MDS PREP
If PMBAW% is 44 in Howe"s analysis, it indicates
1) Extraction case
2) Expansion case
3) Borderline case
4) None of the above
Orthodontics
Answer: 3
The primary purpose of Howe's Analysis is to assess the width of the
dental arches and to identify any discrepancies between the maxillary
(upper) and mandibular (lower) arches. This is particularly important in
cases of malocclusion, where the alignment of the teeth and the relationship
between the jaws may be compromised.
The analysis involves measuring specific distances on the dental casts,
including:
Intercanine Width: The distance between the cusp
tips of the canines.
Interpremolar Width: The distance between the cusp
tips of the first premolars.
Intermolar Width: The distance between the cusp
tips of the first molars.
These measurements are used to calculate the Percentage of
Maxillary Buccal Arch Width (PMBAW%), which is a key indicator in
the analysis.
The results of Howe's Analysis can indicate different treatment needs:
Normal Case: A PMBAW% within a certain range
(typically around 50-60%).
Narrow Case: A PMBAW% below the normal range,
indicating a need for arch expansion.
Wide Case: A PMBAW% above the normal range, which
may suggest the need for extraction or other interventions.
Borderline Case: A PMBAW% around 44, indicating
that the arch width is at a threshold where careful consideration is
needed for treatment options.
According to Angle, the key to normal occlusion in adults is the anteroposterior relationship. His description of teeth relationships in normal occlusion remains a fundamental observation. Angles observations are based on which teeth that are most reliable to understand occlusion
1) First molars and canines
2) First molars and first Premolars
3) Canines and first Premolars
4) First molars and central incisors
Orthodontics Answer: 1
SOLUTION
The mesial incline of the upper canine occludes with the distal incline of the lower [canine];
the distal incline of the upper canine occludes with the mesial incline of the buccal cusp of the lower first premolar.
What is the relation of the lower first molar to the upper first molar in an
Angle Class III malocclusion?
1. distal
2. lateral
3. mesial
4. normal
Orthodontics Answer: 3
Angle Class III Malocclusion:
Angle Classification:
The Angle classification system, developed by Edward Angle, is a
widely used method for categorizing malocclusions based on the
relationship of the first molars and the canines.
Class III Malocclusion:
In Angle Class III malocclusion, the lower first molar is positioned
more mesially (toward the midline) relative to the upper first molar.
This means that when the first molars are in occlusion, the lower first
molar is ahead of the upper first molar.
Clinical Implications:
Class III malocclusion is often associated with a prognathic
mandible (where the lower jaw is positioned forward) or a retruded
maxilla (where the upper jaw is positioned backward). This can lead to
various functional and aesthetic concerns, including difficulties with
biting and chewing, as well as facial profile changes.
Premature exfoliation of primary mandibular canine is most often the sequelae of:
1) Caries
2) Trauma
3) Serial tooth extraction
4) Arch length inadequacy
Orthodontics Answer: 4
SOLUTION
The two major symptoms of severe crowding in the early mixed dentition are severe irregularity of the erupting permanent incisors and early loss of primary canines caused by eruption of the permanent lateral incisors. The children with the largest arch length discrepancies often have reasonably well aligned incisors in the early mixed dentition, because both primary canines were lost when the lateral incisors erupted
After a definitive analysis of the profile and incisor position, these patients face the same decision as those with moderate crowding; whether to expand the arches or extract permanent teeth. In the presence of severe crowding, limited treatment of the problem will not be sufficient and permanent tooth extraction is most likely the best alternative.
Following orthodontic treatment of rotated tooth, relapse is most commonly due to
1) Oblique fibers
2) Supracrestal fibers
3) Sharpey’s fibers
4) Apical fibers
Orthodontics Answer: 2
Solution
This is because elastic supracrestal fibres remodel extremely slowly and can still exert forces capable of displacing a tooth even at 1 year after removal of an orthodontic appliance.
If maxillary canines are placed forward to orbital plane, they are said to be in
1) Protraction
2) Retraction
3) Abstraction
4) Contraction
Orthodontics Answer: 1
SOLUTION
Simon used the orbital plane (a plane perpendicular to the F-H plane at the margin of the bony orbit directly under the pupil of the eye).
According to Simon, in normal arch relationship, the orbital plane passes through the distal axial aspect of the maxillary canine
Malocclusions described as anteropostenor deviations based on their distance from the orbital plane are as follows:
1. Protraction: The teeth, one or both, dental arches, andYor jaws are too far forward, i.e. placed forward or anterior to the plane as compared to the normal where the plane passes through the distal incline of the canine.
2. Retraction: The teeth, one or both dental arches and/or jaws are too far backward, i.e. placed posterior to the plane than normal
The philtrum of the upper lip is formed largely by the
1) Lateral nasal processes
2) Globular process
3) Maxillary processes
4) Mandibular processes
Orthodontics
Answer: 2
Explanation: The philtrum is the vertical groove located in the middle of the upper lip. It is primarily formed by the fusion of the medial nasal processes, which include the globular process. The globular process is a key structure in the embryonic development of the face, contributing to the formation of the upper lip and the philtrum.
Which of the following is not one of the consequences of using Herbst appliance in treatment of Class II malocclusion?
1) Increase in mandibular growth
2) Over corrected Class I molar relation
3) Increase in SNB angle
4) Increase in overjet
Orthodontics Answer: 4
Solution
The following are the effects when Herbst appliance used for treatment of Class II malocclusion:
1. Class I molar relation or over-corrected Class I molar relation.
2. Increased mandibular growth
3. Distal driving of maxillary molars which helps to achieve molar relation.
4. Reduction of overjet by increasing mandibular length and proclination of mandibular incisors.
5. Inhibitory effect on sagittal maxillary growth
6. Weislander suggested double contour of glenoid fossa which indicates anterior transformation of glenoid fossa
7. Increased SNB angle and decreased SNA angle.