ARTICULATOR (10) 28. .

The lingual bar major connector

should not have a cast circumferential clasp anterior to the fulcrum line

A. Is too thin B. Is too close to the free gingival margins of the teeth C. Is too thick D. A&B E. None of the above Answer = D; bar is too thin buccal-lingually(bends) Needs to be 3-4 mm from the free gingival margin

no tissue stop

29.

The framework exhibits which of the following?

Space

A. Proper adaptation of the retentive clasp tip on tooth #22. B. A tissue stop. C. Proper clasp design for tooth #29. D. None of the above.

Answer = d ; should not have a cast circumferential clasp anterior to the fulcrum line no tissue stop space between 22& clasp tip.
30. The clasp utilized on tooth #29 A. B. C. Answer = a .

Is a cast circumferential clasp Is a cast I-bar clasp Is a wrought wire circumferential clasp

ARTICULATOR (11) 31. The occlusal plane is

a. Located correctly, to divide the interarch space. b. Too high c. Too low d. Set by phonetics and esthetics, therefore, unable to determine if the plane is correctly placed on mounted casts. Answer = b; set too high for the retromolar pad mark. 32. a. b. c. d. On the patients right working movement There is an interference between 28 & 5. There is an interference between 29 &4. There is an interference between 3& 30. There is an interference between 2 & 31.
cusp tip is above the 1/2 mark for the retro molar pad

Answer = C ; no picture 33. On the patients left working movement, the right balancing contacts are a. 28 & 5. b. 29 &4 c. 3& 30 d. 2 & 31 e. none of the above. Answer = C ; no picture

ARTICULATOR (12) 34. Which of the following is true regarding a Class IV partial denture. A. The retentive arms are usually wrought wire unless the edentulous space is so large that the prosthesis is considered an anterior denture base extension. B. The major connector of choice in a maxillary class IV RPD is a palatal strap. C. The retentive arm of choice for the embrasure clasp is an I-bar. D. used. Answer = D; no picture 35. is: The missing minor connector on this framework A. B. C. acrylic resin retention loops cingulum rests lingual plate A rotational path partial design may be

Answer = a; acrylic retention mechanisms are minor connectors. 36. When restoring this patient's occlusal scheme,

A. The RPD should not increase the patients occlusal vertical dimension. B. There should be anterior denture tooth contact in centric relation. C. You should use bilateral balanced articulation. D. You may use porcelain teeth. Answer = A; when restoring with RPDs without changing the vertical dimension, the natural teeth must have the same contacts as without the partial otherwise the vertical dimension would be changed. If only the Rpd is contacting, the teeth and tissues under it will be sore.

Articulator (13) 37. The occlusal scheme which best describes this denture is: A. B. C. D. E. bilaterally balanced occlusion unilaterally balanced occlusion monoplane occlusion canine guidance none of the above

contact of canines no contact posteriors

ugly

Answer = D. the anterior teeth separate the posterior teeth in lateral excursions. Not desireable for complete dentures because it causes instabilty in lateral excursions. 38. . The maxillary posterior teeth appear to be A. B. C. D. too long occlusal-gingivally too short occlusal- gingivally positioned too far palatally none of the above

Answer = B. the occlusal gingival length of the canine and premolars should be similar for esthetics.

39. The correct occlusal scheme to utilize with these denture teeth is . A. bilaterally balanced occlusion B. unilaterally balanced occlusion C. anterior guidance D. none of the above Answer = A Class I ridge relation, cusp teeth, large well formed ridges, repeatable centric are the indications for cusp teeth. This denture has 30 degree cusp teeth so they should be set to bilateral balance.

ARTICULATOR (14) 40. The mesial-distal length of the denture base acrylic resin minor connector on the patients left side should be A. ridge. B. C. extended to the retromolar pad. 1/3 the length of the residual ridge. 2/3 to 1/2 the length of the residual

too long

Answer = A; the tissue stop should end to 2/3 the length of edentulous ridge. If it is too long you will have to adjust the metal when placing (difficult) easier to remove acrylic resin.

41. .

The external finish lines on this framework

A. would allow for acrylic to be mechanically retained in the framework. B. are indistinct C. are too deep or over-contoured Answer = B; the junction between metal and acrylic. The angle for acrylic should be less than 90 degrees and have a mechanical undercut to retain the acrylic. Remember that thin bevels of acrylic chip off. 42. . The superior border of this major connector

A. is not acceptably adapted to the lingual surfaces of the anterior teeth B. is correctly adapted to the lingual surfaces of the anterior teeth C. is too low occlusal-gingivally Answer = a ; you need the lingual plate to contact the lingual surfaces of the teeth in a scalloped outline where the superior border covers the heights of the cingulum then goes up to the interproximal contact.

ARTICULATOR (15) 43. An embrasure clasp should not be used in what classification of removable partial denture? A. B. C. class I class III class IV

Answer = A; in a bilateral distal extension partial you should not have a rigid clasp anterior to the fulcrum line. This immediately disqualifies the embrasure clasp as an option. This question is usually on removable tests.

no reciprication

44. Which of the following is missing from the clasp on #29? A. B. C. D. E. minor connector guide plane reciprocating arm retentive clasp arm rest

Answer = c -see picture. 45. . The major connector in this case

A. should cover and include prepared rest seats on teeth # 22 & 27. B. should be longer occlusal - gingivally. C. should be a lingual bar. Answer = A; when designing partials you put a rest next to the edentulous space and just covering the lingual of 22 & 27 is not enough. There needs to be prepared rest seats in these teeth.

ARTICULATOR (16) 46. According to the anatomic landmarks on the cast, the maxillary anterior teeth in this denture are . A. B. C. D. too large mesio - distally too small mesio - distally adequate for this case placed too far lingually

Answer = a ; if you bisect the incisive papilla the line running through it will bisect the middle of the canines. 47. On the patients right side, the posterior aspect . of the occlusal plane for these dentures is A. too high B. too low C. acceptable D. too narrow Answer = B. the teeth are set below the retromolar pad marks. 48. What anatomical landmark, necessary for a complete denture, is missing from the maxillary cast? A. B. C. D. fovea palatine incisive papilla 1 Pterygomaxillary notch 2 tuberosities

incisive papilla

Answer = c; the maxillary cast must extend back to the pterygomaxillary notch (bilaterally ) for adequate retention.

no pterygomaxillary notch

ARTICULATOR (17) 49. The RPD this case........ A. B. C. D. is missing an indirect retainer. should have a prepared rest on #27 has adequate external finish lines. all of the above

answer = D 50. The lingual bar major connector in this case should a. directly contact the underlying soft tissues. B. have more relief from the underlying soft tissues. C. engage soft tissue undercuts if needed Answer = b. It should not directly rest on lingual of the mandible because it will cause soreness. You can directly lay on palatal tissues because they are highly keratinized and slightly depressible (why you can bead a maxillary major connector) 51. To reduce the movement of the denture base areas away from the underlying soft tissues when chewing you should ........ A.prepare a cingulum rest on #27 and INCLUDE IT with the lingual plate. B.prepare a cingulum rest on #27 and change the major connector to a lingual plate. C.prepare a cingulum rest on #27 and extend the metal rest seat area from #28 to include it. D.any of the above. Answer = D; For an indirect retainer to function properly it must have a prepared rest seat in the tooth to engage. Lingual coverage of anterior teeth without a prepared rest seat does not constitute direct retention.

ARTICULATOR (18) 52. The major connector in this mandibular Class I . removable partial denture A.has the correct thickness for a lingual bar. B.is sufficient in distance from free gingival margin. C.is missing an indirect retainer. D.all of the above. Answer = C

53. The major connector in this mandibular Class I . removable partial denture is A.A lingual bar and its superior border is too close to the free gingival margin. B.A lingual bar and its superior border is placed correctly C.A lingual bar and the placement of the superior border of the lingual bar is of no importance to the soft tissues Answer = A 54. In this Class I mandibular removable partial denture, rest preparations on the cingulum of #22 & #27 . A. Would provide indirect retention for the removable partial denture if included as part of the major connector. B. Would provide direct retention for the removable partial denture. C.Are not indicated in this case. Answer = A

ARTICULATOR (19)

55. If the vertical space between the free gingival margins and the functional position of the lingual frenum were 4 mm, which major connector would be indicated? A. B. C. D. Answer = B Lingual bar Lingual plate Interrupted lingual plate Labial bar

56. If you were placing a circumferential C clasp #18 with a retentive clasp arm on the distal-buccal of #18, the survey line on tooth #18.............. A. Would be ideal as shown. B. Should be located at the junction of the middle/gingival 1/3 of the tooth C. should be located at occlusal 1/3 of tooth Answer = B 57. The guide plane on the distal of tooth #29 is...

A. Too long occlusal-gingivally B. Sometimes used to engage undercuts for retention C. Ideal for RPI clasps Answer = A

ARTICULATOR (20) 58. The center of the incisive papilla is marked on the denture. The position of the maxillary anterior teeth would most likely result in. A. Lip incompetence because the teeth are placed too far in a labial direction. B. Insufficient lip support because the teeth are not far enough in a labial direction. C. Whistling while pronouncing S sounds D. A and B E. A and C Answer = E In general the average distance labial to the incisive papilla is 8-12mm.

Right working

59. If the marks placed on the land of the mandibular cast represent the center of the anterior edentulous ridge, then, which of the following is true? A. The mandibular anterior flange is correctly shaped. B. The mandibular anterior teeth are correctly positioned. C. The mandibular anterior teeth are incorrectly positioned. D. The position of the mandibular anterior teeth would interfere with the patient's tongue. E.C and D only Answer = E 60. Which factors of the occlusion of the posterior teeth are acceptably created in these complete dentures? A. The balancing movements B. The working movements C. The protrusive movements D. All of the movements E. None of the movements Answer = E protrusive

Left working