Sinai University Final exam.

PRS 412
Faculty of Dentistry
Removable Prosthodontics Department 27 \ 1 \ 2017

Student’s Name: ‫ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ‬

Student’s ID: ………………………………………………………….....
I) For each of the following MCQs select the one most appropriate (20 Degree)
1. Immediate denture is a denture which is.
a) Entirely constructed after the extraction of the teeth.
b) Inserted immediately after the extraction.
c) Cannot be evaluate its esthetics until the insertion appointment.
d) All of the above
e) b & c
2. The advantages of the immediate denture are
a) Healing period is faster and less painful.
b) Centric relation is easier to record.
c) Prevent the change in the tongue size
d) All of the above
e) b & c

3. In the socketed type of immediate denture the cast is excavated to approximately 1 mm

on
a) The lingual side and flash with the gingival margin on the labial side.
b) The same depth at lingual and labial.
c) The labial side and flash with the gingival margin on the lingual side.
d) None of the above.
4. In the gum fitted type of immediate denture the cast is excavated
a) The lingual side and labial side are flash with the gingival margin.
b) The side lingual at depth 1mm and labial side flash with the gingival margin
c) The labial side at depth 1mm and lingual side flash with the gingival margin.
d) None of the above
5. In case of upper single denture opposing severely tilted lower first molars and
modification is not possible. The first choice to overcome the occlusal disharmonies is
a) Selective grinding
b) Cast gold crowns, onlays, or a fixed bridge
c) Orthodontic repositioning
d) Root canal treatment and over denture is indicated.
e) Extraction is necessary.
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

6. The advantage of tooth supported over denture are

a) Preservation of proprioceptive response.
b) Preservation of alveolar hone.
c) Preservation of gingiva.
d) All of the above.
e) a & b
7. Indication of the over denture tooth supported are
a) Cases having few remaining teeth.
b) Mobile tooth up to grade III mobility.
c) Patients presenting with congenital defects as cleft palate.
d) All of the above.
e) a & c
8. Combination Syndrome is the characteristic features that occur when an completely
edentulous
a) Mandibule opposed by natural maxillary anterior teeth.
b) Maxilla opposed by natural mandibular posterior teeth.
c) Mandibule opposed by natural maxillary posterior teeth.
d) Maxilla opposed by natural mandibular anterior teeth.
e) None of the above

9. The disadvantage of the tooth supported over denture are.

a) Caries susceptibility.
b) Encroachment of the interocclusal distance.
c) Bony undercuts.
d) All of the above.
e) a & c.
10. Contraindications of over denture tooth supported are
a) In cases with poor oral hygiene.
b) Inadequate interarch distance.
c) Abutments exhibiting mobility, which exceeds grade II.
d) All of the above
e) a & b
11. Magnets attachment for implant supported over denture provides
a) Less resistance to vertical dislodging force.
b) Greet resistance to lateral force
c) Easily moved in horizontal direction
d) More lateral force is transmitted to the implant.
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

e) All of the above.

12. One situation with single dentures should be avoided.
a) Single mandibular denture made to occlude against natural maxillary teeth,
b) Single mandibular denture made to occlude against partially edentulous maxillary
arch
c) Single maxillary denture made to occlude against natural mandibular teeth,
d) a & b
e) a & c
13. The usual cause of clicking of posterior teeth when a patient speaks is
a) Decreased vertical dimension of occlusion
b) Increased vertical dimension of occlusion.
c) Posterior teeth set too far lingually.
d) Posterior teeth set too far facially.
e) All of the above
14. To obtain maximum stability of a lower denture, the occlusal plane of the lower teeth
should be slightly
a) below the bulk of the tongue
b) Above the bulk of the tongue
c) At the mid distance of inter arch space.
d) None of the above.
15. The causes of tongue crumbing are all the following Except
a) Posterior teeth set inside the ridge.
b) Molar teeth which are too broad bucco-lingually.
c) Decreased the Freeway space
d) Inwards setting of molar teeth.
16. A patient with a history of repeated denture fracture may have.
a) Rapid rate of residual ridge resorption.
b) Large broad frenal attachment.
c) V-shaped palatal vault.
d) a & b.
e) a & c.
17. In edentulous patient with bilateral enlarged tuberosities it is advisable to:
a) Surgically reduce both tuberosities:
b) Blockout both undercuts.
c) Blockout one and use the other as an aid for retention.
d) a & b.
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

e) a & c.

18. Treatment of pain from V-Shaped ridge In the upper denture is by

a) Alveoloplasty followed by relining the denture
b) Relief over the crest of the alveolus.
c) Selective grinding
d) a & b
e) a & c
19. Patient's complain inability to eat anything is mainly confined to:
a) patients who are wearing complete dentures for the first time
b) Flattening of the cusps of the posterior teeth.
c) The use of cuspless posterior teeth.
d) Overclosure.
20. Inability to eat meat may be due to:
a) The use of cuspless posterior teeth.
b) Overclosure.
c) Inexperience.
d) All of the above.
e) a & b
21. Costen's syndrome may result from
a) Reduced vertical dimension.
b) High vertical dimension
c) V-shaped palatal vault.
d) All of the above
e) a & c
22. Nausea or gagging is commonly caused by
a) Dentures slightly overextended.
b) Dentures underextended.
c) Thick posterior border
d) All of the above
e) a & c
23. Lisping on pronouncing the consonants S, may result from
a) The anterior part of the upper denture, covering the hard palate, is thick.
b) The anterior teeth are placed too far back.
c) The anterior part of the upper denture, covering the hard palate, is narrow.
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

d) a & b
e) a & c

24. In V-shaped palate, which of the following is diminished.

a) Retention by adhesion.
b) Stability of the denture
c) Support of the denture
d) All of the above
25. Whistling on pronouncing the consonants S, may result from
a) The dental arch is too narrow.
b) The anterior teeth are placed too far posteriorly.
c) Cramped tongue.
d) a & b
e) a & c
26. Treatment case of V-shaped palate is
a) A cast metal plate.
b) Vestibuloplasty.
c) Careful blocking out of the V-Shape area on the model
d) All of the above.
e) a & c
27. Reason for the difficulty of case of flat lower ridge is
a) No resistance to lateral movement of the denture
b) Retention by adhesion is diminished.
c) Acrylic denture bases tend to warp during curing
d) All of the above.
e) a & b
28. Reason for the difficulty in case of V-Shaped palate are
a) Retention by adhesion is diminished.
b) Acrylic denture bases tend to warp during curing
c) Stability of the denture is diminished
d) All of the above.
e) a & b
29. In flat ridge cases; the most suitable impression material for taken final impression is
a) Rubber base.
b) Alginate.
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

c) Zinc oxide & eugenol.

d) None of the above.

30. The most suitable artificial teeth for flat ridge cases is
a) Zero degree teeth.
b) Anatomic teeth
c) Semi anatomic
d) 33 degree cusp angle teeth
31. Reason for the difficulty of cases with gross undercuts and large tuberosities during
complete denture construction is
a) Retention will be reduced
b) Stability will be reduced
c) Loss of peripheral seal
d) All of the above
e) a & c
32. Treatment of cases with gross undercuts and Large tuberosities for complete denture
construction are.
a) Careful blocking out of the undercut areas on the model.
b) Alveoloplasty to reduce the undercut.
c) Soft liners may also be used to engage the undercuts.
d) All of the above
e) a & c
33. Treatment of cases with knife-like lower ridge
a) Relief
b) Resilient lining
c) Alveoloplasty.
d) All of the above
e) a & c
34. A cause for denture dislodgement when opening the mouth is:
a) Well denture border extension.
b) Adequate tongue space.
c) Good peripheral seal.
d) Adequate amount and consistency of saliva.
e) Tight lips.
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

35. The most suitable teeth material used in single denture opposing natural teeth is
a) Porcelain teeth.
b) IPN resin teeth.
c) Acrylic resin Teeth.
d) All of the above.

36. A cause for denture dislodgement when coughing or sneezing is:

a) Well denture border extension.
b) Inadequate tongue space.
c) Poor peripheral seal.
d) The explosive nature of coughing and sneezing.
e) Adequate amount and consistency of saliva.
37. A cause of clattered complete denture teeth is:
a) Too low vertical height.
b) Gross cuspal interference.
c) Well retained dentures.
d) The use of acrylic teeth.
e) Balanced articulation.
38. A cause of cheek biting is:
a) Insufficient overjet.
b) Good centric occluding relation.
c) Good tongue space.
d) Decrease tongue space.
e) Increased overjet.
39. A cause of tongue biting is:
a) Insufficient overjet.
b) Good centric occluding relation.
c) Good tongue space.
d) Decreased tongue space.
e) Good overjet.
40. Which of the following is not an Immediate complication of denture insertion
a) Pain
b) Bleeding and ulceration
c) Bone resorption
d) Loss of retention before functional movements
e) Loss of retention when performing functional movements
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

41. Which of the following should be treated by using a tissue conditioning material?
a) Immediate denture.
b) Maxillary single denture.
c) Irregular absorption.
d) All of the above
e) a & c

42. Difficulty in pronouncing the consonants F occurs if.

a) The occlusal plane is set either too high or too low.
b) The anterior teeth are placed too far palatally.
c) The anterior part of the upper denture, covering the hard palate, is thick.
d) a & b
e) a & c
43. In one stage extraction technique for immediate denture construction
a) All the remaining teeth are extracted and the denture fitted at one session.
b) All of the posterior teeth are extracted, the sockets are allowed to heal, then a complete
denture is made as an immediate replacement of the remaining anterior teeth.
c) Make a partial denture to restore the posterior teeth as an immediate replacement then
the remaining anterior teeth are added as immediate additions.
d) a & b
44. In two-stage extraction technique for immediate denture construction.
a) All the remaining teeth are extracted and the denture fitted at one session.
b) All of the posterior teeth are extracted, the sockets are allowed to heal, then a complete
denture is made as an immediate replacement of the remaining anterior teeth.
c) Make a partial denture to restore the posterior teeth as an immediate replacement then
the remaining anterior teeth are added as immediate additions.
d) a & b
45. In interim partial denture construction as immediate denture.
a) All the remaining teeth are extracted and the denture fitted at one session.
b) All of the posterior teeth are extracted, the sockets are allowed to heal, then a complete
denture is made as an immediate replacement of the remaining anterior teeth.
c) Make a partial denture to restore the posterior teeth as an immediate replacement then
the remaining anterior teeth are added as immediate additions.
d) a & b
46. Which of the following is false in regard to a problems of single denture:
a) Excessive load from the natural teeth
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

b) The occlusal form of the remaining natural teeth

c) Uneven occlusal plane.
d) Esthetic and phonetic problems due to the fixed positions of the mandibular teeth lead
to difficulty placement of the maxillary teeth.
e) Centric relation is easier to record.

47. For overcome the excessive load from the natural teeth to the single denture we should
do
a) Maximum base extension within functional anatomical limits
b) Balancing occlusion.
c) Avoid broad inclined planes.
d) All of the above.
e) a & c
48. In single mandibular denture made to occlude against natural maxillary teeth some
consideration should be given
a) Using a resilient liner in the mandibular denture.
b) Over denture tooth supported or implant supported can be used.
c) Using porcelain teeth.
d) All of the above.
e) a & b
49. Repeated midline fracture of the upper denture may be caused by
a) Alveolar bone resorption
b) Presence of torus, palatinus.
c) Teeth outside the ridge.
d) All of the above
e) a & b
50. Treatment of repeated midline fracture of the upper denture cussed by presence of
torus, palatinus can be done by
a) Surgical interference
b) Sufficient relief in the midline.
c) acrylic plate.
d) All of the above.
e) a & b
51. The impression technique for flabby ridge (Abuse Tissues) is
a) Selective impression technique.
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

b) Muco-static impression technique.

c) Muco-compressive impression technique.
52. Treatment for large tongue cases during complete denture construction is.
a) Keep the occlusal plane low.
b) Anterior teeth should be set up slightly backward of the ridge.
c) Peripherally trimmed impression technique.
d) All of the above
e) a & c
53. Reason for the difficulty of tight lip during complete denture construction is
instability of the lower denture due to the backward displacement caused by the lip
pressure.
a) True.
b) False.
54. The esthetics of the immediate denture can be evaluated before the insertion
appointment.
a) True
b) False
55. The single complete maxillary denture opposing all or some of the mandibular natural
teeth is a very rare clinical situation.
a) True.
b) False.
56. The burning sensation under new denture in the anterior third of the palate, may
result from pressure on the nasopalatine area.
a) True.
b) False.
57. Pain from reduced vertical dimension is associated with new dentures
a) True.
b) False.
58. Patients are most appreciative to over denture than conventional complete denture.
a) True
b) False
59. Allergy to acrylic denture is common condition.
a) True.
b) False.
60. Selective grinding is not an accurate method of correcting cuspal interference.
a) True.
 Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

b) False.
Good luck
Dr. Yasser Baraka