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Prosthodontics 17

5. is edentulous arch is classi ed according to 8. is edentulous arch is classi ed according to


Kennedy classi cation as. Kennedy classi cation as.

a. Class 6 b. Class 4 a. Class 1 modi cation 1


c. Class 5 d. Class 3 b. Class 2 modi cation 1
c. Class 3 modi cation 1
Ans c. Class 5 d. Class 4 modi cation 1
Applegate’s Additions
Class 5: A unilateral tooth bounded edentulous area where Ans b. Class 2 modi cation 1
the anterior tooth is weak and incapable of providing sup- (questions 7 and 8)
port for the RPD Rules for Classi cation
Applegate, Swenson and Terkla have suggested rules to
6. is edentulous arch is classi ed according to apply to the Kennedy Classi cation System to eliminate
Kennedy classi cation as. some uncertainties and to make the classi cation more
descriptive. A simpli cation of these suggestions is:
1. Teeth which are to be extracted are considered as
edentulous spaces when classifying the arch.
2. Edentulous spaces which are not going to be restored
with the RPD are not considered in the classi cation of
the arch.
3. e most posterior edentulous space determines the
a. Class 6 b. Class 5 class of the arch for Classes 1 through 4. e length of
c. Class 4 d. Class 2 the edentulous space, i.e. the number of missing teeth
or the number of prosthetic teeth to be used on the
Ans a. Class 6 denture, is not considered in the classi cation.
Class 6: A unilateral tooth bounded edentulous area which 4. Edentulous areas in addition to those which determine
should be restored with a FPD the class for the arch are indicated as MODIFICATIONS
7. is edentulous arch is classi ed according to of that CLASS and are designated by their FREQUENCY
Kennedy classi cation as. and whether they are ANTERIOR (A) or POSTERIOR
(P). Only Class 1, 2 and 3 may have modi cations. e
length of the modi cation edentulous space, i.e. the
number of missing teeth or number of prosthetic teeth
to be used on the denture, is not considered.
9. If Implant placement is planned for the missing
tooth, what type of occlusion is advisable?

a. Class 1 modi cation 1


b. Class 2 modi cation 1
c. Class 3 modi cation 1
d. Class 4 modi cation 1

Ans c. Class 3 modi cation 1


18 TARGET MDS: Image Based Questions

a. Unilateral group function 13. Identify the anatomical landmark pointed with
b. Bilateral group function arrow.
c. Unilateral balanced
d. Unilateral canine guided
Ans a. Unilateral group function
(AIIMS SR JAN 15)
If a canine is replaced with implant prosthesis, what type
of occlusion will you prefer: Unilateral group function
10. Identify the anatomical landmark pointed with
arrow. a. Labial frenum b. Lingual frenum
c. Buccal frenum d. Alveolar ridge
Ans d. Alveolar ridge

14. According to modi ed University of California


Los Angeles (UCLA) classi cation, this Knife-
shaped alveolar bone as seen in the color plate is
classi ed as.
a. Midpalatine raphe b. Uvula
c. Posterior palatal seal d. Rugae
Ans a. Midpalatine raphe
11. Identify the anatomical landmark pointed with
arrows.

a. Type 1 b. Type 2
c. Type 3 d. Type 4
Ans c. Type 3
a. Midpalatine raphe b. Uvula
15. According to modi ed University of California
c. Posterior palatal seal d. Rugae
Los Angeles (UCLA) classi cation, a case with
Ans d. Rugae bone characteristic as seen in the color plate is
12. Identify the anatomical landmark pointed with classi ed as.
arrows.

a. Labial frenum b. Lingual frenum a. Type 1 b. Type 2


c. Buccal frenum d. Alveolar ridge c. Type 3 d. Type 4

Ans c. Buccal frenum Ans a. Type 1


Prosthodontics 19

16. According to modi ed University of California 18. is edentulous arch falls under which class of
Los Angeles (UCLA) classi cation, a case with Cawood and Howell classi cation.
insu cient bone height as seen in the color plate
is classi ed as.

a. Class 1 b. Class 2
c. Class 3 d. Class 4
a. Type 1 b. Type 2 Ans a. Class 1
c. Type 3 d. Type 4
19. is edentulous arch falls under which class of
Ans d. Type 4 Cawood and Howell classi cation.
17. According to modi ed University of California
Los Angeles (UCLA) classi cation insu cient
bone volume on buccal side as seen in the color
plate is classi ed as.

a. Class 1 b. Class 2
c. Class 3 d. Class 4
Ans b. Class 2
20. is edentulous arch falls under which class of
a. Type 1 b. Type 2 Cawood and Howell classi cation.
c. Type 3 d. Type 4
Ans c. Type 2
(Q-14-17)
Ref: (Seriwatanachai D, et al. J Interdiscipl Med Dent Sci
2015; 3:2)

Classi cation Tool used in


system classi cation Types of bone Images a. Class 1 b. Class 2
Modi ed Clinical Type 1: Su cient alveolar c. Class 3 d. Class 4
UCLA Observation shape for implants
classi cation, (Bone shape
Type 2: Insu cient
Ans c. Class 3
2008 and volume)
alveolar bone volume on
the buccal side
21. is edentulous arch falls under which class of
Type 3: Knife edge shape
Cawood and Howell classi cation.
with su cient alveolar
bone height
Type 4: Insu cient
alveolar bone height

Table representing edentulous bone ridge classi cation


followed three-dimensional (3D) quantity of alveolar bone
shape and volume.
20 TARGET MDS: Image Based Questions

a. Class 1 b. Class 2 a. Groper’s appliance


c. Class 3 d. Class 4 b. Nance palatal arch
c. Halterman’s appliance
Ans d. Class 4
d. Catlan’s appliance
22. is edentulous arch falls under which class of Ans a. Groper’s appliance
Cawood and Howell classi cation. (Jan AIIMS Sr 15)
Groper’s appliance is xed anterior appliance
25. Which of the following appliance is used in the
early loss of primary teeth such as this?

a. Class 6 b. Class 5
c. Class 3 d. Class 4
Ans b. Class 5
a. Groper’s appliance
23. is edentulous arch falls under which class of b. Nance palatal arch
Cawood and Howell classi cation. c. Halterman’s appliance
d. Catlan’s appliance
Ans a. Groper’s appliance
Loss of primary incisors after the eruption of primary
canines is not an important consideration for space loss
though occasionally in a crowded dentition there may be a
rearrangement of some anterior teeth. Another considera-
tion is the child’s speech development following extraction
a. Class 5 b. Class 6 of primary incisors. e sounds most frequently in error
c. Class 3 d. Class 4 are the labiolingual sounds. is is because many sounds
are made with the tongue touching the lingual side of the
Ans b. Class 6 maxillary incisors, and inappropriate speech compensa-
(Questions 20–23) tions can develop if the teeth are missing.
Cawood and Howell classi cation is space maintainer o ers several advantages in terms
• Class 1: Dentate of esthetics, restoration of masticatory and speech e ciency,
• Class 2: Immediately post ext. the alveolus has healed and prevention of abnormal oral habit development. e
main disadvantage is the accumulation of food debris and
• Class 3: Well-rounded ridge, adequate in height and
plaque. Hence, parents have to be instructed to supervise
width.
the maintenance of proper oral hygiene in their child.
• Class 4: Knife edge ridge, adequate in ht. and width.
• Class 5: Flat ridge, inadequate in ht. and width. 26. is 58 years old diabetic, partially edentulous
patient comes with chief complaint of burning sen-
24. Identify the appliance. sation in palate. What is your line of treatment?
Prosthodontics 21

a. Start topical antiviral and advise plenty of water a. CAD-CAM


intake, review regularly, systemic antiviral if b. CBCT soft-tissue reconstruction
symptoms doesn’t subside c. CAT
b. Topical steroids d. Rapid prototype
c. Topical antifungals
d. Advise avoiding denture for time period along Ans a. CAD-CAM
with topical antifungals
30. Identify the type of articulator shown in the color
Ans d. Advise avoiding denture for time period along plate.
with topical antifungals
27. Identify the appliance shown in the picture.

a. Healing cap a. Non-adjustable articulator


b. Semi-adjustable articulator
b. G-cu
c. Fully adjustablr articulator
c. Radiopaque indicator
d. Mean value articulator
d. Saliva absorbent
Ans b. Semi-adjustable articulator
Ans b. G-cu
31. Identify the type of articulator shown in the color
28. What is the function of the appliance shown in
plate.
the image?

a. Arresting gingival hemorrhage a. Hinge articulator


b. Gingival retractor b. Semi-adjustable articulator
c. Radiological marker c. Fully adjustablr articulator
d. Mean value articulator
d. Saliva absorption
Ans d. Mean value articulator
Ans b. Gingival retractor
29. Which system is shown here to construct this 32. Identify the instrument shown in the color plate.
maxillofacial prosthesis for the defect?
22 TARGET MDS: Image Based Questions

a. T-Scan b. G-Cu a. Crown gauge


c. U-Impress d. V-Impress b. Boley gauge
c. Ridge mapping caliper
Ans a. T-Scan
d. Castroviejo caliper
33. What is the use of Instrument shown in the color
Ans a. Crown gauge
plate?
36. Identify the instrument in the color plate.

a. Measure biting force


a. Crown gauge
b. Maxillary digital impression b. Boley gauge
c. Mandibular digital impression c. Ridge mapping caliper
d. Record mandibular movement d. Castroviejo caliper
Ans a. Measure biting force Ans b. Bolley gauge
T-Scan occlusal analysis system can help clinicians meet
37. Identify the instrument in the color plate.
the needs of their patients for reliable measurements of
occlusal biting forces.

34. Identify the instrument in the color plate.

a. Crown gauge
b. Boley gauge
a. Bone Harvester c. Ridge mapping caliper
b. Osteotome d. Castroviejo caliper
c. Sinus Lifter Ans c. Ridge mapping caliper
d. Bone mill
38. Identify the instrument in the color plate.
Ans a. Bone Harvester
Used to shave a thin layer of bone from a donor site. Harvest-
ers are not used for synthetic or non-bone graft material.

35. Identify the instrument in the color plate.

a. Crown gauge
b. Boley gauge
c. Ridge mapping caliper
d. Castroviejo caliper
Ans d. Castroviejo caliper
Prosthodontics 23

39. Identify the instrument in the color plate. Features precision ratchets to securely hold the bone block
in place while minimizing the chance of block breakage.
Aperture allows for screws to be placed while holding
bone.
43. Identify the instrument in the color plate.
a. William’s probe
b. Bone condensor
c. Nerve depressor
d. Implant depth gauge
Ans d. Implant depth gauge
40. Identify the instrument in the color plate.

a. Bone harvester b. Bone crusher


c. Bone rongeur d. Bone mill
Ans d. Bone mill
a. William’s probe
b. Bone condensor Table top
c. Bone spreader • Useful for crushing/grinding larger bone fragments
d. Implant depth gauge into smaller particles for grafting purposes.
Ans c. Bone spreader • Available in table top and handheld versions.
Useful to wedge donor block grafts from the chin and 44. Identify the instrument in the color plate.
ramus.

41. Identify the instrument in the color plate.

a. Bone harvester b. Bone crusher


a. Anterior bone block camp c. Bone rongeur d. Bone mill
b. Posterior bone block clamp
Ans d. Bone mill
c. Tongue clamp
• Useful for crushing/grinding larger bone fragments
d. Cheek retractor
into smaller particles for grafting purposes.
Ans b. Posterior bone block clamp
• Available in table top and handheld versions.
42. Identify the instrument in the color plate.
45. Identify the instrument in the color plate.

a. Anterior bone block camp


b. Posterior bone block clamp
c. Tongue clamp
d. Cheek retractor a. Bone harvester b. Bone grinder
Ans a. Anterior bone block camp c. Bone rongeur d. Bone mill
(Q-41,42) Ans b. Bone grinder
24 TARGET MDS: Image Based Questions

Reduces bone/graft material particle size. Place harvested 49. Identify the instrument in the color plate.
bone in well of instrument. Cover bone with top, serrated side
down. Use mallet to reduce bone to desired particle size.

46. Identify the instrument in the color plate.

a. Bone compactor
b. Bone burnisher
c. Bone tampers
d. Bone material spoon
Ans a. Bone compactor
Packs down graft material. Features a serrated tip and
bent angle to reach di cult areas.
a. Dappen dish b. Bone basin
50. Identify the instrument in the color plate.
c. Bone reservoir d. Bone disposer
Ans b. Bone Basin
Stainless steel deep dish with weighted bottom to prevent
tipping.
Holds 20 grams of wetted material.
a. Bone compactor
47. Identify the instrument in the color plate. b. Bone burnisher
c. Bone tampers
d. Graft material spoon
Ans d. Graft material spoon
Graft material spoons are used for mixing/preparation of
graft material for bone augmentation procedures.

51. Identify the instrument in the color plate.

a. Local anesthesia syringe b. Graft syringe


c. Bone tampers d. Irrigator
Ans b. Graft syringe a. Membrane forceps
Stainless steel syringe designed to load syringe from the tip b. Tissue graft forceps
to reduce clogging. c. Membrane placement instrument
“Tamp and pack” method for placement of graft mate- d. Blunt forceps
rial into oral cavity.
Ans b. Tissue graft forceps
48. Identify the instrument in the color plate.
52. Identify the instrument in the color plate.

a. Local anesthesia syringe b. Graft syringe a. Membrane forceps


c. Bone tampers d. Irrigator b. Tissue graft forceps
Ans c. Bone tampers c. Membrane placement instrument
Bone tampers feature a serrated tip for compacting bone d. Blunt forceps
or graft material. Ans a. Membrane forceps
Prosthodontics 25

53. Identify the instrument in the color plate. 56. Identify the appliance in the color plate.

a. Membrane forceps
b. Tissue graft forceps
c. Membrane placement instrument
d. Blunt forceps
a. Lingual plate
Ans c. Membrane placement instrument
b. Anteroposterior palatal bar
54. Identify the appliance in the color plate. c. Palatal strap
d. Continuous bar major connector
Ans c. Palatal strap
Palatal strap
• Usually use for Class 3 and 4 cases
• Wide anteroposteriorly
57. Identify the appliance in the color plate.
a. Lingual plate
b. Anteroposterior palatal bar
c. Palatal strap
d. Continuous bar major connector

Ans a. Lingual plate


Lingual plate:
• Rest at each end of lingual plate a. Lingual plate
• Prevents forces being directed facially b. Anteroposterior palatal bar
• Easier denture tooth addition than bar c. Palatal strap
d. Continuous bar retainer
55. Identify the appliance in the color plate. Ans d. Continuous bar retainer
Continuous bar retainer
• Lingual bar with secondary bar above cingula
• Secondary bar acts as indirect retainer
58. Identify the appliance in the color plate.

a. Lingual plate
b. Anteroposterior palatal bar
c. Palatlal strap
d. Continuous bar major connector
Ans b. Anteroposterior palatal bar a. Ring clasp
Anteroposterior palatal bar b. Reverse action clasp
A narrow (A-P) variation of anterior-posterior palatal strap c. Double embrasure clasp
• Double palatal bar connector d. RPI clasp
• Requires greater bulk for rigidity Ans a. Ring clasp
26 TARGET MDS: Image Based Questions

• Ring clasp a. Ring clasp


• Tilted abutments b. Reverse action clasp
− Usually mandibular molars
c. Double embrasure clasp
− Mesially/lingually tilt
d. RPI clasp
− Undercut close to rest
− Allows use of available undercut Ans d. RPI clasp
• “R” Rest (always mesial)
59. Identify the appliance in the color plate.
• “P” Proximal Plate (distal)
• “I” I - Bar (buccal)
• Rest minor connector and proximal plate reciprocate
• Proximal plate toward lingual
• Retentive arm mid-buccal except canines (mesio-
buccal)
a. Ring clasp 62. Identify the instrument in the color plate.
b. Reverse action clasp
c. Double embrasure clasp
d. RPI clasp
Ans b. Reverse action clasp
• Reverse action clasp
− Undercut adjacent edentulous space
− Almost impossible to adjust
− Poor esthetics, hygiene
− Clearance from opposing occlusion
− Poor exibility (esp. short crowns)

60. Identify the appliance in the color plate.


a. Surveyor b. Cast holder
c. Cast trimmer d. Spirit lamp
Ans a. Surveyor

63. What is ideal distance marked by “X” in the dia-


a. Ring clasp grammatic representation of maxillary major
b. Reverse action clasp connector?
c. Double embrasure clasp
d. RPI clasp
Ans c. Double embrasure clasp
Double embrasure clasp
• Two rests, two retentive arms, two bracing arms
• Used in quadrants with no edentulous space
• Distal approach cannot be used on most posterior tooth
61. Identify the appliance in the color plate. a. 1 mm b. 2 mm
c. 3 mm d. 4 mm
Ans b. 2 mm
Position of Major Connector Junction
Should be ≈ 2 mm medial to lingual surface of denture
teeth
Ensures bulk of resin around teeth
Prosthodontics 27

64. Identify the instrument in the color plate. 68. Image shows which type of pontic?

a. Ovate
a. Surveyor b. Cast holder b. Ridge lap
c. Modi ed ridge lap
c. Face bow d. Boley gauge
d. Sanitary
Ans c. Face bow
Ans a. Ovate
65. Identify the appliance placed on anterior teeth. 69. Image shows which type of pontic?

a. Dahl appliance
b. Modi ed Dahl appliance a. Ovate
c. Inman appliance b. Ridge lap
d. Metal-ceramic crowns c. Modi ed ridge lap
Ans a. Dahl appliance d. Sanitary
Ans c. Modi ed ridge lap
66. Image shows which type of pontic?
70. Image shows which type of pontic?

a. Ovate b. Ridge lap a. Conical b. Lap facing


c. Modi ed ridge lap d. Sanitary c. Modi ed ridge lap d. Sanitary
Ans b. Ridge lap Ans a. Conical
67. Image shows which type of pontic? 71. Mandibular second premolar as shown in the
color plate will act as.

a. Ovate b. Ridge lap


c. Modi ed ridge lap d. Sanitary
Ans d. Sanitary
28 TARGET MDS: Image Based Questions

a. Pier abutment a. Chamfer


b. Tilted abutment b. Shoulder
c. Distal extension abutment c. Shoulder with bevel
d. Lever abutment d. Knife-edge preparation
Ans A. Pier abutment Ans b. Shoulder

72. Which of the following tooth will act as pier abut- 75. Identify the tooth preparation nish line for the
ment if xed partial denture is planned in this image shown here.
case?

a. 23 b. 24
c. 25 d. 27 a. Chamfer
Ans c. 25 b. Shoulder
c. Shoulder with bevel
73. Identify the tooth preparation nish line for the
d. Knife-edge preparation
image shown here.
Ans c. Shoulder with bevel

76. Which type of resin bonded FPD is shown in the


color plate?

a. Chamfer
b. Shoulder a. Rochette bridge b. Maryland bridge
c. Shoulder with bevel c. Cast mesh FPD d. Virginia bridge
d. Knife-edge preparation Ans a. Rochette bridge
Ans c. Shoulder with bevel
77. Which type of resin bonded FPD is shown in the
74. Identify the tooth preparation nish line for the color plate?
image shown here.

a. Rochette bridge b. Maryland bridge


c. Cast mesh FPD d. Virginia bridge
Ans b. Maryland bridge
Prosthodontics 29

78. Which type of resin bonded FPD is shown in the 81. Identify the appliance shown in the color plate.
color plate?

a. Svedopter b. Airbug
c. Dentpop d. Suction tube
a. Rochette bridge Ans b. Airbug
b. Maryland bridge
c. Cast mesh FPD 82. Identify the appliance shown in the color plate.
d. Virginia bridge
Ans c. Cast mesh FPD

79. Which type of resin bonded FPD is shown in the


color plate?

a. Svedopter b. Airbug
c. Dentpop d. Suction tube
Ans c. Dentpop
83. Identify the appliance shown in the color plate.

a. Rochette bridge
b. Loop connector FPD
c. Cast mesh FPD
d. Virginia bridge
Ans b. Loop connector FPD a. Svedeptor b. Airbug
c. Dentpop d. Dry angles
80. Identify the appliance shown in the color plate.
Ans d. Dry angles
Dry angles/dry aids are used to keep the mouth dry by
covering the Stensen’s (parotid) duct to restrict the ow of
saliva.
84. Identify the type of minor connector marked in
the color plate.

a. Suction tube b. Cheek retractor


c. Tongue depressor d. Svedopter
Ans d. Svedopter
Svedopter/Speejector Svedopter consist of a metal saliva a. Mesh work b. Lattice work
ejector with a tongue de ector. E ectively used in man- c. Nail head d. Wire
dibular arch. Ans a. Mesh work
30 TARGET MDS: Image Based Questions

85. Color plate shows wax pattern for which maxillo- a. Lingual bar
facial prosthesis? b. Labial bar
c. Lingual plate
d. Continuous bar
Ans a. Lingual bar

88. Identify the part of cast partial denture marked


with arrow.

a. Eye b. Ear
c. Nose d. Lips
Ans b. Ear
86. Color plate shows wax pattern for which maxillo-
facial prosthesis? a. Major connector
b. Minor connector
c. Shoulder
d. Retainer
Ans b. Minor connector

89. What is true for part of cast partial denture mar-


ked with arrow in the design?
a. Eye b. Ear
c. Nose d. Lips
Ans a. Eye
87. Which type of major connector is used in the cast
partial denture shown in the color plate?

a. Major connector
b. Minor connector
c. Relief area
d. Retainer
Ans c. Relief area

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