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Prosthodontics Practice

5 MCQs • Practice Free attempt

Practice Test

Prosthodontics — 5 Questions

1
Prosthodontics
Lingual cusp of a maxillary molar is reduced when deflective occlusal contacts
1) Occur only in centric relation
2) Occur only in eccentric relation
3) Occur in both centric relation as well as lateral movements
4) Supporting cusps should not be reduced

📝 Explanation:

The lingual cusp of a maxillary molar is a supporting cusp. Reduction of a supporting cusp is indicated when there are deflective occlusal contacts in both centric relation and all eccentric movements, to ensure proper occlusion and prevent damage to the tooth or surrounding structures. The goal of selective grinding is to eliminate premature contacts and establish a stable, functional occlusion.

2
Prosthodontics
Benett movement is
1) Direct lateral side shift of the mandible that occurs simultaneously with lateral mandibular excursion
2) Direct medial side shift with medial mandibular excursion
3) Direct lateral side shift with medial mandibular excursion
4) None of the above

📝 Explanation:

The Bennet movement is a type of movement that occurs in the temporomandibular joint (TMJ) during the lateral excursion of the mandible, particularly when the mouth is open. It involves the sliding of the articular disk in a lateral direction within the joint space, which allows for the condyle to move smoothly along the articular eminence of the temporal bone. This movement is essential for the normal functioning of the TMJ during activities like chewing and speaking. It is the first type of movement to occur during lateral excursion and is crucial for maintaining the proper alignment of the TMJ components during side-to-side jaw motion.

3
Prosthodontics
A 28‑year‑old patient is undergoing occlusal analysis as part of prosthodontic rehabilitation. The dentist notes that during lateral mandibular movements, the canines guide the occlusion. This phenomenon is termed canine disocclusion (canine guidance). Which of the following best characterizes canine disocclusion?

1) Separation of anterior teeth during protrusive movements
2) Separation of posterior teeth on lateral working side
3) Separation of posterior teeth on lateral balancing side
4) Presence of working side contacts

📝 Explanation:

Canine guidance (canine disocclusion):

During lateral mandibular movements, the canines contact and guide the mandible.

This results in disocclusion (separation) of posterior teeth on the balancing side.

It protects posterior teeth from harmful lateral forces.

4
Prosthodontics
The most reproducible relation of the jaws that is used in fixed denture construction
1) Centric occlusion
2) Centric relation
3) Protrusive contact position
4) Lateral contact position

📝 Explanation:

The most reproducible relation of the jaws that is used in fixed denture construction is Centric Relation (CR). Here's a detailed explanation of the options provided and why Centric Relation is the correct answer:

1) Centric Occlusion (CO): This is the position of the mandible where the incisor and posterior teeth of the maxilla and mandible are in maximum intercuspation, meaning the teeth are in their most closed and stable contact. It is the position that occurs when the condyles are in the most superior and anterior position in the glenoid fossae of the temporal bones. While important for the function of the teeth, centric occlusion is not always a reliable reference for the construction of a fixed denture, as it can be influenced by various factors such as tooth wear, pathology, or parafunctional habits. Moreover, it is a dynamic relationship that can change over time.

2) Centric Relation (CR): Centric relation is the most retruded, unstrained position of the mandible on the maxilla from which the mandible can move to the lateral and protrusive positions. It is the basis for the articulators in dentistry and is considered the most reproducible jaw relationship for the fabrication of fixed dentures. CR is determined by the temporomandibular joint (TMJ) and does not involve tooth contact. This is crucial because it provides a consistent and predictable starting point for constructing a denture that will function harmoniously with the TMJ and the surrounding soft tissues. It is the position where the condyles are in a centric relation with the fossa and the disk is properly situated, which minimizes strain and maximizes stability during function.

3) Protrusive Contact Position: This is the position of the mandible where the incisor or canine teeth make contact with the maxilla in a forward and downward movement. While it is a functional movement of the jaw, it is not a stable or reproducible position for the construction of fixed dentures because it is highly dependent on the muscles and may not be consistent across different individuals or even during different occasions for the same individual.

4) Lateral Contact Position: This refers to the position of the mandible during lateral movements, where the teeth contact the maxilla on the side of the arch. Similar to protrusive contact, it is a functional position that is influenced by muscle activity and not a stable reference for denture construction. Lateral movements are also not the primary focus in fixed denture construction, which is mainly concerned with the vertical and anteroposterior relationships of the jaws.

5
Prosthodontics
Which of the following materials have maximum osseous integration
1) Tantalum and titanium
2) Vitreous carbon
3) Porous aluminium silicate
4) Alumina and sapphire

📝 Explanation:

Maximum osseous integration is a term used in the context of dental implants and refers to the degree to which the bone tissue of the jaw integrates with the implant material. Tantalum and titanium are both biocompatible materials that are known for their excellent osseointegration properties. Titanium is the most commonly used material for dental implants due to its high biocompatibility and strong osseointegration. Tantalum is also biocompatible, but it is not as commonly used as titanium.

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