Exercise No.

202
Subject Code: 149

The 40 questions for this exercise are based on Day 2 of the Functional Occlusion
Online Seminar.

Watching the Day 2 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 2: Functional Occlusion Online Seminar

AGD Number ___________________________________________________________

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

1. The patient’s individual risk factors is a key consideration when treatment planning
tooth wear.

a) True
b) False
 
2. Many patients do not require a second appointment to achieve a stable occlusion
when you are completing an equilibration procedure.

a) True
b) False
 
3. The trial equilibration is not useful to give us information regarding whether we can
successfully complete the equilibration alone or if we require a combination of
additive restorative treatment like bonding and equilibration.

a) True
b) False

4. With equilibration using the Leaf Gauge if the Cuspids are in contact and all the
Leafs are gone you are not often in Centric Relation.

a) True
b) False
 
5. With equilibration using red paper to evaluation anterior guidance, any red spots on
the back teeth are interferences that need to be removed unless you build up the
anterior guidance with composite resin.

a) True
b) False

6. A good tip is to coat a small amount of Vaseline on the Accufilm articulating paper
for easier marking of contacts.

a) True
b) False
CE Test for Day 2: Functional Occlusion Name ___________________________

7. With equilibration it is generally harder to shorten the cusp tip instead of deepening
the opposing fossa but you can adjust a little from each.

a) True
b) False

8. With equilibration always try to remove incline contacts on the posterior teeth,
reshape these to move away from the incline to the contact to the cusp tip or fossa.

a) True
b) False

9. With equilibration smaller contacts on the posterior teeth are harder to disclude.

a) True
b) False

10. There are cases where you want to increase the tooth length and keep the angle of
guidance the same. In these cases you will need to increase the vertical dimension
with restorative treatment or orthodontics in order to create this occlusion design.

a) True
b) False

11. With restorative treatment it is practical to achieve an even distribution of contacts

but it is difficult to make them contact at the same time or at the same intensity.

a) True
b) False

12. Due to the geometry of the jaw, if you open the vertical 1 mm in the posterior you
will open the vertical 4 mm in the anterior.

a) True
b) False

13. Overjet is also altered significantly when you open the vertical dimension. For each
3 mm vertical change in the anterior teeth, there is approximately a 2 mm horizontal
change in an anteroposterior dimension.

a) True
b) False

14. Vertical Dimension is a highly adaptable position and there is no one vertical
dimension that you need to build your cases to but a range of vertical dimensions
that will work for most patients.

a) True
b) False
CE Test for Day 2: Functional Occlusion Name ___________________________
15. For the high-risk profile wear patient the recommendation is having the terminal
position of guidance on broad, flat surfaces.

a) True
b) False

16. High Forces in both magnitude and direction is the patient risk factor that can wreck
your cases.

a) True
b) False

17. The Key for treatment planning the high risk wear patient is to establish their Risk
Profile first and then use Force Management to engineer their new occlusion.

a) True
b) False

18. The patient’s pattern of wear will show you their individual chewing and grinding
envelope and will help you determine which restorations will be at risk if the patient
continues to chew and grind their teeth in that envelope.

a) True
b) False

19. You want to avoid locking in the patient with their anterior tooth contacts and
causing a restricted envelope of function.

a) True
b) False

20. As the angle of guidance rises, the degree of force placed on the teeth decreases.

a) True
b) False

21. Ideally you would like to use the anterior guidance that is the shallowest capable of
clearly discluding the posterior teeth.

a) True
b) False

22. You need to build your restorations in harmony with the envelope of function and
how the patient would like to chew.

a) True
b) False

CE Test for Day 2: Functional Occlusion Name ___________________________

23. For the high risk profile wear patient I would recommend having the terminal
position of guidance on narrow, flat surfaces.

a) True
b) False

24. The vertical seating of the condyle into centric relation can be helpful to increase the
vertical dimension for the anterior teeth without increasing the contracted length of
the elevator muscles.

a) True
b) False

25. You can equilibrate the mounted models from CR until the vertical dimension
creates an overjet and overbite that will be acceptable for the diagnostic wax-up to
be completed.

a) True
b) False

26. The custom incisal guide table will allow you to create the same angle of guidance
and anterior envelope at the increased OVD.

a) True
b) False

27. Using an opposing arch PolyEther or PVS Impression Adds to the precision of your
restorative records.

a) True
b) False

28. In these higher risk patients create trial restorations from the diagnostic wax-up and
wait three months to see the results of the occlusal change.

a) True
b) False

29. If the occlusal change is successful proceed to final restorations and use the
prototypes to guide the creation of the final bite records and restorations and
complete the case one arch at a time.

a) True
b) False

CE Test for Day 2: Functional Occlusion Name ___________________________

30. If the occlusal change is not successful modify the occlusion and retest until the new
occlusion is successful. Once the occlusal change is successful use the provisional
restorations to guide the creation of the final bite records and restorations and
complete the case one arch at a time.

a) True
b) False

31. Decreased post-operative sensitivity is not a benefit when you place core build-ups.

a) True
b) False

32. Decrease in undercuts with crown preparations is a benefit when you place core
build-ups.

a) True
b) False

33. The Occlusion Design bonding protocol for core build-ups is to Etch, Gluma
Desensitizer, Multiple Coats of Dentin Primer (Optibond Fl Primer), Adhesive
(Optibond Fl Adhesive), Light cure.

a) True
b) False

34. My technique for the Direct veneer provisional is to make a Hardcast shell of the
Diagnostic wax-up and load it with the provisional material directly onto the prepared
teeth. I will let the provisional material set on the prepared teeth and after the
material has started to set my assistant starts to cool down the shell/provisional
complex with the air/water syringe as I tease the provisional and shell off and on the
preparations.

a) True
b) False

35. Extra attention needs to be paid to the gingival embrasure form to ensure there is
room for the papilla to rebound from the gingival retraction and impression
procedures.

a) True
b) False

36. The Key for treatment planning the high risk wear patient is to establish their Risk
Profile first and then create much steeper guidance to engineer their new occlusion.

a) True
b) False
CE Test for Day 2: Functional Occlusion Name ___________________________

37. Always keep an original set of models in case you need to return to an occlusal
design closer to the starting position.

a) True
b) False

38. Using CR creates a condylar position that is reproducible and is a boarder position

a) True
b) False

39. With CR any mandibular movements will result in the condyle moving inferiorly
down the glenoid fossa and discluding the posterior teeth and allowing only anterior
tooth contact.

a) True
b) False

40. The best articulator to use when altering the vertical dimension and completing the
diagnostic wax-up is the hinge articulator.

a) True
b) False

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Course Evaluation Name ___________________________

CE Test for Day 2: 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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