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Question 1
Marks
A. Put (True ) for the true statements and (false) for the false ones.
1. Breakage may occur because of carless handling by patient. )T(
2. A pediatric speech aid is a permanent prosthesis used to improve voice quality during the
) F)
growing years.
3. In type II resection the mandible is often in the region of first premolar and second molar . (F)
4. Distortion of the major and minor connectors best to repair with soldering. )F)
5. Treatment maxillofacial prostheses used as a component of management, such as a splint or stent. )T)
B. Define the following:
1-Maxillofacial prosthetics
Is concerned with the restoration and/or replacement of the stomatognathic system and associated facial structure with
prostheses that may or may not be removed.

2-Residual ridge
it is the remnant of the alveolar process together with the fibrous connective tissue covering ( &included
structure ) in an edentulous area of the dental arch.

3-Altered cast partial denture impression

A negative replica of portion or portions of the edentulous denture bearing area(s) made independent
After the initial impression of the natural teeth.

C. Compare between McLean's physiologic method& Hindel's Modification method in the following side :
.
1-Steps:
- McLean's physiologic method
1-Custom tray over a preliminary cast.
2-Occlusal rim over a distal extension base is made.
3-Functional impression of extension area under occlusal load.
4-Hydrocolloide impression over the first impression made under finger pressure.

-Hindel's Modification method

1-First anatomic impression in alginate is made.
2-Acrylic resin tray over saddle area is prepared.
3-Impression of saddle areas is made in ZOE paste without pressure.
4- Super impression is made with modified tray applying finger pressure.

Disadvantages:
McLean's physiologic method
1-Finger pressure not equal to biting pressure .
2-Alginate between stock tray and occlusal rim act as buffer may not transfer entire load to special tray.
Hindel's Modification method
1-Tissue are in constant stage of compression.
2-Ischemia and bone resorption.
3-Premature contacts at rest.

D. Enumerate the Aramany classification of partially edentulous maxilloectomy?

1-class I –midline resection.
2-class II –unilateral resection.
3-Class III – central resection
4-class IV –bilateral antero-posterior resection.
5-Class V –posterior resection.
6-Class VI –anterior resection.

Answer all the following questions

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Question 2 Marks
A. Fill in the blanks with the suitable words
1- Altered cast a final cast that altered before processing a denture base called also corrected cast, modified cast.
2-Relining resurface the tissue side of the a denture base with new base material to make the denture fit more
accurately.
3-Funtion form It is the shape of the ridge after functional load is applied.
4-Speech Aid prostheses are functionally shaped to the palatopharyngeal muscular to restore or compensate for area
of soft palate that are deficient because of surgery or congenital anomaly.
5- Type II resection the mandible is often resected in the region of second premolar and first molar.
B. Give the reason of the following:
1. Use of palatal augmentation prostheses?
When surgical resection involving the tongue and |or floor of the mouth limits tongue mobility , it affects
both speech and deglutition.
2. Acquired defect?
Result of trauma , or of diseases and its treatment.
3. Broken of clasp Arms ?
1-Repeated flexure into and out of to sever an undercut.
2-Structural failure of clasp arm.
3-Carless finishing and polishing.
4- Carless contouring of wrought wire clasp arm.
5-Accidental dropping of the dentures Application of flux is essential for the success of any soldering operation?
To prevent oxidation of the parts to be joined and the solder.
C. Choose the correct answer.
1. Physiologic or functional impression:
a. Functional relining method.
b. Fluid waxes .
c. All of above
2. Reconstruction is the:
a. Replace the denture base with new one.
b. Replace the whole denture base.
c. None of above.
3. Break of clasp arms may result from:
a. When cross a marginal ridge.
b. Structure failure
c. None of above.
4. Rebasing procedures indicated when the denture bases :
a. Has fractured or has become discolored.
b. Extend to cover all of the denture bearing tissues.
c. All of above.
5. Distortion or breakage of major and minor connectors may result from :
a. Dentist not provided sufficient space.
b. Structure failure.
c. Repeated flexure
d. None of above.

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Marks
Question 3
A-Write Causes?

Pharyngeal
component
Palatal
component

Palatal
extension

B-Mention the name of prostheses?

. Speech aid prostheses.
C-Mention the main function of that prostheses?
to restore or compensate for areas of the soft palate that are deficient because of surgery or congenital anomaly

Question 4
A. Explain selective tissue placement impression method?
The technique attempts to direct more force to those portions of ridge able to absorb stress without
adverse response & to protect the areas of ridge which are least able to absorb force

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