1

MCQs Answer all the following questions. There is only one correct answer
1. The importance of preserving proprioception as one advantage of overdenture treatment is:
a. To help the patient to control the masticatory force and discriminate the food texture between occluding surfaces
b. To help the patient to masticate properly
c. To help the patient to adapt to and to accept the prosthesis
d. To help the patient to feel the prosthesis
2. Immediate replacement of upper anterior teeth with superior protrusion doing bone trimming may lead to
unfavorable result because:
a. Surgical complication is expected
b. Severe bone resorption may occur post operatively
c. Post-operative pain and edema will happen
d. All of the above
3. One of the most important indications for using precision attachments is:
a. young age patients
b. free end saddle situation
c. short clinical crown abutments
d. large anterior edentulous area cases
4. The purposes of using attachments instead of clasps in RPD are
a. easy construction and maintenance
b. good esthetics and better function
c. less time consuming for construction and reasonable cost
d. less balky and less weight

5. Titanium and titanium alloys are the most alloplastic material used in dental implant because:
a. they are not rejected by the body
b. they possess good strength and compatibility
c. they are not toxic and causing no allergy
d. they provide desirable esthetics and allow oral hygiene procedures

6. Ideal implant material should lead to physiological reaction with the surrounding tissue. This means:
a. particles of implant material should react with tissue cells to enhance implant retention.
b. implant material should enhance bone tissue formation on the implant surface.
c. implant material reacts with tissue chemically to create chemical bonds.
d. biodegradation of implant material will enhance osseointegration

7. Biological compatibility of dental implant is enhanced by ensuring that implant surface resistant to
biodegradation which means:
a. implant material should be inert
b. reaction with surrounding tissues will lead to corrosion and dissolution of implant
c. reaction can occur within physiologic limit forming chemical bond to enhance implant retention
d. reaction between implant surface and surrounding tissue is not possible

8. The main disadvantage of the intracoronal attachments is;

a. difficulty of placement of the prosthesis
b. overcontouring the crown and irritation to the periodontal papillae
c. difficulty in maintaining good oral hygiene
d. High cost and time consuming

9. Bond osteogenesis that is suggested to form between implant and surrounding tissues to enhance implant retention
is usually seen when:
a. screw type pure titanium implant is used
b. blade vent titanium implant is used
c. aluminum oxide as surface coating material is used
d. cylindrical type implant is used

10. Biomaterial factor in implant dentistry refers to:

a. Bioactivity of the implant material.
b. Biocompatibility of the implant material.
c. Biodegradation of the implant material.
2
 d. All of the above.

11. Biomechanical factor refers to.

a. Strength of the implant material.
b. Corrosion resistance of the implant material.
c. Dissolution resistance of the implant material.
d. Biocorrosion of the implant.
12. The superstructure is another important component of the dental implant that is used:
a. To transfer the exact shape and position of implant to the working cast in the laboratory
b. To connect implant fixture to the prosthesis and work as abutment
c. As transfer coping
d. As laboratory analog
13. The condition of the teeth to be extracted in cases indicated for immediate Denture should be evaluated for
a. Presence of ankylosis
b. Choosing the appropriate surgical measure in the extraction stage
c. Presence of deep caries
d. Presence of accessory or curved roots

14. Socketed technique immediate denture is:

a. an immediate replacement of upper anterior teeth with no gum recession
b. immediate replacement of upper anterior teeth that needs bone trimming
c. replacement of upper and lower anterior teeth
d. delayed immediate denture

15. The phase of definitive treatment in overdenture rehabilitation is

a. the professional treatment plan
b. the secondary treatment plan
c. the final treatment plan
d. the preliminary treatment plan
16. The attachments used with overdentures are usually constructed;
a. at the same time of denture construction
b. before constructing the denture
c. after obtaining positive results from immediate denture reevaluation
d. after root canal therapy of the abutment teeth
17. The better initial fit of delayed immediate denture is due to:
a. Tissue healing after extraction
b. Corrected impression that is done during the try in stage
c. Try in for both anterior and posterior teeth
d. Good technique and material used
18. The attachments used with overdenture are usually considered:
a. at the same time of denture construction
b. before constructing the denture
c. after obtaining positive results from immediate overdenture reevaluation
d. after root canal therapy of the abutment teeth

19. Preliminary prosthetic procedure in ovedenture construction aims to:

d. fabricate a temporary prosthesis to be used until the final prosthesis is finished
e. convert existing RPD into provisional overdenture
f. bring denture bearing tissues into better condition to accept overdenture
g. fabricate transitional overdenture

20. Immediate denture is defined as.

a. Complete denture constructed to be inserted three weeks after tooth extraction
b. Partial denture constructed to be inserted immediately after tooth extraction
c. Partial or complete dentures constructed to be inserted immediately after teeth extraction
d. Complete or partial denture constructed to be inserted after tissue healing is obtained
Final exam – CCP (prosthetic part)
Choose the most correct answer, there is only one correct answer
1- Age of the edentulous patient is a good indicator for:
3
 a. Patient’s ability to use dentures.
b. Patient’s experience in using dentures.
c. Patient’s adaptation to denture using.
d. Both a and c are correct.

2- In the examination visit for edentulous patient chief complaint will determine:
a. The Patient’s oral health needs.
b. The cause of tooth loss.
c. The reason of seeking prosthodontics treatment.
d. The prognosis of denture treatment.

3- Biological compatibility of dental implant is enhanced by ensuring that implant surface

resistant to biodegradation which means:
a- implant material should be inert
b- reaction with surrounding tissues will lead to corrosion and dissolution of
implant
c- reaction can occur within physiologic limit forming chemical bond to
enhance implant retention
d- reaction between implant surface and surrounding tissue is not possible
4- One of the most important indications for using precision attachments is:
a- young age patients
b- free end saddle situation
c- short clinical crown abutments
d- large anterior edentulous area cases
5- Cross arch stabilization of unilateral distal extension RPD utilizing the attachment is
best achieved by:
a- extracoronal resilient attachment
b- root coping attachment
c- intracoronal attachment
d- interproximal attachment
6- The attachments used with overdenture are usually considered:
a- at the same time of denture construction
b- before constructing the denture
c- after obtaining positive results from immediate overdenture reevaluation
d- after root canal therapy of the abutment teeth
7- The purposes of using attachments instead of clasps in RPD are
a- easy construction and maintenance
b- good esthetics and better function
c- less time consuming for construction and reasonable cost
d- less balky and less weight
8- Preliminary prosthetic procedure in ovedenture construction aims to:
a- fabricate a temporary prosthesis to be used until the final prosthesis is
finished
b- convert existing RPD into provessional overdenture
c- bring denture bearing tissues into better condition to accept overdenture
d- fabricate transitional overdenture
9- Socketed technique immediate denture is:
a- an immediate replacement of upper anterior teeth with no gum recession
b- immediate replacement of upper anterior teeth that needs bone trimming
c- immediate replacement of upper and lower anterior teeth
4 d- a delayed immediate denture
 10- According to House classification of mental attitude, if the patient presents little
concern, lack motivation and pays no attention to instructions. This patient can be
classified as:
a- indifferent patient
b- exacting patient
c- hysterical patient
d- philosophical patient
11- The phase of definitive treatment in overdenture rehabilitation is
a- the professional treatment plan
b- the secondary treatment plan
c- the final treatment plan
d- the preliminary treatment plan
12- Dentist must understand how to deal with psychological problems as well as dental
problems. This means
a- dentist should be able to manage psychological problems as well as dental
problems.
b- Dentist should be qualified to suppress patient’s anxiety
c- Dentist should be able to diagnose patient’s psychological problems
13- Hysterical patient according to House is characterized by:
a- security addiction and secondary childhood
b- emotional stability and accepting age changes
c- adapting to tissues and organs changes
d- seeking dental treatment and following the instructions

14- The better initial fit of delayed immediate denture is due to:
a. Tissue healing after extraction
b. Corrected impression that is done during the try in stage
c. Try in for both anterior and posterior teeth
d. All of the above

15- The old technique of submerging vital roots to preserve the ridge is indicated for
a. handicapped patients .
b. poor oral hygiene prognosis.
c. cases who are contraindicated for conventional overdenture .
d. all of the above

16- Immediate denture is defined as.

a. Complete denture constructed to be inserted three weeks after tooth extraction.
b. Partial denture constructed to be inserted immediately after tooth extraction .
c. Partial or complete dentures constructed to be inserted immediately after tooth extractio .
d. All of the above.

17- The importance of preserving proprioception as one advantage of overdenture

treatment is:
a. To help the patient to control the masticatory force and discriminate the food texture between
5occluding surfaces.
b. To help the patient to masticate properly.
c. To help the patient to adapt to and to accept the prosthesis.
d. To help the patient to feel the prosthesis.

18- Immediate replacement of upper anterior teeth with superior protrusion doing Bone
trimming is a surgical technique that may lead to unfavorable results because:
a. Surgical complication is expected
b. Severe bone resorption may occur post operatively
c. Post operative pain and edema will happen
d. All of the above

19- The condition of the teeth to be extracted in cases indicated for immediate Denture
should be evaluated for
a. Presence of ankylosis
b. Choosing the appropriate surgical measure in the extraction stage
c. Presence of deep caries
d. Presence of accessory or curved roots

20- Psychologically, patient's reaction to prosthetic rehabilitation is either active or

passive. Domination of one reaction on the other depends on:
a. The effort of the patient's to adapt to new denture
b. Types of treatment whether conservative and fixed prostheses. or removable prostheses.
c. The ability of the patient's to accept new denture
d. The way the dentist and the auxiliary personnel treating the patient.

21- Old patients adaptive capacity is usually declined, so acceptance of a new denture will
depend on:
a. Compensatory efforts to overcome impaired adaptation
b. Physical and psychological ability
c. Patient's willingness
d. Accurate procedure

22- Age changes in oral cavity that may affect denture success are.
a.Atrophy, dryness and decreased keratinization of masticatory mucosa.
b. Increased keratin of tongue and buccal mucosa
c. Decreased healing process and increased tendency of disease
d. All of the above.

23- Psychologically resenter patients include:

a- Philosophical and exacting.
b- Indifferent and hysterical.
c- Well preserved patients.
d- Aged and chronically ill patients.

24- Vigorous, Alert, Activated accept age changes are characters of:
a- Resesnter patients.
b- Emotional patients.
6 c- Realistic patients.
 d- Hysterical patients

Advanced prosthodontics --- Final exam 2015

Make a circle around the number of the correct answer. There is only one
correct answer.

2. Occlusal correction of a finished partial denture by intraoral detection is indicated in:

a. free end saddle cases
b. tooth tissue born cases
c. tooth born cases
d. partial denture opposing complete denture cases
3. Biological compatibility of dental implant is enhanced by ensuring that implant surface resistant to
biodegradation which means:
a. implant material should be inert
b. reaction with surrounding tissues will lead to corrosion and dissolution of implant
c. reaction can occur within physiologic limit forming chemical bond to enhance implant retention
d. reaction between implant surface and surrounding tissue is not possible
4. One of the most important indications for using precision attachments is:
a. young age patients
b. free end saddle situation
c. short clinical crown abutments
d. large anterior edentulous area cases
5. Cross arch stabilization of unilateral distal extension RPD utilizing the attachment is best achieved
by:
a. extracoronal resilient attachment
b. root coping attachment
c. intracoronal attachment
d. interproximal attachment
6. The attachments used with overdenture are usually considered:
a. at the same time of denture construction
b. before constructing the denture
c. after obtaining positive results from immediate overdenture reevaluation
d. after root canal therapy of the abutment teeth
7. Lack of fusion of the palatine shelves will definitely cause cleft palate which occurs:
a. during the first trimester of pregnancy
b. during the second trimester of pregnancy
c. between 6-9 months of the uterine life
d. during the first week of the uterine life

8. Speech obturator can help the patient in learning how to improve speech through:
a. functional contact with lateral and posterior pharyngeal wall
b. training on pronunciation of words
c. speech therapy
7
 d. using palatal left obturator

9. Hypernasality and intelligibility of speech will result from:

a. palatal insufficiency
b. palatal incompetence
c. congenital defects of palatopharyngeal mechanism
d. congenital and acquired defects of palatopharyngeal mechanism
10. The purposes of using attachments instead of clasps in RPD are
a. easy construction and maintenance
b. good esthetics and better function
c. less time consuming for construction and reasonable cost
d. less balky and less weight
11. Preliminary prosthetic procedure in ovedenture construction aims to:
a. fabricate a temporary prosthesis to be used until the final prosthesis is finished
b. convert existing RPD into provessional overdenture
c. bring denture bearing tissues into better condition to accept overdenture
d. fabricate transitional overdenture
12. Socketed technique immediate denture is:
a. an immediate replacement of upper anterior teeth with no gum recession
b. immediate replacement of upper anterior teeth that needs bone trimming
c. immediate replacement of upper and lower anterior teeth
d. a delayed immediate denture
13. Risk of bone necrosis should be considered during prosthetic management of irradiated patient
because:
a. irradiated ridge is poorly nourished by blood
b. irradiated patient has reduced immunity
c. recurrence of irradiated tumor of the alveolar ridge is common
d. osteomylitis of the irradiated ridge may occur when denture is constructed
14. Use of soft liner is recommended for irradiated ridge to reduce mucosal trauma in which:
a. viscogel is an acceptable soft liner
b. silicon soft liner is preferred because of its high resiliency
c. tissue conditioning material is the best material in this situation
d. soft acrylic is preferred because no tissue abrasion and irritation is expected
15. Complete denture constructed for patient who had radiotherapy can be inserted
a. immediately after radiotherapy is finished
b. after 1-2 months of irradiation
c. after six months
d. after 1-2 year
16. Titanium and titanium alloys are the most alloplastic material used in dental implant because:
a. they are not rejected by the body
b. they possess good strength and compatibility
c. they are not toxic and causing no allergy
d. they provide desirable esthetics and allow oral hygiene procedures

17. lining mucosa is then not keratinized and is usually found in the vestibule and cheeks. Therefore it
helps in
a. denture support through proper flange extension
b. denture retention through border seal
8 c. stability through the slope of the ridge
 d. mastication by providing denture support and stability
18. Age of the edentulous patient is a good indicator for:
a. patient’s ability to use dentures
b. patient’s experience in using dentures
c. patient’s adaptation to denture using
d. both a and c are correct
19. Lack of proper speech ( nasal speech ) is caused by cleft palate due to:
a. missing anterior teeth
b. escape of food through the nose
c. repeated infection of the respiratory tract
d. escape of air through the nose due to lack of vevopharyngeal closure

20. According to House classification of mental attitude, if the patient presents little concern, lack
motivation and pays no attention to instructions. This patient can be classified as:
a. indifferent patient
b. exacting patient
c. hysterical patient
d. philosophical patient
21. A patient came to your clinic seeking for complete denture treatment and in examination you found
an asymptomatic, deeply located impacted canine surrounded by normal bone. Your treatment is:
a. reimplaning the impacted canine
b. leaving the impacted canine in place and constructing complete denture
c. removal of the impacted canine before denture construction
d. removal of the impacted canine after denture construction
22. Surgical recontouring of prominent mylohyoid ridge is indicated:
a. when denture causes repeated mucosal irritation
b. to enhance denture stability
c. to provide good path for denture insertion
d. when relieving will affect denture adaptation
23. Prosthetic rehabilitation of cleft palate child may start
a. one month after baby’s birth
b. few months after baby’s birth
c. one year after baby’s birth
d. one week after baby’s birth

24. The phase of definitive treatment in overdenture rehabilitation is

a. the professional treatment plan
b. the secondary treatment plan
c. the final treatment plan
d. the preliminary treatment plan
25. Papillary hyperplasia of the palatal vault of denture wearers is usually caused by:
a. chronic irritation of rough rough denture base
b. systemic disease like diabetes mellitus
c. allergic reaction from acrylic denture base
d. candidal infection

26. Dentist must understand how to deal with psychological problems as well as dental problems. This
means
a. dentist should be able to manage psychological problems as well as dental problems.
9 b. Dentist should be qualified to suppress patient’s anxiety
 c. Dentist should be able to diagnose patient’s psychological problems
d. Patient should be referred to the psychiatrist
27. Ideal implant material should lead to physiological reaction with the surrounding tissue. This
means:
a. particles of implant material should react with tissue cells to enhance implant retention
b. implant material should enhance bone tissue formation on the implant surface
c. implant material react with tissue chemically to create chemical bonds
d. biodegradation of implant material will enhance osseointegration
28. Orientation relation procedure is used to:
a. adjusted and transfer the face bow
b. mount upper and lower casts on the articulator by help of the face bow
c. record lateral movement of the jaw
d. record protrusive movement of the jaw
29. Decreased keratinization of oral mucosa in edentulous patient is a sign of:
a. age changes in elderly patients
b. history of using ill fitting denture
c. premalignant changes
d. systemic disease
30. Abused tissue under ill fitting denture should be treated before impression taking for new denture.
This can be achieved
a. surgically and tissue rest
b. surgically and tissue conditioning material
c. by tissue rest
d. by correcting the denture fit
31. Patient sex influences the mold selection of the anterior teeth, therefore, female patient are
associated with:
a. ovoid feature
b. square feature
c. curved feature
d. square ovoid feature
32. Saliva is important for denture retention through:
a. surface tension phenpmenon
b. border seal property
c. atmospheric pressure property
d. adhesion and cohesion power
33. Five days after denture insertion, the patient came back complaining of cheek biting. The cause
could be
a. lack of experience
b. incorrect occlusal plane
c. increased posterior over jet
d. decreased VDO

34. Hysterical patient according to House is characterized by:

a. security addiction and secondary childhood
b. emotional stability and accepting age changes
c. adapting to tissues and organs changes
10 d. seeking dental treatment and following the instructions
35. Relining of complete denture is indicated
a. when an excessive amount of bone resorption has taken place
b. when resorption of the ridge leads to lack of adaptation of the denture
c. when abused tissue are present
d. the patient complains of TMJ problems
36. Drop of the upper denture during mouth opening is due to overextension of the denture flange:
a. on the baccul side
b. on the soft palate
c. on the hamular notch
d. on the labial side
37. Esthetics in complete dentures means:
a. selection of proper size, shape, and shade
b. selection of teeth that are harmonious with patient’s complexion
c. selection of teeth that satisfy age, sex, personality and costmetic factors
d. setting of anterior teeth that have proper size, shape and color in a way that reflect feminininity and
or masculinity of the patient
38. Insufficient lip support by the denture teeth can lead to defective sound of some teeth like ( P) and (
M ). These sounds are called
a. palatal and velar sounds
b. labial sounds
c. dental alveolar sounds
d. dental sounds
39. A patient with grade one maxillary sinus tumor is going to be operated to remove the tumor. The
resection will involve the hole maxillary sinus and extends to the midline. The defect resulted can be
classified according to Aramany aa:
a. class 1
b. class 2
c. class 4
d. class 5
40. The immediate prosthetic management for the patient mentioned above in question 38 is by using:
a. maxillary immediate denture
b. surgical ( immediate obturator )
c. temporary obturator
d. roofless or hollow obturator
41. Non rigid connection between RPD saddles can lead to flexion of the major connectors resulting in:
a. distortion of the major connector
b. rolling of the saddles and pain
c. damage of the remaining teeth
d. mucosal irritation

42. the basic principles of clasp design may include all of the following except one:
a. encirclement
b. retention
c. reciprocation
d. deflection of food
43. Retentive arm of the clasp is designed with even tapering to avoid:
a. sudden changes in cross section that might lead to fracture of the arm
b. reduction of clasp arm rigidity
c. increase in the flexibility of the clasp arm
11 d. increase in the thickness of the clasp arm
44. Reciprocal arm should be rigid to provide both reciprocation and bracing:
a. to counter act lateral stresses created by the retentive tip
b. resist lateral movement of the denture
c. to counter act of the of the horizontal forces
d. all of the above
45. Stresses caused by interference to insertion and removal of the RPD is due to:
a. using undercut more than o.o3 inches for the retentive arm
b. less training of the patient to use the proper bath of insertion of the RPD
c. lack of parallelism of the guiding plane
d. lack of block out of the undesirable undercuts
46. Indirect retainer is indicated to prevent rotation of the RPD saddles away from the tissue. This can
be achieved by:
a. using auxiliary rests and clasping teeth in the opposite side of the fulcrum line
b. clasping teeth in the opposite side of the of the fulcrum line
c. creating resistance on the opposite side of the fulcrum
d. creating resistance in the opposite side of the fulcrum using auxiliary rest and minor connector
47. Indirect retainer is more significant in maxillary ridge than in mandibular ridge because:
a. maxillary ridge is larger than mandibular ridge
b. rotation of the prosthesis is more common in maxillary ridge
c. rotation of the prosthesis is resisted by the tongue in the mandibular ridge
d. the weight of the prosthesis increases the displacing forces already present

Clinical exam
a. Write down in a step by step the procedures of making final impression for edentulous
patient using ZOE impression material
b. Describe in details the technique of doing jaw relation record for edentulous patient

Advanced prosthodontics --- Final exam 2015

Make a circle around the number of the correct answer. There is only one
12correct answer.
1. Immediate replacement of upper anterior teeth with superior protrusion doing
Bone trimming is a surgical technique that may lead to unfavorable results
because:
a. Surgical complication is expected
b. Severe bone resorption may occur post operatively
c. This technique is traumatic
d. Post operative pain and edema will happen
e. All of the above
2. Biological compatibility of dental implant is enhanced by ensuring that implant
surface resistant to biodegradation which means:
a. implant material should be inert
b. reaction with surrounding tissues will lead to corrosion and dissolution of implant
c. reaction can occur within physiologic limit forming chemical bond to enhance
implant retention
d. reaction between implant surface and surrounding tissue is not possible
3. One of the effects of age changes on masticatory force is increased touch threshold
in the oral mucosa. This means:
a. oral mucosa becomes more sensitive to touch.
b. oral mucosa become less sensitive to touch.
c. oral mucosa become very thick .
d. oral mucosa become very thin .
4. One of the effect of age changes is reduction of denture retention. This could be
due to:
a. lack of denture adaptation .
b. lack of proper occlusion.
c. reduction of salivary flow.
d. resorbed of alveolar ridge.
5. Lack of denture retention can be one of the side effects of radiation therapy due
to:
a. lack of adhesion and cohesion
b. lack of attached mucosa
c. severe bone resorption
d. lack of denture tolerance.
6. For geriatric patients, successful communication aims to:
a. understand the complain of the patient
b. realize advancing age
c. assess patient personality that guides to the reaction to accept the treatment
d. all of the above
7. Prosthetic treatment of old patients with cardiac disease requires:
a. consultation
b. premedication and short appointments
c. all of the above
d. non of the above.
13
8. Intolerance of the denture in old patients suffering from pemphigus is due to:
a. neurologic disorders associated with the pemphigus
b. sensitive oral mucosa
c. oral manifestation of the skin diseases
d. painful mucosa related to ruptured mucosal vesicles
9. Bells palsy and parkinosn's can lead to unsuccessful denture treatment because:
a. problems in denture retention
b. problems in jaw relation recording
c. all of the above
d. non of the above
10. Socketed technique immediate denture is:
e. an immediate replacement of upper anterior teeth with no gum recession
f. immediate replacement of upper anterior teeth that needs bone trimming
g. replacement of upper and lower anterior teeth
h. is a quick surgical technique
11.Drop of the upper denture during mouth opening is due to overextension of the
denture flange:
a. on the baccul side .
b. on the soft palate .
c. on the hamular notch.
d. on the labial side .

12. The phase of definitive treatment in overdenture rehabilitation is:

a. the professional treatment plan
b. the secondary treatment plan
c. the final treatment plan
d. the preliminary treatment plan

13. The attachments used with overdentures are usually constructed:

a. at the same time of denture construction
b. before constructing the denture
c. after obtaining positive results from immediate denture reevaluation
d. after root canal therapy of the abutment teeth

14
14. The better initial fit of delayed immediate denture is due to:
a. Tissue healing after extraction
b. Corrected impression that is done during the try in stage
c. Try in for both anterior and posterior teeth
d. All of the above
15. Preliminary prosthetic procedure in ovedenture construction aims to:
h. fabricate a temporary prosthesis to be used until the final prosthesis is finished.
i. convert existing RPD into provessional overdenture.
j. bring denture bearing tissues into better condition to accept overdenture .
k. fabricate transitional overdenture.
16. The old technique of submerging vital roots to preserve the ridge is indicated for
a. handicapped patients .
b. poor oral hygiene prognosis.
c. cases who are contraindicated for conventional overdenture .
d. all of the above.
17. Immediate denture is defined as.
a. Complete denture constructed to be inserted three weeks after tooth extraction.
b. Partial denture constructed to be inserted immediately after tooth extraction .
c. Partial or complete dentures constructed to be inserted immediately after tooth
extractio .
d. All of the above.
18. The importance of preserving proprioception as one advantage of overdenture
treatment is:
a. To help the patient to control the masticatory force and discriminate the food texture
between occluding surfaces.
b. To help the patient to masticate properly.
c. To help the patient to adapt to and to accept the prosthesis.
d. To help the patient to feel the prosthesis.

15
19.Hypogeusia is a sign of aging indicating:
a. reduced salivary production .
b. atrophy of the epithelium and soft tissue.
c. stain and cavitations of the teeth.
d. reduced ability of taste things.
20. The purposes of using attachments instead of clasps in RPD are
a. easy construction and maintenance
b. good esthetics and better function
c. less time consuming for construction and reasonable cost
d. less balky and less weight
21. Titanium and titanium alloys are the most alloplastic material used in dental
implant because:
a. they are not rejected by the body
b. they possess good strength and compatibility
c. they are not toxic and causing no allergy
d. they provide desirable esthetics and allow oral hygiene procedures
22. Ideal implant material should lead to physiological reaction with the surrounding
tissue. This means:
a. particles of implant material should react with tissue cells to enhance implant
retention.
b. implant material should enhance bone tissue formation on the implant surface.
c. implant material react with tissue chemically to create chemical bonds.
d. biodegradation of implant material will enhance osseointegration

23. The main disadvantage of the intracoronal attachments is ;

a. difficulty of placement of the prosthesis
b. overcontouring the crown and irritation to the periodontal papillae
c. difficulty in maintaining good oral hygiene
d. all of the above
24. The mechanism of implant-tissue attachment through osseointegration is
achieved by:
a. bone growth around the screws or into the porous surface of the implant
b. various configuration design of the implant surface
c. surface coating of the implant
d. all of the above
25.Age has little effect on salivary flow, but the reduction in salivation could be due
to:
a. medication usually used by geriatric patients
b. using chemotherapy
c. radiation therapy
d. all of the above.
16
26. Bond osteogenesis that is suggested to form between implant and surrounding
tissues to enhance implant retention is usually seen when:
a. screw type pure titanium implant is used
b. blade vent titanium implant is used
c. aluminum oxide as surface coating material is used
d. cylindrical type implant is used
27. Biomaterial factor in implant dentistry refers to:
a. Bioactivity of the implant material.
b. Biocompatibility of the implant material.
c. Biodegradation of the implant material.
d. All of the above.
28. Biomechanical factor refers to.
a. Strength of the implant material .
b. Corrosion resistance of the implant material.
c. Dissolution resistance of the implant material.
d. All of the above.
29. The superstructure is another important component of the dental implant that is
used:
a. To transfer the exact shape and position of implant to the working cast in the
laboratory
b. To connect implant fixture to the prosthesis and work as abutment
c. As transfer coping
d. As laboratory analog
30. Surface design of the implant will play an important role in success of the implant
because:
a. It will increase implant surface area that contact the alveolar bone
b. Surface roughness of the implant helps primary retention of the implant
c. Surface design can stimulate bone deposition on the implant surface
d. All of the above
31. The technique of implant coating using bioactive material may have some
disadvantages. These disadvantages may include:
a. Tissue rejection and prevent bone formation
b. Dissolution of the coating material and breakage
c. Increase implant diameter that needs more bone removal
d. All of the above

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32. The condition of the teeth to be extracted in cases indicated for immediate
Denture should be evaluated for
a. Presence of ankylosis
b. Choosing the appropriate surgical measure in the extraction stage
c. Presence of deep caries
d. Presence of accessory or curved roots
33. Psychologically, patient's reaction to prosthetic rehabilitation is either active or
passive. Domination of one reaction on the other depends on:
a. The effort of the patient's to adapt to new denture
b. Types of treatment whether conservative and fixed prostheses. or removable
prostheses.
c. The ability of the patient's to accept new denture
d. The way the dentist and the auxiliary personnel treating the patient.
34. Old patients adaptive capacity is usually declined, so acceptance of a new denture
will depend on:
a. Compensatory efforts to overcome impaired adaptation
b. Physical and psychological ability
c. Patient's willingness
d. Accurate procedure
35. Age changes in oral cavity that may affect denture success are.
a.Atrophy, dryness and decreased keratinization of masticatory mucosa.
b. Increased keratin of tongue and buccal mucosa
c. Decreased healing process and increased tendency of disease
d. All of the above.
36. Dentist should instruct the patient to remove his dentures during sleeping
Because.
a. The patient may swallow his dentures
b. The patient may exert high occlusal force that can lead to denture fracture
c. Salivary flow rate is less during sleeping
d. All of the above
37. Biting force of denture wearers is usually reduced as well as masticatory control.
The later is due to:
a. Reduced alveolar bone height
b. Loss of periodontal proprioceptors
c. Reduced mucosal thickness
d. Changing of the muscle tone

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38. Occlusal correction of a finished partial denture by intraoral detection is
indicated in:
a. free end saddle cases
b. tooth tissue born cases
c. tooth born cases
d. partial denture opposing complete denture cases
39. Lack of fusion of the palatine shelves will definitely cause cleft palate which
occurs:
a. during the first trimester of pregnancy
b. during the second trimester of pregnancy
c. between 6-9 months of the uterine life
d. during the first week of the uterine life
40. Speech obturator can help the patient in learning how to improve speech
through:
a. functional contact with lateral and posterior pharyngeal wall
b. training on pronunciation of words
c. speech therapy
d. using palatal left obturator
41. Hypernasality and intelligibility of speech will result from:
a. palatal insufficiency
b. palatal incompetence
c. congenital defects of palatopharyngeal mechanism
d. congenital and acquired defects of palatopharyngeal mechanism
42. Risk of bone necrosis should be considered during prosthetic management of
irradiated patient because:
a. irradiated ridge is poorly nourished by blood
b. irradiated patient has reduced immunity
c. recurrence of irradiated tumor of the alveolar ridge is common
d. osteomylitis of the irradiated ridge may occur when denture is constructed .
43. Use of soft liner is recommended for irradiated ridge to reduce mucosal trauma
in which:
a. viscogel is an acceptable soft liner
b. silicon soft liner is preferred because of its high resiliency
c. tissue conditioning material is the best material in this situation
d. soft acrylic is preferred because no tissue abrasion and irritation is expected.
44. Complete denture constructed for patient who had radiotherapy can be inserted
a. immediately after radiotherapy is finished
b. after 1-2 months of irradiation
c. after six months
d. after 1-2 year
45. lining mucosa is then not keratinized and is usually found in the vestibule and
cheeks. Therefore it helps in
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 a. denture support through proper flange extension
b. denture retention through border seal
c. stability through the slope of the ridge
d. mastication by providing denture support and stability
46. Age of the edentulous patient is a good indicator for:
a. patient’s ability to use dentures
b. patient’s experience in using dentures
c. patient’s adaptation to denture using
d. both a and c are correct

Clinical exam
c. Write down in a step by step the procedures of making final impression for edentulous
patient using ZOE impression material
d. Describe in details the technique of doing jaw relation record for edentulous patient

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 1. Esthetic in complete denture means:
a. selection of teeth that satisfy the patient’s age, sex, personality and cosmetic factors
b. selection of teeth that harmonize the patient’s complexion, eye color, age and hair color
c. arranging anterior teeth that possess proper shade, shape and size in a manner that reflect
femininity and or masculinity of the patient
d. selection of anterior teeth that possess proper size, shape and shade
e. all of the above
2. According to House classification of mental attitude, if the patient presents little concern,
lack of motivation, and pays no attention to instructions. This patient can be classified as:
a. indifferent
b. exacting
c. hysterical
d. philosophical
e. emotional
3. Insufficient lip support by the denture teeth can lead to defective sounds of some letters like (
P ) and ( M ). These sounds are called:
a. dentoalveolar sounds
b. dental sounds
c. labial sounds
d. palatal sounds
e. velar sounds
4. The aim of the pre-prosthetic preparation for denture foundation is:
a. to remove bony undercuts
b. to remove boy exostosis
c. to make enough vestibular depth
d. to make ideal ridge height
e. to make ideal denture supporting and stabilizing area and good border seal area.

5. Preservation of the denture supporting area during impression taking can be achieved when:
a. recording maximum denture bearing area in the impression
b. proper impression material and technique are used
c. minimal pressure impression technique is used
d. functional impression technique is used
e. selective pressure impression technique is used
6. Surgical recontouring of prominent mylohyoid ridge is indicated:
a. to enhance denture stability
b. to provide good path of insertion and removal
c. when denture causes repeated mucosal irritation
d. when relieving will compromise denture retention
e. non of the above

7. Gross uneven occlusal contact in newly constructed complete dentures can be corrected by:
a. repeating the dentures
b. selective grinding
c. relining of the denture
d. rebasing of the denture
e. repeating upper denture

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 8. You are going to treat an edentulous patient that shows severe sharp spiny mandibular
ridge. The best management for this case is:
a. using mucostatic impression technique
b. using resilient denture reliner
c. removing the sharp bony ridge
d. bone grafting to enlarge the alveolar ridge
e. using hydroxylappitate powder to enlarge the crest of the ridge
9. Head position, patient’s anxiety and respiration are factors affecting rest vertical dimension
determination in which backwards position of the head can lead to:
a. increase in the VDR
b. decrease in the VDR
c. better VDR determination
d. difficulty in VDR determination
e. non of the above
10. Impression of the labial vestibule in edentulous patient will serve in:
a. denture retention
b. denture stability
c. denture adhesion
d. lip support and border seal
e. preservation of the supporting tissues
11. Abused tissues under ill fitting denture should be treated before impression taking for new
denture. This can be achieved by:
a. surgical intervention
b. tissue rest
c. tissue rest and conditioning material
d. correcting the denture fit
e. relining the denture to improve denture fit
12. Patient is recommended to remove his dentures during sleep. Why ?
a. to avoid fracture of the denture
b. patient might swallow his denture
c. to avoid parafunctional stresses during sleep
d. salivary flow is reduced during sleep that can traumatize underlying tissues
e. to avoid cheek biting

13. Which one of the following is not related to the basic principles of clasp design:
a. deflection of food
b. bracing
c. reciprocating
d. retention
e. encirclement
14. Inefficiency of the denture may result from:
a. lack of denture experience
b. lack of balancing articulation
c. cuspal interferences
d. using monoplane teeth
e. all of the above

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 15. Reciprocal clasp arm should be rigid to provide:
a. reciprocation and bracing
b. resistance to lateral stresses
c. resistance to horizontal forces
d. all of the above
e. non of the above

16. Prosthetic treatment of old patients with debilitating disease who are under medical control
requires:
a. time, patience and knowledge
b. using soft liner whenever possible
c. management of the debilitating disease
d. care and instructions about OH, tissue rest, and eating habits
e. patient needs only palliative treatment

17. Rotation of partial denture away from tissues during function can be prevented by:
a. using indirect retainers
b. using retentive arm of the clasp
c. using reciprocal arm of the clasp
d. using altered cast impression technique
e. using rigid connectors
18. Drop of the upper denture during mouth opening is due to overextension of the denture
flange:
a. on the labial side
b. on the soft palate
c. on the hamular notch
d. on the buccal side
e. on all of the vestibular region
19. Indirect retainer is more significant in maxillary distal extended PD than in mandublur
distal extended PD because;
a. maxillary ridge is larger and PD needs more retention
b. rotation of the prosthesis is more common in maxillary ridge
c. the weight of the prosthesis increases the displacing forces already present in maxillary PD
d. rotation of the mandibular prosthesis is resisted by the tongue
e. all of the above

20. Indirect retainer is usually formed of:

a. extracoronal attachment
b. clasp assembly
c. auxiliary rest and minor connector
d. auxiliary rest and auxiliary clasp
e. modification of the clasp design
21. Stresses resulting from inaccurate appliance will lead to:
a. orthodontic movement of the partial denture
b. rotational movement of the partial
c. leverage movement of the appliance
d. distortion of the appliance
23 e. non of the above
 22. Old patient’s adaptive capacity is usually declined, so accepting of new denture of new
denture depends on:
a. accurate procedures
b. patient’s willingness
c. physical and physiological ability of the patient
d. compensatory effort to overcome impaired adaptation
e. all of the above
23. Increased vertical will cause reduction in free way space that in turn will lead to:
a. chin nose approximation
b. cheek biting
c. ungular chellitis
d. improper mastication and clattering of teeth
e. all of the above
24. Balanced occlusion is defined as:
a. multiple contacts of the posterior teeth in centric and eccentric positions
b. maximum intercuspation of the opposing dentition
c. even contact of the opposing teeth in centric position
d. simultaneous contacts of opposing teeth in centric relation
e. simultaneous contact of opposing teeth in centric and eccentric position
25. One of the most difficulties in flat ridge prosthetic rehabilitation is interarch space, that
usually leads to:
a. changes in the ridge horizontal relation
b. enlargement of the tongue
c. cross bite relationships
d. lack of denture retention
e. increased lever action of the denture
26. Occlusal correction of a finished partial denture by intraoral detection is indicated in:
a. free end saddle cases
b. tooth tissue born cases
c. tooth born cases
d. partial denture opposing complete denture
e. all of the of the above
27. post insertion retention problems could be due:
a. occlusal discrepancies
b. poor denture base adaptation
c. inadequate denture flange extension
d. all of the above
e. none of the above

28. denture retention and stability may be compromised by:

a. Occlusal discrepancies
b. Poor denture base adaptation
c. Inadequate denture flange extension
d. All of the above
e. None of the above
29. To detect improper adaptation of the denture in the insertion appointment we should
a. Inspect the denture carefully before insertion
b. Use PIP to detect high pressure area
c. Evaluate occlusion
d. Inspect border seal area
24 e. All of the above
 30. The following are indications for lingualized occlusion except:
a. High esthetic demands
b. Severe mandibular ridge resorption
c. Displaceable supporting tissues
d. Class III maxillomandibular relationship
e. All of the above

Good luck

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