Operative and Caries

l\ A 10-15 scconJ application of37% The treatment of choice is

phosphoric acid on prepared dentin will result
in a ll of the following EXCEPT A. application of pit and fissure
sealants.
A. e limination of the smear layer. 13. preventive res in restorations.
B. increased diameter of the dentinal _, C. conservative Class I amalgams.
tubu les. D. prophylactic odontotomy.
C. demineralization of the superficial E. no treatment.
dentin.
D. elimination of the collagen fibres._,. ·J c/ls~'j~. 6\ A 45 year old patient has 32 unrestored teeth.

2\ A 9-year o ld boy is brought to the office for

"Yvtf~ d IJ,(:/\
<.Al:!/ · • 5 "{{~
treatment immediately following a facial
injury with a fracture of enamel only of a
maxillary central incisor. The tooth tests
completely negative to an electric pulp tester.
This finding ind icates that the tooth
A. is non- vital and should be extracted.
B. is non-vital and endodontic therapy
may save the tooth.
C. probably has a root fracture and is
not amenable to root canal therapy.
D. may be only temporarily non-
respons ive and should be checked at
a later date.
3\ A 12 year old patient with a complete dentition
has enamel hypoplasia of tooth 1.4. This
condition was most like ly caused bi
A. low calcium intake.
B. high fluoride intake.
C. an abscessed tooth 5.4.
D. systemic tetracycline.
E. a febrile illness.
The only defects are deeply stained grooves in
the posterior teeth. Clinical examination
£
~ reveals no evidence of caries in the grooves.
The treatment of choice is
~
A. application of pit and fissure sealants.
B. Conservative Class I composite
restoration.
C. conservative Class i amalgam
restorations.
D. prophy lactic fissurotomy.
E. no treatment.
7\ A 78-year old patient presents with several
carious lesions on the root surfaces of the
maxillary posterior teeth. The restorative
material of choice is
c A. microfilled composite resin.
B. hybrid composite resin.
C. silver amalgam. (> ~~ \:~- _"' _ <. < •,.. t:~ ~c.. \ \- ..... c\
D. glass ionomer cement._.-L r.:,~., c• ,~,·~~
E. reinforced zinc oxide and eugenol
cement.

4\ A 45 year old patient has 32 unrestored teeth.

8\ A 28 year old patient who has a high DMFS
score wants orthodontic treatment to
straighten teeth. Which ofthe following is the
c
The only defects are deeply stained grooves in most appropriate initial step in management of
the posterior teeth. C linical examination th is case?
reveals no evidence of caries in the grooves.
The treatment of choice is A. Cephabmetric ana lysis.
B. Diagnostic wax-up.
A. application of cyanoacrylate pit and C. Caries risk assessment
fissure sealants. D. Fluoride rinse prescription.
B. application ofBIS-GMA pit and
fissure sealants. 9\ A 67 year old patient with xerostomia
C. conservative Class l amalgams. presents w ith root caries. The most
D. prophylactic odontotomy. appropriate material to restore these
E. no treatment. . lesions is

5\ A 45 year old patient has 32 unrestored teeth. A. flammable composite resin.

The on\y defects are deeply stained grooves in B. hybrid composite resin.
the po;;terior teeth. C linica l examinat ion C. sil ver amr.lgam.
reveals no evidence of caries in the grooves. D. glass ionomer cement.

Yt: ' .J , ~· --o4-.., , 1(. cl,'.sr;._s,

------- -- -- ---- Page 1 --------- --·-<c:-:----------
_)e., s~ t-,~.
 Operative and Caries
10\ A bevel is CONTRAINDICATED on the C. prevent pigments in the composite resin from
cavosurface margins of a Class I amalgam stain ing the tooth.
cavity preparation because D. minimize irritation of pulp tissue.

A. this type of margin would tend to 15\ A factor that increases caries risk in dentate
leak. elderly patients is
B. as the tooth undergoes natural
attrition the bevel would be worn A. age-related decreased salivary flow
away. rate.
C. a thin flange of the amalgam B. change in cementum composition.
restorative material is prone to C. age-related change in enamel
fracture. composition.
D. the restoration is more difficult to D. presence of chronic periodontal
polish. disease.

16\ A healthy 78 year old patient presents with

11\ A bite wing radiograph oftooth 1.4 reveals
caries penetrating two thirds into the mesial three new carious lesions on root surfaces.
This is most likely the result of
c
enamel. The correct management of tooth 1.4
is to
A. age related changes in cementum
A. p lace an amalgam restoration. composition.
B. p lace a porcela in in lay. B. the architecture at the CEJ.
C. place a direct composite restoration. C. age related decrease in salivary flow.
D. apply topical fluoride and monitor. D. changes in dietary pattern.
E. chronic periodontal disease.
12\ A "caries risk assessment " includes an (
c 17\ A laboratory-fabricated composite resin inlay
analysis of
compared to a direct composite resin c
I. saliva. restoration has increased
2. diet.
3. past caries experience. A. colour stabil ity.
4. occupational and demographic factors. B. surface smoothness.
C. control of polymerization shrinkage.
A. ( I) (2)(3) D. bondability to tooth structure.
B. (I) and (3)
C. (2) and (4) 18\ A large carious exposure occurs on a
D. (4) only permanent first molar of a 7-year old. There is
E. All of the above. no periapical involvement and the tooth is
vital. The treatment should be to
13\ A carious lesion can NOT be re-mineralized
when a when the caries visually appears as a A. cap the exposure with calcium
"white spot" hydroxide and place z inc-oxide and
eugenol.
J3. dentin is demineralized. B. perform a pulpotomy and place
C. the surface is cavitated. calcium hydroxide.
D. the pH of the saliva is too high. C. perform a pulpectomy.
E . the caries has progressed to the dentino- D. extract the tooth and place a space
enamel junction. ma intainer.

14\ A cavity lining under a composite resin 19\ A line angle NOT present on a C lass I cavity J)
restoration is used to preparation on tooth 1.6 is

A. bind or adhere the composite resin to the cavity wall. A. mesiopulpal.

B. protect the restorative material from moisture in the B. buccopu lpal.
dentinal tubules. C. linguopu lpal.

-·-- Page 2 ·---·---------------

 Operative and Caries
D. axiopulpal.
E. None of the above.
20\ A lingual approach for a conservative Class III
preparation for a composite resin requires
A. a retentive internal form. - ~
B. parallelism of the incisal and g ingiv ~ ~ __ _ :_,
walls.
C. maintenance of the incisal contact~"""--:-.·=----
area.
D. All of the above.
21 \ A lower molar requiring a crown has an
extensive MOD amalgam restoration. The
crown margin should be placed
A. on the existing amalgam.
B. at the amalgam/tooth junction.
C. I mm apical to the amalgam margin.
D. 2 mm apical to the amalgam margin.
22\ A patient assessed as "low-risk" for new caries
would have
1. no new physical limitations.
2. no restorations replaced due to recurrent
caries in the past 5 years.
3. no change in dietary habits.
4. possible presence of arrested caries
lesions.
A. ( l) (2) (3)
B. (1) and (3)
C. (2) and (4)
D. (4) only
E. All of the above.
23\ A patient complains of sensitivity the day
following placement of a conservative
posterior composite resin restoration. The
most probable cause is ~ Jj r c h~ Ia
0
.s h.:>"'- ld .Y.:> e
A. acid etching. _ A~J... v"'U'Ihr"'+-·~,
B. microleakage.
~ - W'lic.,o/.<:;..V...~t-
C. unpolymerized resin.
D. prolonged application ofthe curing
light.
E. inadequate base thickness.
24\ A patient seeks advice from a dentist
about the a lternate sweetener, sucralose.
Which of the following statements is
correct about sucralose?
A. It breaks down at high temperatures
and cannot be used in baking.
B. It is a derivative of sucrose.
C. It is twice as sweet as table sugar.
D. It causes d iarrhea when ingested in
excessive amounts.
- .,....,
! 25\ A patient with a pre-existing MOD amalgam
.1 restoration has just had endodontic therapy
,1 / completed on tooth 4 .6 but cannot afford a G
0
t. ./ laboratory fabricated final restoration. Interim
restorative management of 4.6 with the best
prognosis is to
G A. restore with a MOD amalgam.
B. reduce the occlusal out of occlusion
and restore with a MOD amalgam.
C. cusp cap the buccal and lingual cusps
and restore with a MOD amalgam.
D. restore with a bonded MOD
composite resin.
26\ A protective mechanism of the dental pulp to
external irritation or caries is the formation of
A. pulp stones.
B. secondary dentin.
C. secondary cementum.
D. primary dentin. .
27\ A rubber dam in which there is leakage
interproximally has
A. holes punched too far apart.
B. holes punched too close together.
C. too broad a rubber dam arch form.
D. too much tension on the rubber dam
holder.
8 28\ A rubber dam should be used in
A. pulp capping procedures.
B. amalgam placement.
C. composite placement.
D. removing carious dentin from deep
lesions.
E. all of the above.
29\ A silane coupling agent is used to
c A. control polymerization shrinkage in
composite resins.
B. enhance the bond between a
porcelain veneer and the resin
cement.
Page 3

C. enhance use of a heat cured
composite resin inlay.
D. reduce the surface tension when
investing a wax pattern.
E. facilitate the soldering of gold
castings.
30\ A smooth surface coronal white spot carious
+- lesion that is visi ble when the tooth is both wet
and dry indicates that the
A. lesion is less than halfway through the
enamel.
B. enamel is stained and not dem ineral ized.
C. lesion is more than ha lfway through the
ename l.
D. caries involves the inner half of the dentin.
31 \ A vertical cross-section of a smooth surface ~
carious lesion in ename l appears as a triangle /~ -.-./ .\
with the
A. base at the dentino-enamel junction.
B. base faci ng toward the pulp.
C. apex po inting to the enamel s urface
D. apex pointing to the dentino-enamel
junction.
32\ A vital canine is to be used as the anterior
abutment of a four unit fixed partial denture
and it has 2.0mm remaining coronal tooth
structure. The most acceptable foundation
restoration would be
A . bonded amalgam core build-up.
B. a p in retained amalgam core build-up.
C. a pin retained composite resin core build-
up.
D. intentional devitalization followed by a
post and core restoration.
33\ A zinc oxide and eugenol cement placed
beneath a metallic restoration serves as a
I. thermal insulator.
2. electrical insu lator.
3. cavosu~face margin seal.
4. medicinal benefit to the P,ulp.
A. (I) (3) (4)
B. (2) (3) (4)
c. ( I) (2)(4)
D. ( 1)(2)(3)
------------------------------------ Page4
Operative and Caries
34\ Acid etching of dentin with I 0-1 5%
phosphoric acid for 15-20 seconds
l . removes the smear layer.
2. increases dentina l permeability.
3. opens the dentinal tubules.
4. decalcifies the intertubular and peritubular
C dentin.
A. ( 1) (2) (3)
B . (!)and (3)
C. (2) and (4)
D. (4) only
E. A ll of the above.
35\ Advantages of resin bonded bridges are
'D I . improved aesthetics compared to traditional '
-""' bridges.
2. tooth structure conservation.
~ ( L ' 3. short chair-side time.
4 . economy. ,
~\' s- A.,...,.. -. +t..-G~--·"'-
A. (3) and (4)
B. (1 ) (2)(3)
c. (2) (3) (4)
D. All of the above.
36\ After completion of root canal therapy on
a maxillary first premolar with moderate
mesial and distal lesions and intact buccal
and lingual surfaces, the conservative
resto ration of choice is a/an
A. MOD composite resin.
B. MOD gold onlay. ....-o \
C. pin retained amalgam.
D. MOD ama lgam.
37\ After in itiating preventive management for a
16 year old patient with multip le extensive
carious lesions, which of the following
restorative treatments is most appropriate?
A. P lace amalgam restorations over the
next few months.
B. Excavate caries and p lace temporary
restorations within the next few
weeks.
C. Delay any treatment until the hygiene
improves.
D. Restore all teeth w ith composite resin
over the next few months.
 Operative and Caries
38\ After many caries free years a 78 year old
patient develops multiple root surface caries.
c C. the enamel and in the dentin up to lmm.
D. the enamel only.
This is most likely the result of
43\ An incipient carious lesion on an
(_
A. changes in cementum composition. interproximal surface is usually located
B. exposure of the cementoenamel
junctions. A. facial to the contact area.
C. decreased salivary flow. B. lingual to the contact area.
D. changes in dietary pattern. C. gingival to the contact area.
D. occlusal to the contact area.
39\ After placement of the rubber dam you notice
that the interdental papilla is protruding from ( 44\ An open proximal contact on an amalgam
beneath the rubber dam. The reason for this is restoration can be prevented by
that
A. appropriate wedge selection.
B. tightening the matrix band.
A. a rubber dam frame was used.
C. light condensing forces.
B . the holes were placed too far apart.
D. simultaneo us placement of adjacent
C. a light weight dam was used.
proximal restorations.
D. the holes were placed too close
together.
~ 45\ An open proximal contact on an amalgam
E. the teeth were not individually
restoration could have been caused by
ligated.

40\ Aging of the pulp is evidenced by a relative

D 1. inadequate wedging.
2. overtightening the matrix band.
increase in "l'
\ \(~'SLo.J+j \f''c.;~ c.·+-"<''")
3. inadequate condensing forces.
I 4. simultaneous placement of adjacent
1. vascularity.
2. nerve tissue. ""- (.e_\\ ~ - A(-( 'o.,...,. ..... ..A
proximal restorations.
3. cell numbers.
A. (1)(2)(3)
4. fibrous e lements.
B. (I) and (3)
5. calcification.
C. (2) and (4)
D. (4) only
A. (1)(2)(3)
E. All of the above.
B. (1) and (3)
c. (3) (4) (5) 46\ An overhang may result even though a wedge
D. (4) and (5)
is correctly used for a g ingivally extended
MO restoration on tooth 2.4 because
41 \ An eight-year old patient has a coronal
fracture, involving the enamel and dentin of D A. spherical alloy is used.
the permanent central incisor. When the acid
B. the root proximity of the canine
etch technique is applied
makes' using a wedge difficult.
C. there is often an open contact
A. a retentive pin is essential.
between the canine and first
B. the dentin should be protected with
premolar.
zinc oxide and eugenol.
D. there is a concavity on the mesial
C. the dentin should be protected with
root surface of the premolar.
calcium hydroxide.
D. the dentin does not need .any
47\ Assuming there is adequate tooth structure
covering.
remaining, composite resins can be used as a
core material for endodontically treated teeth
42\ An incipient carious lesion is described as \]
to be crowned provided
being in
A. the resin has a high contrast colour with
A. dentin without pulpal involvement.
tooth structure.
B. the cementum only.
B. there is an adequate ferrule.

·------···-·-·--·----·-·--·---···---·-----·--- Page 5 ------------ ·- --------------·-·--··-·-·

 Operative and Caries
C . the resin is a utopolymerizing. A. Soft
D. subsequent crown margins are not located B. Not palpable
on cementum. C. Firm
D. fixed
48\ Calcium hydroxide materials are indicated for
indirect pulp capping because the 54\ Compared to untilled resins, composite
resins have
A. calcium ions are absorbed into the
decalcified dentin. 1. reduced thermal dimensional changes.
B. acidity of the active caries process is 2. increased strength.
neutra lized by the calcium hydroxide ions. 3. reduced polymerization shrinkage.
C. calcium hydroxide forms an 4. better polishability.
impermeable barrier to the active o.t~.5
caries process and allows the pulp to A. (1)(2)(3)
heal. B. (I) and (3)
D. alkalinity of calcium hydroxide C. (2) and (4)
stimulates the reparative process D. (4) only
w ithin the vital pulp tissue. E. All ofthe above.

55\ Composite resin is a satisfactory core material

49\ Caries in older persons is most frequently
found on which ofthe following locations?
c for endodontica lly treated teeth provided
_s prc."-'d s <1.1-o· I!J , A. the resin has a high contrast colour with
A. P its and fissures.
_ \:;eh;::c\o f.:>\~ 6~( \.._,{ tooth structure.
B. Proximal enamel.
C. Root surfaces. B. there is an adequate ferrule.
D. Incisal dentin. C. the resin is autopolymerizing.
D. subsequent crown margins are not located
50\ Carious lesions are most likely to develop if a
patient has
8 on cementum.

- ?'G\.Br<..t~ ;.: . 56\ Composite resin is contraindicated as a

posterior restorative material in cases of:
A. a high lactobacillus count. .. -h.....""' .,s-\ ~ ~~c\~
B. saliva w ith low buffering capacity. e . ~c I. Allergy to benzoyl peroxide.
C. plaque on his teeth. _ -,~ ?T ~4 u.""'-\-1r
2. Bruxism.
D. lactic acid in his mouth. ~&( \o ~"'-<-'• \\""' ~ ~ 'r-t- 3 . Lack of enamel at the gingival cavo-surface
~... lo-u of1·"> "-.. 1-\ov>e.\IL..,- """"""- ~ margm.
51 \ Cementa[ caries differs from enamel caries la.c.J·.bo..c.; \\""' (c..._......\-
4. Inability to ll]aintain a dry operating field.
because ·,.-, "'-._0.,.._ ~ ~ov-.~·+
'l (vSf ~ff• 1j
V'o..~ '*-e. ·i .,. ~ ;.5 A. (1) (2) (3)
A. dental plaque is not involved.
"'-\~"" B. (1) and (3)
B. the age of onset is younger.
C. (2) and (4)
C. it is usually associated with abrasion.
D. (4) only
C!Jt progresses more quickly.
E. All of the above.
52\ Cervical caries on the maxillary primary l) 57\ Composite resin is CONTRArNDICATED as a
incisors in a 12-month old child is most likely
posterior restorative material in cases of
caused by
I. cusp replacement.
A. lack of systemic fluoride. 2. bruxism.
B. poorly formed enameL 3. lack of enamel at the g ingival cavo-surface
C. lack of calcium during pregnancy. margin.
D. excessive bottle use. 4 . inability to maintain a dry operating field.

53\ Chronically inflamed submandibular lymph A. (1) (2) (3)

Nodes are B. (I) and (3)
C. (2) and (4)

Page 6
 Operative and Caries
D. (4) only separate the teeth.
E. All of the above. adapt the matrix to the gingival margin.
aid in the creation of a contact.
58\ Dental caries is associated with absorb moisture.

l. certain strains of streptococci. P.) ( I) (2) (3)

·2. certain strains of staphylococci. ~)(1) and (3)
3. certain strains of lactobacilli. ~)(2) and (4)
4. gram negative rods and certain 9)(4) only
anerobic bacteria. ~)All of the above.

A. (I ) (2) (3) 64\ Early detection of a non-cavitated smooth (_

B. (I) and (3) surface caries lesion allows for a
C. (2) and (4)
D. (4) only A. conservative preparation for a
E. All of the above. bonded composite resin restoration.
B. conservative preparation for an
59\ Dental plaque developing on tooth surfaces <f', amalgam restoration.
will result in C. preventive regimen to be
implemented to arrest the
A. demineralization of enamel. demineralization and remineralize.
B. periodontal disease. D. conservative preparation for a resinmodified
C. amelogenesis imperfecta.-.;:>
D. A. and B. . 65\ Enamel caries is associated w ith M
A. certain strains of streptococci.
~ 60\ Detection of early occlusal caries in pits B. certain strains of staphylococci.
and fi ssures is best performed by use of C. certain strains of actinomyces.
~I D. certain strains of gram negative anerobic
bacteria.
A. visual inspection of clean, dry teeth.
B. high quality bite-wing radiographs.
C. caries-disclosing dyes on the occlusal
66\ For a cast gold restoration, a gingival bevel is 6
used instead of a shoulder because a bevel
surface. '
C"""'.>L ~,<e..l;:~~
D. a fine, sharp explorer to probe pits ..o (Y'.;,..J \.. ~-" .,..o. c:yf"::>,~: '~;h; 1,'"'' .
I . protects the enamel.
and fissures. w e. "'~~\<....- ""' ® ~o ~ 0<:...1,_" <"'<
~ eY"'\o..--e.(· 2. increases retention. Y('"dc\C(

3. improves marginal adaptation. Ye;-..,-\t')..vr;;.. \- .... ~ ~'t)(i~

61 \ DMF-S is an index for expressing I
'c-",-... -<~,~\
• -',,.,1.. ..\';•
O.'C.' · --~
4. increases the thickness of gold.
A. dental needs.
A. (1)(2) (3)
B. tooth mortality.
B. ( 1) and (3)
C. extent of dental neglect.
C. (2) and (4)
D. dental caries.
D. (4)only
E. All ofthe above.
62\ During cavity preparation under rubber dam, a
small mechanical exposure occurs. The 67\ For a patient who exhibits bruxism, a cast
correct procedure is to gold inlay is superior to an amalgam c
because the inlay has
A. swab the exposure with eugenol.
B. place calcium hydroxide·over the
A. better adaptation to the cavity walls. ~ ,.._.,~ """'"~''Nt
exposure.
B. greater thermal conductivity.-=-
C. perform a pul~tomy.
C. better ability to withstand
D. perform a pulpectomy.
masticatory forces.
D. easier placement into the cavity
preparation.
63\ During matrix placement for a Class II cavity
preparation, a wedge is placed to A

- Page 7 - - - - - - - - --··-- . -- - ---·- -·-- - - - - - -- -

 Operative and Caries
B. (I) and (3)
68\ For amalgam restoratio ns, a 90° cavosurface C. (2) and (4)
angle a~commodates the D. (4) only
E. All of the above.
I. condensing of amalgam.
2. compressive strength of amalgam. 72\ For the initiation of caries, the pH in the
3. tensile strength of amalgam. _ \ "·-''''~'J""" 1 c.-,-.-..""'"- , e.-«·--'' bacterial plaque must be
4. compressive strength of enamel. -~-- o~ -~iil~ s\fC··~~
" '' ~ ... ~ A. below 5.5 .
A. (1) (2) (3)
~ .,..~... . .:'-<
B . above 5.5.
~~-ra~l(;.,.,.. C b
B. (I) and (3) . a ove 6.0.
C. (2) and (4) D. below 4.0.
D. (4) only E. at 6.8 . .
E. All of the above .
73\ Fractured inc isal angles in the permanent teeth
69\ For an acid-etched C lass l1l composite resin,
the cavosurface margin of the cavity can be
D of adolescent patients are best restored using

bevelled to A. stainless steel crowns.

B. gold castings.
I. eliminate the need for internal retention. C. full coverage restorations.
2. improve convenience form. D. acid etch composite resin techniques.
3. aid in finishing.
4. increase the surface area for etching. 74\ Highly filled, hybrid, posterior composite
resins are CONTRAINDICATED as a
A. ( I) (2)(3) posterior restorative material in cases of
B. ( I) and (3)
C. (2) and (4) 1. cusp replacement.
D. (4) only 2. bruxism.
E. All of the above.. 3. lack of ename l at the gingival cavo-surface
margin.
70\ For an endodontically treated posterior 4. inability to maintain a dry operating field.
tooth, an on lay or crown is generally the A
restoration of choice because A. (1) (2)(3)
B.(l)and(3)
A. protecting the cusps makes the C. (2) and (4)
remaining tooth structure less brittle. D. (4) only
B. there is less likelihood of recurrent E. All ofthe above.
caries.
C. the increased access permits better 75\ If a patient in her first trimester of pregnancy
marginal adaptation. requires the immediate replacement of a large ~
D. they give protection against shearing MOD amalgam restoration with extensive i_)
forces. recurrent caries and thermal sensiti.vity, the
indicated treatment is to
71\ For composite resin preparations, cavosurface
enamel marg ins are bevelled because A . delay treatment until after the baby is
born.
1. a bevelled margin produces a more favorable surface B. restore with reinforced zoe.
for etching . . .; .,....,.f. 1 \- \ ,..,'(·r.-"" - o~ •.< c..o.......c:\~ C. restore with amalgam.
2. a bevelled margin imp):;,es the edge strength of the D. restore with a posterior composite
composite resin. -;;.;::::::::= res in.
3. after etching, the bonding agent reduces
micro leakage. 76\ !fan active carious lesion arrests and (_
4. the procedure eliminates the need to polish the remineralizes, it will show
restoration.
A.an increase in rad iodensity. _.., ·,+ J ~\:ct.~-- 5- 'o 'ft:t>-.
A. (I) (2) (3) :;,r. ....~ .,-.....J\.>~-~'1

·- - - - - - - - - - - - - · - -- - Page 8
 Operative and Caries
B. no change in hardness. B. (I) and (3)
C. decreased explorer "stickiness". ( Tv +~vr-c ' C. (2) and (4)
D. an increase in size. D. (4) only
E. All of the above.
77\ If the lining cement is left on the gingival( Vo:r,...;~~-. ·,., ~
cavosurface margin of a Class II amalgam o-"r l ;~o ;•·..v 82\ In composite resin restorations, glass ionomer 0
restoration, cements can be used as a base because they ~)
~ ~""J\<~ \ are
A. cement dissolution will lead to ~......-::..r.s-,..:<~_("Lr~
leakage. " A . sedative to a hyperemic pulp.
B. the preparation will lack retention B. neutral in colour.
form.
C. the preparation will lack resistance
® C. biocompatible.
D. compatible with the expansion of
form to bulk fracture. composite resins.
D. the preparation will lack appropriate
outline form. 83\ In composite resin restorations, polycarboxylate
cements are used as a base because they are \
78\ In a cavity preparation which closely
approximates the pulp, you would protect the A. sedative to a hyperemic pulp.
pulp with B. neutral in colour. ~~~ r, ~.Cf

A. a zinc phosphate cement base.

C. biocompatible.
D. None of the above.
J" t" .\. -e ·- I .-,r-
:..t, .\ (~
B. a calcium hydrox ide cement base.
C. a calcium hydroxide wash and cavity
varnish.
84\ In determining the ideal proximal outline form for
a Class II amalgam cavity preparation in a molar the ®
D. a calc ium hydroxide cement liner and
a g lass ionomer cement base. 1. ax ial wall should be l.Smm deep. \.\ • a"::. - ' • S<::>:::J -1t'<"'-<>-Y

79\ In a child with a high caries incidence, the

2. gingival cavosurface margin must clear contact G§"~
. h t he a d'Jacent toot. h.
Wit \..:::::::-::---
' ·'
.., proximal walls diverge occlusally.
most appropriate cement for a band and loop .).

space maintainer is 4. facial and lingual proximal cavosurface margins ' - ..

A. zinc oxyphosphate.
B. glass ionomer.
C. zinc oxide and eugenol.
D. polycarboxylate cement.

80\ In an 80-year o ld patient you would expect

A. a reduced size of the pulp chamber.

B. increased incidence of pulp stones.
C. increased tendency to pulpal fibrosis.
D. A ll of the above. . ~"""----..,. ff\.~r:..-+..
I. A larger sized condenser. .
2. A thinner matrix band. ...~'><.d f:..,<,
-t':-...- 81 \ In apply ing pit-and-fissure sealants, which of
3. An anatomical wedge. c~~- o..> ~-c:....
the following steps are necessary to ensure
4 . Use of mechanical condensation. 8.- •f"" ),. _,.,l .
sealant retention?
~
I . C lean the tooth surface.
A. ( 1)(2)(3) =::.·r-.,....,"
'- · o.('f'"

2 . A ir abrade the pits and fissures.

B.(l)and(3) ~ L•:-c c....•~
1.:9'-
C. (2) and (4)
3. Dry the tooth surface.
D. (4) only
4. Perform enameloplasty with a diamond
E. A ll of the above.
bur.

A. ( I) (2) (3)

-- -----·---------------- --------- --·------- ----- Page 9d) ~~"' < o r "'_5 w.-.l ~\ c:'"" ~ <....~ \2~~-~~
-\-..f..J:£..._ _

~::, ' d. "5 - \ . So:;,.

- - - -- -
 Operative and Caries
92\ In the restoration of the proximal surfaces of
86\ In pin-,etained restornt[ the p;n holes posterior teeth, periodontal involvement is most
should be parallel to the likely to develop when the restoration

A. long axis of the tooth. A. has a flat marginal r idge.

B. nearest external surface. B.has an inadequate contact.
C. pulp chamber. C. is overcontoured buccolingually.
D. axial wall. . D. is undercontoured gingivally.
\ J )

87\ In placing an amalgam, interproxima l 93\ In which of the following will the effects
wedging will be most effective in controlling of polymerization shrinkage be greatest? \
the ' {) !
-o ~e~e,l/.Jfr
A. Class I occlusal restoration.
A.
B.
buccal contour.
gingival contour.
B.
C.
Preventive resin restoration.
Direct veneer restoration.
c./M'
u
>r
C. lingual contour. D. C lass IV restoration.
D. marginal ridge contour. - - o b:::. .._ci, -
88\ In the initiation of dental caries, lactobacilli @ 94\ Incomplete polymer ization of composite resin
will occur when the resin comes in contact
are with

A. capable of surviving without A. z inc-phosphate cement.

nutrients. B. calcium-hydrox ide lining.
B. abundant in calculus. C. zinc-oxide-eugenol base.
C. both acidogenic and aciduric. D. glass ionomer lining.
D. the only acid-forming bacteria in the E. polycarboxylate cement.
mouth.
95\ Isthmus fl-acture dur ing function in a
89\ In the mandibular first premolar, the occlusal recently placed proximal-occlusal silver
dovetail of an ideal disto-occlusal amalgam amalgam restoration (with occlusal
preparation is us ually not extended into the extension throug h the occlusal fissure
mesial fossa because of the system), is most likely due to a preparation ~~ ~
with - ~- ~"\ \... '--
A. small lingual lobe. (-....-.. .;.-,:~~ ~.. ;>~"'' .._,....e. (
B. large buccal cusp. A. inadequate isthmus depth. ---.......'-...... _ _ _o...~_}•t /
C. large buccal pulp horn. B. inadequate isthmus width. -·
D. prominent transverse ridge C. a stepped buccal or lingual wall.
D. s ubgingival proximal extension.
90\ In the ora l cavity, decalcification of the "
L
u
enamel occurs only through 96\ Isthmus rractures of a C lass II amalgam
Restoration most fi·equently occur because of
A . proteolytic enzymes.
B. loss of calcium. A. inadequate condensation.
C. s ulfuric acid. B. inadequate width and bulk.
D. hyaluronidase. C. the low compressive strength of
amalgam.
91 \ In the restoration of a tooth, cavity varnish reduces ·~ D. burnishing during condensation
I '

A. ion migration from amalgam to tooth.

B. transfer of thermal changes.
C. amalgam corrosion.
D. galvanic stimulation ofthe _pulp.
97\ It is advisable to polish any restorative
material as smoothly as possible in order to D
(\.
prevent

A. microleakage.

·- - -·------··- - - - - Page 10 ------------ ·- --------------·----

 Operative and Caries
B. accumulation of plaque. A. hypercementosis.
C. overhanging margins. B. reversible pulpitis.
D. electro-chemical action. C. pulpal microabscess.
D. acute apical periodontitis
98\ Light-cured dental composites set when
exposed to lig ht. Light is the I 03\ ~eek following the placement of a small,
Class IJ composite resin, the patient returns
A. in itiator. with pulpitis. The most likely cause is
B. reactor.
C. catalyst. A . microleakage.
D. activator. B. hyperocclusion ofthe restoration.
E. terminator. C . polymerisation expansion of the
restoration.
99\ Marginal leakage of a composite resin D. incomplete curing. .
restoration will
I 04\ Overhanging margins of restorations at the
A. not be detectable. g ingival margin contribute to gingivitis in all
B. be minimized by use of a bonding agent. cases EXCEPT
C. decrease with longevity.
D. None of the above. A. retain dental plaque.
B. retain food debris.
100\ Most of the problems associated with C. cause irritation.
direct posterior composite resin D. create excessive pressure.
restorations are re lated to
I 05\ Overhangs on restorations predispose
A. high thermal conductivity.
B. galvanic conduction. I. enhanced plaque retention.
C. polymerization shrinkage. 2. restricted plaque removal.
D. poor shade selection. \.5D C0.. \ \ J, 3. enhanced food retraction.
_......._ ,----"' 00.. 4. increased caries susceptibility.
r>·"110 I\ Odontoblak_nuclei displacement into adjacent @
GJ dentina l tubuli is thought to be 0
, .._, " -\ A. (!) (2) (3)
6 c........,.....-> ~ ~ B. (l)and(3)
~ o,p. \ ~ -,....,._~..\ \)'eo·t c:. C (2) d (4)
\ ~ I. a reversible pathologic condition. .\ \J · an
.... \ CJV """"'\ -¥,'\..o • .. , t..).._. C .. 0 (4) )
\\~ 2. due to increased intrapulpal tissue . '- , · on Y
( \1 pressure. - er ·v.~> l)e..'~(... <..c \ ' <":.:. E. A II of the above.
\_ '1'v \ 3. due to contraction of coll~gen fibres~-u..T-. """" \\ S.""'- \<_ oC."..<\"~'""""' '
4 . more frequent fo llowing the use of air~ Y\e,, \ '. o..u-.~"1 ~- 106\ Periodontal involvement is most likely to develop
coolant rather than water coolant. p~ when a Class II restoratio n has
,.....,
},·
(\ one of the first histological
~ changes
~ _\ '-'.;.; <;) \.c."'c.'('\-e,... •
G. ollowing operative trauma. \ A. a flat margi na l ridge.
u.;'-'e"' <?·<..\ d ; s B. no proximal contact.
\
-rv..~ ~ , C. deficient occlusal anatomy.
A. ( 1)(2)(3)
B. ( I) and (3) D. been placed supragingivally.
C. (2) and (4)
D. (4) only
E. All of the above.
I 07\ Pins for cusp replacement sho uld ideally be
placed c
102\ One week after an amalgam restoration is placed A. within enamel.
in the mandibular first premolar, the patient returns 'b B. at the dentino-enamel j unction.
C. a minimum of 0.5-l.Omm from the
complaining of a sharp pain ofshort duration when
dentino-enamel junction.
eating o r drinking somethi ng cold. Teeth respond
D. a min imum of 1.5-2.0mm fro m the
normally to electric pulp testi ng and heat and the
dentino-enamel junction.
radiographs are normal. The most li kely d iagnosis is

- - Page 11 - - - - - - - - - - - - - - -- - - - -
 Operative and Caries
B. vitamin K.
108\ Planing the enamel at the gingival cavosurface C. prothrombin.
of a Class II amalgam preparation on a D D. platelets.
permanent tooth
113\ Prior to cementing an on lay in a vital tooth ,_. /.
A. should result in a long bevel. using polycarboxylate cement, the tooth may
B. is contraindicated because of the low be coated with cavity varnish
edge strength of amalgam. Do r-... -\- <.d ~ "' ~"/ft...;""""
'
'-' Y\.6 -0r y .:) '{ t ·!,1 .. '1.1 ,~
'-
C. is unnecessary since the tooth A. to protect the pulp.
structure in this area is strong. B. to improve seal.
((:Off'.,._._-\
D. should remove unsupported enamel C. to prevent post-operative sensitivity.
which may fracture. D. None of the above.
E. should result in a sharp
gingivoproximal line angle. 114\ Prior to the placement ofpolycarboxylate
cement as a base for a restoration, the cavity L
109\ Plaque becomes more cariogenic when preparation should be

A. it has become heavily calcified. A. painted with cavity varnish.

B. pyogenic organisms predominate. B. cleaned with hydrofluoric acid.
C. acidogenic bacteria and fermentable C. thoroughly dried with warm air.
carbohydrate are present. D. cleaned with water and air dried.
D. it is heavy and associated with an
orange stain.

II 0\ Polymerization shrinkage associated with the

115\ Proximal retention grooves are most
necessary to provide resistance for
proximal-occlusal silver amalgam
c
setting of composite resins is a result of restorations when the

A. primary bonds replacing secondary A. occlusal extension is wide

bonds. faciolingually relative to the
B. reaction by-products evaporating proximal extension.
from the set material. B. restoration is a pin-retained cusp
C. unreacted monomer evaporating replacement.
from the set material. C. occlusal extension is narrow
D. temperature changes occurring faciolingually relative to the
during the polymerization reaction. proximal extension.
D. bonded ama lgam technique is not
Ill \ Polymerization shrinkage in a composite
resin is reduced by
D being used.

116\ Pulpal response to cavity preparation depends '\)

~,/
A. placing a g lass ionomer liner on all upon
exposed dentin before placing
composite resin. 1. remaining dentin thickness.
B. doubling the curing time of the resin 2. coolant used while cutting.
in preparations that are deep. 3. sharpness of the bur.
C. using a flo wable composite on the 4. duration of the operation
gingival floor of Class II
preparations. A.( l)and(3)
D. incremental placement o'f no more B. (2) and (3)
than 2mm thickness of composite C. (3) and (4)
resin. D. All of the above.

112\ Postoperative bleeding in thrombocytopenic

purpura is due to a deficiency of

A. vitamin C.

·--·------ -- ·-- ·- · - - - - - - - - - ---- - -- ·--·-- - ----- Page 12 -·-- - ---- ·- - - - - - - · -- - - - - -· - - - -

 Operative and Caries
117\ Regarding dental caries, which of the
following is correct?
(__~
A. All carbohydrates are equally
cariogenic.
B. More frequent cons umption of
carbohydrates increases the risk.
C. The rate of carbohydrate clearance
from the oral cavity is not significant.
D. Increased dietary fat increases the 122\ Root caries risk in adults is
risk.
1. associated with previous enamel caries
118\ Resin bonding of composites to acid-etched
enamel results in
0
· \../..)
experience.
2. reduced in communities with fluoridated
water.
A. decreased polymerization shrinkage 3. greater in adul ts who have high streptococcus
of the resin. mutans counts.
B. decreased crack formation in the 4. sim ilar in institutionalized and non-
ename l. institut ionFtlized patients.
C. reduced microleakage.
D. e limination ofpost-operative A. (1 )(2)(3)
sens itivity. B. ( I) and (3)
E. improved wear resistance of the C. (2) and (4)
composite. D. (4) only
E. A ll of the above.
n,}J,I9\ Retentive pins
123\ Secondary dentin formation may be ,c;,. I
l) / A. assist in preventing shearing of nonrestored stimulated by
cusps.
B. decrease the compressive strength of ( N ('A ...,
the amalgam.
C. increase the tens ile strength of the
amalgam.
D. provide resistance form to the ( ~ )
preparation. c ~ =-'1 <:. 124\ Secondary dentin will develop
E. decrease m icroleakage by bonding
with the amalgam. ... \ ,_ ~~--;k,'1 A. if the teeth become abraded.
-~
------
\.:::::\··_, ( ,.\ ' y
B. if cavities develop .
120\ Retention of a gold inlay is. improved by C. following fractures.
D. due to chemical irritation.
l. addition of an occlusal dovetai I. E. A ll of the above.
2. increasing the parallelism of walls.
3. lengthening the axial walls. 125\ Sensitivity related to a noncarious cervical v
4. placing a gingival bevel. lesion is best explained by the

A. ( I) (2) (3) A. thermal conductivity of dentin.

B. ( I) and (3) B. hydrodynamic theory.
C. (2) and ( 4) C. dentinogenesis process.
D. (4) only D. neurogate mechanism.

f
E. All of the above. E. inorganic component of dentin.

I~1 ~tentt•Pf"' (
a~,i~~ ~reventing
_;;\-' in
rfS I oree cusps.
I \ J '
I
I
I
J
Jhear ng offo
~j 126\ Smooth surface caries begins at localized
areas on the

A. outer surface of enamel and dentin.

8

----------------------------------- Page13
 Operative and Caries
B. inner surface of the enamel. D. (4) only
C. outer surface of the dentin. E. All of the above.
D. outer surface of the enamel.
E. inner surface of the dentin. 132\ The area of the tooth that is most sensitive
during cavity preparation is
D
127\ Special attention is given to matrix adaptation [\
for the insertion of amalgam in a MO cavity r A . dentin.
in a maxillary first premolar because of the B. cementum.
C. cementoenamel junction.
A. concavity in the cervical third of the D. dentinoenamel junction.
mesial surface of the crown.
B. restoration being in the esthetic zone. 133\ The cariogenicity of carbohydrates is affected
C. unusual position of the contact area. by
D. buccolingual width of the tooth's
mesial marginal ridge. I . frequency of ingestion.
E. size of the interproximal gingival 2. retentiveness of the food.
embrasure. 3. type of carbohydrate.
4. presence of protective factors like calcium,
128\ Sterilization of carious dentin without pulp
injury is assured by the application of c phosphate and fluoride.

A . ( I ) (2)(3)
A. phenol. B. ( I) and (3)
B. 70% ethyl alcohol. C. (2) and (4)
C. chlorhexidine. D. (4) only
D. absolute alcohol. E. All of the above.
E. None of the above. '\
129\ Streptococcus mutans colonizes
134\ The coefficient of thermal expansion of
composite resins is
r
A . cusp surfaces ofteeth. A. greater than that of enamel.
B. pits and fi ssures of teeth. B. the same as that of enamel.
C. on the tongue. C. less than that of enamel.
D. at pH of2.5. . D. the same as that of amalgam.
E. the same as that of glass ionomer
130\ The advantage of a posterior composite resin cement.
restoration when compared to amalgam is an
immediate reduction in 135\ The dentine-enamel junction is the most 1:.
. I
sensitive portion of a tooth because •'-'

A. marginal leakage.
B. post-operative sensitivity. A. free nerve endings terminate on
C. technique sensitivity. odontoblasts at this region.
D. caries risk for patients with poor oral B. odontoblastic processes branch
hygiene. considerably at this region.
C. ameloblasts make synaptic
13 1\ The air-water spray used as a coolant in high connections with odontoblasts at this
Speed cutting of a cavity will ' junction.
D. odontoblastic tubules help convey
I. decrease pulp damage .. hydrostatic forces to the pulp cells.
2. reduce frictional heat.
3. keep the operating site clean. 136\ The efficacy of pit and fissure sealants is
4. reduce clogging of cutting instruments. affected by

A. (I) (2) (3) A. occlusal relationship.

B. (I) and (3) B. opacity of the sealant.
C. (2) and (4) C. stage of tooth eruption.
 Operative and Caries
D. type of polymerization reaction. D. restore all teeth w ith composite resin
E. systemic fluoride treatment. over the next few months.

137\ The enamel structures most resistant to the 142\ The initiation of cementa! caries differs from D
action of acids are enamel caries because

A. cuticles. A. dental plaque is not involved.

B. lamellae. - D C> I" qo. (j ;c.. (.e.£.'-.-. .6 ~ 1
1--'t\\'<. t,.,('~'t
/\(...,l'l' ,.. ""'P.' B. the age of onset is younger.
v e.., G ..f"•
C. rods. C. it is usually associated with abrasion.
D. interprismatic substances. f.-~~-- ~E: :,) D. it progresses more quickly.

138\ The facial and lingual walls ofthe occlusal 143\ The layer of intermingled collagen and resin
portion of a Class II cavity preparation for an ( located beneath a restoration is called the
amalgam in deciduous teeth should
A. smear layer.
A. be parallel to each other. B. hybrid layer.
B. diverge toward the occlusal surface. C. Weil layer.
C. converge toward the occlusal surface. D. decalcification layer. .
D. not follow the direction of the enamel
rods. 144\ The least invasive, clinically sound, method of
treating a permanent molar with early dentinal
139\ The following factors effect polymerization of decay in the mesial pit which is connected to
visible light cured composite resins: deep, non-carious fissures is a

I. Shade. A. preventive resin restoration.

2. Material thickness. B. Class I silver amalgam restoration.
3. Proximity of light source. C. fi ssure sealant.
4. Temperature of the material. D. Class I glass ionomer restoration.

A. ( I) (2) (3) 145\ The levels of mutans streptococcus have

B. (I) and (3) been shown to be significantly higher in
C. (2) and (4) the proximal plaque adjacent to which
D. (4) only type of posterior restoration?
E. All of the above.
A. Glass ionomer.
140\ The greatest cariogenic potential is
B. Composite resin.
exhibited by
C. Amalgam.
D. Gold castings.
A. cheese.
B. apples. 146\ The major advantage of glass ionomer cement
C. chewing g um. as a restorative material is that it is
D. raisins..
A. highly translucent.
141\ The initial treatment of choice for a 16 year
B. a fluoride releasing material.
o ld patient, who presents with multiple
C. highly esthetic.
extensive carious lesions, is to place the
D. unaffected by mo isture during the
patient on a preventive regime and to
setting reaction.
A. place amalgam restorations over the
147\ The mesial and distal walls of a Class I
next few months.
amalgam preparation diverge toward the
B. excavate caries and place temporary
occlusal surface in order to
restorations with in the next few
weeks.
C. delay any treatment until the hygiene A. resist the forces of mastication.
improves. B. provide resistance and retention
form.

------------------ PagelS

r-
 Operative and Caries
C. prevent undermining of the marginal 153\ The most common cause of long-term post I)
ridges. operative sensitivity following the placement 0
D. extend the preparation into areas of posterior composite resin restorations is
more readily cleansed. ?r o~
148\ The microorganism most commonly f '':)~¥
/ Jy A. hyperocclusion.
B. microleakage.
ssociated with root surface caries is -? C. acidic primers.
.
,:>,....e.' ,, /1 t '> <C ..,>c)j D. residual caries.
A. Actinomyces viscosus. .J_ ,...,,, ~.... J1
7 B. Streptococcus mutans.
-'""~

,-.>
,.,.;::.U.-
.)1..,....,..0 1-. .+ .>-b I <"
154\ The most common cause of pers istent post
C. Streptococcus salivarius. ..J _. · operative sensitivity fo llowing the placement
D. Lactobacillus acidophilus. 1-1-.e ...,or,. . of posterior composite resin restorations is

149\ The micro-organisms of dental caries are A. hyperocclusion.

B. microleakage.
I. streptococcus mutans. C. acidic primers.
2. staphylococcus aureus. D. residual caries ..
3. lactobacillus acidophilus.
4. B-hemolytic streptococci. 155\ The most common risk associated with vital
bleaching using I 0% carbamide peroxide in a
A. (1)(2) (3) custom tray is
B. ( I) and (3)
C. (2) and (4) A. superficial enamel demineralization.
D. (4) only B. soft tissue reaction.
E. All of the above . . C. tooth sensitivity.
D. cytotoxicity.
150\ The mini mum time to wait before placing
composite restorations after the 156\ The most rrequent cause for composite resin
completion of a bleaching (whitening) restoration failure is
treatment is
A. brittleness of the composite.
A. I to 2 hours. B. excessive polymerization shrinkage.
B. 24 to 48 hours. C. presence of voids within the material.
C. I to 2 weeks. D. inadequate moisture control during
D. 4 to 5 weeks. placement.
15 1\ The most accurate predictor of caries 157\ The most important factor contributing to
activity in root caries lesions is the long term success of the restoration of
an endodontically treated tooth is the
A. colour.
B. hardness. A. type of post uti lized.
C. radiographs. B. remaining coronal tooth structure.
D. caries detector dyes. C. presence of extracoronal coverage.
D. type _o f core material used.
152\ The most appropriate treatment for an
endodontically treated molar with an existing 0 158\ The most important factor leading to an
MOD restoration is a increased caries risk in older people is

A. cast gold inlay. A. partial anodontia.

B. bonded composite resin. B. diabetes.
C. bonded amalgam. C. chronic periodontitis.
D. cast restoration with cusp coverage. D. xerostomia. .

Page 16
 Operative and Caries
159\ The most likely cause of postoperative 164\ The outline form for an amalgam restoration
sensitivity w ith Class II composite resin in pit and fissure cavities is controlled by all
restorations is of the following EXCEPT the

A. acid etching of dentin. A. extent to which the enamel has been

B. micro leakage at the interface. involved by the carious process.
C. toxicity of the restorative material. B. lateral spread of caries along the
D. overheating during the finishing dentino-enamel junction.
process. C. extension that must be made along
the fissures in order to achieve sound
160\ The occlusal cavosurface margin for a and smooth margins.
Class I amalgam restoration shou ld be D. need to terminate the margins on a
cusp ridge or marginal ridge crest.
A. beveled. E. extent of undermining of the enamel
B. 90°. by the carious process.
C. chamfered.
D. acute. 165\ The permanent first molars of a 7 year old patient
have pronounced, deep occlusal fissures that are
16 1\ The organisms associated with a carious A stained. Bitewing radiographs show a normal
pulpitis are dentino-enamel junction. The treatment of choice is

A. streptococci. A. conservative amalgam restorations.

B. staphylococci. B. glass ionomer restorations.
C. spirochetes. C. application of fissure sealants.
D. viruses. D. topical fluoride application.
E. no recommended treatment.
162\ The outline form for a Class I amalgam
preparation is determined by all of the 166\ The placement of a retentive pin in the proximal
following EXCEPT the reg ions of posterior teeth would MOST likely \'
result in periodontal ligament perforation in the ~~
A. extent to which the enamel has been
involved by the carious process. A. mesial of a mandibular first premolar.
B. lateral spread of caries along the B. distal of a mandibular first premolar.
dentino-enamel junction. C. distal of a mandibular first molar.
C. extension that must be made a long D. mesial of a mandibular first molar
the fissures in order to achieve sound
and smooth margins. 167\ The placement of a reverse curve/ in a Class II
D. need to terminate the margins on a amalgam preparation aids in
cusp ridge or marginal ridge crest.
E. extent of undermining of the enamel A. retention form.
( r

by the carious process. B. resistance form.

C. convenience form.
163\ The outline form for a Class V composite D. outl ine form.
resin preparation is: \<::>\"'+
168\ The primary consideration in the
management of a patient with multiple
- ~I> -r ( ,-e:,...O.'V\.' ~
A. Extended I mm subgingivally.
deeE abfTaction lesions is ...-..=---
B. Determined by the extent of the ~

carious lesion.
C. Determined by the facial height of
contour. I A. provision of an occlusal splint.
B. tooth brushing modification.
C. diet counselling.
D. Extended proximally to the line
angles of the tooth. D. occlusal adjustment.

----------------------------------- Page17

169\ The primary etiological factor for the
development of root caries is
A. gingival recession.
B. acquired xerostomia.
C. poor oral hygiene.
D. cigarette smoking.
'[7 170\ The primary retention of a Class II gold
~ inlay is achieved by
I . adding an occlusal dovetail.
2. increasing the parallelism of walls.
3. lengthening the axial walls.
4. placing a ging ival bevel.
A. ( I)(2)(3)
B. ( I) and (3)
C. (2) and (4)
D. (4) only
E. All of the above.
17 1\ The principal internal retention for a Class V
amalgam cavity preparation is established at
t he ._~t<J
..,.
A. occluso-axial and g ingivo-axial line
angles.
B. mesio-axial and disto-axialline
angles.
C. mesio-gingival and disto-gingival
line angles.
D. None of the above.
172\ The principal reason for a cavosurface bevel
on an inlay preparation is to
A. remove underm ined enamel.
B. improve marginal adaptation.
C. decrease marginal percolation.
D. increase resistance and retention
forms.
173\ The principal use of the rubber dam during
placement of a composite resin restoration is
to provide
A. interproximal gingival retraction.
B. contrast between the tooth and the
operating field.
C. access to the operating field.
D. protection from fluid contamination.
Operative and Caries
174\ The proposed mechanism by which a calcium
hydroxide preparation initiates secondary
dentin formation in direct pulp cappings is by
A. releasing calcium ions.
B. stimulating differentiated ameloblasts to
lay down dentin.
C. stimulating fibroblasts to elaborate nuclei
A of the fi rst order.
I
\._ D. sti mulating undifferentiated cells of the
tissue to differentiate into odontoblasts.
175\ The pulpal floor of a Class II cavity is cut
perpendicular to the long axis of the tooth
EXCEPT in the
1]
A. maxillary first premolar.
B. maxillary second premolar.
C. mandibular second premolar.
D. mandibular first premolar.
176\ The pulpal floor of an occlusal amalgam
preparation on a mandibular first premolar
should
~· ~~
1V"
o..,<~
...... A. be 2mm into the dentin .
B. slope apically from mesial to distal.
C. be parallel to the buccolingual cusp
plane.
D. be perpendicular to the long axis of
the tooth.
177\ The pulpal floor of an occlusal amalgam
preparation on a mandibular first premolar
should slope apically from
A. mesial to distal.
B. buccal to lingual.
C. distal to mesial.
D. lingual to buccal.
178\ The purpose of a temporary restoration in an
anterior tooth is to
A. maintain aesthetics.
B. protect dentin and pulp.
C. prevent gingival inflammation and
recession.
D. prevent tooth movement.
E. All of the above.
179\ The "smear layer" is an important
consideration in
A. plaque accu mulation.
- - PagelS
 Operative and Caries
B. caries removal. A. ( 1)(2)(3)
C. pulp regeneration. B. (I) and (3)
D. dentin bonding. . C. (2) and (4),
D. (4) on ly
180\ The smoothest surface finish on a E. A II of the above.
composite resin restoration will be
produced by 185\ The use of cavity varnish under an amalgam
restoration w ill
A. a high speed multi-fluted tungsten
carbide b ur. I. have a bactericidal effect.
B. a high speed fine diamond bur. 2. decrease marginal leakage.
C. pumice on rubber cup. 3. stimulate secondary dentine formation.
D. fine a luminum-oxide disks. 4. decrease tooth discolouration.
E. a slow speed white stone.
A. (1)(2)(3)
181 \ The s uccess of indirect pulp capping is B. (I) and (3)
dependent upon C. (2) and (4)
D. (4) only
E. All ofthe above.
A. removal of all caries at the enamel-
dentin junction.
B. use of calcium hydroxide.
186\ The volumetric polymerization shrinkage ~
C . a well sealed restoration.
D. A ll of the above. .
of a hybrid composite resin is in the order of

A. Oo'/ O. --
"'"' ~; \ \-<..~ ((1'-.::A~""'"
o._(:·r'( •<.
9 (./..J)'G '"

182\ The success of remineralization of "white B. 0.1 - 1.0%. ~ ( \\~ ~<J\( v-.... - -'> D. •1 ..
spot" lesions is dependent upon the
c. 2 - 8%.
D.J0 - 15%. 1-V*f~v.J. ~ 6 •\ l_ ' 1'/ ,
I

l. pH ofthe saliva.
187\ To control the progression of dental caries, the
2. frequency of the cariogenic challenge.
3. availabil ity of mineral ions in saliva.
most appropriate action is to A
4. viscosity of the saliva.
A. alter the diet to reduce the intake of
refined carbohydrates.
A. (1)(2)(3)
B. increase the amount of fluoride avai lable
B. (I) and (3)
for re-mineralization.
C. (2) and (4)
C. restore teeth back to original precarious
D. (4) only
form.
E. All of the above..
D. control the presence of cariogenic bacteria .
183\ The tooth surfaces LEAST susceptible to
.,
caries are b 188\ To ensure maximum marginal strength for an
amalgam restoration the cavosurface angle
should
A. mesial of the maxillary arch.
B. lingual of the mandibular arch.
C. distal of the maxillary arch. A. approach 45 degrees.
D. occlusal of the mandibular arch. B. approach 90 degrees.
E. lingual ofthe maxillary arch. C. be bevelled.
D. be chamfered. .
184\ The use of an etchant and bonding system
before insertion of a composite res in 189\ To maintain pulp health and vitality, the
restoration results in preferred treatment for asymptomatic teeth
with very deep dentinal caries is
I. improved retention of the restoration.
2. decreased marginal leakage. A. direct pulp capping us ing a dentin
3. reduced polymerization shrinkage effect. bonding agent.
4. greater strength of the restoration. B. to avoid p ulp exposure using indirect
pulp capping.

r Page 19

r - - - - - - - - - - - - - - -- - - - - - - - --
 Operative and Caries
C. direct pulp capping using calcium
hydroxide.
D. to remove all affected dentin.
190\ Twenty-four hours after placement of a Class
II amalgam restoration, a patient returns
complaining of discomfort when "biting" .
There are no other symptoms. It is most
likely that the
A. pulp was exposed.
B. restoration is leaking.
C. restoration is in supra-occlusion.
D. amount ofbase material is
inadequate.
19 1\ Using a high speed dental handpiece
WITHOUT water coolant wil l
C. In enamel a minimum 0.5mm from
the dentino-enamel junction.
D. At least 2.5mm from the cavosurface
margin.
195\ What is the most important factor to consider
when deciding whether or not to use pulp
protection?
A. depth of the pulpal floor.
B. thickness of the remaining dentin.
C. amount of carious material removed.
D. location of the carious lesion.
196\ What is the name of the area in which the
resin of the adhesive system
( micromechanically interlocks with
v
dentinal collagen?

A. produce a smoother surface. A. Active zone.

B. decrease pulpal damage ifused with B. Smear layer.
light pressure. C. Hybrid layer.
C. reduce clogging of dental bur. D. Adhesive zone.
D. reduce debris accumulation.
B.
E. increase frictional heat.

192\ Using pins to retain amalgam restorations

p
~ 197\ What is the name of the process by which
carbamide peroxide bleaches teeth?
1/
i

increases the risk of A. Oxidation.

B. Addition.
1. cracks in the teeth. C. Subtraction.
2. pulp exposures. D. Hydrogenation.
3. thermal sensitivity.
4. periodontal ligament invasion. 198\ What is the threshold count of S. mutans in
mixed saliva at which a patient is deemed
A. ( 1)(2) (3) "high risk" for caries?
B. ( 1) and (3)
C. (2) and (4) A. 100/ml.
D. (4) only B. I 0,000/ml.
E. All of the above. C. 1,000,000/ml.
D. 100,000,000/ml.
193\ What is the best predictor of success for a c
composite resin restoration? 199\ What would influence the surface fin ish of
a functional composite resin?
A. Depth ofthe restoration.
B. Size of the restoration. A. Hardness of the resin matrix.
C. Presence of enamel on the entire B. Size of the smallest filler particles.
periphery. C. Size of the largest filler particles.
D. Presence of flat dentinal walls. D. Hardness of the filler particles.

I 94\ What is the most appropriate location for 200\ When a pit-and-fissure sealant is placed over C
the placement of a retentive pin? early but non-cavitated caries

A. At the dentino-enamel junction. A. the sealant retention rate is greatly

B . In dentin a minimum 0.5mm from reduced.
the dentino-enamel junction. B. bacterial loads generally increase under

- ---- - -·- - --- -----------·-··--------·----- Page 20 -----------

 Operative and Caries
the sealant.
C. it significantly reduces the likelihood of
the caries progression.
D. it will arrest the caries only if it is a
primary tooth.
20 I\ When bonding composite resin to a tooth
preparation that includes both enamel and
dentin, the term "total etching" means that
A. all of the tooth is etched.
B. only the enamel and dentin involved
with the tooth preparation are etched.
C. only the enamel involved with the
preparation is etched.
D. only the dentin involved with the
preparation is etched.
202\ When cementing a gold inlay w ith a zinc
phosphate cement, the best way to ensure
accurate seating is to
A. apply a firm pressure on the inlay until
the cement is set.
B. mix the cement rapidly to allow ample
time for insertion.
C. ask the patient to lightly tap on the
restoration until the occlusion is
comfortable.
D. force the restoration in place with an
orange wood stick and mallet.
E. re lieve the internal angles of the inlay
before insertion.
203\ When cementing an inlay, the best procedure
to ensure accurate seating is a
A. continuous ftrm pressure on the inlay
until the cement is set.
B. thick mix of cement.
C. rapid and heavy application of
pressure until the inlay is seated.
D. very thin mix of cement.
204\ When light-cured composite resins are
placed
A. surface polymerization is inhibited
by carbon dioxide (C02).
B. the degree of conversion is 85-95% .
C. increments of resin should not
exceed 2mm.
D. polymerization shrinkage increases
with filler content.
----------------------------------- Page21
205\ When odontoblasts are destroyed or undergo
degeneration, they are replaced by
A. ameloblasts.
B. undifferentiated mesenchymal cells.
C. multinucleated giant cells.
D. osteoblasts. .
206\ When placed into sound dentin, a self-threading
B pin will
A. increase tensile strength of an
amalgam restoration.
B. strengthen the amalgam.
C. cause pulpal inflammation.
D. increase the retention of an amalgam
restoration.
207\ When preparing a posterior tooth for an
extensive amalgam restoration, a pin hole
preparation should be placed
A. perpendicular to the pulpal floor.
B. parallel to the contour of the final
restoration.
C. angled 30o away from the pulp
chamber.
D. parallel to the external root contour.
208\ When removal of carious dentin results in an
exposure of non-vital pulp, the treatment of A.
choice is to
A. institute endodontic treatment.
B. cap the exposed pulp horn with
calcium hydroxide.
C. occlude the cavity with a light
packing of cotton moistened with
eugenol.
D. p lace a temporary restoration and
observe.
209\ When two teeth have Class III lesions
adjacent to each other, the operator should
prepare the
A. larger lesion first and restore the
smaller one iirst.
B. smaller lesion first and restore the
smaller one first.
C. smaller lesion first and restore the
larger one first.
D. large lesion first and restore the
larger one ftrst.
J )'e. ~ ....:; " C) ..._,
- '" ,~...
'r J- ~ ~.love_
ft , ~)'Y'AAI cLt:Y? rtb
 Operative and Caries
2 10\ When using ultra high speed cutting instruments
for cavity preparation, the heat generated is di rectly
A 215\ Which of the fo llowing affect(s)
polymerization of visible light cured
related to the composite resins?

I. duration of cutting. I. Intens ity of the light source.

2.size, speed and sharpness of the bur. 2. Thickness of composite resin.
3 .use of air and water spray. 3. Proximity oflight source.
4.existing pulp pathology. 4. Shade of composite resin.

A. (I) (2) (3) A . (I) (2)(3)

B. {I) and (3) B. (I) and (3)
C. (2) and (4) C. (2) and (4)
D. (4) only D. (4) only
E. A ll of the above. E. All of the above.

2 11\ Whenever possible, the marg ins of a

restoration should be placed
c 2 16\ Which of the following condition(s)
increase(s) susceptibility to dental caries?
/

I . subging ivally. 1. Vitamin K deficiency during tooth

2. supraging ivally. development.
3. on cementum. 2. Vitamin D deficiency during tooth _ l ~-.'1~"'"':" v •· \: '-"'- j )
4. on enamel. development.
3. Hereditary fructose intolerance.
A. (I) (2) (3) 4. Hyposalivation.
B. (I) and (3)
C. (2) and (4) A. (I) (2) (3)
D. (4) only B. (1) and (3)
E. All of the above. C. (2) and (4)
D. (4) only
212\ Which d iagnostic method is most appropriate E. All of the above.
to d ifferentiate a " white spot" lesion associated
with carious dem ineralization from enamel 2 17\ Which ofthe following factors decrease the.
hypoplasia on the facia l enamel? cariogenic potential offood?

A. Rewetting the dried surface. A. Decreased buffering capacity.

B. Tactile examination with a sharp explorer. B. Increase of fermentable carbohydrates.
C. Transillumination. C. Low protein content.
D. Bite-wing rad iograph. D. A pH lower than 6.

2 13\ Which line angle is NOT present in a Class V

amalgam cavity preparation?
2 18\ Which ofthe following factors influence(s)
the development of root caries?
r-
t;::-
A. Mesioaxial. I . A diet high in refined carbohydrates.
B. Axiopulpal. 2. Periodontal disease.
C. Gingivoaxial. 3. The anatomy of the cemento-enamel junction.
D. Distoaxial. 4. Xerostomia.
E. Occlusoaxial.
A. (1)(2)(3)
2 14\ Which microorganism does NOT B. ( !) and (3)
contribute significantly to the progression C. (2) and (4)
of dentinal caries? D. (4) only
E. All of the above ..
A. Actinomyces naeshmdii.
B. Lactobacillus casei.
C. Actinomyces viscosus.
D. Streptococcus sa/ivarius.
s~~lr- "\n ..• ~- • '
,. !. " ' .P •. .l..
'"
r\ <l•> +"'
5 -< ~ .,... '· Jc•./'- '-A - b '?<~ c' 'fVI.' 'f"'t.#-' -\-- o" ~ "',... v-t
...,
Page 22
c_.. ..... ~ ~\v.. \ ~ ...(
w\...l.J"' .,) ~ c_+
 Operative and Caries
2 19\ Which of the following features wou ld be most C. A lesion extend ing into dentin on a
indicative of a cracked tooth? bite-wing radiograph.
D. A brown spot lesion with a hard
A. Periapical rad iolucency. surface.
B.Hypersensitivity to thermal stimuli.
C. Pain upon biting pressure. 225\ Which of the following is NOT a
D. Absent vitalometric response. consequence of vital bleaching with I 0%
carbamide peroxide?
220\ Which of the following foods is LEAST
cariogenic? A. Reversible tooth sensitivity.
B. Soft tissue slo ughing.
A. Canned fruit. C. Sore throat.
B. Potatoes. D. Weakening of the enamel.
C. Fruit jello.
D. Cheese. 226\ Which of the fol lowing is the greatest risk
E. Wh ite bread. factor for rampa nt caries in children?

221\ Which of the following foods is the most A. Frequent ingestion of

cariogenic? polysaccharides.
B. Frequent ingestion of high sucrose-
A. Cheese. containing foods.
B. Dark chocolate. C. Severe enamel hypoplasia.
C. Jam. D. Deficiency of vitamin D.
D. Toffee.
227\ Which of the fo llowing is the most probable
222\ Which of the following has the LEAST J Postoperative complication of intracoronal
potential for soft tissue damage? bleaching a tooth that has not been adeq uately
obturated?
\7<.<.1-"'"~
A. 35% hydrogen peroxide.--.>~<!>::,-* \ t" ..J
B. 37% phosphoric acid. A. Fracture
C. 9% hydrofluoric acid. --" e..'-r ": ~ Cc,.o." ,. B. Discolouration
D. 20% aluminium chloride. l "(IY'<J)p.,.,.~' C. Retrogade pulpitis
D. Acute apical periodontitis
223\ Whic h of the following instruments can be used IJ E. External cervical root resorption
for placing gingival bevels on inlay preparations? D
228\ Which of the following is the most reliable
I. Margin trimmers. indication of an active root caries lesion?
2. Ena mel hatchets.
3. Carbide finishing burs. A. Brown discolouration.
4. Small diamond disks. B. Abfraction deeper than 1.5mm.
C. Discoloured lesion with the same hardness
A. (I) (2) (3) as healthy root surface.
B.(l)and (3) D. Leathery consistency.
C. (2) and (4)
D. (4) on ly 229\ Which of the following is true regarding
E. All of the above. "arrested caries"? It

224\ Which of the following is consistent w ith A. is certain to progress, but at a slow rate.
the features of an arrested carious lesion in B. should be treated the same as any other
an occlusal fissure? carious lesion.
C. can remineralize and not need any
restoration.
A. A small cavitated lesion with
D. must be restored if it is visible
exposed dentin.
radiographically.
B. A white spot lesion with a frosty
E. can be identified by surface roughness.
surface.

-------------------------------- Page23
 Operative and Caries
230\ Which of the following methods of cavity possible.
preparation is most likely to cause damage B. Using labial or lingual dovetails.
to the pulp? C. Etching the preparation for an
'\.
additional 30 seconds.
A. Ultra high speed and water spray.
B. U ltra high speed and no water spray. 235\ Which of the following properties of fresh ly
C. Conventional speed and no water spray. cut dentin does cavity varnish eliminate or reduce?
D. Conventional speed and water spray.
A. Resiliency.
231 \ Which of the following most likely causes B. Hardness.
pulpal irritation with posterior composite resin C. Regenerative powers.
restorations? D. Permeability. .

A. Seepage of residual monomer to the pulp.

B. Inadequate calcium hydroxide dentin
236\ Which of the following root surfaces have
concavities that make root planing difficult?
f
coverage.
C. Leakage ofbisphenoi-A from bis-GMA- A. Mesial of maxillary first premolars.
based resin composites. B. Lingual of mandibular first premolars.
D. Separation of composite resin from acid- C. Mesial of maxillary incisors.
etched dentin. D. Distal of the palatal roots of maxillary molars.

232\ Which of the following procedures must be 237\ Which of the following snacks has the lowest
done to ensure acceptable mercury hygiene in cariogenic potential?
a dental office?
A. Tuna fish sandwich on whole wheat
A. Use of high volume evacuation when bread, green salad, 2% milk.
working with amalgam. B. Chicken sandwich on white bread,
B. Use of air spray when condensing, diet cola, avocado.
polishing or removing amalgam. C. Pretzels, potatoe chips, juice.
C. Storage of amalgam scrap in a dry D. Hard-bo iled egg, celery and carrot
container with a lid. sticks, diet cola.
D. A quarterly mercury assessment for
office personnel. 238\ Which of the following should be done prior
to pin hole placement in an extensive
233\ Wh ich of the following procedures should be amalgam preparation?
used to reduce the risk of exposure to mercury
vapour? I. Exam ine the radiograph.
2. Determine the subgingival anatomic contours.
I . Staff education. 3. Remove caries and unsupported enamel.
2. Rubber dam. 4. Place a pilot hole at the dentino-enamel ~ s_._::;;
3. High velocity suction. \ "r'""' \() junction. o • S fr>.-
. I mask .
4. Surg1ca ( t h"
·· .r < <>

A. ( I ) (2)(3)
A. (l) (2) (3) B. (I) and (3)
B. ( I) and (3) C. (2) and (4)
C. (2) and (4) D. (4) only
D. (4) only E. All of the above ..
E. All of the above ..
239\ Which of the following statement is/are true
234\ Which of the following procedures will regarding light curing of a composite resin?
increase the retention of a Class III
composite resin restoration in primary B l. The curing tip should be with in 2mm of the
incisor and canine teeth? material.
2. Light intensity is inversely proportional to the
A. Keeping the preparation as small as distance from the material.

Page 24
 Operative and Caries
3. A darker shade of material requires longer C. (2) and (4)
curing time. D. (4) only
4. Curing of composite resin cannot occur E. All of the above.
through enamel.
244\ Which oral condition predisposes to caries? p._
A. (1)(2)(3)
B. (l) and (3) A. Xerostomia.
C. (2) and (4) B. Leukoplakia.
D. (4) only C. Pharyngitis.
E. All of the above. D. Stomatitis medicamentosa.

240\ Which of the following statements is true 245\ Which substance has the LEAST potential to \)
with respect to Class III carious lesions? initiate dental caries?

A. Preparation should include the A. Lactose.

contact to adequately restore form B. Glucose.
and function. C. Maltose.
B. Non-cavitated enamel lesions should D. Xylitol.
be restored in order to prevent
progression.
C. Radiographs are the most effective
diagnostic tool for this type oflesion.
D. Remineralization is possible if the
enamel surface is non-cavitated.

24 1\ Which of the following sweeteners used in

sugarless gum is most effective in preventing
caries?

A. Xylitol.
B. Sorbitol.
C. Mannitol.
D. Glycerol..

242\ Which of the following teeth are at \~ C (VC~ ~.

\)-C.c' f c
greatest risk for developing root caries?
""" c...)( ~ I \a__~
A. Mandibular incisors.
B. Mandibular posteriors. 1:... -l·~e j rCJ:> ~ ~ "rl ~ ~
C. Maxillary incisors.
D. Maxillary posteriors .. f~ Coli J e... •

243\ Which of the following would characterize a ~~dcrt ,.

patient assessed with a moderate-to-high caries p
risk? ~Yid.'bl,. -"
I. Development of new caries lesions.
2. Presence of arrested caries lesions.
3. Placement of new restorations for caries
within the last 2 years.
4. Replacement of old restorations within the
last year.

A. (1)(2)(3)
B. ( I) and (3)
'
/$

Page 25