Question #1

In reference to the partially edentulous arch and accompanying framework shown---what is the
Kennedy classification?

Class I, Modification 0

Class II, Modification 1

Class III, Modification 0

Class IV, Modification 0

The correct answer is

According to the Kennedy Classification, the partially edentulous arch

shown is a Class I, Modification 0. There are bilateral posterior extension
areas with no other modification (edentulous) space(s) present.

All class I RPDs have an axis of rotation. To be very specific, the axis of
rotation will pass through the rigid metal closest to the edentulous space
that lies above the survey line (height of contour). If the design is correct
and the laboratory and clinical procedures are carried out properly, the axis
of rotation should pass through the most distal rests on each side. The axis
of rotation for this case is indicated by the black line.

Class I and Class II RPDs always have an axis of rotation. Class III RPDs never have an axis of
rotation. Class IV RPDs seldom have an axis of rotation---some people consider that Class IV
RPDs have an axis of rotation if all the incisors and both canines are missing, creating an
"anterior extension" area.
Does this RPD have an axis of rotation? If so, where is it located? What class(s) of RPDs do
not have an axis of rotation?

Question #2

The accompanying figure depicts the lingual surface on the lower

anterior teeth of a patient who is currently wearing a bilateral
distal extension removable partial denture that was fabricated 5
years ago. What do you think is the most likely cause for the
tissue damage that has occurred on tooth #22?

The lower anterior teeth should have been plated and were
not.

The patient's oral hygiene is poor and tissue breakdown followed pocket formation on the
distal of tooth #22.

A rest preparation and rest should have been placed on tooth #22.

A cast circumferential clasp was used on tooth #22----it should have been wrought wire.

The best answer is

INCORRECT. Although plating may help to prevent this situation from occurring,
definitive rest seats under the plating would still be required.

INCORRECT. Poor oral hygiene can contribute to tissue breakdown. However, this type of
damage is caused by trauma from the downward movement of the RPD during function.

CORRECT. A rest preparation and rest are essential to proper functioning of the RPD. The
damage shown in the illustration is primarily caused by movement of the RPD toward the tissues
during function. Such damage would not have occurred if a good rest seat and rest were present.

INCORRECT. The type of clasp arm has nothing to do with tissue trauma of this type.
Question #3

Your patient has teeth 20-29 remaining. You plan to use mesial
rests and I-bars on both terminal abutments. Because there are
lingual tori present, you will need to use linguoplating in the
premolar areas. The illustration is a lingual view of teeth 27-29.
The dotted line on #29 represents the height of contour (survey
line). What should be the relationship of the superior border of
the plating and the survey line?

The plating should extend above the survey line.

The plating should end at or below the survey line.

The plating must end exactly at the survey line.

The plating must end below the survey line.

The correct answer is

The plating must end exactly at the survey line (height of contour).

If the plating ends below the survey line, there will be a space between the superior edge of the
plating and the tooth creating a food trap. In addition, the edge of the plating will stand away
from the tooth and may be irritating to the tongue.

If the plating ends above the survey line, it will pre-empt the mesial rest. The axis of rotation will
pass through the plating instead of the rest. The I-bar will contact the tooth in front of this "new"
axis of rotation and will engage the tooth when the extension base moves toward the residual
ridge. Also, since the plating will act like a rest on an inclined plane, there will be the tendency to
push the tooth toward the facial during function.

The fact that the plating must end exactly on the survey line makes
framework fabrication much more difficult for the laboratory
technician. Therefore, whenever possible, avoid plating terminal abutments on distal
extension RPDs.

Question #4

In the maxillary class III RPD shown either a palatal strap or an

anterior-posterior palatal strap major connector may be used. If an
anterior-posterior strap design is to be considered, the opening
between the anterior and posterior palatal straps should be at least
_______ mm.

10

15

20

The best answer is

Although the exact space required is somewhat arbitrary, we generally feel that the opening
should be at least 15 mm. If the opening is less than 15 mm, the benefit gained from uncovering
the tissues may be offset by the increased "sensitivity" of the tongue to the multiple major
connector borders.

Question #5

True or False

Because there are no movable tissues on the palate, the borders of maxillary major connectors
may be located farther from the gingival margins than those of mandibular major connectors.

True
 False

Major connectors on the maxillary arch should be at least 6 mm from the gingival margin. On the
mandibular arch, the proximity of movable tissues will not permit this amount of distance. In
general, mandibular major connectors should be at least 3 mm from the gingival margin.

Question #6

On the mandibular class III framework shown, circumferential

clasps have been used on the canine, premolar, and molars.
Which one of the following statements regarding the clasping is
TRUE?

The retentive arms on the canine and premolar should be wrought wire while those on the
molars should be cast.

The lingual arms on the molars are frequently the retentive arms because there are often no
usable facial undercuts.

If the undercut on the second premolar is on the distofacial, the circumferential retentive arm
would most likely be changed to I-bars.

In order to ensure adequate retention, the tips of both the buccal and lingual arms on the
molars should be placed in undercuts.

The correct answer is

Incorrect. All of the clasps should be cast. Since there is no functional movement of a class
III RPD, there is no need for the stress-breaking effects of wrought wire clasps.

Correct. Lower molars, particularly second or third molars, frequently have no facial
undercuts. In addition, the normal drift of the teeth is to the lingual, accentuating lingual
undercuts and minimizing facial undercuts.

Incorrect. Modified T-bars would be the retainers of choice if the undercuts were on the
distofacial. I-bars could be used but the tiny space between the I-bars and the denture base would
create food traps and would make the plastic very difficult to finish properly. In addition, the I-
bars would tend to be very short and inflexible.

Incorrect. Only one arm of each clasp assembly should extend into an undercut (be
retentive). The other arm must be rigid to provide bracing or reciprocation and thus cannot
extend into an undercut and provide retention.

Question #7

True or False

On the RPD framework shown, the rests on teeth numbers 20 and

28 are indirect retainers and function when the patient bites down
on the distal extension area.

True

False

The correct answer is FALSE

Although the rests on teeth numbers 21 and 28 are indirect retainers, they function when the
extension base attempts to move away from the tissues (residual ridge)---not toward the residual
ridge as would occur when the patient bites down. These rests are called indirect retainers
because they increase the effectiveness of the direct retainers (clasps) when there is an attempt to
dislodge the prosthesis.

Question #8

True or False

Guide surface preparations should be completed before rest seat preparations.

True

False
The correct answer is TRUE

The tooth structure removed during guide surface preparation will adversely affect the shape and
contour of the rest seat preparation. Thus, the guide surfaces should be created BEFORE rest
seats are prepared.

Question #9

True or False

In the class II mandibular RPD shown to the right, the clasp on

tooth #27 should be wrought wire BECAUSE the cingulum rest
acts like a distal rest and the tip of the retentive arm is in front of
the axis of rotation.

True

False

Question #10

True or False

When tripoding a cast, the vertical arm of the surveyor must be locked in position.

True

False

Question #11

Referring to the maxillary class II RPD design shown to the right, which of the following
statements is TRUE?

A short thick I-bar clasp could be used on tooth #6.

A wrought wire circumferential clasp could be used on tooth #6.

 It is sometimes not necessary to use any clasp on tooth #6.

2 and 3 are both true

Question #12

The following statement refers to the drawing of the class I RPD

to the right: The clasp arm on tooth #20 should be wrought wire
BECAUSE functional forces cause tissueward movement of the
denture base, the denture rotates around the rest (which is on the
distal), and the clasp arm engages the tooth, tending to tilt it
distally.

The statement and the reason are true AND related.

The statement and the reason are true but are NOT related.

The statement is true but the reason is false.

Neither the statement nor the reason is true.

Question #13

In the maxillary class I RPD shown at the right, the posterior border of
the palatal plate major connector should be located

as far forward as is possible while maintaining enough width for

strength

approximately 20 mm behind the anterior border

approximately 10 mm anterior to the fovea palatini

at the posterior palatal seal area

Question #14

True or False

All components of a maxillary major connector should cross the palate at right angles to the
midline and curves in the major connector should be located to one side of the midline.

True

False

Question #15

In the case shown to the right, which is the most effective indirect
retainer?

The rest on tooth #19.

The rest on tooth #21.

The rest on tooth #27.

The rest on tooth #28.

Question #16

What is the most significant problem with the rest shown on the
mandibular canine to the right?

The rest should be wider inciso-gingivally.

The rest should be located more toward the incisal edge.

The rest should be thicker buccolingually.

 The rest should be located in a prepared rest seat.

Question #17

True or False

In the RPD shown to the right, the guide surface - guide plate contacts
on the distal surfaces of teeth numbers 20 and 29 determine a definite
path of displacement/dislodgement.

True

False

Question #18

True or False

The all plastic maxillary RPD should be avoided in all partial dentures except where the
prosthesis is considered transitional and loss of the remaining teeth is imminent.

True

False

Question #19

True or False

Tooth-supported RPDs require physiologic relief of the guide plates.

True
 False

Question #20

The superior border of a mandibular lingual bar major connector must be at least _____ mm
below the gingival margins.

1-2

2-3

3-4

4-5

Question #21

For maxillary major connectors, except where plating is used, the border of the major connector
should be at least ______ mm away from the gingival margin.

Question #22

For the anterior-posterior palatal strap maxillary major connector, the anterior, posterior, and
lateral straps should be about ______ mm wide.

4-6
 6-8

8-10

at least 10

Question #23

The basic philosophy of dental treatment for a partially edentulous patient is to

preserve what remains and restore what is missing

replace the missing teeth

improve the path of insertion

reshape rotated teeth

Question #24

It is best not to use a balanced occlusion when mandibular RPDs oppose maxillary complete
dentures.

True

False

Question #25

The function of the guide plate is to

 help establish a definitive path of insertion/dislodgement.

stabilize the RPD by controlling its horizontal position.

provide contact with the adjacent tooth.

all of the above

Question #26

What is the design error in the maxillary RPD framework shown

to the right?

The anterior teeth should have been plated.

An anterior-posterior palatal strap major connector should

have been used.

There should be a cast circumferential clasp on tooth #6.

The posterior border of the major connector should cross the palate at right angles to the
midline.

Question #27

What would be the best denture base connector when there is limited interocclusal space (<3
mm).

Open latticework

Meshwork

All metal base

All plastic base

Question #28

The first consideration in developing occlusion is the evaluation and establishment of the correct
position of the occlusal plane. This may be compromised by super-erupted and malposed teeth.

True

False

Question #29

Your patient's partially edentulous arch is depicted in the

illustration to the right. The missing teeth (with the exception of
the third molars) were extracted three weeks ago. What would be
the best denture base/replacement teeth combination in this
instance?

Open latticework

Metal bases with beads for attachment of processed tooth colored acrylic resin.

An all metal base

Tube teeth

Question #30

A wrought wire clasp is NOT used in which of the following situations?

On a terminal abutment of an extension RPD.

As an embrasure clasp.
 On a tooth with an indirect retainer on it.

Both 1 and 2 above.

Question #31

True or False

In designing a RPD framework for the partially edentulous arch to the right---if at all possible,
circumferential clasps should be used on the numbers 28 and 30. They would be preferred to
infrabulge retainers.

True

False

Question 32

True or False

Determining areas for physiologic relief is accomplished by marking the framework intraorally.
This process includes adjusting the casting to allow for functional movement on Class I and II
RPDs to relieve stress on the terminal abutment teeth.

True

False

Question 33

Reciprocation between bracing and retentive components requires

I-bars be used

bracing components contact after retentive components

 correct timing of contact during seating and removal of the RPD

both 2 and 3

Question 34

Infrabulge clasps originate

above the height of contour

below the height of contour

above the 0.01" undercut

above the occlusal surface of most premolars

Question 35

True or False

A modified palatal plate is used in maxillary class II cases and may or may not include lingual
plating

True

False

Question 36

All of the following clasps are infrabulge clasps except?

I-bar
 Modified T-bar

Roach clasp

Akers clasp

Question 37

A clasp assembly should

have a retentive arm with adequate length and taper for flexibility

have a retentive arm that terminates in an undercut

have elements that considered together, provide 180 degree encirclement

all of the above

Question 38

The partial denture that will be completed on the framework

shown to the right can do all of the following except

transfer stresses to the abutment teeth

transfer stresses across the arch

minimize supereruption of opposing teeth

act as an orthodontic retainer for the lower incisor teeth.

Question 39

True or False

Maxillary class II RPDs do not have an axis of rotation because no functional movement will
occur over the hard midline suture of the palate.

True

False

Question 40

In a Class III modification 1 RPD, the rests are usually placed

on the canines

away from the modification space

in the area of the opposing occlusal contact

adjacent to the modification space.

Question #41

A mandibular lingual bar major connector such as the one shown in the RPD to the right requires
a minimum of _____mm of vertical height between the gingival margin and the floor of the
mouth.

8
Question 42

The presence of mandibular lingual tori would indicate the need for

a metal base

lingual plating

tube teeth

extra indirect retainers

Question 43

The illustration to the right shows a framework for a mandibular class

II RPD. The indirect retainer on tooth 21 functions when

the patient chews on something hard

the patient chews on something soft

the patient chews on something sticky

the patient bites the bullet

Question 44

True or False

An anterior-posterior palatal strap maxillary major connector has greater strength and rigidity
than a horseshoe design.

True
 False

Question 45

Your patient has the mandibular arch form shown to the right. A
rest on which tooth would be the most effective indirect retainer?

20

21

22

27

Question 46

Your patient exhibits the mandibular class II modification 1 arch

shown to the right. Tooth #30 is tilted mesiolinguallly and has
very little tissue undercut on the lingual. What is the best clasp for
this situation?

Cast circumferential clasp utilizing a distolingual undercut

Cast I-bar utilizing a mesiolingual undercut

Cast ring clasp utilizing a mesiolingual undercut

Wrought wire circumferential clasp utilizing a distolingual undercut.

Question 47
Rigid metal retention is associated with

a dual path of insertion

a class IV RPD

the need for excellent esthetics

all of the above

Question 48

True or False

The palatal strap maxillary major connector is primarily used in short span maxillary class III
modification 1 RPDs.

True

False

Question 49
Your patient has the class I arch shown to the right. The axis of
rotation is most frequently determined by:

the placement (location) of the primary rests

the type of clasp arms selected

the placement of the minor connectors

the placement of the indirect retainers

Question 50

In maxillary RPDs, the bead line is approximately _______mm thick (deep).

Question #51

The C + 1 rule

Does not apply to class IV RPDs

Does not apply to class III RPDs

Gives a general rule for the number of clasps

Both 1 and 3
Question #52

Which of the following maxillary major connectors possesses the least strength and rigidity?

Anterior-posterior palatal strap

Horse-shoe

Palatal plate

Modified palatal plate

Question #53

True or False

A cingulum rest is normallly placed between the middle and incisal thirds of the maxillary
incisors in order to avoid occlusal interferences.

True

False

Question #54

Your patient exhibits the mandibular class II modification 1 arch

shown to the right. Tooth #30 is tilted mesiolingually, but has a
very severe tissue undercut on the lingual. What is the best clasp
for this situation?

Cast circumferential clasp utilizing a distolingual undercut.

Cast I-bar utilizing a mesiolingual undercut.

 Cast ring clasp utilizing a mesiolingual undercut.

Wrought wire circumferential clasp utilizing a distolingual undercut.

Question #55

True or False

All methods of measuring the vertical dimension of occlusion agree on one major principle: In
physiologic functions (speaking and swallowing) the teeth should make contact.

True

False

Question #56

True or False

Malposed or super-erupted teeth may cause a discrepancy between centric relation and centric
occlusion. Therefore, it is recommended that the opposing teeth not touch during the making of a
centric relation record for mounting of diagnostic casts.

True

False

Question #57

True or False

The purpose of the centric relation record is to record the exact position of the maxilla to the
mandible in a protrusive relation.
 True

False

Question #58

True or False

If abutment teeth require crowns, the RPD design is prepared after the crowns are cemented.

True

False

Question #59

True or False

Alginate impression materials have excellent dimensional stability over time and seldom lead to
over extended vestibular extensions.

True

False

Question #60

True or False

Master casts for patients with lone-standing abutments should be poured in "Silky Rock" stone.

True
 False

Question #61

True or False

The altered cast impression technique is often used on Class I and Class III RPDs.

True

False

Question #62

Your patient exhibits the partially edentulous mandibular arch

shown to the right. The maxillary arch is to be restored with a
complete denture. Teeth 20 and 29 will receive crowns. There are
no contraindications to any type of clasping. Which of the
following clasp assemblies would you use on 20 and 29.

Mesial rests and I-bars

Mesial rests and modified T-bars

Distal rests and WW circumferential clasps

Distal rests and cast circumferential clasps.

Question #63
Your patient exhibits the partially edentulous mandibular arch
shown to the right. The maxillary arch is to be restored with a
complete denture. Teeth 20 and 29 will receive crowns. There are
very high labial frenal attachments on both sides. Which of the
following clasp assemblies would you use on 20 and 29?

Mesial rests and I-bars

Mesial rests and modified T-bars

Distal rests and WW circumferential clasps

Distal rests and cast circumferential clasps.

Question #64

Your patient exhibits the partially edentulous mandibular arch

shown to the right. The maxillary arch is to be restored with a
complete denture. The undercuts on 20 and 29 are on the distal
portion of the facial surface. There are no contraindications to
either infrabulge or suprabulge retainers. Which of the following
clasp assemblies would you use on 20 and 29?

Mesial rests and I-bars

Mesial rests and modified T-bars

Distal rests and WW circumferential clasps

Distal rests and cast circumferential clasps

Question #65

True or False
Reciprocation of clasps is related to the timing of contact between the bracing and retentive clasp
arms in order to prevent undue forces on the abutment teeth during seating and removal of the
RPD.

True

False

Question #66

Your patient has the partially edentulous arch shown to the right.
The undercuts on 21 and 28 are on the mesiofacial surfaces. The
most commonly used clasp assemblies on the premolars would
be:

Distal rests and I-bars

Distal rests and modified T-bars

Distal rests and cast circumferential clasps

Distal rests and WW circumferential clasps

Question #67

Your patient has the partially edentulous arch shown to the right.
The undercuts on 21 and 28 are on the distofacial surfaces. There
are no contraindications to any types of clasps. Under these
circumstances, the most commonly used clasp assemblies on the
premolars would be:

Distal rests and I-bars

Distal rests and modified T-bars

Distal rests and cast circumferential clasps

 Distal rests and WW circumferential clasps

Question #68

Your patient has the partially edentulous arch shown to the right.
The undercuts on 21 and 28 are on the mesiofacial surfaces and
there are no contraindications to suprabulge or infrabulge
retainers. The long range prognosis for the molars is poor but
your patient does not want them extracted at this time. Several
alterations in the usual design could be made to facilitate later
conversion of the prosthesis to a class I RPD. One of them
involves the clasp assemblies on the premolars. Your
recommendation?

Distal rests and I-bars

Distal rests and modified T-bars

Distal rests and cast circumferential clasps

Distal rests and WW circumferential clasps

Question #69

True or False

Your patient has the partially edentulous arch form shown to the
right. The molars have drifted mesially and lingually. With these
factors in mind, rigid metal retention could be considered for use
on the molars.

True

False
Question #70

Which one of the following classes of RPDs NEVER has an axis of rotation?

Class I

Class II

Class III

Class IV

Question #71

What is the major problem with the RPD framework shown to the right?

Teeth numbers 21 and 28 should be plated.

The plating on the lingual surfaces of the anterior teeth should cover the cinguli.

Distal rests would be better than mesial rests on teeth numbers 21 and 28.

Cast circumferential clasps are preferred with the mesial rests on teeth numbers 20 and 29.

Question #72

Which of the following could be reason(s) for choosing the

double lingual bar major connector shown to the right?

Large interproximal spaces have resulted from periodontal

surgery.

The patient exhibits a high floor of the mouth.

There is overlapping of the anterior teeth.

Both a and b above.

Question #73

True or False

When possible, plating on maxillary RPDs should be avoided due to the potential for interfering
with speech and occlusion.

True

False

Question #74

The survey line (height of contour) of a full contour wax-up for a crown for an RPD abutment
tooth can be visualized using

red wax

zinc stearate powder

border wax

pressure indicating paste

Question #75

Your patient has only teeth numbers 20 through 29 remaining. You have tried in the framework
and are border molding the extension areas in preparation for an altered cast impression. The
distobuccal area is shaped by the?

Buccinator muscle
 Masseter muscle

Internal pterygoid muscle

Mylohyoid muscle

Question #76

Your patient has teeth numbers 20 through 29 remaining. The

survey line and undercut (shaded area) for tooth #29 are as shown
on the right. There is no contraindication to the use of an
infrabulge clasps but there is a very solid contact in the mesial-
occlsual fossa. What would be your choice for rest location and
retentive arm?

Distal rest and cast circumferential clasp

Distal rest and cast I-bar

Mesial rest and cast I-bar

Distal rest and WW circumferential clasp

Question #77

Your patient has teeth numbers 20 through 29 remaining. The

survey line and undercut (shaded area) for tooth #29 are as shown
on the right. There is no contraindication to the use of an
infrabulge clasps and there are no occlusal problems affecting rest
location. What would be the best choice for rest location and
retentive arm?

Mesial rest and I-bar

Mesial rest and modified T-bar

Mesial rest and WW circumferential clasp

 Distal rest and WW circumferential clasp

Question #78

Your patient has teeth numbers 20 through 29 remaining. The

survey line and undercut (shaded area) for tooth #29 are as shown
on the right. There is no contraindication to the use of an
infrabulge clasps. The opposing occlusion is provided by a
complete denture. What would be your choice for rest location
and retentive arm?

Mesial rest and I-bar

Mesial rest and modified T-bar

Mesial rest and cast circumferential clasp

Distal rest and WW circumferential clasp

Question #79

Your patient has only teeth numbers 20 through 29 remaining. You have tried in the framework
and are border molding the extension areas in preparation for an altered cast impression. The
distolingual border molding is shaped by the?

Masseter muscle

Internal pterygoid muscle

Superior constrictor muscle

Mylohyoid muscle
Question #80

True or False

As a general rule, plating is indicated for the maxillary arch if there are less than three
contiguous maxillary incisor teeth remaining.

True

False

Question #81

All of the components listed below may be involved in the 180 degree encirclement rule
EXCEPT

I-bar

Minor connector

Guide plate

Open latticework

Question #82

What is the correct relationship of the foot of an I-bar to the survey line (height of contour) on a
terminal abutment for an extension RPD?

The foot should be entirely above the survey line.

The foot should be partially above and partially below the survey line.

The foot should be totally below the survey line.

The relationship of the foot of the I-bar and the survey line is of no consequence.
Question #83

True or False

The primary indication for and Oddo clasp occurs when an anterior abutment has excessive
labial inclination so that the retainer (clasp) would be very close to the incisal edge.

True

False

Question #84

True or False

The purpose of the altered cast impression procedure is to obtain the maximum support possible
from the edentulous areas of class I and class II RPDs.

True

False

Question #85

True or False

When there are extensive edentulous areas present in both arches and no opposing teeth meet, we
should establish the vertical dimension of occlusion prior to making a centric relation record.

True

False
Question #86

True or False

You are fabricating maxillary and mandibular RPDs for your patient. At the framework try-in
appointment, both frameworks should initially be placed in the mouth to check for occlusal
interferences.

True

False

Question #87

True or False

A protrusive record is made with the mandibular anterior teeth approximately 6 mm forward of
centric relation (or with the mandibular and maxillary anterior teeth in an edge to edge
relationship). This record is used to set the horizontal condylar guidance on the articulator.

True

False

Question #88

True or False

The space that opens between the posterior teeth during anterior movement of the mandible is
called Christensen's Phenomenon. This posterior separation is increased if the incisal guidance is
increased.

True

False
Question #89

True or False

Before trying in a framework, you should inspect the master cast for damage and inspect the
framework for sharp fins.

True

False

Question #90

True or False

Your RPD framework fits the cast but does not fit in the mouth. One should assume that the
impression for the cast was inaccurate and that a new impression will need to be made.

True

False

Question #91

True or False

The fewer teeth that remain, the more like a denture the RPD becomes and the more likely the
need for a custom impression tray.

True

False
Question #92

Reason(s) for selecting a mandibular lingual plate major connector is/are?

The presence of lingual tori.

Anticipated loss of one or more of the remaining teeth.

A high lingual frenum.

1, 2, and 3 above

Question #93

Your patient has teeth 20 through 29 remaining. Tooth #29

exhibits the tooth contours and undercut shown in the illustration
to the right. Which of the clasp assemblies listed has the
GREATEST DANGER of torquing the abutment during
functional movements of the extension base?

Mesial rest and cast I-bar

Distal rest and WW circumferential clasp

RPA clasp assembly with a cast clasp

All have about the same potential danger

Question #94

Which of the following clasps commonly utilize lingual undercuts?

Ring clasp

Extended arm clasp

 Half and half clasp

Both 1 and 3

Question #95

Which of the abutments in the partially edentulous arch to the

right has the greatest potential for utilization of a ring clasp?

#18

#21

#28

None of the abutments have any potential for the use of a ring clasp.

Question #96

True or False

Metal denture bases are most commonly used over well-healed posterior ridges where vertical
space is a problem.

True

False

Question #97
True or False

Referring to the partially edentulous arch shown to the right.

The guide plates on teeth 21 and 28 should curve buccolingually

and extend lingually just short of the distolingual line angles.

True

False

Question #98

A cingulum rest should be placed

between the occlusal and middle thirds of the incisor teeth.

above the middle third of the incisor teeth.

at the junction of the gingival and middle thirds of the incisor teeth.

on the disto-incisal edges of the incisor teeth.

Question #99

The external finish line is

the external junction of framework metal and denture base plastic.

the external junction of framework metal and supporting tissues.

the external junction of the framework metal and the natural teeth.

the external junction of the natural teeth and the denture base plastic.
Question #100

True or False

As a general rule, a removable partial denture needs C+1 clasps where C=Kennedy classification
number.

True

False

Question #101

A "bead" line"

is used only on mandibular major connectors

is a seal at the interface of framework metal and tissues

should taper off as it approaches the marginal gingiva of the abutment teeth

both 2 and 3 above

Question 102
Your patient has the partially edentulous arch shown in the illustration on the left. Tooth #28 has
the survey line and undercut shown in the illustration on the right. There are no contraindications
to any type of clasp or to any rest location. What would be your first choice for the clasp
assembly on tooth #28?

distal rest and cast circumferential clasp

distal rest and WW circumferential clasp

distal rest and I-bar clasp

distal rest and modified T-bar clasp

Question 103

Your patient has the partially edentulous arch shown in the left illustration. Tooth #28 has the
survey line and undercut shown in the illustration on the right. There are no contraindications to
any type of clasp or to any rest location. What would be the most common choice for the clasp
assembly on tooth #28?
 distal rest and cast circumferential clasp

distal rest and WW circumferential clasp

distal rest and I-bar clasp

distal rest and modified T-bar clasp

Question 104

The superior border of a mandibular lingual bar major connector should be

at least 3 mm from the tooth/tissue junction

at least 2 mm from the tooth/tissue junction

located at the tooth/tissue junction

at least 3 mm above the tooth/tissue junction

Question 105

The internal finish line is

the butt joint between the metal and plastic on the tissue side of the edentulous area

the butt joint between the metal and plastic on the outer surface of the RPD

a type of posterior palatal seal

a special type of bead line

Question 106

A class I modification 0 RPD normally has how many clasps?

Question 107

Select a maxillary major connector for the large Class III

modification 1 RPD shown to the right. The residual ridges are
good and the abutment teeth are strong.

Palatal strap

Modified palatal plate

Horse-shoe

Anterior-posterior palatal strap

Question 108

True or False

When an RPD is fully seated, the tips of the clasp arms should exert very light pressure against
the abutment teeth.

True
 False

Question 109

Your patient's partially edentulous arch form is shown in the left illustration. The clasp assembly
for tooth #20 is illustrated on the right. When is the retentive arm activated?

When the patient bites down on the extension base.

When there is an attempt to dislodge the RPD.

When the extension base moves toward the tissues.

It should never be activated.

Question 110

True or False

Guide plates for tooth-supported RPDs may extend above the height of contour while those on
extension RPDs should not.

True

False
Question 111

Select a maxillary major connector for the large Class III modification 1 RPD shown to the right.
The residual ridges are of medium quality but the third molar abutment teeth are weak.

A wide single palatal strap

An anterior-posterior palatal strap

A modified palatal plate

A horse-shoe

Question 112

Select a maxillary major connector for the Class III modification

1 RPD shown to the right. The residual ridges are of good quality
and the first premolar and second molar abutment teeth are
strong.

Anterior-posterior palatal strap

Horse-shoe

Modified palatal plate

Palatal strap

Question 113
Select a maxillary major connector for the Class III modification
1 arch shown to the right. The residual ridges are of good quality
and the first premolar and third molar abutment teeth are strong.
The patient relates a long history of gagging problems and, in
fact, had major problems with the impressions for the study casts.

Anterior-posterior palatal strap

Horse-shoe

Modified palatal palte

Palatal strap

Question 114

Your patient has the partially edentulous arch shown in the left illustration. Tooth #28 has the
survey line and undercut shown in the right drawing. An infrabulge clasp CAN NOT be used
due to a very high frenal attachment immediately below the abutment. What would be your first
choice for the clasp on tooth #28?

A cast circumferential clasp

A wrought wire circumferential clasp

A cast circumferential embrasure clasp

A wrought wire circumferential embrasure clasp

Question 115

If a mandibular RPD abutment must be crowned, the FPD impression should include

all the abutment teeth for the RPD

a full arch impression

the retromolar pads

all of the above

Question 116

A tissue undercut may preclude the selection of

A suprabulge clasp

An infrabulge clasp

A half and half clasp

A combination clasp

Question 117

A combination clasp assembly generally has

a cast bracing arm

a distal rest
 a wrought wire retentive arm

all of the above

Question 118

Your patient's partially edentulous mandibular arch form is shown

to the right. Which of the abutment teeth would be likely to have
a combination clasp?

Not likely on any of the abutments

#20 very likely; #29 less likely

#29 very likely; #20 less likely

#31 very likely; not likely on either #20 or #29

Question 119

A modified T-bar on a terminal abutment for a Class I partially

edentulous arch (such as the one shown)

is used with a distal rest

is placed into a distobuccal undercut

should have the vertical approach arm distal to the greatest

mesio-distal curvature of the facial surface

both 1 and 2
Question 120

Which of the following should be considered in diagnosis for an RPD patient?

interarch space

tissue undercuts

occlusal contacts

all of the above

Question #121

True or False

For a removable partial denture abutment that must be crowned, more than the normal occlusal
reduction will be required.

True

False

Question 122

A lingual plate mandibular major connector may be selected because

the mandibular incisors are tilted lingually

there are mandibular tori present

there is a high lingual frenum

all of the above

Question 123

A master cast for a RPD should be blocked out and duplicated before

overlapped incisors are recontoured

rest preparations are prepared

the framework is waxed up

all of the above

Question 124

Rest placement on a terminal abutment of a Class I RPD depends on

the opposing occlusion

the tilt of the abutment

tissue undercuts

all of the above

Question 125
What is the problem (if any) with the design of the I-bar on tooth #28?

The I-bar should be placed in front of the greatest mesio-distal curvature, not behind it.

The I-bar should be placed more distally, closer to the guide plate.

The I-bar should extend above the survey line.

There is no problem; the position of the I-bar is correct.

Question 126

Your patient has the arch form shown to the right. You plan to use
mesial rests and I-bars but will need to plate the premolars due to
the tori. What should be the relationship of the superior border of
the plating and the height of contour on the lingual surfaces of
teeth numbers 20 and 29?

The plating must end below the height of contour.

The plating must end at the height of contour.

The plating must end above the height of contour.

None of the above is correct.

Question 127

A general rule for clasping teeth which lie anterior to the axis of
rotation (e.g. tooth #21 in the illustration to the right) in a Class II
modification 1 RPD is:

Always use cast clasps

Never use suprabulge clasps

 Use wrought wire clasps

Use 0.030 inch undercut for stability

Question 128

A general rule for rest placement on an abutment adjacent to an extension area is?

Place the rest on the occlusal surface on the opposite side of the tooth from the extension
area.

Place the rest on the occlusal surface adjacent to the extension area.

Place rests on both the mesial and distal occlusal surfaces.

Do not place a rest on this tooth.

Question 129

Low fusing metal is associated with which of the following procedures?

The altered cast impression.

Physiological adjustment of the framework.

The RPD remount cast.

Making records for RPDs.

Question 130
Physiologic adjustment of the framework

is usually done at delivery of the RPD.

should be done at the framework try-in appointment.

is usually done at the records appointment.

may be omitted in the presence of strong abutments and good residual ridges.

Question #131

True or False

An exception to the C+1 rule for number of clasps is the Class II modification 0 case.

True

False

Question 132

Physiologic adjustment is related to

the axis of rotation

adjustment of the framework to the teeth

functional movement of the framework

all of the above

Question 133

True or False
If physiologic adjustment of the framework is not done on a Class I modification 1 RPD, the
clasps may not release in function.

True

False

Question 134

True or False

The bracing arm of a circumferential clasp assembly must always lie at or above the height of
contour.

True

False

Question 135

Your patient has the partially edentulous arch shown to the right.
What would be the best clasps for tooth number 20 and 29 if they
were tilted mesially?

Mesial rests and cast I-bars

Mesial rests and WW I-bars

Distal rests and WW I-bars

Distal rests and combination clasps

Question 136

Your patient has the partially edentulous arch shown to the right.
The premolars are tilted lingually and there are no facial
undercuts. There are, however, undercuts on the lingual. What
would be the best clasps for this situation?

Lingual I-bars

Roach clasps

Akers clasps

Half and Half clasps

Question 137

The external finish line on a maxillary Class I RPD originates from the lingual of the guide plate
of the terminal abutment and ends

at the hamular notch.

in the glenoid fossa.

opposite the buccal pouch.

opposite Stenson's duct.

Question 138

The open latticework on a maxillary class I RPD

covers the hamular notch.

covers the tuberosity.

 does not cover the tuberosity.

does not require substantial interach space.

Question 139

The partial denture design should be finalized prior to

any emergency treatment.

any fixed prosthodontic treatment.

preparation of rest seats.

both 2 and 3 above.

Question 140

Your patient has the partially edentulous arch shown to the right.
The root of #29 has been saved as an overdenture abutment.

True or False

The presence of the overdenture abutment may change the axis of

rotation but will not change the clasping considerations on tooth
#28.

True

False

Question #141

When placing the tripod marks on the diagnostic cast, the vertical arm of the surveyor
 should have the analyzing rod in place.

should be moved up or down to touch the tissues at widely separated areas.

Both 1 and 2 are true

Neither 1 nor 2 are true

Question 142

The internal and external finish lines are

normally superimposed over each other.

normally offset from each other to avoid weakness in the framework.

normally designed and placed independently.

none of the above statements are true.

Question 143

In general, lingual plating should be supported

by the inclined surfaces of the mandibular incisors.

with minor connectors.

with bracing arms.

with rests.
Question 144

A maxillary arch without three contiguous incisors (such as the

one shown)

usually requires plating of the remaining incisor

should not be plated

should have a horse-shoe major connector

both 1 and 3 above.

Question 145

The external finish line on the distal extension side of the

mandibular Class II modification 1 RPD for the partially
edentulous arch shown to the right

runs from the lingual frenum to the retromolar pad.

runs from the lingual of the guide plate to the floor of the
mouth.

runs from the mesial of the guide plate to the retromolar pad.

cannot be determined without more information.

Question 146

True or False

Wrought wire retentive arms are usually selected for distal extension RPDs when the tips of the
arms lie behind the axis of rotation.

True
 False

Question 147

Occlusal rest preparations should be

spoon shaped

at least 1/3 the buccolingual width of the occlusal surface

at least one millimeter deep

all of the above

Question 148

Guide plates for anterior teeth

should be kept to the labial for best esthetics.

should be kept to the lingual for best esthetics.

be thinned on the labial aspect.

both 2 and 3 above.

Question 149

An anterior-posterior palatal strap major connector is less rigid than a horse-shoe major
connnector because it (the A-P strap) has less width.
 The first statement is true but the reason is false.

The first statement is false and the reason is also a false statement.

The first statement is true and the reason is true.

The first statement is false but the reason is a true statement.

Question 150

Your patient has the partially edentulous arch form shown. All of
the abutments have good bone support. On which one of the
abutments would you likely utilize a WW clasp?

#22

#29

#32

None of the above.

Question #151

Which of the following clasp assemblies utilize a primary rest and an auxiliary rest?

RPA clasp

Ring clasp

Infrabulge clasp

Extended arm clasp

Question 152
True or False

In a circumferential clasp assembly, only one of the arms may extend into an undercut.

True

False

Question 153

Which of the following steps is done LAST?

Rest preparation

Framework try-in

Centric relation records

Altered cast impression

Question 154

Incisal rests

are generally more positive vertical stops than cingulum rests.

may interfere with the opposing occlusion.

should not be used on maxillary incisors.

all of the above.

Question 155

True or False

Cast retentive arms are usually selected when the RPD is tooth supported or when the retentive
tips release during functional movements of extension RPDs.

True

False

Question 156

Cleaning a removable partial denture in sodium hypochlorite may result in

increased caries activity

increased periodontal problems

corrosion of the metal of the framework

1 and 2 above

Question 157

Which of the following clasp assemblies utilizes a lingual undercut and can be used on premolars
for either extension or tooth-supported RPDs?

half and half clasp

lingual I-bar

lingual modified T-bar

ring clasp
Question 158

If a metal base is to be used

an altered cast impression should be made after framework try-in

a stock tray should be used for the final impression

a custom tray should be used for the final impression

interocclusal records must be made after tooth selection

Question 159

True or False

When surveying to determine the height of contour of the abutments, the mark on the tooth must
be made by the side of the lead marker.

True

False

Question 160

Clasps

help stabilize the RPD by controlling occlusal movement.

help stabilize the RPD by controlling gingival movement.

may also function as indirect retainers.

 prevent excessive biting forces on the abutments.

Question #161

Your patient exhibits the partially edentulous arch shown to the right. Tooth #29 is tilted
mesially. The undercut is on the mesiofacial surface. What would be the best clasp assembly for
this situation?

Distal rest and cast circumferential clasp.

Distal rest and WW circumferential clasp.

Mesial rest and I-bar.

Distal rest and I-bar.

Question 162

During biting, a maxillary Class I RPD will rotate around a line determined by the rigid metal
above the survey line and closest to the extension areas. This line is called

Camper's line

Frankfurt line

Dual path line

Axis of rotation

Question 163
The WORST clasp assembly for a terminal abutment on a
mandibular class I RPD (such as #29 in the partially edentulous
arch to the right) is

Mesial rest and I-bar

Distal rest and cast circumferential clasp

Mesial and distal rest and a 1/2 and 1/2 clasp

Mesial rest and modified T-bar

Question 164

The guide surface preparation should be curved

mesio-distally

bucco-lingually

occluso-gingivally

none of the above

Question 165

Fill in the blank

What are the indications for a linguoplate as a major connector for a mandibular RPD?

Click on button 1 for the answer

Question 166

Fill in the blank.

Name four types of suprabulge clasps.

Click on button 1 to see the answer.

Question 167

Fill in the blank.

Your patient has teeth numbers 20 through 29 remaining. The illustration

to the right shows the design for a modified T-bar retainer on tooth #29.
The vertical line on the tooth represents the greatest mesiodistal curvature
of the facial surface. Do you see any problems with the design?

Click button 1 to see the answer.

Question 168

Fill in the blank

In the illustration shown to the right, what would be your first

choice for a retainer (clasp) on tooth #6?

Click on button 1 to see the answer.

Question 169
Fill in the blank

Your patient has the partially edentulous arch shown to the right.
The molars have drifted mesially and lingually so that the only
usable undercuts are on the mesiolingual. What clasps would you
use on the molars if (1) there were no large tissue undercuts and
(2) there were large tissue undercuts?

Click on button 1 to see the answer.

Question 170

Fill in the blank

Which classes of mandibular RPDs require an altered cast impression?

Click on button 1 to see the answer.

Question #171

Fill in the blank

Important factors in determining the path of insertion/dislodgement are:

Click on button 1 for the answer.

Question 172

Fill in the blank

Incisal rests should generally not be used on maxillary incisors. Why?

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Question 173

Fill in the blank

For tooth-supported RPDs, where are the primary rests normally placed?

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Question 174

Fill in the blank

For extension RPDs, where are the primary rests usually placed?

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Question 175

Fill in the blank

What is/are the indications for the use of a maxillary palatal plate
major connector which is composed partly of metal and partly of
plastic? See example to the right.

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Question 176
Fill in the blank

What are the indications for the use of a maxillary horseshoe

major connector?

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Question 177

Fill in the blank

The total retention for a RPD is obtained from

Click on button 1 for the answer

Question 178

Fill in the blank

What are the components of a clasp assembly?

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Question 179

Fill in the blank

An ideal clasp assembly should possess the following qualities:

 Click on button 1 for the answer

Question 180

SUPPORT for a RPD framework is provided by?

Click on button 1 for the answer

Question #181

Fill in the blank

Explain the difference between bracing and reciprocation.

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Question 182

Fill in the blank

Factors important in the selection of a particular clasp design include?

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Question 183

Fill in the blank

What are indirect retainers and how do they function?

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Question 184

Fill in the blank

______________________________ are mechanical retainers that originate from a point at or

above the height of contour---usually from a rest, minor connector, or guide plate---and angle
downward across the clinical crown where the tip is located in the prescribed undercut.

Click on button 1 for the answer

Question 185

For a circumferential clasp, the undercut must be located

on the same side of the abutment as the point of origin.

on the opposite side of the point of origin.

Question 186

Fill in the blank

What is a combination clasp?

Click on button 1 for the answer.

Question 187

Fill in the blank

When is a combination clasp most commonly used?

 Click on button 1 for the answer.

Question 188

Fill in the blank

What is the "RPA" clasp concept and what is the problem with the design?

Click on button 1 for the answer.

Question 189

Fill in the blank

What is the name of the clasp assembly shown to the right?

Click on button 1 for the answer.

Question 190

Fill in the blank

What is the most significant error in the design shown to the right. (Hint:
the error is not particularly easy to see but it involves the major
connector.)

Click on button 1 for the answer.

Question #191
Fill in the blank

The illustration shown to the right was taken from an advertisement that
appeared in one of the dental journals. It suggests that a bar bridge/splint in
combination with a precision or semi-precision removable partial denture is
appropriate treatment for "Geriatric Reconstruction." What do you think
about this type of treatment?

Click on button 1 for the answer.

Question #192

Fill in the blank

The illustration to the right shows the tissue surface of a maxillary

removable partial denture. The arrows point to the junction of the
framework metal and the plastic denture base. What is this structure
called?

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Question #193

Fill in the blank

The illustration to the right shows a tooth-supported segment of a

mandibular removable partial denture framework. The red arrow is
pointing to the raised edge of metal where the framework and plastic denture base will meet.
What is this structure called?

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Question #194
Fill in the blank

The illustration to the right shows a maxillary class I RPD framework with
an anterior-posterior palatal strap major connector. What is the minimum
acceptable distance between the anterior and posterior straps (red arrow)?

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Question #195

Fill in the blank

What Kennedy classification is the RPD shown in the picture to the

right? What is the name of this type of major connector?

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Question #196

Fill in the blank

What is the Kennedy classification of the maxillary RPD shown to the

right?

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Question #197

Fill in the blank

What is the Kennedy classification of the maxillary RPD shown to the right?

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Question #198

Fill in the blank

The red arrows point to a "ridge" of metal on the framework where the
framework and the denture base plastic will meet. What is this "ridge"
called?

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Question #199

Fill in the blank

The illustration to the right shows a tooth-borne segment of a

mandibular RPD. There is an I-bar retainer on the molar abutment.
What is unusual about this retainer?

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Question #200

Fill in the blank

The illustrations above show a very large maxillary RPD and a close-up of one of the retentive
arms. What type of retentive arms have been used on this prosthesis?
Click on button 1 for the answer.