OCCLUSAL ADJUSTMENT ke y U FINAL EXAMINATION JULY 3, 2018 1. The biting surface of the maxillary acrylic splint should: =a b. ©. d. To achieve occlusal harmony, it may be necessary to modify natural surfaces. If the tip of a cusp is to be reduced, it must have prematur contact mandibular posterior teeth in CR. contact mandibular anterior teeth in CR. be concave where the mandibular buccal cusps contact it to prevent excess opening of the vertical dimension. ‘must have both lingual and buccal mandibular cusps in contact. and artificial teeth ¢ contact in which of the following mandibular positions? oop -d. ic 3, When analyzing the occlusion of natural t absence of group function because a group Centric relation only Right or left lateral movement Centric relation and protrusive position Centric, lateral and protrusive positions It depends on whether the tooth is natural or artificial. eth, it is important to ascertain the presence or fanction occlusion has a better prognosis than an occlusion that relies on cuspid guidance. cadep Both statement and reason are correct and related. Both statement and reason are correct but NOT related. The statement is correct but the reason is NOT. The statement is NOT correct but the reason is and accurate statement. IETHER statement nor reason is correct. 4 If a deflective occlusal contact exists in centric relation between the facial cusp of a andibular molar and the fossa of a maxillary molar of a complete denture, the FIRST step toward eliminating the interference should be to: Boe bs reduce the cusp of the mandibular molar. deepen the fossa of the maxillary molar. check the interference in centric and all eccentric occlusions. reduce the cusp of the mandibular molar and deepen the fossa of the maxillary molar.‘A well-adjusted occlusal splint: ee Which of the following are the purpose of making a provides for stable closure in CR. provides for stable closure in CO. provides for stable excursive movements. a&b ab&e record of protrusive relation and the function that it serves after it is made? a. -. °. da. ‘To register the condylar path and to adjust the inclination of the incisal guidance. To ee the condylar path and to adjust the condylar guides of the articulator so that they are equivalent to the condylar paths of the patient. | To aid in determining the freeway space and to adjust the inclination of the incisal guidance. To aid in establishing the occlusal vertical di guides of the articulator so that they are equiv: mension and to adjust the condylar alent to the condylar paths of the patient. Common signs of trauma from occlusion include: awewne mobility. thickening of the cementum thermal sensitivity. sensitivity to percussion. loss of vertical bone. attrition of the enamel. “Increased vertical dimension of occlusion” refers to: ee a vertical dimension that leaves the teeth in a clinched, closed relation in normal position. an occluding vertical dimension that results in an insufficient interocclusal distance when the mandible is in rest position. an insufficient amount of interarch distance because of heavy, bony ridges. condition in which the patient cannot open the mandible because of temporomandibular joint pathosis.9. 10. 11. 12. A premature contact in centric that occurs in the third of the occlusal surface of a posterior tooth nearest to the central fossa line should be treated by: -. b. S d. ing techniques. a complete occlusal equilibration utilizing selective grindi surfaces via occlusal rehabilitation using complete restoration of all occluding crown and bridge or onlay therapy. i Orthodontically repositioning of the teeth into a more favorable position. extraction of offending tooth. The occlusal splint is used to: yaen= pooh aid in diagnosis of muscle and joint problems. control bruxism. : establish harmony between the joints and muscles during function. establish harmony between the teeth and muscles during function. control psychic stress. 1&2 1,2&3 1 & 3 only 1,384 2,385 Group function occlusion in an existing dentition is characterized by having payne paces no balancing side contacts“ i working side contacts from canine to third molar! a long centric from centric relation to centric occlusion. canine rise in protrusion. total balance in lateral excursions. 1 and 2 1,2,3and4 1, 2and 4 2and 4 3, 4.and 5 A protrusive interocclusal record is usually made by moving the mandible: aoe 3mm anteriorly, 1mm laterally. 4-6mm anteriorly. 10-15mm anteriorly. 4mm anteriorly, 6mm laterally.13. The following diagram represents a patient that possesses: CRO Centric Occlusion/Centric Relation discrepancy Long Centric Occlusal Interference None of these padsp 14. When a patient opens his mouth, there is an audible “click”. Which of the following Tepresents the MOST plausible explanation? The joint capsule has thickened. The disk and condyle lack functional coordination. The articular eminence has flattened. The medial pterygoid muscle is in spasm. eovp The lower one third of a patient’s face appears too short and there is an apparent loss of 15. the vermillion border of the lips. Which of the following procedures is indicated to correct this situation? a. Moving the anterior teeth facially b. __ Increasing the interocclusal distance ¢. Decreasing the occlusal vertical dimension 4. __ Increasing the occlusal vertical dimension 16. — Group function occlusion is characterized by having only: a. non-working contacts. —». __ working contacts. c. protrusive contacts. d. a long centric. 17. The dentist plans to place a crown on a patient’s maxillary canine. Altering the existing canine-guided occlusion in right-lateral excursive movement to that of a group-function will result in which of the following? a Greater clearance on the left side—less potential for a non-working contact a Less clearance on the left side—greater potential for a non-working contact ic No effect on the non-working side clearance20. 21. The dentist wee piseeepedil elt crown on a patient’s mandibular right second molar. As the Perce s the teeth come into initial contact, the patient's jaw defiee's 0 the stability, the pretense, co bauer occlusal relationship had been stable. To regain ability, fill adjust i i i Patented just the crown. On which incline of which cusp should the Incline Cusp 7a. __ Inner (lingual) Facial b. Outer (facial) Facial c. Inner (facial) Lin; 7 eat d. Outer (lingual) Lingual In a restorative problem involving all teeth in the mouth, the protrusive condylar path inclination has a primary influence on the: incisal guidance. anterior teeth only. mesial inclines of the mandibular cusps. mesial inclines of the maxillary cusps. 1 dentures has been perfected, which of the following contact in centric occlusion? adges ‘After the occlusion of complet areas of the teeth may be out 0! Jingual cusps of maxillary molars and buccal evsps of mandibular molars. a. ep. incisal edges of mandibular incisors and lingual surfaces of ‘maxillary incisors. ¢. Lingual cusps of maxillary bicuspids and buccal cusps of mandibular bicuspids. d. fossae of maxillary and mandibular molars and bicuspids. Chronic pain from the temporomandibular joint dysfunction may produce which of the following patient responses? a. Anger. b. Depression. c. Dependency. d. None of the above. @. _ Allofthe above.23. 24. 2B, 26. 27. When a cusp is i sp is in . ones Beer ee enective occlusal contact in centric relation, but does not contact in ‘centric movements, grinding should be performed on: apde both the cusp and the opposing area, the opposing fossa or the marginal ridges. opposing areas in eccentric positions. the cusp that is in deflective occlusal contact. The r 1 most common cause of cheek-biting with dentures is: ue oP crossbite relationship of posterior teeth. porcelain denture teeth. complete denture-partial denture combination. absence of buccal horizontal overlap. Position and movement of the articular disk are controlled by the capsular ligament and the fibers of the: doge sphenomandibular ligament. temporomandibular ligament. inferior head of the lateral pterygoid muscle. superior head of the lateral pterygoid muscle. ‘The protrusive pathway of the mandibular cusps on the maxillary posterior teeth is toward the: a. mesial. b. facial. —. distal d. lingual. of the mandibular left first molar is in deflective occlusal contact in The mesiofacial cusp centric occlusion but not in lateral excursions. Which of the following might be selectively ground to effect a balanced occlusion? eode The mesiofacial cusp of the mandibular right first molar The marginal ridges of the maxillary first molar and second premolar The mesiofacial cusp of the maxillary left first molar the distolingual cusp of the mandibular left first molar The type of load on teeth that is least destructive to the periodontium is the: 4. b. c vertical. oblique horizontal.28. The facebow transfer record allows the operator to: locate the hinge axis. record centric relation more reliably. ieee a any cast properly in relation to the mandibular cast. sfer the cast to the articulator maintaining the proper interocclusal relationships that are present in the mouth. eRe 1and3 land 4 2and 4 all of the above none of the above a. b. ©. d. 29. In arestorative problem involving all teeth in the mouth, the protrusive condylar path inclination has its primary influence on: incisal guidance. anterior teeth only. mesial inclines of mandibul mesial inclines of maxillary cusps and distal i Jar cusps and distal inclines of maxillary cusps. inclines of mandibular cusps. ater 30. An anterior guidance type of occlusion would normally exhibit: lateral group function. very steep incisal guidance. balancing (non-working) contacts. severe immediate Bennett’s side shift. separation of the posterior teeth. Neth es 31. Non-Working interferences usually occur on: teeth and distal inclines of mandibular teeth. a. mesial inclines of maxillary b. distal inclines of maxillary teeth and mesial inclines of mandibular teeth. c. lingual inclines of maxillary facial cusps and facial inclines of mandibular lingual cusps. ae facial inclines of maxillary lingual cusps and lingual inclines of mandibular facial cusps. 32. _ A condition of tooth contacts which diverts the mandible from a normal path of closure to centric relation is: a eccentric occlusion. b. occlusal disharmony =, deflective occlusal contact. d. habitual centric.33, 34. 35. 36. If a closure interfe c ference has been ei i created by a premature contact which is causing the the opposite side, this premature contact may be due to: the dnoee incline of the maxillary buccal cusp“ ts cus incline of the maxillary buccal cusp* the inne incline of the mandibular buccal cusp. outer incline of the mandibular buccal cusp. Per 1&3 2&4 1&4 2&3 none of the above combinations. coder Bruxism is usually evident in patients with occlusal disharmony. It is believed that the most common cause of bruxism nervous tension. fractured teeth. a unilateral pattern of mastication. a discrepancy between centric relation and centric occlusion. dental caries occlusally and proximally causing tooth movement. codoge Which of the following oeclusal contacts should be corrected first when doing selective grinding on a complete denture? ~a. Centric contacts b. __ protrusive contacts c working side contacts d. balancing side contacts e. __ lateral protrusive contacts For a complete denture balanced occlusion, the lingual cusps of maxillary posterior tee! on the non-working side contacts which areas of the mandibular posterior teeth? a. The facial incline of the lingual cusps b. The lingual inclines of the lingual cusps <_<. The lingual inclines of the facial cusps d. The central fossaeA fracture of the neck of the condyle can result in the forward displaceme 1c ae yl It i placement of th condylar head because of the pull of which of the following muscles? Temporal Masseter Buccinator Medial pterygoid None of the above hase 38. The one relation of the condyles to the fossae in which a pure hinging movement is possible is: a. centric occlusion. b. _retruded contact position. c. postural position of the mandible (rest vertical dimension). ~~. transverse horizontal axis (terminal hinge position). 39. _ Ina protrusive condylar movement, interferences can occur between which posterior cusp inclines? Inclines of Inclines of maxillary mandibular a. Mesial Distal —». Distal Mesial c. — Mesial Mesial 4. Distal Distal In complete denture fabrication, which of the following regulate(s) the path of the 40. condyle in mandibular movements? The height of the cusps of posterior teeth ‘The amount of horizontal and vertical overlap The size and shape of the bony fossae and the menisci and muscular influence The vertical occlusion, centric relation, and degree of compensating curve ewe 41, Non-working interferences usually occur on the inner aspects of the: a. facial cusps of maxillary molars. =. facial cusps of mandibular molars. c lingual cusps of mandibular molars. da. facial cusps of maxillary premolars.+ Excessive wear on occlu old age. mastication of food, disharmony between centr; ‘ tri abrasive food cont: 7 None of the above. oy Ifa patient is highly resistant to Jaw movement in centric relation: a. molar centric stops on mounted casts are likely to be absent using thin articulating paper. b. the cast should be mounted in centric occlusion. =. mounting of casts correctly may be impossible at that time. d. aandb e. all of the above. 45. The use of properly mounted study casts as part of ‘the extra-oral examination allows detection of: - a. facets. me ; b. poor contact area position. ‘ ic plunger cusps. d. arch continuity. <. all of the above. | i idance, which is generally agreed to be the anterior path traveled by the The ine ring functions movements, is a path that: : x a be altered during restorative procedures if a normal occlusion is to should never E pea es the contacting surfaces of mandibular and ‘maxillary anterior od is influent aise . enced by the anatomic relationship of the occluding surfaces o pe influence Dee aa ea or teeth during mastication.igament Epithelial Attachment. 48. The most immediate effect of deflective occlusal contact on a fixed partial denture i: pain caused by trauma. myofacial pain dysfunction. mobility of the abutment teeth. breakage of the fixed partial denture. orthodontic movement of the involved teeth. caogd xt of occlusal force 49. Patients who have natural dentitions generate the greatest amount during: a, swallowing. b. mastication. c centric relation. a. _parafunctional movements. i i \ces in eccentric Wh remature contact in centric is present and eral an ect proper selective grinding should be accompli i i orting cusp. usting the height of a centric supp ¥ 3 eae the height of a aa supporting cusp. adjusting the opposing “anvil”. ea adjusting the opposing ‘hammer. oP