Second SDLE

1- tooth with occlusal trauma:

-widening of pdl and thickening of dense cortical bone
-widening of pdl and thinnening of dense cortical bone
2-patient has A3 shade and choose the color with dr most important step:
-right concent form and then treat
-primary impression and wax up
-prep and temp
Always if concert is there and treatment is fixed u always choose that
3-panoramic x ray with upper complete and lower rpd which occlusal scheme you
provide:
-balance
-group function
-canine guidance
4-badly decayed #13 was endo treated and crowned. what is best occlusal
guidance for long term survival for the tooth #13 on working side:
-guided by #13 only
-guided by #23,13
-guided by ##13,#14
5-patient came with incomplete palatal cleft from surgery that was made 3 years
ago :
-velopharyngeal incompetance
-vasopharyngeal insefficuncy
-nasopharyngeal
Insafficancy means space between the premaxilla n platin process basically clift
remember in saefficuncy speech Incomeoetancy musle incompetent to lift they
are small in size but normal lift prosthesis is given
If qoustion speak about surgery patient under went means due to clift

6-space on tray for alginate to maximise tear streangth in (mm)

-1
-2
-3
-4
7- best time for taking impression for esthetic crown lengthening:
-4
-12
-16
-20 (esthetic crown lengthening)
After crown legthing 3 to 6 month
8- best time for taking impression for crown lengthening:
-4
-12 (functional crown lengthening)
-16
-20
9-after how many minutes you can remove alginate from mouth:
-1
-2-3
-4
 -5
10- pic of border molding on free end saddle, what is this material :
-compound cake
-compound modeling stick
11- patient has rpd diagnosed with page disease , what is management for the
prosthesis:
-remake denture
-rebase denture
-rebase with altred cast
-rabase or remade when needed.
12-patient has free end saddle rpd with good occlusion and good extensiom
except when she bite posterior the denture rotate around fulcrum, what is your
management:
- take impression with altred cast.
-adjust occlusion
13-
14-pic of missing 46,45 and space 14mm mesiodistal and 7.5mm buccolingual,
which size of implant you choose:
-2 implants size 5 mm
-3 implants size 3.5mm
-premolar size 4mm and molar size 4mm
-molar size 4mm and premolar size 3.5mm
15-pic of missing 46 and spacing in anterior , how can you chhose size of implant:
-diagnostic cast -wax
-clinical examination -cbct
Qoustion ask about size of implant: cbct
Qosution as about the restoration space: diagnosis wax up
Qoustion ask about inter arch space: mounted cast
16-#15 4mm over erupted and vital with limited space for lower:
-extraxtion and implent -elective rct and crown -crown
17-pt with complete denture, wore them for 5 years, what is possible finding:
-epilus fissaratum
-papillary hyperplasia
Coz of bone resrption under the denture u choose that option papillary related
only if he mensssion to u ulceration on the palate
18- pic of upper , lower cd with no contact ln right side of posterior teeth with
loose lower denture:
-lab remount for cr
-remake upper and lower denture
19- 5 months infant has leakage of milk from his nose, upon examination, he has
incomplete soft and hard palate with intaxt pre maxilla, veau classification:
-I
-II
-III
-IV
20-pic of RCTed premolar 25 with more than 2mm wall on buccal, palatal and
distal, with 1.5mm mesial -extraction implant
-casted post and zirconia crown
-prefabricated post and ceramic crown
-crown lengthening for distal of restoration +crown
Best option if there is distraction u always choose post and core that always have
to be restored if big then post and core if small restoration anterior composite is
given posterior amalgam
Crown legthing never done at one end it is done all overe the tooth
Cast restoration are chosen for gross destroyed tooth Cast post post better then
prefabricated
21-patient took medication after minutes he felt itchy and skin reddnes:
-drug drug reaction
-food drug reaction
-hypersensite immune
22- factor cause gaging thats is difficult to treat:
-adenoid
-denture fault
–psychological
Either on of three cases psychological, denture over extension ,systemic disease
23- pt extracted tooth #11 , best location for esthetic result: -exact mesiodistal
point
-below incisal position of proposed (in implant)
-below cingulum of proposed
-socket of root of extracted tooth. (in ovate pontic FDP)
Here he is speaking about ovate pontic given from 6 to 8 weeks in the socket of
extracted tooth
24-15 years old patient with congenital missing lateral has composite bonded to
neiboring tooth and connected with composite of lateral tooth, the reason of this
step is:
-restoration for esthetic
- space mentainer
-space retainer until restoration
-for ovate pontic preparation
It is given as space mentainer if this option not given then choose the second one
space till restoration to be given coz some time that option wont be there
25- tissue at flat emergance profile
- thin
-thick
Remember thin means flat papilla less bone available papilla minimam 3mm
should be there thick means good esthetic and good papilla
26-distobuccal of lower denture:
-masster
-buccinator
-trygomandibular raphe -
27-old patient came with old denture, has good support but discolored base and
wear teeth, what should you do:
-replace a new denture
-pick up impression for old denture
-pick impression to change teeth only
U can’t do relining when tooth of denture gone
28- patient extracted his teeth from 14-25 , has sever bone loss horizontal and
vertical , best treatment option:
-removable prosthesis
-fixed prosthesis
-implant supported -restoration of esthetic (hybrid prosthesis)
Whn bone lost is there u give best is rpd is the qoustion state there is less intra
arch distance that would be metal is the option if u have option of fixremovable
that is Andrew it is also giving in this kind of cases
29- placement of removable denture on which phase:
-I
-II
-III
-IV
30-15 years old mentaly retarded patient came to clunic for restoring carous
teeth with his parents, he refused to get treatment, what is your management:
-oral sadative
-nitrous oxide (it is other name inhalation anesthesia )
-ask his parents to hold the patient
-ask staff to hol patient
31- the person whose responsible for inventory equipment , communicaton with
restorative and surgery office :
-prosthodontist
-dental technician
-dental assistant
-implant coordinator
32-patient has implant supperted ball attachment over denture , complain from
food stagnation on anterior area, upon examination you found that final
impression was done improperly ,what is your management:
-remake a new final impression for denture with same attachment
-remake new denture with bar retained atachment
-adjust the denture only
-reline the overdenture
33-best single restoration oppsing natural used for bruxic patient:
-polished porcalin
-glazed zirconia
-layered zirconia
(zirconia with facial porcalin Monolathic best after that layered)
34-foundation restoration used for post previous restoration , tooth loss due to
caries, which of the following indicate foundation restoration:
-utilized pins
-more than half of tooth is missing
-third of tooth is missing
35- factor that cause highest risk for implant failure:
-sever bruxism
-execcive vertical height
-implant position
36-patient complain from underplayed of anterior teeth of cd, what is the
management:
-set up teeth at CR -set up teeth at MIP
-arrange the teeth with apropriate smile analysis
37-case with over erupted tooth 25,26 mounted on semi-adjustable articulator
and has irregular occlusal plane, how to record the occlusal plane:
-pantograph -determine index
-simplified occlusal plana analyser SOBA
38- patient is having headache with wear of teeth and restoration, pain when
record centric relation to diagnose the patient:
-CT
-muscle palpation
-range of motion
-anterior deprograming device
39-patient has a single crown on 11 ,how to make an ideal occlusion for this
crown;
-increase overjet -increase over bite
-increase concavity of lingual aspect
-follow the same neiboring tooth
40-arrangment of selection of shade:
-hue chroma value
-hue value chroma
-chroma hue value
-value hue chroma
41- best way to choose shade is to select: -high value low chroma
42- implant is better than rpd is that implant has:
Retention
43-distobuccal surface of lower cd attach to:
-masseter
 -buccinator
-ptryogomandibular raphe
44-measurment of lateral m-d width with:
-bolton analysis
-golden proportion
-wax up
-diagnostoc cast.
45-distance from ala of the nose indicate
-width of whole anterior teeth
-distance from tip of canine to the other canine tip
46-resection of periodontally compromised molar with furcation, what is
management:
-resection with 2 half separated
-resection with 2 half splinted
-1 wide implant
-2 narrow implant
47-case with deflective contact of teeth after time patient's bite has no problem,
cause:
-patient adapted to new bite
-movement of teeth
-worn out of the teeth
--
48-case with two implant and crowns with heavy force, after 1-year movement of
2 crowns, cause:
-fixture fracture
 - loss of osteointegration
-scrow related
49-
50-pic of ring clasp
51-cast type (iv) was distorted after removal of polyether:
-0.9 water and plaster ratio
-cast was left more than 20 min to set
Water powder ratio Is more that is why option A
52-rpd cast left along time under running water, what will happen:
-weaken cast -chalky appearance
Eroded cast is the best answeer
53- final impression for rpd crowns will be taken:
-after adjunctive therapy treatment
-after periodontal treatment
-after modification and preparation of abutment
54- case with cd has ereythromatous and reddness below denture:
ask the patient to discontinue the denture for some time
55-pic of crowned molar with post: what type of post:
-threaded -screw -parallel -tapered (according to pic, in my exam threaded,
other exam serrated)
56- pa taken for loose implant crown for checking:
- implant fixture fracture
-implant abutment fracture
-screw abutment fracture
-crown abutment fracture
57-pfm crown after 10 years porcelain brake , cause?
-physical trauma
-inadequate preparation
-contamination
-
58-case with mandibulectomy of one half with deviation of his mandible, he
cannot hold his jaw on closing , which appliance should you use:
-palatal flange
-mandibular flange
Always choose mandibular guided
59- case with overprepared 36, cause:
-over pressure on tooth
-tilting bur toward the tooth
-tilting bur away from tooth -
60-case for planning to place missing maxillary lateral incisor by implant, what is
best way to measure the mesiodistal best shape of the tooth:
-articulated cast
-contralateral lateral incisor
-diagnostic wax
-bolton analysis
61-same q as question 60 but most accurate way to determine implant position:
-articulated cast -diagnostic wax stent -cbct
-
62-case with upper and lower cd has erythrematous tissue at fitting surface of
denture:
-eating spicy food
-low iscorbic acid intake
-vitaminosis
-defective occlusion
if occlusion is not option given n he speak about some lesion then its asorpic
acid
63-case with edentulous lower arch with kennedy class 2 and 8mm from floor of
the mouth to gingival margin
- 3mm for gm, 3mm for bar , 2mm to floor of mouth
- 2mm for gm, 4mm for bar , 2mm to floor of mouth
- 3mm for gm, 4mm for bar , 1mm to floor of mouth
- 3mm for gm, 2mm for bar , 2mm to floor of mouth
Minimum space from gingival margin is 3mm and bar thickness 4 mm is ideal
64- most properties that should be avoided in a crown having heavy lood:
-less abrasive
-less fleaxure streangth
-
65-the most bone defect that affect implants is:
-space between implants <3mm
-vertical bone loss most common
-horizontal bone loss the most difficult to treat

-buccal bone concavity