shrinkage.
13. Which impression technique is most suitable for flabby ridges?
A) Closed mouth
B) Selective pressure
C) Mucostatic
D) Window technique
Correct Answer: D
Explanation: The window technique avoids compression of mobile tissues during impression
making.
14. Residual ridge resorption is fastest in:
A) Maxilla
B) Mandible
C) Equal in both
D) Palate
Correct Answer: B
Explanation: Mandibular bone is less dense and resorbs more quickly.
15. The occlusal plane should be parallel to:
A) Camper’s line
B) Ala-tragus line
C) Interpupillary line
D) Frankfurt horizontal
Correct Answer: A
Explanation: Camper’s line (ala to tragus) guides orientation of occlusal plane in dentures.
16. Which material is most commonly used for denture bases?
A) Porcelain
B) ZOE
C) PMMA
D) Polyether
Correct Answer: C
Explanation: Polymethyl methacrylate is the standard material for denture bases.
17. The stability of a complete denture is enhanced by:
A) Proper occlusion
B) High vertical dimension
C) Heavy denture
D) Improper flange
Correct Answer: A
Explanation: Balanced occlusion helps prevent rocking and improves denture stability.
18. What causes clicking sounds in new dentures?
A) Poor retention
B) Saliva
C) Increased vertical dimension
D) Light occlusal contact
Correct Answer: C
Explanation: Excessive vertical dimension results in teeth separation during speech, causing
clicking.
19. Post-insertion soreness is most commonly due to:
A) Flabby ridge
B) Inadequate OVD
C) Overextension
D) Balanced occlusion
Correct Answer: C
Explanation: Overextended borders often cause tissue trauma and sore spots.
20. The most important factor for successful complete denture function is:
A) Esthetics
B) Balanced occlusion
C) Tissue adaptation
D) Patient adaptation
Correct Answer: D
Explanation: Patient’s neuromuscular adaptation plays a crucial role in successful denture use.
21. Denture stomatitis is most commonly associated with:
A) Poor fit
B) Poor hygiene
C) Vitamin deficiency
D) Sharp teeth
Correct Answer: B
Explanation: Poor oral hygiene allows fungal overgrowth, especially Candida albicans.
22. Which of the following helps in indirect retention of RPD?
A) Clasp arm
B) Major connector
C) Lingual plate
D) Rest seat
Correct Answer: D
Explanation: Rests help resist rotational displacement of the prosthesis.
23. The component of RPD that resists vertical seating force:
A) Minor connector
B) Rest
C) Clasp
D) Denture base
Correct Answer: B
Explanation: Rests prevent the prosthesis from moving toward the tissues.
24. Kennedy Class I arch is:
A) Single posterior edentulous area
B) Single anterior edentulous area
C) Bilateral posterior edentulous areas
D) Edentulous area bounded by teeth anterior and posterior
Correct Answer: C
Explanation: Class I refers to bilateral edentulous areas posterior to remaining teeth.
25. Reciprocal arm in an RPD functions to:
A) Retain the denture
B) Guide insertion
C) Counteract clasp arm forces
D) Improve esthetics
Correct Answer: C
Explanation: It provides resistance against forces created by the retentive clasp during
insertion/removal.
Fixed Prosthodontics (1–25)
1. The ideal crown preparation for a posterior tooth should have:
A) 3-4 mm occlusal reduction
B) 2-3 mm occlusal reduction
C) 1-2 mm occlusal reduction
D) 4-5 mm occlusal reduction
Correct Answer: B
Explanation: Posterior crowns typically require 2-3 mm occlusal reduction for adequate space
for the material.
2. The most commonly used material for anterior crowns is:
A) Porcelain
B) Gold
C) Resin
D) Zirconia
Correct Answer: A
Explanation: Porcelain is preferred for its esthetics, closely matching natural tooth color.
3. The marginal integrity of a crown is most critical for:
A) Retention
B) Esthetics
C) Prevention of caries
D) Function
Correct Answer: C
Explanation: A tight marginal fit prevents bacterial infiltration and subsequent caries.
4. The main advantage of using porcelain-fused-to-metal crowns is:
A) Durability
B) Esthetics
C) Cost
D) Strength
Correct Answer: D
Explanation: Porcelain-fused-to-metal crowns combine the strength of metal with the esthetics
of porcelain.
5. The most appropriate cement for cementing a metal crown is:
A) Glass ionomer cement
B) Zinc oxide-eugenol
C) Zinc phosphate cement
D) Resin cement
Correct Answer: C
Explanation: Zinc phosphate cement provides a strong bond for metal crowns.
6. Which factor affects the retention of a crown?
A) The length of the preparation
B) The amount of taper on the preparation
C) The surface area of the preparation
D) All of the above
Correct Answer: D
Explanation: Retention depends on length, taper, and surface area of the preparation.
7. The most common cause of crown failure is:
A) Material fracture
B) Marginal leakage
C) Loss of retention
D) Occlusal wear
Correct Answer: B
Explanation: Marginal leakage due to poor fit allows bacteria to invade, causing failure.
8. A full veneer crown preparation involves:
A) Reduction of all tooth surfaces
B) Only occlusal surface reduction
C) Mesial and distal surface reduction
D) Buccal surface reduction only
Correct Answer: A
Explanation: Full veneer crowns require uniform reduction of all tooth surfaces.
9. Which type of impression material is most suitable for crown and bridge work?
A) Alginate
B) Polyether
C) Impression compound
D) ZOE paste
Correct Answer: B
Explanation: Polyether offers high precision and stability for crown and bridge impressions.
10. A provisional restoration's primary function is to:
A) Maintain tooth alignment
B) Provide esthetics
C) Protect the prepared tooth
D) Both A and C
Correct Answer: D
Explanation: Provisional restorations protect the tooth and maintain function until the final
crown is placed.
11. The taper for a tooth preparation should generally be:
A) 5–10 degrees
B) 10–15 degrees
C) 15–20 degrees
D) 20–30 degrees
Correct Answer: B
Explanation: A 10–15 degree taper provides good retention and minimal risk of displacement.
12. The most common complication of fixed partial dentures is:
A) Fracture of the retainer
B) Marginal leakage
C) Dislodgement
D) Discoloration
Correct Answer: B
Explanation: Marginal leakage due to poor fit is a frequent issue in fixed partial dentures.
13. The main advantage of using zirconia for crowns is:
A) Esthetics
B) High strength
C) Low cost
D) Easy to polish
Correct Answer: B
Explanation: Zirconia has superior strength compared to other crown materials.
14. A bridge connector is used to:
A) Support the pontic
B) Connect the retainer crowns
C) Improve esthetics
D) All of the above
Correct Answer: B
Explanation: The connector unites the retainers of a bridge, transferring forces effectively.
15. A Maryland bridge is best used for:
A) Posterior teeth
B) Anterior teeth with limited space
C) Missing molars
D) Severely decayed teeth
Correct Answer: B
Explanation: Maryland bridges are ideal for restoring anterior teeth with minimal space.
16. The term "pontic" refers to:
A) A metal coping
B) A bridge retainer
C) A replacement tooth in a bridge
D) The underlying tooth structure
Correct Answer: C
Explanation: The pontic is the artificial tooth that replaces the missing tooth in a bridge.
17. The ideal occlusion for a fixed partial denture should be:
A) Centric occlusion
B) Ideal occlusal contacts on all teeth
C) Balanced occlusion
D) Lateral occlusion
Correct Answer: A
Explanation: Centric occlusion ensures that all teeth contact uniformly and evenly in the resting
position.
18. The primary disadvantage of using gold for crowns is:
A) Low cost
B) Poor esthetics
C) Durability
D) Difficult to polish
Correct Answer: B
Explanation: Gold is highly durable but lacks esthetic appeal, especially for anterior teeth.
19. A crown preparation should have a minimum of:
A) 0.5 mm occlusal reduction
B) 1 mm occlusal reduction
C) 1.5 mm occlusal reduction
D) 2 mm occlusal reduction
Correct Answer: C
Explanation: 1.5 mm occlusal reduction is ideal for porcelain crowns to ensure adequate space
for material thickness.
20. The margin of a crown preparation should be placed at:
A) Gingival crest
B) Below the gingival margin
C) Above the gingival margin
D) At the CEJ
Correct Answer: A
Explanation: The margin is ideally placed at or slightly above the gingival crest for a clean fit.
21. The main purpose of a post in a crown preparation is to:
A) Provide retention in an endodontically treated tooth
B) Improve esthetics
C) Replace missing tooth structure
D) Increase the tooth's size
Correct Answer: A
Explanation: A post aids in providing retention for a crown when the tooth has been
endodontically treated.
22. Which material is commonly used for posts and cores?
A) Titanium
B) Resin composite
C) Gold alloy
D) Zirconia
Correct Answer: B
Explanation: Resin composites are widely used for their ease of placement and bonding ability.
23. The main reason for using a tooth-colored crown is:
A) Durability
B) Esthetics
C) Cost
D) Strength
Correct Answer: B
Explanation: Porcelain or zirconia crowns are used mainly for esthetic purposes, particularly in
visible areas.
24. Which of the following is most critical for the success of a fixed partial denture?
A) Accurate tooth preparation
B) Proper occlusion
C) Strong retainer
D) All of the above
Correct Answer: D
[Link] actors contribute to the long-term success of a fixed partial denture.
25. A full gold crown is indicated for which of the following?
A) Esthetic requirement
B) High stress-bearing area
C) Minimal tooth structure loss
D) Anterior teeth
Correct Answer: B
Explanation: Gold crowns are ideal for posterior teeth where durability and strength are critical.
