Exercise No.

201
Subject Code: 149

The 40 questions for this exercise are based on Day 1 of the Functional Occlusion
Online Seminar.

Watching the Day 1 Functional Occlusion Online videos and doing the exercise will
enable you to learn about more predictable techniques for equilibration, bite records, risk
assessment and treatment planning wear patients for your practice.

CE Test Instructions
Follow these steps to receive your Verification of Participation:
1. Watch the related videos on the Functional Occlusion website
2. Print out the related CE test
3. Complete the related CE test
4. Complete the evaluation form
5. Send the test and evaluation form to Phelan Dental Seminars by email to
ce@phelandentalseminars.com  or fax: 905-989-1594
6. We will mark your test
7. If you receive 80% or greater on the test, we will email you your Verification of
Participation to the email at the address you provided
8. CE tests are corrected and submitted on a monthly basis to AGD

Phelan Dental Seminars is pleased to offer CE credit. Participants with a passing score
(score of 80 percent or higher) will receive Verification of Participation from Phelan
Dental Seminars. We recommend that you keep the original copy of the Verification of
Participation for your records. If you are audited, you may need to submit this
documentation to your examination authority.

Continuing education credits for participation in the CE activity may not apply toward
license renewal in all licensing jurisdictions. It is the responsibility of each participant to
verify the CE requirement of his/her licensing or regulatory agency.
 CE Test for Day 1: Functional Occlusion Online Seminar

AGD Number ___________________________________________________________

Name _________________________________________________________________
Address________________________________________________________________
City ___________________________________________________________________
Prov/State_____________________ Postal Code/Zip ___________________________
Phone______________________________Fax________________________________
Email _________________________________________________________________

1. Overbite is the projection of the teeth beyond their antagonist in the horizontal
plane.

a) True
b) False

2. Cuspid guidance is the disclusion of the posterior teeth in the lateral excursive
direction by the cuspids.

a) True
b) False

3. Group function guidance design has been shown to decrease the muscle activity
and bite force, especially if you have non-working or balancing side contacts.

a) True
b) False

4. The problem with the cuspid guidance occlusion design is all the forces are placed
on the cuspids. This can be an issue if the patient has a high risk profile with large
muscles, high bite force and bruxism.

a) True
b) False

5. In cases with a flat occlusal plane and guidance you will need to build a steeper
posterior tooth anatomy and shorter cusps.

a) True
b) False

6. Condylar guidance can be defined as the path and angle developed by the condyle
moving anteriorly. Anatomical studies show this angle is always greater than 15
degrees which influences the set-up of the articulator.

a) True
b) False

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CE Test for Day 1: Functional Occlusion Name ___________________________

7. The Occlusal Plane from the frontal perspective should be parallel to the
inter pupillary line or the horizon.

a) True
b) False

8. The main esthetic area I want to assess with the patient in the office is the incisal
edge position, lip dynamics and lip mobility. This will allow me to determine if the
incisal edge position and gingival tissue will need to be altered as part of the
treatment plan.

a) True
b) False

9. A simple hinge articulator is not acceptable to treatment plan any occlusal changes
for your cases. The geometry of the arc of closure with a hinge articulator will
produce significant error if you mount your case in CR with a bite record with any
thickness.

a) True
b) False

10. If the patient has tension with the leaf gauge when they move forward, back and
squeeze the cause is likely:

a) Muscle spasm
b) Internal Joint derangement or breakdown

11. If the patient has a sharp type of pain with the leaf gauge when they move forward,
back and squeeze the cause is likely:

a) Muscle spasm
b) Internal Joint derangement or breakdown

12. If the patient has an increase in pain while wearing a deprogrammer you should:

a) Tell them to continue to wear the appliance for another day and see if the pain
decreases.
b) Tell them to wear the appliance for 1 hour a day for seven days and report if the
pain increases or reduces
c) Tell the patient to stop wearing the deprogrammer.

13. When mounting models with CR bite records you should:

a) Trim the bite records so that you can see the stone adapted closely to the
recording material and the models do not rock.
b) Don’t spend too much time trimming the record because you can glue the models
together with the bite record between them.

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CE Test for Day 1: Functional Occlusion Name ___________________________

14. The lateral pterygoid muscle can easily be palpated in all patients.

a) True
b) False

15. An average amount of jaw opening is 40 mm or more for adult patients.

a) True
b) False

16. Healthy joints with no displacement of the disk elicit very little to mild sounds of
crepitation when tested with the Doppler.

a) True
b) False

17. To check the lateral pole you will want to see if the Doppler is quiet on translation.
To check the medial pole you will need to listen to the Doppler in a rotational
movement.

a) True
b) False

18. Centric relation is one of three different condylar positions that you can build an
interference free occlusion.

a) True
b) False
 
19. When you place the leaf gauge, have the patient move forward, back and squeeze
and if they have a small amount of tension or tenderness they are in centric relation.

a) True
b) False

20. You can easily locate the point of initial contact with the lucia jig.

a) True
b) False

21. The horizontal and vertical distance between the dots with the MPI will tell us how
easy or difficult the restorative treatment will be.

a) True
b) False

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CE Test for Day 1: Functional Occlusion Name ___________________________

22. If you have a patient with a large vertical change the MPI will help you evaluate the
amount you will need to reduce the molars to equilibrate that patient.

a) True
b) False

23. You can also use the MPI to evaluate if both sets of CR records are the same.

a) True
b) False

24. One advantage of the Sam MPI is that it can be used as a universal instrument with
any hinge articulator.
a) True
b) False

25. Bruxism seems to be related to a sleep related micro-arousal and has been
classified in the medical literature as a sleep-related movement disorder. It is not a
dental disorder but a sympathetic nervous system disorder.

a) True
b) False

26. The term “pathologic tooth wear” has been used to describe the state when the
destruction of the teeth has reached a level at which restorations are not indicated.

a) True
b) False

27. Occlusal bite force triples when the patient clenches on their molars!

a) True
b) False

28. From the Chewing Pattern Research - the Normal opening path for the chewing
stroke is vertical and the closing path is more variable.

a) True
b) False

29. Patients with worn teeth close in a more vertical chewing pattern with a definitive
stop and no lateral slide.

a) True
b) False

CE Test for Day 1: Functional Occlusion Name ___________________________

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30. Patients with severely worn occlusions generally exhibit wider lateral chewing
movements with longer glide lengths than people with normal amounts of tooth
wear.

a) True
b) False

31. If the patient can be diagnosed with Bruxism you should not follow their chewing
pattern with their restorations.

a) True
b) False

32. When you are restoring patient’s with severe tooth wear you need to avoid providing
them with a significantly steeper anterior guidance, a deeper overbite and a tighter
overjet.

a) True
b) False

33. For patients with severe tooth wear, you need to make sure the teeth do not
interfere with the way the patient wants to chew.

a) True
b) False

34. For patients with severe tooth wear, You want to provide them with a little tighter
envelope of function and a little less horizontal overjet and deeper overbite.

a) True
b) False

35. The Restricted envelope of function type of patient will exhibit more wear on the
palatal surface of anterior teeth and less wear on the posterior teeth. When
attempting to locate CR the initial point of contact will often appear on an anterior
tooth.

a) True
b) False

36. Parafunction can be defined as a patient that is grinding their teeth due to a know
etiology. An occlusal etiology such as an occlusal interference or a high restoration,
a medication based etiology like antidepressants, or a stress induced etiology.

a) True
b) False

CE Test for Day 1: Functional Occlusion Name ___________________________

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37. There is significant evidence that occlusion is a factor in the etiology of sleep
bruxism.

a) True
b) False

38. The Bruxism patient that has been restored should have an appliance made to
protect their investment and reduce the potential for failure of either the restorative
material or the tooth.

a) True
b) False

39. Attrition is easily diagnosed because the wear facets will not line up on the teeth and
they will have a shiny appearance with the enamel and dentin even.

a) True
b) False

40. Erosion is the loss of dental hard tissue through chemical etching and dissolution by
acids of non-bacterial origin.

a) True
b) False

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Course Evaluation Name ___________________________

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 CE Test for Day 1: Functional Occlusion Online Seminar

Please evaluate this course by responding to the following statements, using a scale of

Excellent=4 to Poor=0

1. The content was valuable: 4 3 2 1 0

2. The questions were relevant: 4 3 2 1 0

3. The course gave you a better understanding of the topic: 4 3 2 1 0

4. Rate the overall value to you: 4 3 2 1 0

5. Would you be interested in registering for the Occlusion Skills Development Workshop?
(14 dentist private coaching weekend) Yes_____No_____

6. Can you add a comment that we can quote in our marketing and advertising?

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