Sinai University

Faculty of Dentistry Final exam. PRS 412

Removable Prosthodontics Department 12\ 6 \ 2017

Student’s Name: ‫ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ‬

Student’s ID: ………………………………………………………….....
I) For each of the following MCQs select the one most appropriate (30 Degree)
1. Immediate denture 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 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.
5. 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
6. 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
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

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.
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 maxillary denture made to occlude against partially edentulous mandibular arch
c) Single maxillary denture made to occlude against full natural mandibular teeth,
d) a & b
e) a & c
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

13. 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
14. 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.
d) a & b
e) a & c
15. 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
16. 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
17. 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
18. 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
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

19. 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.
20. 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) Increased the Freeway space
d) Inwards setting of molar teeth.
21. All of the following factors positively influences complete denture stability EXCEPT.
a) Excessive interach space.
b) V-Shaped palatal vault.
c) Even occlusal contact.
d) Well-formed residual ridges.
22. 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.
23. 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
24. The cause of difficulty in swallowing may be due to
a) Extension of the upper denture on the soft palate
b) Excessive pressure in the rugae area,
c) Distally overextension in the lower denture in the lingual pouch.
d) All of the above.
e) a & c
25. 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.
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

26. A cause of tongue biting is:

a) Good centric occluding relation.
b) Good tongue space.
c) Decreased tongue space.
d) Good overjet.
27. Which of the following should be treated by using a tissue conditioning material?
a) Immediate denture.
b) Mandibular single denture.
c) Irregular absorption.
d) All of the above
e) a &c
28. In tooth supported over denture design, endodontic therapy and amalgam plug is indicated
when there are
a) Normal coronal height.
b) Normal interocclusal distance.
c) Little or no loss of vertical dimension.
d) All of the above.
e) a & b
29. The advantages of interim partial denture construction as immediate denture are to.
a) Prepare the patient for complete dentures by first learning how to control the partial denture.
b) Provides posterior support
c) Reducing the possibility of the development of a habitual posturing of the mandible.
d) All of the above.
e) a & b
30. 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
31. 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
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

32. 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
33. 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
34. Treatment of cases with knife-like lower ridge
a) Relief
b) Resilient lining
c) Alveoloplasty.
d) All of the above
e) a & c
35. A cause for denture dislodgement by eating is:
a) The use of anatomic teeth in balanced occlusion.
b) Cuspal interference.
c) Improper lip support.
d) The use of non-anatomic teeth in balanced occlusion.
e) Poor denture appearance.
36. 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.
37. 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.
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

38. Treatment of repeated midline fracture of the upper denture cussed by alveolar bone
resorption is.
a) Surgical interference
b) Sufficient relief in the midline.
c) Repair followed by relining of the denture
d) All of the above.
39. Reason for the difficulty of tight lip during complete denture construction are.
a) Instability of the lower denture due to the backward displacement caused by the lip pressure.
b) Vertical lift occurring in the premolar and canine region from the pressure modioli.
c) Loss of support
d) a & b
e) a & c
40. The suitable impression technique for flabby ridge (Abuse Tissues) is
a) Selective impression technique.
b) Muco-static impression technique.
c) Muco-compressive impression technique.
41. Treatment of tight lip during complete denture construction
a) Keep the occlusal plane low.
b) Adequate extension on the retromolar pads.
c) Keep the denture narrow across the premolar region.
d) All of the above
e) a & b
42. Treatment for large tongue cases during complete denture construction is.
a) Keep the occlusal plane low.
b) Anterior teeth should be setup slightly backward of the ridge.
c) Using narrow teeth or grinding away the lingual cusps
d) All of the above
e) a & c
43. Which of the following is false in regard to a problems of single denture:
a) Excessive load from the natural teeth
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.
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

44. 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 & b
45. For overcome the esthetics problem for the single denture we should.
a) Use of a steeper posterior teeth.
b) Created deep vertical overlap.
c) Alteration of the clinical crowns of lower anterior teeth by selective grinding.
d) All of the above.
e) a & c
46. 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.
47. 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
48. The corrective procedures for burning sensation under new denture are.
a) Instruct patient in good oral hygiene
b) Avoid hot spicy foods.
c) For vitamins deficiencies prescribe vitamins A and B12
d) Prescribe a mild tranquilizer.
e) All of the above.
49. Patients are most appreciative to over denture than conventional complete denture.
a) True
b) False
50. In over denture if for some reason overlaid teeth must be extracted, it cannot readily be
converted to accept the alteration "as relining".
a) True.
b) False.
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

51. The main problem with the overdentures tooth supported is the carious breakdown of the
overlaid teeth.
a) True.
b) False.
52. One of the disadvantages of one stage extraction technique for immediate denture
construction is a massive surgery is required.
a) True.
b) False.
53. The overextended border causes pressure on the underlying soft tissue covering the sulcus
a) True.
b) False.
54. 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.
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. In high vertical dimension small white patches are to be seen in the painful area, relief of the
denture over these white patches is the best treatment.
a) True.
b) False.
57. 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.
58. Pain from reduced vertical dimension is associated with new dentures
a) True.
b) False.
59. Pain under denture may be due to trauma caused by heavy one sided pressure.
a) True.
b) False.
60. A cast metal plate may produce a more accurate fit for complete denture for V-shaped
palate.
a) True.
b) False.
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

Oral sheet
Complete the following(10 marks)
1. Define the following
a) Over denture
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
b) Immediate denture
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
c) Single denture
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
2. Mention three causes lead to inabilityto eat meat by patient wearing complete denture:
1. …………………………………………………………………………………………
2. …………………………………………………………………………………………
3. …………………………………………………………………………………………
3. Mention three causes lead to nausea from wearing complete denture
1. …………………………………………………………………………………………
2. …………………………………………………………………………………………
3. …………………………………………………………………………………………
4. Mention three causes of repeated midline fracture of upper denture
1. …………………………………………………………………………………………
2. …………………………………………………………………………………………
3. …………………………………………………………………………………………
Sinai University
Faculty of Dentistry
Removable Prosthodontics Department

Good luck
Dr. Hassan Saqr