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Reference- Stanley J Nelson’s Wheeler’s Dental Anatomy, Physiology and 

Occlusion, 10th Edition, page no. 25. 


 
 
 
11. Identify the stage of tooth development 

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A. Cap stage 
B. Early bell stage 
C. Advance bell stage 
D. Bud stage 
 
Answer- C 
Advance bell stage 
 
● Advance bell stage is characterized by the commencement of 
mineralization and root formation.  
● During this stage, the boundary between inner enamel epithelium and 
odontoblasts outlines the future dentinoenamel junction.  
● The formation of dentin occurs first as a layer along the future 
dentinoenamel junction in the region of future cusps and proceeds pulpally 
and apically.  
● After the first layer of dentin is formed, the ameloblast which has already 
differentiated from inner enamel epithelial cells lay down enamel over the 
dentin in the future incisal and cuspal areas.  
● The enamel formation then proceeds coronally and cervically, in all regions 
from the dentinoenamel junction towards the surface.  

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Reference- Orban’s Oral Histology and Embryology, 13th Edition, page no. 35. 
 
 
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12. Identify the type of occlusion 
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A. Class I 
B. Class II 
C. Class III 
D. Class IV 
 
Answer- A 
The type of given occlusion is Angle’s class I. 
 
Angle’s molar relation 
● Class I- Mesiobuccal cusp of maxillary 1st molar is in line with buccal groove 
of mandibular 1st molar 
● Class II- Buccal Groove of mandibular 1st molar is distal to mesiobuccal 

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cusp of maxillary 1st molar 

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● Class III-Buccal groove of mandibular 1st molar is mesilato mesiobuccal 
cusp of maxillary 1st molar 
 
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Reference- Stanley J Nelson’s Wheeler’s Dental Anatomy, Physiology and 
Occlusion, 10th Edition, page no. 270. 
 
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13. ​Marked region indicate 
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A. Primary central incisors 
B. Permanent central incisor 
C. Supernumerary tooth 
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D. Permanent canine 
 
Answer-C 
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Marked region indicate supernumerary tooth 


 
● A supernumerary tooth is one that is additional to the normal series and 
can be found in almost any region of the dental arch. 
 
Reference-Shafer's Textbook of Oral Pathology,page no:48 
 
 
 
14. The calcification seen below the radiolucent areas  
 
 
A. Russel bodies 
B. Civatte bodies 

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C. Verocay 

 
D. Rushton bodies 

Answer-D 
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Rushton bodies are seen  
● In a periapical cyst, the epithelial cyst lining exhibits numerous linear and 
arch-shaped bodies called Rushton bodies. 
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● Russell bodies are eosinophilic, large, homogeneous 


immunoglobulin-containing inclusions usually found in a plasma cell 
undergoing excessive synthesis of immunoglobulin; the Russell body is 
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characteristic of the distended endoplasmic reticulum.  


● They are found in the peripheral areas of tumors. 
Reference- Shafer's Textbook of Oral Pathology,7th edition, page no:189 
 
 

 
DENTAL MATERIALS 
 
1. The highest slope in stress-strain graph is seen in 
A. Ceramics 
B. Enamel 
C. Gold crown 
D. Elastomers 
 
Answer- A 
The highest slope in the stress-strain graph is seen in ceramics. 
● The slope of the stress-strain graph is a measure of the relative rigidity or 
stiffness of a material . 
● This is called elastic modulus or young’s modulus or modulus of elasticity. 
● Modulus of elasticity = stress/strain within the proportional limit. 

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● Units + giga pascal or giga newton/m2 

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● The highest slope means the highest modulus of elasticity. 
 
Reference- Craig’s Restorative Dental Materials, 13th Edition, page no. 41 
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2. What will happen if we mix gypsum in boiling water? 


A. Reaction won't take place 
B. Reaction will be faster 
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C. Reaction will be slower 


D. Reaction will be reverted 
 
Answer- A 
If gypsum is mixed in boiling water the reaction won't take place. 
● If the temperature of the plaster-water mixture is at 0 °C and 50 °C- little 
change in setting time occurs.  
● If the temperature of the plaster-water mixture exceeds 50 °C, a gradual 
retardation occurs.  
● As the temperature approaches 100 °C, no reaction takes place.  
● This is the reason why very hot water (nearly boiling temperature) is used 
to wash impurities like calcium chloride and sodium succinate from 
improved stone powder. 
 
Reference- Phillips' Science of Dental Materials, 12th edition, page no. 222 
 
 
 
 
3. Increase in the coefficient of expansion between restoration and tooth affects 
A. Marginal integrity 
B. Resistance 

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C. Retention 

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D. Strength of restoration 
 
Answer- A 
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Increase in the coefficient of expansion between restoration and tooth affects 
marginal integrity. 
A tooth restoration may expand or contract more than the tooth during a change 
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in temperature. 
Hence, there may be marginal microleakage adjacent to the restoration, or the 
restoration may debond from the tooth.  
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Reference- Phillips' Science of Dental Materials, 12th edition, page no. 40 
 
 
 
4. During amalgam restoration in a deep cavity, the liner is placed under zinc 
phosphate because of its 
A. Low pH 
B. High pH 
C. High strength 
D. Low strength 
 
Answer- A 
During amalgam restoration in a deep cavity, the liner is placed under zinc 
phosphate because of its low pH. 
● Zinc phosphate cement is formed by the reaction between zinc oxide 
powder and phosphoric acid liquid. 
● It can be used either as a base or as a luting agent. 
● Zinc phosphate cement is an effective base for thermal insulation. 
● But its low pH (acidity) may require a cavity liner under the cement to 
protect the pulp.  
● However, the risk of low pH in contact with the pulp is minimized if the zinc 

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phosphate cement is mixed to a thick, non-tacky, putty-like consistency, 

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which does not have excess acid.  
 
Reference- Phillips' Science of Dental Materials, 12th edition, page no. 315. 
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5. The major content of zinc phosphate cement is 


A. Zinc oxide 
B. Aluminium 
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C. Phosphoric acid 
D. Zinc phosphate 
 
Answer- A 
The major content of zinc phosphate cement is zinc oxide. 
Zinc phosphate cement consists of a powder and liquid.  
The powder contains  
● 75% of zinc oxide 
● 13% of magnesium oxide  
The liquid contains  
● Phosphoric acid (38% to 59%) 
● Water (30% to 55%) 
● Aluminum phosphate (2% to 3%) 
● Zinc phosphate (up to 10%) (some cases).  
 
Reference- Phillips' Science of Dental Materials, 12th edition, page no. 316. 
 
 
 
6. The most accepted theory of setting of gypsum is 
A. Dissolution precipitation theory 
B. Hydration theory 

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C. Gelation precipitation theory 

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D. Thermo emission theory 
 
Answer- A 
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The most accepted theory of setting of gypsum is dissolution precipitation 
Theory 
Hydration Theory 
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● This theory suggests that rehydrated plaster particles join together 


through hydrogen bonding to the sulfate groups to form the set material. 
Dissolution precipitation Theory​:  
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● Developed by Louis Chatelier in 1885 


● This theory is based on the dissolution of plaster and instant crystallization 
of gypsum, followed by the interlocking of the crystals to form the set 
product 
Colloidal Theory: 
● When mixed with water, plaster enters into the colloidal state through a 
sol-gel mechanism. 
● In the sol state, hemihydrate particles are hydrated to form the dihydrate, 
thereby entering into an active state. 
● As the measured amount of water is consumed, the mass converts into a 
solid gel. 
 
Reference- Phillips' Science of Dental Materials, 12th edition, page no. 183. 
 
 
 
7. Dicor is 
A. Pressable ceramic 
B. Inject molding ceramic 
C. Castable ceramic 
D. Electroceramic  
 

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Answer- C 

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Dicor is a castable ceramic. 
● Dicor was the first castable glass used for dental prosthetic applications. 
● Dicor glass-ceramic was capable of producing remarkably good esthetics, 
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but are more prone to fracture. 
● Dicor and Dicor MGC glass-ceramics are no longer used in dentistry. 
 
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Reference- Phillips' Science of Dental Materials, 12th edition, page no. 447 
 
 
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8. During polysulfide rubber impression metallization, silver is used as 
A. Anode  
B. Cathode 
C. Diode 
D. Electrolyte  
 
Answer- A 
During polysulfide rubber impression metallization, silver is used as an anode. 
● Polysulfide rubber impressions are cleaned thoroughly and dried before 
they are metallized with a fine silver powder.  
● The silver powder results in a superior surface of the electroformed die.  
● An anode of pure silver, at least twice the size of the area to be plated, is 
employed, and the electroplating is carried out as before for approximately 
10 hours, using 5 to 10 mA/cm2 of the cathode surface. 
 
Reference- Phillips' Science of Dental Materials, 12th edition, page no. 213. 
 
 
 
9. Curing denture above 100 degree celsius may develop 

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A. Porosity in the thin middle area 

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B. Porosity in thick lingual flanges 
C. Porosity in thin flanges 
D. Porosity in the thin central portion 
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Answer- B 
Curing denture above 100 degree celsius may develop porosity in thick lingual 
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flanges. 
● Gaseous porosity results when the temperature of the dough is raised 
significantly above the boiling point of the monomer (100°C). 
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● That produce spherical voids in the hottest part of the curing dough.  
● This occurs most commonly in the lingual flanges of a lower denture. 
Following are the recommended curing cycles: 
● Long curing cycle- Heat the flask in the water at 60-70°C for 9 hours. It 
starts from room temperature and slowly increases up to 60-70°C. The rate 
of increase of temperature is critical. 
● Short curing cycle- Heat the flask at 65°C for 90 minutes, then boil for 1 
hour for adequate polymerization of thinner portions. 
 
Reference- Peter Heasman, Master Dentistry E-Book: Volume 2: Restorative 
Dentistry, Paediatric Dentistry, and Orthodontics, 2nd edition, page no. 115. 
 
 
 
10. The best pickling solutions for gypsum-bonded investments is 
A. 5% hydrochloric acid 
B. 50% hydrochloric acid  
C. 5% sulfuric acid 
D. 50% methanoic acid 
 
Answer- B 
The best pickling solutions for gypsum-bonded investments is 50% hydrochloric 

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acid. 

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● The surface of the casting appears dark with oxides and tarnish 
● The surface film can be removed by a process known as pickling which 
consists of heating the discoloured casting in an acid. 
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● Best pickling solutions for gypsum bonded investments is a 50% 
hydrochloric acid solution or a solution of sulfuric acid. 
● The HCl aids in the removal of any residual investment, as well as of the 
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oxide coating.  
● The disadvantage of HCl is that the fumes from the acid are likely to 
corrode laboratory metal furnishings 
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Reference- Phillips' Science of Dental Materials, 12th edition, page no. 222. 
 
 
 
11. Maximum laser welding penetration depth is 
A. 0.5 
B. 1.0 
C. 1.5 
D. 2.5 
 
Answer- D 
Maximum laser welding penetration depth is 2.5 
 
Reference- Phillips' Science of Dental Materials, 12th edition, page no. 393. 
 
 
 
12. NiTi is welded by 
A. Laser welding 
B. Arc welding 
C. Gas welding 

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D. Solid state welding 

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Answer- A 
NiTi is welded by laser welding. 
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● Nickel-titanium, also known as Nitinol. 
● It is a metal alloy of nickel and titanium. 
● Nitinol is difficult to weld, both to itself and other materials. Laser welding 
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nitinol to itself is a relatively routine process.  


 
Reference- Mel Schwartz, New Materials, Processes, and Methods Technology, 
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page no.210. 
 
 
 
13. If palladium is not added to addition silicone, it leads to 
A. Expansion of cast 
B. Air bubble formation 
C. Shrinkage of cast 
D. Both A and B 
 
Answer- B 
If palladium is not added to addition silicone, it leads to air bubble formation. 
If hydrogen gas is liberated pouring of stone is delayed by 1–2 hours to prevent 
the formation of air bubbles in the stone cast.  
To prevent this palladium is added to addition silicone. 
 
Reference- John J Manapallil, Basic Dental Materials, 4th Edition, page no. 287 
   
   
 
PUBLIC HEALTH DENTISTRY 
 

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1. Which of the following is used for spot activation in children for topical fluoride 
application? 
A. Fluoridated toothpaste  dg
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B. Sodium fluoride 
C. Stannous fluoride 
D. APF 
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Answer-D 
APF is used for spot activation in children for topical fluoride application. 
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Composition of APF : 
1.23% of NaF 
0.1M phosphoric acid 
When APF is applied on the teeth, it leads to dehydration and shrinkage in the 
volume of HA crystals and thereby forming dicalcium phosphate dihydrate.this is 
highly reactive with F and thus leads to the formation of fluorapatite. 
 
Reference- S. S. Hiremath, Textbook of Preventive and Community Dentistry, 2nd 
edition, page no. 386-387 
 
 
 
 
2. ​Choking effect is seen in which fluoride 
A. Sodium fluoride 
B. Stannous fluoride 
C. APF 
D. None of the above 
 
Answer- A 
The choking effect is seen in sodium fluoride. 
Choking phenomenon 

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● The choking phenomenon occurs during the application of sodium 

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fluoride. 
● When NaF is applied topically, it reacts with hydroxyapatite crystals to form 
CaF2. 
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● Due to the high concentration of fluoride, there is the initial formation of 
CaF2 on the tooth surface which prevents further entry of fluoride into the 
tooth. This is called the choking-off effect as it blocks the diffusion. 
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Reference- S. S. Hiremath, Textbook of Preventive and Community Dentistry, 2nd 
edition, page no. 385. 
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3. 5000 patients had a chronic disease. In that, to find out how many people will 
get a stroke, which study is used? 
A. Prospective 
B. Longitudinal study 
C. Case series 
D. Cross-sectional  
 
Answer- D 
5000 patients had a chronic disease. In that, to find out how many people will get 
a stroke, the cross-sectional study is used. 
Cross-sectional study 
● Single examination (one observation) of a cross-section of the population 
at one point in time. 
● Also known as a prevalence study 
● More useful for chronic than a short-timed disease. 
● It tells us about the distribution of a disease in a population 
● Time sequence which is essential to the concept of causation can be 
deduced from the cross-sectional study 
● Cause and effect relationship can't be established. 

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Reference-Soben Peter, Essential preventive and community dentistry, 4th 
edition, page no:72. 
 
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4. Ranking in a class of 70 students. Ram is in the position of 10 and Balu is in 


position 40. The data scale used is 
A. Ordinal scale data 
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B. Nominal scale data 


C. Ratio scale data 
D. Numeric scale data 
 
Answer- A 
Ranking in a class of 70 students. Ram is in the position of 10 and Balu is in 
position 40. The data scale used is ordinal scale data. 
Nominal scale  The information is divided into some definite 
data  qualitative basis. 
Ordinal scale  Information is expressed in ordinal or rank 
data  order relations. 

Interval/nume Interval scales are numeric scales in which we 


ric scale data  know not only the order, but also we can say 
  the intervals between each value are equally 
split. 

Ratio scale  Ratio data is interval data with a natural zero 


data  point. The interval scale data is placed with 
  some meaningful ratio 

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Reference- Kaplan medical, Inc, Behavioral Science and Social Sciences, Charles 

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Faselis, Usmle Step-1, lecturer note 2019, page no. 29.  
 
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5. Which index is used to check for high caries in a group? 
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A. Caries severity index 


B. DMFT 
C. Root caries index 
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D. Dean’s Fluorosis Index 


 
Answer- B 
DMFT is used to check for high caries in a group. 
● D- refers to decayed tooth 
● M- refers to teeth missing due to caries 
● F- refers to filled teeth due to caries 
● All 28 teeth are examined with mouth mirror and standard No. 23 explorer. 
 
Reference- ​S. S. Hiremath, Textbook of Preventive and Community Dentistry, 2nd 
Edition, page no. 213-214 
 
 
 
6. A topic is discussed by 4-5 experts in front of a small group of audience is 
termed as 
A. Symposium 
B. Panel 
C. Seminar 
D. Conference 
 
Answer- A 

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A topic is discussed by 4-5 experts in front of a small group of audience is termed 

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as symposium. 
Panel discussion 
● Panel discussions are another widely employed popular method for group 
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health education.  
● There will be a panel comprising three to five members out of which one 
person is chosen as the leader.  
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Symposium 
● This is one of the modern methods used for group health education. 
● The symposium constituted by a number of experts who are invited to 
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speak on a particular topic beforehand.  


● Each speaker is given an opportunity to present various aspects pertaining 
to the selected topic  
● The advantage of a symposium is that the audience understands the topic 
better if it is presented in an easy and simple way by various speakers.  
Seminars 
● These are methods usually employed by educational institutions. 
Education can be given to a large number of people among the presence 
of persons qualified in topics of interest or disciplines. 
Conference 
● A conference is a ​meeting​ of people who "confer" about a topic. 
 
Reference- ​S. S. Hiremath, Textbook of Preventive and Community Dentistry, 2nd 
Edition, page no. 70 
 
 
 
7. Which of following promotes caries?- 
A. Selenium 
B. Vanadium 
C. Molybdenum 
D. Fluoride  

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Answer- A 
Selenium promotes caries. 
● Cariostatic elements - Fluoride and Phosphorus 
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● Mildly cariostatic elements - Molybdenum, Vanadium, Copper, Strontium 
● Caries promoting elements - Selenium, Magnesium, Cadmium 
 
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Reference- Newburn Ernsts Cariology, 3rd edition, page no. 123. 


 
 
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8. Out of 100 people if you want a sampling of 10 people, what type of sampling is 
it 
A. Simple random sampling 
B. Systematic sampling 
C. Cluster sampling 
D. Multistage sampling 
 
Answer- A 
Out of 100 people if you want a sampling of 10 people, the type of sampling is 
simple random sampling. 
Simple random sampling​: In this method, every member (sampling unit) of a 
population has an equal chance of being selected in the sample. The randomness 
of the sample is achieved by the use of lots (lottery method) or 
the table of random numbers. This method is employed for homogeneous 
population only. 
Stratified random sampling​: When the population is heterogeneous, it is divided 
into "strata" or levels, and sample is then drawn from each stratum by means of 
simple random sampling method. For instance, a community can be subdivided 
based on social or demographic factors and independent samples are drawn 
from such subgroups. 
Systematic sampling​: In this type, every nth member from the list, is chosen for 

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the study. The first value to be selected is determined by lot or the table of 

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random numbers. It is more convenient. 
Cluster sampling​: Any method of sampling wherein a group is taken as a 
sampling unit is known as cluster sampling. It is more convenient for 
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administrative and economic reasons, e.g. schools. 
Multistage sampling​: In this type, there are progressively higher levels of 
subsampling (the process of drawing samples from selected clusters). The simple 
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random sampling method is used to draw the samples. 


 
Reference- S. S. Hiremath, Textbook of Preventive and Community Dentistry, 2nd 
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edition, page no. 191. 


 
 
 
9. Which curve demonstrate an increase in pH after glucose rinse 
A. Stephan curve 
B. Scammon curve 
C. Normal curve 
D. Stralfors curve 
 
Answer- A 
Stephan curve demonstrate an increase in pH after glucose rinse 
● Stephen curve was first described by ​Robert Stephen in 1943 
● Stephen curve is a graph plotted on pH level against time 
● Stephan recorded the pH values of dental plaques in situ before, during, 
and after a glucose rinse using antimony microelectrodes 
Main characteristics of Stephan curve 
● Under resting conditions, the pH of plaque is reasonably constant, though 
differences can be noted in the individuals 
● Following exposure to sugars, the pH drops very rapidly in a few minutes to 
its lowest level and then slowly returns to its original value over a period of 
approximately 30-60min. 

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Reference- S. S. Hiremath, Textbook of Preventive and Community Dentistry, 2nd 
edition, page no. 343. 
 
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10. Which curve denotes the relationship between the plaque pH and glucose 
rinse 
A. Stephen curve 
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B. Scammon curve 
C. Normal curve 
D. Stralfors curve 
 
Answer- A 
Stephan curve denotes the relationship between - Plaque pH and glucose rinse. 
● The pH of plaque in different persons varies, with an average of about 7.1 in 
caries-free persons to 5.5 in persons with extreme caries activity. 
● Stephan studied the pH in dental plaque after rinsing of the mouth with a 
10% glucose or sucrose solution. 
● Within 2-5 minutes after the rinse, pH in the plaque had fallen to between 
4.5 and 5.0 and gradually returned to the initial pH level within 30-60 min. 
● The plaque pH in the caries-free group did not fall below 5.0 after the 
glucose rinse, while the pH in the caries active group fell below 5.0 after 
glucose rinse. 
 
Reference- S. S. Hiremath, Textbook of Preventive and Community Dentistry, 2nd 
edition, page no. 343. 
Shafer’s Textbook of Oral Pathology, 7th edition, page no. 428. 
 
 

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11. A 35-year-old pt found with a pocket depth of 4-5mm around molar teeth. 
What will be treated according to CPITN index? 
A. No treatment 
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B. Scaling and root planing 
C. Scaling only 
D. Scaling surgery 
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Answer- B 
According to CPITN index, a 35-year-old pt found with a pocket depth of 4-5mm 
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around molar teeth, the treatment will be scaling and root planing. 
Scoring criteria 
● Code 0​- When only one tooth or non-functional teeth are present in a 
sextant. 
● Code 1​- Bleeding observed during or after probing. 
● Code 2​- Supra- or subgingival calculus seen or felt during probing. 
● Code 3​- Pathological pocket of ​4 or 5mm​, (the black area of the CPITN 
probe is at the gingival margin). 
● Code 4​- Pathological pocket of 6mm or more, (the black area of the CPITN 
probe is not visible). 
For treatment needs 
● TN 0​- A recording of code 0 (healthy) = no treatment. 
● TN I​- A code of 1 indicates a need for improving the personal oral hygiene 
of that individual-I. 
● TN II​- A code of 2 and 3 indicates the need for professional cleaning, root 
planing and removal of plaque retentive factors. In addition patient 
obviously requires oral hygiene instructions-II+I. 
● TN III​- Code of 4 requires complex treatment which involves deep scaling, 
root planing and more complex surgical procedures-III+Il+I. 
 
Reference- S. S. Hiremath, Textbook of Preventive and Community Dentistry, 2nd 
edition, page no. 208. 

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