WELLS---REMOVABLE PROSTHODONTICS

PART I

PARTIAL REMOVABLE PROSTHODONTICS

1. A highly survey line that allows placement of the retentive terminus of a clasp arm on the
ginigival one-third of the abutment tooth indicates that
1. The angle of cervical convergence is small
2. The angle of cervical convergence is large
3. The abutment tooth must be recontoured
4. A bar clasp is the clasp design of choice
2. True reciprocation infers that the reciprocal component of a clasp assembly
1. Lies on the middle one-third of the clinical crown
2. Is a lingual blanket rather than a lingual arm
3. Contacts the abutment tooth simultaneously with the retentive arm
4. Contacts the tooth immediately after the retentive arm assumes its passive position on
the retentive area
3. Which of the following is not a function of occlusal rest?
1. Maintenance of the correct occlusal relation of the artificial teeth
2. Guiding of the prosthesis along planned path of insertion
3. Stabilization of clasp arms in their planned position
4. Resistance to cervical movement of prosthesis

4. Aesthetics is an important consideration when deciding between a fixed or a removable

partial denture for which of the following Kennedy classifications?

1. Kennedy Class I
2. Kennedy Class II
3. Kennedy Class III
4. Kennedy Class IV
5. All of the following statements related to the RPI clasp assembly are false except one. Which
one?
1. The rest may be placed on the distal aspect of the occlusal surface
2. A boxlike rest seat is desirable to promote stability of the prosthesis
3. Proper depth of the rest seat may require an amalgam or a direct filling gold
restoration
4. Contact between the mesial minor connector and the adjacent tooth is desirable.

6. Which of the following is(are) not a valid criterion of incisal rest seat design?
1. The deepest portion (mesiodistally) is toward the center of the tooth
2. Sharp line angles are desirable
3. Contact area is involved in the preparation
4. Small bevels are placed labially and lingually
 5. 1 and 4
6. 2 and 3
7. When surveying a diagnostic cast, the selection of a suitable anteroposterior tilt is to
1. Indicate the greatest available support for the RPD
2. Provide relative parallelism among proximal tooth surfaces
3. Provide suitable reciprocation for retentive clasp arms
4. Eliminate soft tissue undercuts in the retromylohyoid areas
8. Which of the following statements regarding the design of minor connectors is (are) true?
1. The minor connector must be rigid
2. The minor connector must engage an undercut low on the tooth
3. The minor connector should present minimal interference to the tongue.
4. The minor connector should cover the minimum of gingival tissue possible.
5. 1, 3, and 4
6. All of the above
9. Which of the following is an (are) indication(s) for recontouring natural tooth structure in
preparation for a RPD?
a. Need to create rest seats
b. Need to prepare guiding planes
c. Need to lower a survey line
d. Need to raise a survey line
1. A,b
2. A,b,d
3. A,b,c
4. C
5. All of the above
10. As part of the preliminary oral rehabilitative phase of RPD therapy, an isolated mandibular
second premolar should ideally be
1. Extracted
2. Used for support only
3. Used as a primary abutment
4. Splinted to a canine with a fixed prosthesis
11. All of the following are indications for restoring abutment teeth with the exception of
1. As a prophylactic measure where a low caries index is present
2. When the abutment tooth is nonvital
3. When the abutment tooth has undergone significant extrusion
4. When survey analysis reveals that crown form must be significantly altered to allow
proper clasp assembly design
5. 1 and 4
12. Which of the following treatment approaches should be considered for a severely extruded
abutment tooth, the loss of which would create a distal extension area?
1. Extraction
2. Occlusal recontouring
3. Endodontic therapy and coping placement
 4. Cast restoration

13. The altered cast technique can be used to obtain

1. Functional impression of the edentulous ridge area
2. Anatomic impression of the endentulous ridge area
3. Functional impression of selected supporting areas and an anatomic impression of
nonsupporting areas
4. 1 and 2
5. All of above
14. Identify the proper sequence of procedures to arrive at an altered cast for a distal extension
RPD
a. Fitting of framework (intraoral)
b. Removal of distal extension portion of final casts
c. Making altered cast impression
d. Final impression for framework construction
e. Construction of impression trays on framework
1. A,b,c,d,e
2. B,d,c,a,e
3. D,a,e,b,c
4. D,b,c,a,e
15. Which of the following maxillary partially edentulous arches does not generally require
record bases and occlusion rims (or framework) for an accurate face-bow record?
1. Kennedy Class I, mod I
2. Kennedy Class III, mod 1
3. Kennedy Class II
4. Kennedy Class II, mod 2
16. The horizontal mandibular position recorded for a maxillary complete denture opposing a
Kennedy Class II, mod 1 RPD should provide
1. Centric occlusion coincident with centric relation
2. Maximum intercuspation anterior to centric relation
3. 1 and 2
4. 1 or 2
17. Maxillary and mandibular RPD frameworks have been independently adjusted for occlusion
to allow natural tooth contacts. With both frameworks seated it is noted that the natural
teeth are in slight hyperocclusion. The premature contact exists between
1. The mandibular framework and the natural maxillary teeth
2. The maxillary framework and the natural mandibular teeth
3. Opposing frameworks
4. Any of the above, all are possible
18. In order to achieve maximum intercuspation in centric occlusion when setting posterior
artificial teeth for a RPD, the artificial teeth are first set in hyperocclusion and the
equilibrated back to the original VDO. This procedure must be accomplished for all of the ff
situations with the exception of setting
 1. Maxillary artificial posteriors against mandibular natural posteriors
2. Maxillary artificial posteriors and mandibular artificial posteriors
3. Mandibular artificial posteriors against a maxillary posterior fixed prosthesis

19. A distal extension RPD with natural anterior teeth are capable of anterior guidance requires
the posterior artificial teeth to provide
1. Centric occlusion and working contacts
2. Centric occlusion contacts only
3. Balancing and working contacts
20. The occlusal requirements of a mandibular bilateral distal extension RPD against a
maxillary complete denture are
1. Centric occlusion
2. Centric occlusion and working contacts
3. Centric occlusion and balancing contacts
4. Centric occlusion, working contacts and balancing contacts
5. Balancing and working contacts
21. The final path of insertion may affect esthetics by permitting
1. Most suitable size and shape of anterior teeth replacements
2. Less clasp metal to be displayed
3. Bot h of above
4. Neither of above
22. Esthetics considerations related to the selection of posterior artificial teeth and waxing of
the denture base include
1. Maintenance of artificial tooth height (gingivoocclusal)
2. Placement of gingival papilla above contact areas
3. Harmony of artificial tooth size with adjacent natural teeth size
4. 1 and 3
5. All of above
23. If careless handling of the prosthesis has distorted the major connector, the steps taken in
the corrective procedure are to
1. Reestablish the taper of the clasp arm
2. Accomplish of functional reline
3. Remake the prosthesis
4. Remount and equilibrate the prosthesis
5. Adjust the major connector
24. Theoretically the best combination for a partial denture framework is
1. Chromium alloy for the clasps, gold alloy for framework and connectors
2. Gold alloy for the clasps and connectors, chromium alloy for the framework
3. Chromium ally for the clasps and connectors, gold alloy for the framework
4. Gold alloy for the clasps, chromium alloy for the framework and connectors
5. None of the above
25. Which of the following is (are) considered to be (an) advantage(s) of metal denture bases
compared to acrylic resin denture bases?
 1. Metal acts as a thermal insulator
2. Metal is easily relined or rebased
3. Metal exhibits greater accuracy
4. Metal is more esthetic
5. 1 and 3
26. Acrylic resin artificial teeth rather than porcelain artificial teeth are generally used as
posterior tooth replacements in a RPD because
a. Acrylic resin teeth are easily adjusted to accommodate the retentive meshwork
and the minor connectors
b. Acrylic resin teeth maintain the VDO over a longer period of time
c. The occlusal surfaces of acrylic resin teeth need no modification to occlude
against natural teeth
d. Acrylic resin teeth are potentially less destructive when opposed by natural
teeth or gold restorations
1. A,c,d
2. A,d
3. B,c
4. All of above

PART II

COMPLETE DENTURES

27. When a patient need a complete denture, preprosthetic surgery is generally not indicated
when which of the following conditions exist?
1. Pedunculated torus palatines
2. Papillary hyperplasia
3. Epulis fissurata
4. Root tips embedded in mandibular bone
5. Torus mandibularis
28. Which of the following may compromise complete denture retention and stability?
1. A wide buccal shelf in the mandibular arch
2. Long gentle slope(drape) of the soft palate
3. High, v-shaped palatal vault
4. Absence of a well-defined mylohyoid ridge
5. All of the above
29. According to the House classification of mental attitudes of complete denture patients, the
least favorable prognosis offered by the
1. Philosophical patient
2. Exacting patient
3. Indifferent patient
4. Hysterical patient
30. Inflammatory fibrous hyperplasia of the alveolar mucosa(epulis fissurata) is usually a result
of denture irritation seen about the anterior vestibule. The treatment consists of
 a. Occlusal equilibration
b. Removal of irritant
c. Reduction of the VDO
d. Surgical removal of epulis fissurata
e. Only the construction of a new denture
1. A,b
2. B,c
3. B,d
4. E
31. Mandibular tori
1. May be compensated for in the final denture base by relieving the base over the tori
after spotting the area with a pressure indicating medium
2. Are unilateral in nature, thereby providing the patient with a path of insertion for the
denture which involves seating the denture over the torus first then easing opposite
side to place
3. Should be considered removal prior to denture construction
4. If surgically removed, require a healing period of 10-12 weeks prior to beginning the
preliminary impression
32. All of the following are lamdmarks concerned with location of the posterior palatal seal
except the
1. Fovea palatine
2. Hamular notch
3. Anterior nasal spine
4. Posterior vibrating line
5. Aponeurotic palate
33. The principal advantage of using modeling plastic rather than irreversible hydrocolloid for
edentulous preliminary impressions involves
1. Accuracy of the zone 1 area
2. Accuracy of the zone 2 and 3 areas
3. Ease of manipulation
4. Dimensional stability of the material
5. Correctability of impression
6. 2 and 5
7. 2,4,5
34. Salivary control is not a significant factor for final impression procedures using rubber base
or zinc oxide-eugenol because saliva will be absorbed by these impression materials
1. The statement is true and the reason is true
2. The statement is true but the reason is false
3. The statement is false but the reason is true
4. The statement is false and the reason is false
35. The muscle responsible for elevating the floor of the mouth during swallowing and whose
action may impart a characteristic S appearance to the lingual flange of a mandibular
complete denture is the
1. Mylohyoid muscle
2. Genioglossus muscle
3. Superior epigastric muscle
4. Digastrics muscle
36. Insufficient interocclusal space for a patient with CD may result in
1. Annoying “clicking” sound during normal conversation
2. Excessive forces on the denture supporting tissues
3. Potential for increased resorption of the alveolar bone
4. Facial distortion and difficulty in swallowing
5. 2 and 3
6. All of the above
37. A facebow record in complete denture construction is used to
1. Orient the maxillary cast to the centric relation record
2. Facilitate the mounting of the mandibular cast
3. Record the relation of the mandibule to the opening and closing axis of the TMJ.
4. Allow for exact determination of the vertical dimension of occlusion
5. 1 and 3
6. None of the above
38. Centric relation must be accurately recorded so that the
1. Face-bow record can be accurately taken as the next step in denture construction.
2. Centric occlusion can be developed in harmony with centric relation.
3. VDR can be determined.
4. Degree of Bennett angle can be measured.
39. When the VDO is evaluated for the edentulous patient at the occlusion rim stage of denture
construction, the VDR
1. Should be equal to the VDO
2. May exceed the VDO if esthetics are enhanced
3. Is of little significance in the evaluation of the VDO because it is subject to variation
4. Must always be greater than the VDO.
40. Which of the following are criteria pertinent to the fabrication of an acceptable temporary
record base?
1. It must be constructed on the final cast.
2. It must be constructed on the preliminary cast to preserve the accuracy of the final cast.
3. Its construction must include the entire vestibular fold portion of the cast
4. All surfaces that contact lips, cheeks and tongue should be finished
5. 1,3, and 4
6. 2,3 and 4
41. The neutrocentric concept of occlusion maintains that
1. Four mandibular molars must be used in every complete set-up
 2. The anteroposterior plane of occlusion should be parallel to the plane of the denture
foundation
3. Opposing anterior teeth must contact in centric occlusion
4. The occlusal plane of the mandibular posterior teeth must be aligned to one-quarter the
height of the retromolar pads
5. All of the above
6. None of the above
42. The dentist controls the ff factors of CD occlusion with the exception of
a. Occlusal plane
b. Incisal guidance
c. Bennett movement
d. Compensating curves
e. Condylar path
1. A,b
2. C,e
3. A,d
4. B,c
5. None of above
43. In a completed monoplane denture arrangement
1. Maxillary anterior teeth may exhibit a small degree of vertical overlap in relation to the
mandibular anterior teeth when an orthognathic ridge relationship exists
2. The degree of horizontal overlap of maxillary posterior teeth to mandibular teeth must
be small regardless of ridge relationship
3. Central fossae areas of maxillary molars are always aligned over the mandibular crest of
ridge line
4. Inadequate buccal overlap of maxillary posterior teeth in relation to mandibular
posterior teeth may result in cheek biting
44. Occlusal equilibration for CD should be accomplished by
1. Laboratory remount after processing
2. Patient remount with new intermaxillary records
3. Both a and b
4. Either a and b
45. When the vertical dimension of occlusion is evaluated by means of phonetics, the occlusion
rims should not make contact when the patient pronounces the “s” sound because this
demonstrates inadequate free-way space
1. Statement is true and the reason is true
2. Statement is false and the reason is false
3. The statement is true but the reason is false
4. The statement is false but the reason is true
46. The tentative midline of the maxillary occlusion rim can be determined by
1. Referring to the midline of the nose
2. Extending a vertical line from the lingual frenum to the occlusion rim
 3. Projecting a line from the middle of the uvula through the middle of the anterior nasal
spine on to the maxillary occlusion rim
4. Bisecting the face with an imaginary line and projecting it on to the maxillary occlusion
rim
47. The average ratio of maxillary central incisors to the bizygomatic width is
1. 1:12
2. 1:14
3. 1:16
4. 1:18
5. 1:20
48. Before relieving an area on the denture base which appears to be related to an area of
mucosal irritation, the dentist should first
1. Be certain that the patient has worn the denture because the irritation could be due to
trauma from hard sharp food
2. Determine the precise area of the base to be relieved by using one of the disclosing
material available
3. Examine the occlusion since occlusal discrepancies may cause tissue irritation
4. Remove the dentures and apply a topical anesthetic ointment
5. All of the above
49. All of the following procedures are carried out in preparation for the delivery appointment
with the exception of
1. Preservation of facebow record
2. Construction of mounting casts
3. Mounting of the mandibular denture
4. Finishing and polishing of the restorations
5. Mounting of the maxillary denture
50. It is generally accepted that a more accurate method of finally equilibrating complete
dentures is on the articulator rather than intraorally because the denture supporting tissues
allow a degree of movement of the denture bases that can mask inconsistencies in the
occlusion.
1. The statement is false but the reason is true
2. The statement is true and the reason is true
3. The statement is true but the reason is false
4. The statement is false and the reason is false
51. Rebasing and relining complete dentures include
1. Restoring the accuracy of denture base fit to supporting tissues
2. Maintaining occlusal relations of teeth
3. Maintaining the VDO
4. Recording supporting tissues in resting position
5. 1 and 2
6. All of the above
52. Which of the following combinations of artificial teeth should not be used in complete
maxillary and mandibular dentures?
1. Anterior, plastic; posterior, porcelain
2. Anterior, porcelain; posterior, plastic
3. Anterior, plastic; posterior, plastic
4. Anterior, porcelain; posterior, porcelain
53. Porosity in denture bases is due to all of the following except
1. Placing the packed flask immediately in boiling water
2. Improper finishing and polishing of the base
3. Insufficient resin used during packing
4. Lack of adequate pressure during processing
5. Poor mixing technique of monomer and polymer
54. The final impression materials combination of choice for immediate complete denture is
1. Heavy body rubber base and irreversible hydrocolloid
2. Irreversible hydrocolloid and stone
3. Plaster of paris and heavy body rubber base
4. ZOE and irreversible hydrocolloid
55. Match the tooth material( Column 2) with the appropriate property it exhibits (Column 2)
Column 1 Column 2
 Resistance to wear 1. Porcelain artificial teeth
 Mechanically retained in the denture base
 Relatively easy to restore, finish line 2. Acrylic resin artificial teeth
and polish after occlusal adjustment