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MCQs in Chapter 1 ortho trueor false malu
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The correct answer is the BEST answer from among those provided. Each
question has only one correct answer. 

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Answer “A” for True, “B” for False 

Download now 1. According to Proffit, when studying a growth chart, children outside
what percentiles may be considered to be   
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outside normal variability? 

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A. 3 and 97 % 
B. 5 and 95%  LinkedIn
C. 7 and 93% 
D. 10 and 90% 

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2. Which of the following is NOT appropriately described as growth: 
A. Increase in size 
B. Increase in complexity 
C. Increase in number 
D. Increase in specialization  

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3. The term “cephalocaudal” gradient of growth exhibits which of the
following trends? 
A. Trunk and limbs grow faster then the head after birth 
B. The head grows faster then the trunk and limbs after birth 
C. Caudal structures the most important part of growth 
 
D. Cephalic structures are the most important part of growth
4. I) The active lingual holding arch and lip bumper regain space by
tipping the mandibular molars distally and proclining the incisors and II)
both appliances apply active forces to the lower incisors.  
A. Both statements are TRUE 
B. Both statements are FALSE 
C. First statement is FALSE, Second statement is TRUE 
D. First statement is TRUE, Second statement is FALSE 

5. In the mixed dentition, all of the following must be assessed prior to

the initiation of space maintenance EXCEPT,  
A. Space analysis should be performed to show that adequate space is available  
B. When the primary tooth was extracted/exfoliated 
C. Estimation of when the permanent tooth should erupt 
D. Evaluation of root development of the underlying permanent tooth 
E. All of the following need to be evaluated 

6. If multiple primary teeth are lost in the same arch and both the first
permanent molars and incisors have erupted, what would be the BEST
space maintainers to prevent posterior space loss?  
A. Nance appliance 
B. Lower lingual holding arch 
C. Bilateral band and loops 
D. A and B 
E. B and C 

7. The best space maintainer is:  

A. Band and loop appliance 
B. A primary tooth 
C. Removable acrylic plate 
D. Lower lingual holding arch 

8. In a patient who had a lower lingual holding arch placed to utilize the
leeway space to align the mandibular anterior teeth and now has an end
-on molar relationship , how might you obtain Class I molars?  
A. Class I elastics 
B. Maxillary headgear 
C. Utilize the maxillary Leeway space 
D. Leave it alone, it will surely correct on its own 
 9. What’s the rationale for correcting anterior crossbites in children?  
A. Prevent abnormal incisal wear 
B. Prevent possible periodontal involvement 

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C. Allow normal jaw junction by eliminating any occlusal interferences 
D. Allow for correction of any localized space loss 
E. All of the above are rationales for correcting crossbites 

10. I) You may correct an anterior crossbite in a child with either a

removable Hawley appliance or a fixed 2x4 appliance and II) once the

crossbite
now is most
in their corrected retention
stable position.is
  never required because the teeth are
A. Both statements are TRUE 
B. Both statements are FALSE 
C. First statement is FALSE, Second statement is TRUE 
D. First statement is TRUE, Second statement is FALSE 

11. I) In Class III skeletal malocclusions the maxilla and mandible may
have normal transverse widths but II) a posterior crossbite may be
present due to the abnormal anterior/posterior relationship of the jaws  
A. Both statements are TRUE 
B. Both statements are FALSE 
C. First statement is FALSE, Second statement is TRUE 
D. First statement is TRUE, Second statement is FALSE 

12. T / F When a patient presents for adjunctive orthodontic treatment,

all intraoral findings are listed on the problem list, not just those related
to their orthodontic problem. 

13. The molar classification for the patient’s (above) is: 

A. Class III Subdivision right 
B. Class III Subdivision left 
C. Super Class I 
D. Class III 

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14. The molar classification for the patient’s (above) is:  
A. Class I Subdivision right 
B. Class I Subdivision left 
C. Class II Subdivision right 
D. Class II Subdivision left 

15. T / F In orthodontics, as in all fields of dentistry, it is the doctor’s

role to present all possible solutions and discuss their pros and cons with
every patient so they may make an informed decision regarding
treatment.  

16. In developing an orthodontic diagnostic database, which of the

following should be included: 
1. Interview  
2. Clinical exam 
3. Analysis of records 
4. Doctor’s opinion and experience concerning the patient’s desires 

A. 2, 3 
 
B. 1,
C. 2, 4
1, 3, 3 
D. 1,2 ,3, 4 

17. What are the primary reasons for extracting teeth in orthodontic
treatment:  

1. Correction of crowding/protrusion 
2. Simplify treatment and decrease treatment time 
3. Camouflage of jaw discrepancy  
4. To eliminate the need for headgear  

A. 1, 2, 3 
B. 1 ,3, 4 
C. 1, 3 
D. 1, 2, 3, 4 

18. Which of the following state the correct sequence of eruption of the
permanent dentition? 

1. Mandibular canines may erupt at about the same time as mandibular first
 premolars 
2. Mandibular canines usually erupt after maxillary canines 

3. Mandibular lateral incisors may erupt at about the same time as maxillary
centrals 
4. Mandibular first molars are always the first permanent tooth to erupt  

A. 1 and 2 
B. 1 and 3 
 C. 2 and 3 
D. 3 and 4 
E. All of the above 

19. When fabricating a Hawley retainer as in lab course, which of the

following is true: 
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A. 0.030 inch stainless steel is utilized for the labial bow 
B. Ideally, the acrylic should be allowed to dry on the desktop 
C. Adams clasps should always be used 
D. The labial bow should lay passively across the incisors  

20. When
clinician direct
should:  bonding natural teeth with orthodontic brackets, the

1. Pumice the bonding surfaces 

2. Control moisture contamination 
3. Prepare the teeth with acid etchant  
4. Align the brackets so the arch wire fits passively in the arch  

A. 1, 2, 4 
B. 2, 3 ,4 
C. 1, 2 
D. 2, 3 
E. 1, 2, 3 

21. Which plier is used to place an elastic ligature around a bracket? 

A. Bird Beak 
B. Slim Weingart 
C. Jarabek 
D. Mathieu-Kocher 
E. Universal distal end cutter 

22. T / F Final restorations should be deferred until the final occlusion

has been established. 

23. The auxiliary appliance below is called:  

A. Class III triangle elastics 
B. Class II elastics 
C. Class I elastics 
D. Class II trangle elastics 
E. Class III elastics

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24. When utilizing a functional appliance for Class II growth

modification in a growing child, which of the following are true? 

1. Is most effective during the adolescent growth spurt  

2. Your goal is to achieve differential forward growth of the mandible 
3. Should be completed at the end of a child’s growth spurt so any correction
made will not be lost to rebound growth 
4. Should be started as early as possible as long as a sufficient number of teeth
have erupted so a fixed functional appliance may be utilized  

A. 1, 2 
B. 1, 2 ,4 
C. 2, 3 
D. 3, 4 
E. 1, 2, 3 

25. I) Tooth eruption does not correlate we ll with the skeletal growth
status and timing of the adolescent growth spurt so II) you should refer
a patient to your neighborhood orthodontist based on the dentition, not
their physical maturation level.  

A. Both statements are TRUE 

B. Both statements are FALS E 
C. First statement is FALSE, Second statement is TRUE 
D. First statement is TRUE, Second statement is FALSE 

26. What’s a possible adverse affect of treating an adolescent who has a

Class I skeletal relationship, crowding, but no crossbite, with maxillary
expansion? 
A. Only buccal tipping will result because the midpalatal suture is fused 
B. A buccal crossbite may result 
C. Crowding will be eliminated 
D. A and B 
E. B and C 

27. In most Class II, division 1 malocclusions, the body of the mandible
and its superimposed dental arch are in a : 
A. MESIAL relationship to the maxilla and the maxillary incisors are usually in a
LABIAL axial inclination 

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B. DISTAL relationship to the maxilla and the maxillary incisors are usually in a
LINGUAL axial inclination  
C. MESIAL relationship to the maxilla and the maxillary incisors are usually in a
LINGUAL axial inclination  
D. DISTAL relationship to the maxilla and the maxillary incisors are usually in a
LABIAL axial inclination 

28. A steep mandibular plane angle is likely to be accompanied by: 

A. SHORT anterior facial vertical dimensions and an terior OPEN BITE
malocclusion 
B. LONG anterior facial vertical dimensions and anterior OPEN BITE malocclusion 
C. SHORT anterior facial vertical dimensions and anterior DEEP BITE
malocclusion 
D. LONG anterior facial vertical dimensions and anterior DEEP BITE malocclusion  

29. “Primate spaces” in the primary dentition are found in which two
locations? 

1) In the maxillary arch, the primate space is located between the central
incisors and lateral incisors  
2) In the mandibular arch the pri mate space is located between the canines and
first molars 

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3) In the maxillary arch the primate space is located between the lateral incisors
and canines 

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4) In the mandibular arch the primate space is located between the lateral
incisors and canine 

A. 1, 2 
B. 3, 4 
C. 1, 4 

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D. 2, 3 

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30. Which of the following is NOT TRUE concerning a posterior crossbite


in the mixed dentition? 
Download now A. It should be corrected as soon as possible 
B. It should be thoroughly diagnosed as to whether it is of a dental, functional or

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skeletal origin 

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C. It may be corrected with palatal expansion 
D. It may be associated with a mandibular shift 
E. It should be viewed as a developing class III malocclusion

31. Natural head position in cephalometric radiography is based upon 

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A. The eyes viewing the horizon or looking at a mirror at eye level. 

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B. The position of the ear rods in the external ear canals. 
C. The relation of the maxilla and mandible when the teeth are tightly clenched. 
D. The upper and lower lips being completely relaxed and slightly apart. 

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Scenario #1. You examine a new patient with very well-aligned arches, with no
maxillary crowding or spacing. All teeth are present except for the third molars
(#1, 16, 17, and 32) and the second premolars (#4 and 13). The patient states
that he has not had any permanent teeth extracted and the missing teeth, "Never
grew in his jaw." The maxillary first molars are in contact with the upper first
 premolars. 

32. Refer to scenario #1. You ask this patient to put his back teeth
together, and note that the first molars are in a Class I relationship.
What will the incisor relation look like?

A. Anterior open bite 

B. Excessive overjet 
C. Normal overjet 
D. Reverse overjet 

33. Refer to scenario #1. You ask this patient to put his teeth together,
and note that there is a normal overbite and overjet of the incisors. What
will the molar relation be?  
NOTE: None of the conditions described in question #32 apply to this
question. 
A. Class I 
B. Class II 
C. Class III 
D. Class IV 

34. Refer to scenario #1. What is the most likely explanation for the
missing upper second premolars (#4 and 13)? 
A. Caries 
B. Congenital absence 
C. Ectopic eruption 
D. Transposition 

35. What is the usual underlying cause of a unilateral posterior crossbite

accompanied by a functional shift of the mandible?
A. Bilateral narrowing of the maxilla 
B. Incisor interferences 
C. Premature loss of primary molars 
D. Unilateral narrowing of the maxilla

36. Increased overbite refers to a problem in which plane?  

A. Antero -posterior 
 
B. Transverse
C. Vertical  
D. Frankfurt 
E. Horizontal 

37. Teeth tend to erupt earlier in the mandible than in the maxilla. Teeth
tend to erupt earlier in boys than in girls.  
A. The first statement is true; the second is false. 
B. The first statement is false; the second is true.
 B. The first statement is false; the second is true. 
C. Both statements are true. 
D. Both statements are false. 

38. How does mandibular growth in boys ordinarily compare with that in
girls? 
A. Is sustained over a longer period of time in girls 
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B. Is sustained over a longer period of time in boys 
C. Occurs at the same chronologic age in both s exes  
D. Occurs two years earlier in boys than in girls 

39. What is the most stable and most often used plane for the general
superimposition of lateral cephalograms? 

A. Frankfort Horizontal 
B. S-N (anterior cranial base)  
C. S-Ba (posterior cranial base) 
D. Occlusal Plane  

40. In a patient with a no

which of the following wo
orthodontist? 

A. At age 7  
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C. When their full permanent
D. When their last few mand
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