CD Q&A

Claire Dianne Nero Demotica, DDM

1. The treatment of choice for a patient with a maxillary complete denture with severe
bilateral tuberosity undercuts is to:
a. Remove both tuberosity undercuts
b. Reduce the tissue bilaterally
c. Reduce the tissue on one side only, if possible
d. Install an additional orthodontic appliance
e. None of the above
 Remove one side only first for path of insertion to avoid compromising
retention. You only remove both if hindi talaga kaya.

2. When a patient needs a complete denture, pre-prosthetic surgery is generally not

indicated when which of the following condition exists:
a. Root tips embedded in mandibular bone
b. Pedunculated torus palatinus
c. Papillary hyperplasia
d. Torus mandibularis
 If there’s growth of bone around the root, no need to remove it.
 Inflammatory papillary hyperplasia – caused by smoking, ill fitting
dentures, or continued use of the dentures day and night

3. While the teeth are set in wax, dentures are tried-in to:
a. Verify the maxilla-mandibular records
b. Verify the vertical dimension of occlusion
c. Evaluate esthetics
d. All of the above

4. A burning sensation in the palatal area of the patient’s mouth after wearing a
maxillary denture is caused by too much pressure of the denture on what?
a. Incisive foramen
b. Palatal mucosa
c. Hamular notch
d. Posterior palatal seal

5. A denture patient who complained of a tingling sensation in the lower lip would most
likely need to have the mandibular denture relieved in the area of the:
a. Labial frenum
b. Mental foramen
c. Sublingual gland
d. Lower anteriors vestibule

Burning sensation Palate INCISIVE FORAMEN

Tingling sensation Lower lip MENTAL FORAMEN
6. In a patient wearing complete dentures, a generalized soreness over the entire
mandibular ridge is usually caused by:
a. Undue border thickness
b. High muscle attachment
c. Excessive increase in the vertical dimension
d. Impingement on the mental foramen
 High VD = generalized soreness + cannot swallow

7. The most common cause of localized sore spots on the ridge area of a patient who
wears a complete denture:
a. Inaccurate denture base
b. Acrylic resin spicule
c. Premature occlusal contacts
d. Overextended flange

8. Selective grinding is a procedure used routinely:

a. To reduce the vertical dimension of occlusion
b. To reduce the inclination of condylar guidance
c. For final correction of any existing occlusal disharmony in dentures
d. To improve the esthetics of the final arrangement of the anterior teeth
Generalized Residual ridge High VD Redo
soreness
Localized Prematurity Selective
soreness grinding

9. Maxillary anterior teeth will give the best esthetic effect in a complete denture if
arranged:
a. Over the crest of the ridge
b. Lingually to the ridge
c. Labially to the ridge
d. None of the above

10. Lisping of some consonant sounds is usually the result of:

a. Posterior teeth being set up too wide
b. Spacing between the anterior teeth
c. Maxillary anterior teeth being set too forward
d. Closure of the vertical dimension

11. For both the “sh” and “s” sounds, the tongue makes contact with the:
a. Canines
b. Hard palate
c. Maxillary premolars
d. Maxillary second molars
e. Soft palate

12. In complete dentures the following phonetic testing are true except:
a. “Sh” sound represent an increased vertical dimension
 b. “M” should have a 1-4 mm freeway space
c. “S” should exhibit a 1 mm clearance
d. “V” should make the incisal edge of the maxilla anteriors at the wet and dry
line
 Wet line – mucosal area; inside the oral cavity
 Dry line – vermillion border

13. The greatest potential for wear exist between which of the following?
a. Tooth and gold
b. Porcelain and porcelain
c. Tooth and tooth
d. Tooth and porcelain

14. Which of the following is the most frequent cause of porosities in a denture?
a. Insufficient pressure on the flask during processing
b. Insufficient material in the mold
c. Rapid elevation in temperature to 212F
d. Insufficient time for processing

15. In arranging prosthetic teeth for balanced occlusion, increasing the incisal guidance
will lead to what?
a. Increased condylar guidance
b. Decreased height of cuss
c. Increased compensating curve
d. Increased plane of orientation

16. Which of the following best describes condylar guidance?

a. It is controlled by the dentist
b. It is dictated by the patient
c. It is dictated by the patient but can be adjusted by the dentist
d. It can be adjusted by the laboratory technician

17. An overextended distobuccal corner of a mandibular denture ill push against which
muscle during function?
a. Zygomaticus
b. Orbicularis oris
c. Temporalis
d. Masseter

Distobuccal M Masseter
Distolingual d Superior Constrictor

18. The distolingual extension of the mandibular impression for a complete denture is
limited by the action of what muscle?
a. Stylohyoid
b. Superior constrictor
c. Lateral pterygoid
 d. Medial pterygoid

Labial Md Mentalis
Lingual Sup Constrictor
Mylohyoid
PalatoGLOSSUS
GenioGLOSSUS
(SM-PG)

19. Which of the following is the primary indicator of the accuracy of border molding?
a. Adequate coverage of tray borders with the material used for border molding
b. Stability and lack of displacement of the tray in the mouth
c. Uniformly thick borders of the periphery
d. None of the above

20. Before an accurate facebow transfer record can be made on a patient, which of the
following must be determined?
a. The inclination of each condyle
b. Vertical dimension of occlusion
c. Centric relation
d. Location of the hinge axis point

21. The inferior surface of the maxillary occlusion rim should be parallel to what?
a. Frankfurt plane
b. Camper’s line
c. Fox plane
d. Horizontal condylar inclination

22. All new dentures should be evaluated:

a. 3 hours after installation
b. 6 hours after installation
c. 24 hours after installation
d. 48 hours after installation

23. Which of the following maxilla-mandibular records permits the least variation and is
the most reproducible record?
a. Vertical dimension
b. Centric relation
c. Protrusive relation
d. All of the above

24. In recording centric relation, the mandible can be retruded by?

a. Having the patient relax the jaw muscles while the dentist manually
manipulates the chin
b. Having the patient protrude and retrude the mandible repeatedly
c. Having the patient make repeated swallowing movements
 d. All of the above

How to get CJR:

1. Swallow
2. Forward-backward movements of the jaw
3. “Ohayo kabayo”
4. Manual manipulation by the dentist

25. Which anatomic structure provides the primary denture support area for a
mandibular complete denture?
a. Vestibule
b. Retromolar pad
c. Buccal shelf
d. None of the above

26. Immediate dentures should be scheduled for relines at:

a. 1 month and 3 months post extraction
b. 4 months and 7 months post extraction
c. 5 months and 10 months post extraction
d. 1 year and 2 years post extraction

Healing time:
1. Epithelium – 7 days
2. CT – 14 days
3. PDL – 28 days
4. Bone – 3 to 6 mos.

Minimum waiting time: 1 week

Main problem with immediate dentures:
becomes ill-fitting as bone resorbs -> RELINE

If problem is adaptation -> RELINE

If problem is decreased VD -> REBASE