ESTHETIC DENTISTRY - EXAMINATION MAY 2000 V1. When chemically activated composite is used in he proximal box ofa clas 2, it shouldbe @ just apical to the proximal contact half way into the proximal contact €) just occlusal to the proximal contact ¢) ‘applied with a composite placement instrument 2, Allight activated composite in the box portion of a class 2 composite restoration, when a metal matrix is used, is inappropriate because of the following EX‘ ty @ unable to syringe light activated composite into box inability to initiate cure from the proximal gingival direction“ c) potential depth of the cure problem ~~ 4) shrinkage in the occlusal direction leading to gingival gap“ _ 3. The following are fue for the use of SURFACE sealant (Fortify) on the occlusal surface of posterior composite restoration EXCEPT: seals microcracks resulting from finishing ~ improves wear resistance 1~ prevents secondary caries ~~ no oxygen inhibited layers 4. ‘Cavity preparation is etched with before placement of composite restoration, x cater hydrochloride acid phosphoric acid hydrofluoric acid d) nitric acid JS © _ Porwelain is etched with before placement. 2) hydrochloride acid \ phosphoric acid hydrofluoric acid? nitric acid 6. For the porcelain veneers, which of the following should you depend on the most for the final color and opacity? ” wae 2) the porcelain b) . the cement the tooth i). the bonding agent8. x13. Gingival margin configuration for the class 2 posterior composite is a: ®) chamfer slant shoulder shoulder & bevel Maximum polymerization of a composite having an “average” shade can be found between adepth of _____using 40 second cure are under the ideal conditions. d 35-3mm The following are true for the light activated posterior composite you are currently using EXCEPT: . 8) absorbs light in the 468nm region & accivated by UV light ed by mah ae depth of pol ereton i determin yy multiple factors ‘d) polymerization ean be initiated by ambient light —~ Function of a dentin etchant for the purpose of dentin bonding areas follows EXCEPT: a) _, to decalcify intratubular and intertubular dentin ~ b) “toremove smear layer oa to make dentin more hydrophilic f) to expose the collagen network ~ ‘Clinical detection of pit and fissure caries is best determined by: a) single explorer stick . multiple stde visual evidence of undermining following cleaning and drying’ ©) _ stained groove d) deep and tortuous morphology . s The outline form of a cavity preparation for posterior composite is dictated by the extent of the caries ) 1 mm inside the DEJ c) 1/2 mm inside of the DEJ” : 4) just pulpal to the DEI Porcelain inlay/onlay vs. composite inlay/onlay. The fllowng are tue EXCEPT: 2) porcelain more abrasive to opposing dentition b) bond to porcelain stronger than bond to composite dual cure cement i used to cement both kinds of restorations choice is dictated by cosmetic requirementsé 14, 16. aa: A bevel is recommended for the buccal and lingual proximal margins of a class 2 restored ‘with posterior composite: a) the above statement is untrue 8) itavoids thick composite margins xf. it assures undercut for retention * & exposes the end of the enamel rods for better etching ‘A dual cure cement is used for porcelain inlays and onlays because of the following EXCEPT: 3 it allows finishing immediately following light activation itassures adequate polymerization in dep areas Ve) it polymerizes to a higher degree “d) the above statement is untrue < ‘The following may be considered as indications for poreelan laminate veneer restorations EXCEPT: 2) thodification of tooth color ~~ b) labial erosions —~ ©) morphologic anomalies — ‘unaesthetic old restorations ~ wear due to severe bruxism * ‘The following may be considered as advantages of the porcelain laminate restoration EXCEPT: a) excellent esthetics ~~ b) excellent long term arity minimal tooth reduction ~~~ need little remaining enamel ) compatibility with soft tissue ~” In making the decision to restore the abial surface of a maxillary central incisor with a porcelain amit veneer oral plaed composite ven, wich ofthe fllowingi NOT a factor in your selection: cost ? 3 =e ¥ -Fepairabihity ~- GQ} reversibility a time required —” The horizontal depth gauge surface cus must be fepeated, 3. et) wi LVS ora diamond bur. a) one two @ three four Z five 720. The incisal preparation for the porcelain laminate veneer restoration should create a JS preparation that is approximately |_-~mm. shorter than the anticipated length ofthe final restoration, 0.5 mm. > 10mm. 15 mm. 4) 20mm. ©) 25mm. 7 21. Thelingual-incisl angle ofthe porcelain laminate veneer preparation on a maxillary anterior tooth should be approximately "I5_ degrees. a) 50: oO 75° De 90: 120: Full coverage restorations should be considered in lieu of the laminate restoration when less than {c0% of the labial enamel surface remains. a 20% b) 30% ) 40% 50% . ‘ , 60% 23. If the porcelain laminate veneer will significantly change the colo ofthe prepared tooth the Proximal finishing lines should terminate within the interproximal contact aes ata derth of a) 5mm. imm. a g 42 the lebolingal dimension of the contact area 2mm, labial to the contact area : ce) 25mm. cae 24, Inthe case of significant modifications of tooth color, the Eingival margin ofthe porelain lamnate veneer should be placed : 4 ; sla pe at or just below the gingival margin ae e 25 mom, incisal to the gingival margin ~, ; ue c) 25 mm_ below the gingival margin. 4) _ 1.0mm. below the gingival margin ©) 0.5mm below the gingival margin4 26. am 30. Internal line angles and the incisal line angle should be rounded to a) e) make the impression technique easier reduce internal stresses make the preparation technique simpler make the model easier to read make provisional restoration easier Adjustments to porcelain veneers should be made in the following manner a) ) °) © only those necessary to seat the veneer before cementation “~~ lingual areas with a fine football shaped diamond u~ finish facial margins with the fine finishing diamond _— finish with a 30 fluted carbide bur all of the above Athome, mouth guard vital bleaching is accomplished with a a) b) @ 35% hydrogen peroxide 30% carbamide peroxide 20% carbamide peroxide solution 10 to 15% carbamide peroxide gel 35% carbamide peroxide gel A home bleaching, mouth gud application tray is febrcaied from @, ©) d) ‘The preferred tray design for the maxillary arch is b) d .035 Soft vinyl tray material 1060 soft vinyl tray material 1035 clear stent tray material pe 060 clear stent tray material : scalloped with reservoirs scalloped without reservoirs straight with reservoirs straight without reservoirs ‘Bleaching of dark, cndatoncaly rete th canbe entree by “dalkine Ne. Pe increasing the seit of he bleaching gel 5 agp lta - Increasing the depth of the tray reservoir mieeract Sg po eg a[a ‘The amount of active bleaching material remaining in the tray after one hour is dependent oo a) the viscosity of the bleaching material B) the adaptation ofthe way ©} the accuracy ofthe model on which the tray is fabricated the use of the reservoir all of the above 32. After reaching a desired color target, restoration of the teeth (resin bonded restorations or composite restorations) should be delayed for a) six months. two months one year ‘ne to two weeks @) as long as it takes for color to stabilize 33. Block out material for reservoirs should be place on the model 2) up to the gingival margins and over the incisal edge b) —_upto the gingival margins and up to, but not over, the incisal edge 1'to 1.5 mm. shy of the gingival margins and up to, but not over, the incisal edge 1 to 1.5 mm. shy of the gingival margins and incisal edge J 34. “Power bleaching” refers to : 3)” Increasing the concentration ofthe paint applied Bleaching gl t30% b) filling the nyt the to of te ari iaargins before inserting ~ )_- inoffice, dentist applied 30% carbamide in office, dentist lied 35% hydrogen peroxide 35. Extended or prolonged periods of home bleaching application isually results in @ nowntoward effects on the teeth Es decalcified areas on the teeth ¢) permanent excessive sensitivity “a pulpal necrosis . Ve 6.) If oral fluid contamination tno be cote bended eran acon @ true CE EES wl EP aes ) false a eee : Je Gy) For indirect resin inlays and onlays, curing the material outside the oral cavity: : ‘decreases wear resistance / eliminates polymerization shrinkage vi le selection more difficult alot of the above38. Which of the following are indications for posterior porcelain or indirect resin inlays and onlays: — 2) esthetics “ acceptable centric occhision ~ é more than 0.3 mm. thickness of enamel at the cavosurface margins ~~ all of the above Ze) B) ch ote following iS) disadvantage of porcelain and indirect resin inlays and onlays? 2) _technique-sensitivity of the procedure ~ b) cost tothe patient” number of patient visits - (4) control of proximal contacts J All porcelain and indirect resin inlay and onlay cavosurface margins should be: Ce) — butt-jointed By beveled SAL, subgingival er in dentin ‘How much clearance should be allowed over occlusal contact areas in the preparation of porcelain and indirect resin inlays and onlays? a)" 0.0t00.5 mm. b) 0.5to 1.0mm. 1.01015 mm, >. 1.5t020 mm. via) 2) Porcelain and indirect resin inlays and onlays dla have: a) divergent walls to the occlusal" b) _rounded internal line angles — no sharp comers —~ all of the above : ' 1 “43. ‘The isthmus on preparations of porcelain and indirect resi inlays and onlays should be Wider than 1/3 the itereupl dance of minimally 10 mn, sims Cee soy false J 44. "When should he shade Be akin fo presan nindt nays nd nls at the first visit The preenten fe wt ‘AY atthe laboratoryJ 45. What material should be applied to the intemal preetched surface ofa porcelain inlays or oo onlays prior to bonding tore tooth? Po adhesive o silane-coupling agent primer d) glycerin