By:Dr.

Bayan AlMahari
| 2020 |

-----------------------------------------------------------------------------------

.. ‫ح ب‬ ‫ب‬ ‫ر‬ ‫با‬ ‫ا‬ ‫ا‬

o Endo : page[2]
o Perio : page[5]
o Fluoride : page[8]
o Implant : page[12]
o Ethics : page[28]
o ‫ا ب‬ ‫ ص‬: page[30]

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☀P.S:

Dr.Fatima ‫زح‬ ‫ا بز‬ ‫ص‬ ‫ ا‬-

..‫عبت‬ ‫اح‬ ‫ح‬ Ethics ‫ا ـ‬ Fluoride ‫ ا ـ‬-
..‫ص ر‬ ‫ع‬ ‫ ض‬.. ‫ب‬ ‫ا‬ ‫ز‬ ‫ب‬ ‫ ا حص‬-

.. ‫ح‬ ‫بهلل‬ ‫ا‬

- BEST.OF.LUCK -
| Dr.Bayan AlMahari |
 Endo :

.. ‫ا‬

Apical and Pulpal

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☀PULPAL:

Normal pulp :A clinical diagnostic category in which the pulp is symptom-free

and normally responsive to pulp testing.

Reversible pulpitis : A clinical diagnosis based on subjective and objective

findings indicating that the inflammation should resolve and the pulp return to
normal.

Symptomatic irreversible pulpitis: A clinical diagnosis based on subjective

and objective findings indicating that the vital inflamed pulp is incapable of
healing. Additional descriptors: lingering thermal pain,spontaneous pain, referred
pain.

Asymptomatic irreversible pulpitis: A clinical diagnosis based on subjective

and objective findings indicating that the vital inflamed pulp is incapable of
healing. Additional descriptors: no clinical symptoms but inflammation produced
by caries, caries excavation, trauma.

Pulp necrosis: A clinical diagnostic category indicating death of the dental pulp.
The pulp is usually nonresponsive to pulp testing.

Previously treated: A clinical diagnostic category indicating that the tooth has
been endodontically treated and the canals are obturated with various filling
materials other than intracanal medicaments.

Previously initiated therapy: A clinical diagnostic category indicating that the

tooth has been previously treated bypartial endodontic therapy (eg, pulpotomy,
pulpectomy).

2|Page- Dr.Bayan Al Mahari

☀APICAL:

Normal apical tissues: Teeth with normal periradicular tissues that are not
sensitive to percussion or palpation testing. The lamina dura surrounding the
root is intact, and the periodontal ligament space is uniform.

Symptomatic apical periodontitis: Inflammation, usually of the apical

periodontium, producing clinical symptoms including a painful response to biting
and/or percussion or palpation. It might or might not be associated with an
apical radiolucent area.

Asymptomatic apical periodontitis: Inflammation and destruction of apical

periodontium that is of pulpal origin, appears as an apical radiolucent area, and
does not produce clinical symptoms.

Acute apical abscess: An inflammatory reaction to pulpal infection and

necrosis characterized by rapid onset,spontaneous pain, tenderness of the tooth
to pressure, pus formation, and swelling of associated tissues.

Chronic apical abscess: An inflammatory reaction to pulpal infection and

necrosis characterized by gradual onset, little or no discomfort, and the
intermittent discharge of pus through an associated sinus tract.

Condensing osteitis: Diffuse radiopaque lesion representing a localized bony

reaction to a low-grade inflammatory stimulus, usually seen at apex of tooth.

3|Page- Dr.Bayan Al Mahari

☀KEY WORDS:

REVERSABLE: - seconds ( pulp return normal )

- not spontaneous pain
- discomfort ( cold,sweet ) then go away

SYMPTOMATIC IRRIVERSABLE PULPITIS: - sharp pain on thermal test

- discomfort to percussion

- incapable of heat

- spontaneous pain

ASYMPTOMATIC IRRIVERSABLE PULPITIS: - response normally to thermal test

- Caries / trauma..

SYMPTOMATIC APICAL PERIODONTITIS: - painful (biting, percussion, palpation)

ASYMPTOMATIC APICAL PERIODONTITIS: - No pain

- No clinical pic

- RL

ACUTE APICAL ABSCESS: - sever spontaneous pain

- fever

- lymphanodopathy

- pus + swelling

- associated tissue

- rapid onset

CRONIC APICAL ABSCESS: - little or no discomfort

- pus

- associated sinus track

- gradual onset

CONDENSING OSTEITIS: - RO

- usually seen at apex of tooth

4|Page- Dr.Bayan Al Mahari

 Perio :
: ‫بئ‬ ‫زح ا‬ ☀

☀ when they ask you about STAGE: you should know 2 things :
- cal attachment loss
- RBL radiographic bone loss)

stage 1 : mild cal 1-2 , RBL <15%

stage 2: moderate cal 3-4, RBL coronal third loss

stage 3: sever cal >=5 , RBL till middle third loss

stage 4: very sever cal>5 , RBL till apical third loss

☀ when ask you about GRADE , they mean percentage % of bone loss /pt age , in the
Q he will mention age of pt , if the result :

Grade A : result <0.5 slow bone loss

Grade B : result 0.5-1 moderate

Grade C : result >1 rapid

bone loss ‫فق ا ان‬ ‫ز‬ ‫☀ف أ اء ب أ ز ف‬

smocking and diabetes

☀ last thing how we evaluate the periodontitis :

stable pocket depth <4 healthy, Bleeding on probing <10%

in progress pocket depth <4 healthy, Bleeding on probing >10%

unstable pocket depth >4 unhealthy , Bleeding on probing >10%

:‫بار‬ ‫با‬ ‫ال ا‬ ‫ال راح ا به‬ ‫ن ف ب طزح ان‬

12y pt have attachment loss 3-4 and 30% bone loss ?
stage ll grade c
‫ ؟‬grade c ‫قه ا‬ ‫ن‬
١ ‫ا ز‬ 5.5 ‫ف طه‬ ‫ز ان ز‬ ‫ ه‬bone loss ‫ال‬ ‫بق‬
rapid bone loss stage c

5|Page- Dr.Bayan Al Mahari

☀BLADES:

- Angle between blade and shank:

Univeral Curette = 90 degrees

Gracey curette = 70 degrees

- Angle between the face of the blade and the lateral surface of any curette

(Universal or gracey) = 70-80 degrees

- Angulation between blade and tooth:

Univeral Curette = 90 degrees

Gracey curette = 60-70 degrees

- Optimal Angulation for SRP = 45 - 90 degrees supra gingival scalling

- subgingival insertion angle = 0 degree

- Angulation for instrument sharpening = 100-110 degrees

☀CUERTTES:

6|Page- Dr.Bayan Al Mahari

☀FLAPS:

[Trapezoidal] [Triangular]

[Envelope] [Semilunar]

[Flaps created by and incisions] [Pedicle flaps]

Double papilla flap is an alternative technique to

cover isolated recessions and correct gingival defects
in areas of insufficient attached gingiva, not suitable for a
lateral sliding flap

7|Page- Dr.Bayan Al Mahari

☀PROBES:

William: Probe that is missing 4 and 6 mm readings

WHO: perio probe with 0.5 mm round ball at the tip

UNC-15: color coded at : A/ 5 ,10 , 15

Marques: 3 line in the probe: 3-6-9

Nabe : for furcation

☀WALL DEFECTS:

8|Page- Dr.Bayan Al Mahari

 Fluoride :

: ‫ص‬5 ‫ص‬ ‫ح ب‬ ‫ا‬ ‫ب‬ ‫را‬ ‫ا‬ ‫ئ‬ ‫صا‬

‫أ ا ض ض‬ ‫أ ا ع‬ ‫ا‬ ‫را‬ ‫ب ا‬ ‫ع‬ ‫ب‬ ‫☀ب بب‬

Flouride
water : 1000ppm (0.7 :1.2%) part per million
tooth paste : Adult >> 1000 : 1450 ppm
Childers>> 500 ppm
mouth wash : 230 ppm (0.05% ) NAF daily
900ppm (0.2 %) NAF weekly
in APF2 : 12300 ppm ( 1.23%)

‫عط‬ ‫ا‬ ‫ب‬ ‫ا‬ ‫را‬ ‫ب‬ ‫ا‬ ‫ع ز‬ ‫دب ط‬ ‫ع‬ ‫ب‬ ‫☀ب‬
: ‫ب‬ ‫ز؟ عز‬ ‫ا‬ ‫ب‬

9|Page- Dr.Bayan Al Mahari

 ‫ا‬ ‫حب‬ ‫بب‬ ‫ر‬ ‫ا‬ ‫ا‬ ‫ر‬ ‫بأ‬ ‫دب‬ ‫☀ب‬
‫حب‬ ‫بب‬ ‫‪+‬ا‬ ‫ا‬ ‫را‬ ‫عا‬ ‫بح‬ ‫د‬ ‫ب‬ ‫ا‬ ‫ر‬ ‫ا‬ ‫د در‬ ‫عب‬
‫د‬ ‫ا‬ ‫ر‬ ‫عا‬ ‫دب‬ ‫طع‬ ‫ا‬

‫ص‬ ‫ع‬ ‫ب‬ ‫ب‬ ‫ر‬ ‫ا‬ ‫اد‬ ‫ز‬ ‫زع‬ ‫أ‬ ‫دب‬ ‫☀ب‬
‫د‬ ‫ب‬ ‫ا‬ ‫د ا‬ ‫ا ب‬

‫‪10 | P a g e -‬‬ ‫‪Dr.Bayan‬‬ ‫‪Al Mahari‬‬

 ‫عب ا ا‬ ‫أ عب‬ ‫ع‬ ‫أ‬ ‫ر‬ ‫اد‬ ‫ز‬ ‫زع‬ ‫ت‬ ‫أ‬ ‫دب‬ ‫☀ب‬
‫ط ارئ‬
‫د‬ ‫ب‬ ‫ا‬ ‫د ا‬

‫‪11 | P a g e -‬‬ ‫‪Dr.Bayan‬‬ ‫‪Al Mahari‬‬

 - Revision |2020| -
By: Dr.Bayan ALMahari
☀NOTES : 02/02/2020

☀1)
- The best base with composit ▶ GIC
- The best base with amalgam ▶ polycarboxylate cement.
-The Most biocompatible liner in deep cavity ▶ caoH.
-The best varnish under amalgam ▶ copal.
-The best liner with composit ▶ caoH.

☀2)
Positivity of rake angle: H more Then K file
More cutting efficiency: H Then K
Flexibility : Reamer Then K Then H

☀3)
File, 30
Do at tip is 0,3
Every 1mm cut increase 0,02 mm in diameter
SO:
D1= 0,3+0,02= 0,32(d0 for file size 32)
D16= 0,3+(16*0.02)= 0,62

☀4)
Lateral borders > folliate papillae
Middle surface > filliform papilla
No increase in size > folliate papillae
If there is increase > filliform papilla

☀5)
Ameloblastoma =Soap bubble appearance
OKC = soap bubble appearance Odontogenic keratocyst
Garres om / focal sclerosing = onion peel
Fibrous dysplasia = Ground glass
Osteosarcoma = sunray
Chronic suppurative Osteomyelitis = mouth eaten
Diffuse sclerosing Om = cotton wool
Pagets disease = cotton wool

☀6)
Probing pocket depth (PPD) : From gingival margin to base of pocket
Clincal attachment loss (CAL) : From CEJ to base of pocket
CAL= PPD+ recession

☀7)
Walsham's Forceps: For nasal fracture treatment , and if nasal bone is deviated it will
be straightened by Ach's forceps afterward.
Allis Forceps: To hold tissues perior to excision
Addison Forceps: To hold tissues for suturing
Stills Forceps: Per wisdom teeth suturing because it is longer than Addison's forceps.
Artery Forceps: To ligate ruptured arteries or arteries planned to be removed.
☀8)
- 10mm vertical bone diamension and 6mm horizontal for implant placement
- 1mm around implant lingually and facially
- Minimum distance 3mm between 2 implant
- 1mm between implant and adjacent teeth
- 2mm above superior aspect of inferior alveolar canal
- 1mm between implant and nasal vestibule
- 1mm bone between floor of sinus and implant.
- Inferior nerve close as 3mm to mental foramen
- Implant at least 5mm anterior to mental foramen
- 2mm apex of implant to superior aspect of inferior alveolar canal

☀reduction depths : : ☀angles instrumentation :

☀Millers classification : ☀condition irrigant :

☀injuries of periodontal tissue : ☀tooth eruption :

 Implants:

☀NOTES:

☀10mm vertical bone diamension and 6mm horizontal for implant placement
☀1 mm around implant lingually and facially
☀Minimum distance 3 mm between 2 implant
☀1mm between implant and adjacent teeth
☀2mm above superior aspect of inferior alveolar canal
☀1mm between implant and nasal vestibule
☀Slightly off midline on either side of incisive foramen
☀1mm bone between floor of sinus and implant.
☀Inferior nerve close as 3 mm to mental foramen
☀Implant at least 5mm anterior to mental foramen
☀2mm apex of implant to superior aspect of inferior alveolar canal

☀Questions:

least implant success in which type of bone :

A/ type l dense cortical

B/ type ll the best posterior mandible porous cortical / thick trabeculae

C/ type lll porous cortical / thin trabeculae

D/ type lV *** posterior maxilla thin trabeculae

pt complain of movement of implant under denture and at the beginning there is

difficulty in put denture :

A/ rubber band and none parallel implant ***

most common cause of failure of implant

A/ periodontal disease ****

B/ occlusal Trauma

12 | P a g e - Dr.Bayan Al Mahari
 implant screw and fixture fracture ,, how can you remove the implant :

A/ helix driver

B/ torohen bur hexagon driver

C/ Attaching device to the coronal part of the implant and remove it slowly

using of small dimeter implant in posterior area ,, hat s the the complication that
will occur :

A/ undermining of ceramic crown *** (Fracture )

patient was referred to the othodontist to make a space for implant , what's the
length needed

5 mm,
7 mm,****
9mm
11 mm

Minimum distance between implant and inferior alveolar canal

1mm

2mm

3mm

4mm

a missing tooth that needs to be replaced, the space from the crest to the maxillary
sinus is 12 mm. What s the length of our implant?

-11

-10

-8

13 | P a g e - Dr.Bayan Al Mahari
 A case about implant for 46 and supra erupted 16 what to do?

*orthodontic intrusion

*endo and crwon for 16

*remove the bone and put the implant more downward

A picture of plastic currette whats the uses?

Implants scaling

Sensetive roots

( For not scratching or roughing the implant surface )

Soft tissue inflammation around the implant:

periimplantitis

Peri implant mucositis

A picture of bone resorption around implant what is the case? Periimplantitis

implant cover screw and analogue parts function and names:

14 | P a g e - Dr.Bayan Al Mahari
 impression for esthetic area for an implant after healing with healing abutment: pick
up impression

When there is new brand of implant , first it should be tested on animal to be sure it
is biocompatible , according to FDA ethic code this is match which one
- B1
- A3
- D2

When placing implant and you want to have interdental papilla regrowth , you
should leave btw base of proximal plate & crestal bone ?
4.4-
6.4-
7-

distance bw 2 implant
3 mm

pt complain of loss sensation in right side of mandible after( 2 weeks or 2 month )

from implant procedur what happend .....?
IAN damage

direction of collagen fibers in presence of implant?

- parallel to surface of implant.

Patient will have Ant. implant the dentist did the clinical examination , impression
and made the cast Whats left?
Surgical splint

Healing cuff in 2 stages of implant:

Healing abutment from 2-5 weeks

15 | P a g e - Dr.Bayan Al Mahari
 Distance between dental implant and inferior alveolar nerve block

2mm

Role of resonance frequency analysis (RFA):

determine stability (the level of osseointegration) in dental implant

Maintains/follow up appointments after implant placement for a patient with high

risk of periodontists:

every 3 months

every 6 months

Denture come less retentive over implant .. non parallel implant correct

Implant complete overdenture for lower which is the most commonly used
attachment?
Bar
Magnet
Clasp
Locator

Implant screw has fractured, how can you remove the part of the screw in the
fixture?
Ultrasonic tip
Hemostat

The healthy implant probing depth with no bleeding on probing is:

* 1mm
* 2mm
* 3mm
* 4mm

16 | P a g e - Dr.Bayan Al Mahari
 34, 35, 36 are missing.. 37 is slightly mesially tilted. The total remaining space is
14mm, hat s the ma imum number of 4mm diameter implants that can be placed
to restore the 3 missing teeth?
a. 1

b. 2

c. 3

d. 4

Dentist decided to go for 2 stages implant placement. Which metallic part is used to
cover the implant that is then submerged under soft tissue?
a. Healing abutment
b. Impression coping
c. Cover screw

blood supply around the implant ? Is lesser than around the tooth

Reasonse implant analyses :

use to evaluate the osteointegration of an implant

Pt did two implants 24 25 after 4 months there is distal mobility for the 24 why:

Periimplantitis or implant near to each other

Patient known to be high risk of periodontal disease had an implant, after complying
with recall appointments for the last 12 months, what would be the next recall
interval
a) Every1-2months
b) Every3-4months
c) Every6-9months
d) Every9-12months

17 | P a g e - Dr.Bayan Al Mahari
 Consequane of reimplantation of avulsed tooth?
Aper resorption - external cervical resorption

external replacement resorption

internal resoption

If you do implant and there is only 4 mm interocclusal space what to so?

Remove the implant and put it deeper in bone or make RPD instead of implant

connecting implant to natural tooth what is the complication?

Implant mobility
no osseointegration
cement failure

what is the ideal hight from alveolar ridge to the opposing occlusal surface to receive
implant supported fixed crown?

A-5

B-6

C-7

D-8*****. 8-12mm

Osteointegration of Implant in upper molar area

A-3 months (anterior mandible)

B-4 months (posterior mandible)

C-5 months

D-6 months (anterior and posterior maxilla)

Minimum space between mandibular canal + implant? 2mm

18 | P a g e - Dr.Bayan Al Mahari
 Causes of implant overdenture ill fit (pic)

Rubber band damage

What is part between implant and restoration ?

Abutment

In 2 stage implant what is the part covered the implant and embade by tissue
Cover screw

Implant and IAN canal

2mm

Pt had implant and she complain from numbness in lower part

Injury to IAN

Bleeding around implant Attachment 5 Management:

Scale with carbon
Mouth wash

vascular supply of gingival tissue around the implant is :

A-Same as v.s. of alveolar mucosa
B-Same as gingival tissue around normal tooth
C-less than g.t. of normal tooth
D-more than g.t. of normal tooth

Indication use for implant over Denture

Xerostomia
Patient have sever gag reflux

Carpon or non metalic scaler with implant

The best is non metallic ( plastic ) for implant ,
then carbon fiber can be used. Carbon steel can
cause damage to implant

Implant best radiography..

Cbct cone beam computed tomography

19 | P a g e - Dr.Bayan Al Mahari
 Implant probing depth
More deep than the teeth

Implant has mobility

Remove and repeat
Chlorhexidine

implant analogue
It represents the top of impant fixure or abutment in labaratoy cast

Strong indictor for implant failure

( mobility)

Implant connected to natural tooth

no ooseess integration

decrement of natural tooth abutment)

How to remove broken screw inside of implant

Ultrasonic
Driven hex
Fissure bur

CD patient or implant and doctor aplly LA to measure the width of the bone:
bone sounding

transgingival

Secondary Pre-Operative Radiograph For Implant

A. Mri Magnetic resonance imaging
B. Forgot (Not Used In Dentistry)
C. Complex Computer Tomography
D. Interactive Computer Tomography

20 | P a g e - Dr.Bayan Al Mahari
 If you do implant and there is only 4 mm interocclusal space what to so?

Remove the implant and put it deeper in bone or make RPD instead of implant
The answer should be: A screw-retained prosthesis may be provided with 4 mm of
interocclusal space

--------------------------------------------------------------------------------------------------------

Implants are most often made of:

A. Titanium
B. Hydroxyapatite
C. Stainless steel
D. Gold alloy

The rough surface of implants is:

A. Due to fabrication errors
B. Not desirable for osseointegration
C. Important to remove at the neck so that gingival plaque does not attach
D. Desirable for improved osseointegration

Osseointegration means: The processes of osseointegration involve an initial interlocking between

A. Full contact between bone and the implant body alveolar bone and the implant body,
B. Fibrous attachment to the implant
C. 40% to 70% bone/implant contact
D. Clinical detection of a particularly stable implant

The first event leading to osseointegration that occurs after implant placement
is:
A. Growth of new bone cells
B. Formation of a blood clot
C. Growth of fibrous tissue
D. Gingival downgrowth

Excessive force on implant crowns results in:

A. Trauma to bone
B. Immediate fracture of implant components
C. Fatigue of implant components, leading to fracture
D. No damage to implants because of their high resistance to force

Preload is:
A. Placement of a screw without the application of adequate torque
B. Pressure on a provisional crown
C. Tension placed by screws to protect implant components from displacing forces
D. The force transmitted by the crown to the implant
☀Note : Preload is tension that prevents the movement of implant
components, thereby protecting them

21 | P a g e - Dr.Bayan Al Mahari
 Plaque and calculus:
A. Do not attach on implants
B. Attach loosely to implants
C. Have a different composition on implants
D. Accumulate on implants similarly to teeth

Connective tissue fibers around the implant neck are:

A. Perpendicular to the implant surface
B. Not present because there is no connective tissue
C. Parallel to the implant surface
D. Multidirectional

Peri-implantitis:
A. Is equivalent to gingivitis
B. Cannot be treated
C. Is usually limited to superficial soft tissue
D. Spreads rapidly to bone

Implant survival:
A. Is synonymous with implant success
B. Means that an implant is still present in the mouth after a period of time
C. Means that an implant is present and clinically satisfactory after a period of time
D. Means that the implant required some form of treatment to avoid failure

Question 11: The minimum interarch space for a fixed implant-supported prosthesis is:
A. 4 mm
B. 6 mm
C. 7 mm
D. 12 mm
☀Note : - 4 mm would not provide room for implant components
- 6 mm is the minimum buccolingual bone width that accommodates
an implant that is 4 mm in diameter.
- 12 mm is the minimum interarch distance for an implant-supported
removable prosthesis.

Ridge mapping measures:

A. Attached gingiva by outlining the mucogingival junction
B. Soft tissues on a stone model
C. Bone width on a tomogram
D. Soft tissue thickness clinically to deduce bone width

Panoramic radiographs are useful for:

A. Ruling out bony pathologies and estimating bone availability
B. Performing precise measurements of bone height and width
C. Selecting the height and width of implants
D. Detecting all existing anatomic limitations

22 | P a g e - Dr.Bayan Al Mahari
 Computed tomography:
A. Is the most precise radiographic technique
B. Delivers low doses of radiation
C. Is performed by a machine that is the size of a panoramic machine
D. Should be prescribed in all implant cases

Cone beam computed tomography:

A. Is less accurate than conventional computed tomography
B. Uses less radiation than conventional computed tomography
C. Delivers precise bone density measurements
D. Can only be used for small regions of interest

Hounsfield numbers are:

A. Values that are designed to measure bone density
B. Arbitrary numbers set for tissue density on computed tomograms
C. Used in dentistry only
D. Arbitrary numbers set for density on magnetic resonance imaging

Radiographic templates are:

A. Used to visualize diagnostic teeth
B. Used to measure bone density
C. Used during implant surgery
D. Not useful in most implant cases

A scannographic template is:

A. A requirement for aligning the mandible when taking computed tomography
radiographs
B. Identical to any other radiographic template
C. Useful during implant surgeries
D. An aide for visualizing diagnostic teeth on a computed tomography image

Which of the following statements about bone quality is true?

A. D4 bone is the densest bone
B. D1 bone is the densest bone
C. There is a direct correlation between bone density and implant survival rate
D. Bone quality is determined precisely based on Hounsfield numbers

When selecting an implant:

A. It's best to choose the longest implant possible, because the longest implants survive
best
B. It's best to choose the widest implant possible, because the widest implants survive
best
C. Implant surface selection is critical
D. At least 1 mm of bone lingual and buccal of the implant must remain for it to survive

23 | P a g e - Dr.Bayan Al Mahari
 Screw-retained prostheses possess the following advantages:
A. Ease of fabrication
B. Ease of retrieval
C. Esthetics
D. Ease of connection to natural teeth

Cemented prostheses possess the following advantages:

A. Ease of fabrication
B. Ease of retrieval
C. Strong resistance
D. Ease of connection to natural teeth

Connecting implants and teeth:

A. Is forbidden
B. Is useful for consolidating teeth with reduced periodontal support
C. Can be performed in all cases
D. Should be avoided whenever possible, but can be performed with careful
consideration

When treatment planning edentulous cases:

A. Removable prostheses are always preferable
B. Fixed prostheses are always preferable
C. The decision between a fixed or removable prosthesis depends in part upon arch
shape
D. A fixed and a removable prosthesis can achieve the same goals

Distal cantilevers on implant prostheses are:

A. Always possible, with no limitations
B. To be avoided whenever possible and limited to short spans
C. Always detrimental and impossible to implement with implant restorations
D. Possible when a removable full denture opposes the implant prosthesis

Immediate implant placement is:

A. The placement of an implant at the time of tooth extraction
B. The placement of multiple implants at once
C. The placement of a restoration at the time of implant placement
D. The placement of a restoration at the time of surgical uncovering

Immediate loading is:

A. The placement of an implant at the time of tooth extraction
B. The placement of a restoration at the time of implant placement
C. The placement of a restoration at the time of surgical uncovering
D. The placement of a one-stage implant

Provisional restorations:
A. Can rest on bone grafts and implants
B. Should not rest on bone grafts or newly placed implants
C. Are not appropriate immediately after implant placement

24 | P a g e - Dr.Bayan Al Mahari
 Bone grafting:
A. Works best to augment ridge height
B. Is limited to 2 mm augmentations or less
C. Works best to augment ridge width
D. Does not work in general

Gingival grafts should be performed:

A. Prior to fabricating the final restoration
B. Preferably after the final restoration is delivered
C. Only prior to implant placement
D. Only between stage one and stage two surgeries

Characteristics of implant-level impressions are:

A. Coping placement is easy because of visibility
B. Custom abutments are not available
C. Abutments must be selected in the mouth
D. Abutments can be selected in the laboratory

Transfer-type impression copings:

A. Require a hole in the impression tray
B. Are easier to utilize than pick-up copings
C. Remain on the implant when the impression
D. Should be utilized in the anterior part of the mouth only

Pick-up type impression copings:

A. Need no modification of the impression tray
B. Remain in the impression when removed
C. Are always more precise than transfer copings
D. Are particularly useful in the posterior part of the mouth

To verify that abutments and crowns are engaging external connection

systems:
A. Tactile sense is satisfactory
B. A radiograph alone is satisfactory
C. No check is necessary
D. A combination of clinical and radiographic checks are recommended

For crowns in the esthetic zone, soft tissue support:

A. Can be created in the abutment only
B. Can be created in the crown only
C. Can be created in the abutment and the crown
D. Can only be achieved with screw-retained crowns

Implant indexing is:

A. A radiographic technique
B. A method of impression-taking at the time of surgical placement
C. A method of recording gingival tissues
D. A diagnostic method of determining ideal implant position

25 | P a g e - Dr.Bayan Al Mahari
 Passive fit is:
A. The placement of an abutment without resistance
B. The placement of a single crown without resistance
C. The delivery of a screw without resistance until the last quarter turn
D. The placement of a bridge without resistance

Testing if screws can turn without resistance until the last quarter turn is:
A. Useful for verifying proper fit in multi-unit restorations
B. Only useful for implant bars
C. Only useful for single restorations
D. Useless in most clinical cases

After delivery of a screw-retained bridge:

A. It is important to close the screw access hole immediately with a permanent material
B. It is recommended to block the screw access hole with a temporary material
C. It is recommended to take measures so that screws will not need to be retightened at
a later
time
D. It is recommended to remove the bridge and reposition it at a later time

For removable prostheses:

A. The male attachment is usually part of the denture
B. The attachment components do not have to be replaced
C. The female component may need replacement during maintenance
D. Screws are not accessible

When using a two-stage implant, radiographic bone level is expected to be:

A. At the top of the abutment
B. Flush with the implant head
C. At the level of the first thread
D. 4-5 mm apical to the implant head

Mobility of an implant-supported crown generally means:

A. Failure of the implant
B. Occlusal traumatism
C. Normal flexing of abutments
D. Loosening of an implant component

Clinical inflammation around a single restored implant, associated with pain or

pressure, but no radiographic bone loss, is most likely due to:
A. Implant failure
B. Peri-implantitis
C. Fracture of a component
D. Loosening of a component

26 | P a g e - Dr.Bayan Al Mahari
 If an implant has been placed apically, a 7 mm peri-implant probing shows no
sign of inflammation, and there is no radiographic change and no bleeding, this probably
indicates:
A. Normal functioning
B. Peri-implantitis
C. Implant failure
D. Component failure

At a maintenance visit, an implant-retained bar is found to be mobile at one

extremity. The following should be undertaken:
A. Place a watch in the records and reevaluate at the next visit
B. Refer for implant removal
C. Tighten the probable loose screw
D. Verify that the screw is loose and place a new one

When observing a routine radiograph for an implant patient, you see a

horizontal dark line between the implant and what seems to be the abutment. This is
probably:
A. Normal
B. A sign of component loosening
C. A sign of peri-implantitis
D. A sign of implant failure

Maintenance instrumentation for implants:

A. Is identical to instrumentation used on teeth
B. Should be plastic only
C. Is not necessary
D. Must not be made of stainless steel

If a patient has removable dentures, what generally needs to be done at yearly

visits?
A. A change of abutment screws
B. A change of female attachments
C. A reline of dentures
D. A change of abutments

Which of the following should be recommended to patients for home care?

A. Implant brushes
B. Any interproximal brush
C. Oral rinses only
D. Superfloss or yarn

Oral hygiene instructions for implants:

A. Are identical to instructions for teeth
B. Should include specific wrap-around techniques
C. Should specify staying away from implant surfaces
D. Should be reserved for fixed restorations

27 | P a g e - Dr.Bayan Al Mahari
 Ethics :
ETHICS IN HEALTH CARE

1- Beneficence
2- Autonomy
3- Veracity
4- Justice
5- Nonmaleficence
6- Confidentiality

☀ Beneficence = DO GOOD

- It is the patient right to have highest quality dental care

- It is the dentist duty to act for the benefit of patient and public

☀ Autonomy

- Auto = self nomy = control

- Every human being of adult and sound mind has rights to
determine what shall be done with his own body
What are the patient right?
To choose his treatment without any pressure and to accept or refuse
the treatment

☀ Veracity = Truthfulness

- Is telling the truth, honesty, and integrity.

- Example : Do Not recommend unnecessary procedures

☀ Justice = Equality And Fairness

- The dentist duty to treat all patients fairly and equally

regardless of personal or social characters
- It is unethical to refuse the treatment of patient infected with
blood borne organism

28 | P a g e - Dr.Bayan Al Mahari
- Example :
1- Treat poor and rich people with the same quality and price
2- Do Not refuse the treatment of patient infected with blood
borne organism

☀ Nonmaleficence = DO NO HARM

- It is the patient right to be not exposed to unnecessary harm

- It is the dentist duty to protect patients from harm
- Example:
1- Sterilization of instruments and disinfection of a unit
2- Do not Extract third molar without experience this may harm
the patient

☀ Confidentiality = PRIVACY

- It is the patient right to have personal , medical information

kept private and as secret
- It is the dentist duty to keep patient information confidential

Whe ed mai ai c fidentiality ?

A - With patient consent

B - Without patient consent: when ?
1- Required by law
2- Protect patient from harm (child abuse)
3- Protect others in infectious diseases( AIDS)

N.B : dentist should safeguard confidentiality the patient records

- The dentist owns all patient records and radiographs and never
all ed lea e he ac ice i h he de i e mi i

29 | P a g e - Dr.Bayan Al Mahari
 ☀Random imp Qs:
-After crown preparation .. only mesiobuccal finish line is sub- a a d b d a you will do?
- take final impression
- crown lengthening
- temporary crown and evaluation after 6 weeks

-Mother come with her child with avulsion tooth which occurred before 15 minutes and mother put the
tooth in milk what will you do?
-immediate reimplantation
-endo then implant

How to clean a suction tip for only one use during surgery procedure ?
-chx
-sodium hypochlorite
-tap water
-saline

-extraction for lower 7 without flap type of wound?

-clean
-clean contaminated
-contaminated

-What to avoid with pregnant women?

-Acetaminophen
-aspirin

-S d a d?
-Pilocarpine
-atropine
-clidinium

-Ca ac a a d d a a d a ca ad ?
-prosthetic valve
-amelogenesis imperfecta
-dentinogeneses imperfecta

One of this is a property of rotary file ?

-non cutting end
-Cutting end
-never break up

-percussion test for primary teeth?

-Tip of finger (NOT SURE)
-Prope
-two instruments as mobility test

-when you force patient for braces you ?brake ?

-autonomy
-justice
-Complete denture patient bad oral hygiene wearing denture day and night, there is redness in palate and
raspberry like appearance?
-denture stomatitis
-papillary hyperplasia

-Metronidazole and amoxillin effective against

-AA
-PG

-Advantages of irreversible hydrocolloid over elastomeric impression

-High tear strength
-Hydrophilic

- facial asymmetry x ray

anterior posterior

- functional appliance ‫ار‬ ?

-skeletal age
-dental developmental stages I DONT KNOW

- parents obseve and supervice thier children during brushing. This appliacble untill which age:
4
5
6
7

-incisal reduction of full ceramic :

1
2
1.5

-child ingest tooth past when he brushing his teeth what do:
1-give him milk
2-reassure the parent and observation
3-emergncy precausion

-pregnant women 25 years old ..swelling of pakate related to 1st and 2nd premolar what do :
1-scaling and OHI
2-surgical removal after delivery
3-systemic antibiotic

-which of the following is contraindecated with sickl cell anemia:

Asperin
I buprofen
L.A with vasoconstrictor

-pic of modefied pen grasp

-pic of swelling in the right side of the mandible and ask about most common tooth cause swilling :
( 1st molar )

-pic of swelling in palat and ask about which tooth most do palatal absess :
( upper latral )
 ☀ ‫ا ب‬ ‫زا ع‬

1-what is the most type of hepatitis diffused or ( common) in dental clinic?

HBV hepadnaviridae

2-types of nerevs came from mental foramen

mental nerve
incisive nerve

3-abnormality in morphodifferentation stage

peg shaped teeth

☀Note : - change in tooth number : due to defect in initiation

- change in tooth form : due to defect in morphodiff
- defect in calcification : due to histodifrantiation defect

4-how to increase flexibility

increasing length

5-Warm injectable gutta percha device

system B and obtura II

6-Avulsed central incisor 90 minuets ago, splinting

4_6 weeks

7-Avulsed central incisor less than 60 minuets ago, splinting

2 weeks
☀Note : - <60 : 2 weeks
- 90 : 4 weeks

8-Peado,right central incisor is shorter than left by 2 mm:

- intrusion

9-16 years girl with impacted upper canine, father refused surgical
extraction ?
resorption of adjacent lateral incisors

30 | P a g e - Dr.Bayan Al Mahari
10-African,5 years boy complaining of bilateral facial swelling, x.ray
showed multilocular radiolucenency,cause roots resorption with
(Starry Sky appearance?

Burkitte`s lymphoma

11-Peado with no caries,no missing teeth, Sjogren syndrome?

high caries index

12_ Pt after fixed appliance placing,copmplaining of sever laceration &

ulceration , on examination there is excess wire is the cause:
* clip the wire

13_ Dentist determine vibrating line by:

* T burnesher

14_ Pt complaining of recent Tuberclosis ,he is on medications, how

much time he need to be on medication befor u can start dental
treatment :
* 2 weeks

15 _ Removal of undermined enamel in class 2, broximal box floor:

* gingival marginal tremor Gmt= remove of unsupported enemel
☀Note : Box floor ➡ GMT
Hatchit= break of proximal contact
Box wall ➡ enamal hatch or chisel

16_ cost effective method to prevent dental caries:

* water fluoridation

17 _ Pt wants implant for missing 4&5 , 6 is mesialy inclined , (space is 14

mm),how many implant can be placed:
* 2 implant
☀Note : *(7mm for 1 implant )*

18_ Most annoying site of scalling is :

For pt :upper centrals
For dentist :upper molars

31 | P a g e - Dr.Bayan Al Mahari
 19_ peado pt don t ha e space bet een primar & permenant teeth, he
will develop :
* crowding in permanents teeth

20_ Best way to apply sealer into canal :

* lentulo spiral

21_ Cross section of Reamer :

* Triangular

☀Note :
*K-remar* ➡triangular
*k-file* ➡ sequar
*H-file* ➡teardrop

22_ primary impression taken & diagnostic cast made, the (cast is
yellow like the picture & there were missing upper right posterior
teeth,,& contain defect like a hole ), what is the type of materia :
* type 3 dental stone

23_ disinfection of Gutta Purcha:

* 5.25% Naocl

24_ the best for luting porcelain veneer which will be in aesthetic anterior
zone:
* _ light cure composite
_ dual cure composite

25_ pt, with history, which space infection: -

submandibular

submental-masseter space

26_ 60 lady with RPD class 2 complaining of pain & the denture is
rocking during eating, on examination u found redness on mucosa &
when u but ur finger postriorly the denture dislodged, what is
management :
* reline

32 | P a g e - Dr.Bayan Al Mahari
27_ classification of caries showed : class 6

28_ Rupper dam sheet wrinkles after placed on teeth:

- holes are small
-holes are too far from each other
- holes are too close

29_ Pt have wide interproximal spaces, best for cleaning:

- dental floss
- Broxy brush

upper
30_ Purpose of facebow: *relate the maxillary cast to lower part of articulator

31_ What is the dentist measure?

- bocket
- attachment loss
☀Note: Pocket :by probe
Attachment loss :by calculation

32_ what is name of this instrument?

- currate
- scaler

33_ pt had surgical extraction of upper 4, which needed four pointed flap,
what is the type of the wound?
- clean
- contaminated
- clean contaminated

34_ Measurement of attached gingiva by:

- periodontal prob

_ something caliper

35_ Brown pigmentation on skin & oral mucosa?

-Addison disease
-Peuts-Jagher syndrome
☀Note: if he mentioned gastrointestinal polyps with brown pigmentation
oral mucosa and skin answer will be Addison disease

33 | P a g e - Dr.Bayan Al Mahari
 36_ The decision of pt that no one can inter or touch his inner parts of his
body without his permission:
* autonomy

37_ Tooth with full crown , u did RCT through the crown, what is best
Restoration :
- amalgam -gic
_ composite

38_ The least important thing to be written in the consent:

- the diagnosis
- the risk percentage
_ the cost

39_ Female pt, wants teeth bleaching, during the procedure pt asked
dentist to stop & said she is feeling pain, this is due:
-Hypersensitivity
-gingival burning due to leakage from the gingival dam
☀Note: During ➡g.burning
After ➡ sensitive

40_ instrument & asking about its usage in peadodontic ?

- placemen of band by make the child bite on it
- push the band down

41_ Preparation of rest seat on the canine for RPD:

- extend more buccolinguly
- extend more in mesioditstal direction

42_ Pt complain of pain in upper right premolar area & on examination all the teeth are sound ,
no periodontal disease, pain increased when
pt bend down:
- sinusitis
reversible pulpitis

43_ Pt complaining of TMJ pain, Clicking, deviating when open his mouth:
_ dislocation without reduction
- dislocation with reduction.
☀Note: Clicking =reduction...No clicking=no reduction

34 | P a g e - Dr.Bayan Al Mahari
 44-8 years old boy had trauma on central, 3 days
ago , feeling pain:
-DPC
- pulpotomy
- pulpectomy

45-old female with lower RPD kennedy class I , complaining of pain on

throat during eating & swallowing, due to:
- overextended lingual flanges
- under finished surfaces

46-pt after received porcelain crown complained it is dark, the cause is

increased:
- value
- hoe
- chroma

47-17 years pt, how to asses rate of growth?

- hand x.ray
- cephalometric

48-x.ray showing endodontically treated incisor with very short obturation ,about 2 mm at the
apical part, dentist want to place post & core, what he should do:
- send to endodontist to refill the tooth
- put post & core

49-complication of long using listren mouth wash:

- hairy tongue and epithelial desequmtation

50-pt came with 5 sets of PRD, he said no doctor do what he want, now
he want, what type of pt:
- philosophical
- hysterical
- no different

51-Dentist send pt to his colleague, for consultation, after he finished

examination & report, pt asked him if he will continue the treatment
with him, doctor said no, & re send him to the first dentist, what is
his attitude called:
- ethical
- professional

35 | P a g e - Dr.Bayan Al Mahari
 52-Pt with Complete removable denture, complain of clenching of
artificial teeth, biting of inner cheeks during chewing, the cause is:
- Increased vertical dimension
-reduced vertical dimension

53-If you Touched a drawer infected by HBV virus this is ?

.direct infection
.indirect infection
.airborne
.aerosol

54-in renal failure avoid ?

Paracetamol
.acetaminophen.
.ibuprofen acute kidney injury ‫ب ﯾﻘﻠل اﻻﻛﺳﺟﯾن ﻋﻧدھﺎ وﯾﺳﺑب‬
Aspirin

55-which used safely in anxious asthmatic patient ?

.narcotics
.barbiturates
.diazepam
Acetaminophen

56-class 2 composite proximal box depth

2
0.5
1 mm

57-best cutting instrument of enamel ?

diamond
Tungsten carbide
stainless steel

58-basic unit of filtration in kidney

nephron
glomerulus
capsule

59-white lesion on the buccal mucosa 5 mm wait for.... Week to

take biopsy
1. week
2. weeks
3. week
4. week

36 | P a g e - Dr.Bayan Al Mahari
 60-biopsy of 60year old patient of lateral surface of tongue
revealed squamous cell carcinoma the patient son asked not to
tell him and treat cancer but tell the father that this is an infection ?
.consult lawyer
.inform patient the this is cancer
.inform patient that this is infection and treat as cancer
.refer patient to other dentist

61-patient with slowly growing swelling in the posterior mandible

X ray report multilocular radiolucency what is the treatment ?
.chemotherapy
.radiotherapy
.marginal resection

62-healthy patient came for routine check up with semicircular

radiolucency 1.5 cm ?
.apical scar
.apical cyst
.apical infection
.normal anatomical landmark

63-recurrent erythema multiform 5 to 6 times per year due to

recurrent herpes labialis and the patient asks if there is treatment
daily prophylactic measure is :
.systemic steroid
.topical steroid
.valacyclovir
.chlorapheniramine

64-used for cleaning and maintenance of bridge

.superfloss
.dental floss
.interdental brush
.tooth brush

65_ which cell predominate in early lesion

.neutrophils
.lymphocytes
.plasma cells

66_ erythema in gingivitis appear in which stage

.early
.initial
.established

37 | P a g e - Dr.Bayan Al Mahari
 67_picture of finical recession in Lower premolar the cause is
.inflammatory
.genetic
alleRgy
.tooth brushing
Occlusal truama

68_ picture of 3 -5mm finical recession on anterior teeth which flap

.apically repositioned flap
.connective tissue flap
.free finical flap

69_ enlargement of papilla and marginal gingiva

.grade 0
.grade 1
.grade 2
Grade 3

70_ patient cured from TB how to treat him ?

wearing mask.
respiratory mask. = n95
Face shield
mask and open windows for ventilation.

71_ dentist who is clean, known free of diseases and follow infection control rules. while
treating patient injured his hands and bleeds inside patient mouth what to do ?
.don t tell the pt
.tell the patient and assure him that he will not be infected
.pt rinse his mouth
_tell the patient and assure him and follow up accordingly

72_ patient complaining of TMJ pain, clicking, deviating when open his mouth?
.dislication with reduction
.dislocation without reduction
☀Note: Clicking = WITH reduction...No clicking= WITHOUT reduction

73_ dentist when received the porcelain metal crown the porcelain
extended over metal due to?
.less chamfer
.less metal
.less colar

38 | P a g e - Dr.Bayan Al Mahari
 74_matrix band extend for.... Above marginal ridge
1-2 mm
3. mm
5. mm
7. mm

75_Hemophilia A which is deficient in

.factor 8
.prothrombin

☀Note: Hemophilia A: Factor 8 ( VIII ) - Hemophilia B: Factor 9 ( IX ) - Hemophilia C:

Factor 11 ( XI )

76_ patient bleed after extraction and is hemophilic although application

of local hemostatic measures what to do:
.aminicaproic acid
.give him prothrombin
.give him fresh frozen plasma

☀Note:
aminicaproic acid➡Hemophilia.
fresh frozen plasma➡warfarin

77_total occlusal convergence of prepared crown

6.
15-12.
25-21

78_ Most effected age for dental truma ?

5-2
7-12
13-20
more than 20

79_ Occlusal reduction for PFM crown

1.5-2 mm

79_Occlusal reduction for Full metal crown

1-1.5 mm

☀Note: non functional cusp (1)

functional cusp (1.5)

39 | P a g e - Dr.Bayan Al Mahari
 80- Cavo-surface angle of prep for amalgam restoration :

90 degree

81-According to chillinburg the post space will be

A. 11 mm
B. 5 mm apical seal
C. two-third of canal

82-Child has gagging during brush his teeth :

-Tell his mother to reduce the amount of tooth paste
-stop brushing
-use soft brush

83-Pt with Heart problem what type of retraction cord :

-with epinephrin
-without because it can cause systemic reaction
-aluminium
-adrenalin

84_ Most common tooth (dens inveganatus Teeth most affected are:
_maxillary lateral incisors
_premolar

85_ pt is dehydrated what to give :

_ water
_ Fresh juice

86_Cavity test Child will show equal number of primary and permanent
teeth in his mouth
(12 1ry 12 2ry ) at age :
a. 7.5
b. 8.5
c. 9
d. 10.5

87_Define varcity + Autonomy:

Veracity: (tell the truth to the patient ) is the principle of truth telling,
and it is grounded in respect for persons and the concept

Autonomy: (the patient has the right to choose ). In order for a person
to make fully rational choices, he or she must have the information
relevant to his or her decision.

40 | P a g e - Dr.Bayan Al Mahari
 88_Drug to reverse heparin ?
_Protamine sulfate

90_Osteodystrophy in which disease

1-renal
2-liver
3-pulmonary
4-cardiac

91_ Anti ssa autoantibody in which disease:

1-sjogrens syndrome 80%
2-lupus 20%
3-pemphigus
☀Note: The first and second answers are RIGHT so make sure.. ( Ill choose B )

92_ Dose of ibuprofen in children less than 12

1- 2-4 mg/kg q4h
2- 2-4 mg/kg q6h
3- 6-10 mg/kg q4h
4- 6-10 mg/kg q6h

93_ Minimum distance between implant and inferior alveolar canal

1- 1mm
2- 2mm
3- 3mm
4_ 4mm

94_ Best media for avulsed tooth:

-warm milk
- cold low fat milk
- Hank`s balanced solution (HBS)
☀Note: HBSS Saved up to 24H THEN cold low fat milk up to 3H

95_ Removal of undermined enamel in class 2, broximal box floor:

1-gingival marginal tremor
2_ hatchet -small round bur
☀Note: Box FLOOR: A Box WALL: B

96_type of finger rest on the picture:

1- same arch
2- opposite arch
3- cross arch

41 | P a g e - Dr.Bayan Al Mahari
 97_ Dentist who is clean, known is free of diseases & follow infection control roles, while
treating pt, dentist injured his hand & bleeded in pt`s mouth, what he should do:
1- don`t till the pt
2-till the pt & assure him ,that he`ll not get infection
3-pt rinse his mouth
4- doctor & pt go to infectious disease center

98_ Anti HBE & Anti HBS & . Something else, so the pt is:
1- in acute stage
2 - chronic stage
3- recovery stage

100_Gates Gliddin used for :

1-preparation of coronal part
2- preparation of apical part

101_ the best for luting porcelain veneer which will be in aesthetic anterior
zone:
1- light cure composite
2 dual cure composite
3_RMGIC

102_ disinfection of Gutta Purcha:

1- CHX
2- 70 % Ethyl al cohol
3- autoclave
4-saline
☀Note: 1st choice: Naocl 5.25% -2nd choice: CHX

103_ Most important thing in parasymphesial fracture:

1- Airways
2-bleeding

104_Peado. Pt came with abuse trauma, what to do:

1- report treatmeant- record
2-treatment-record- report
3-report- record- treatment
4-treatment-record- report

106_ In endo-perio surgery,start with:

1_endo. First
2- perio. First

42 | P a g e - Dr.Bayan Al Mahari
 107_ Best liner under composite Close to pulp?
1_Caoh
2_Zinc oxide
3_Zinc phosphate
☀Note: Liner: Caoh Base: GIC

108_ Pt class 2 division 2 how the anterior guidance will be?

1_Flat
2_Steep

109_ Base under composite for deep class 5?,

1_Zinc oxide
2_Glass ionomer
3_Caoh

☀Note: If Deep: Caoh If Not : GIC

110_ Which branch of cranial nerve supply the mandible?

3
4
5
6

111_Which band best for composite class 3?

1_Mylar
2_Tofflemier with photo etched margin

112_Which matrix best for MOD amalgam?

1_Tofflemier metal matrix with metal band
2_Tofflemier with ultra thin band
3_Contoured matrix band

113_ Matrix band should be over margin by

A_1mm
B_2mm
C_3mm

114_ How to give Tranexamic acid before surgery?

1_Subcutaneous or IV
2_IM
3_Rinse after extraction
4_Gel after extraction

43 | P a g e - Dr.Bayan Al Mahari
 115_ Fixed bridge with rocking what to do?
1.Remake
2.Cut the defected abutment and fix it then reattach
3.cement it with force

116_ Bridge in try in with tiny Bubbles when seated from one
abutment why?
1.Passive fit while placing
2.increased lutent cement space

117_ In primary impression when u remake it?

1_If its displaced and moved during setting
2_if the metal tray show through the impression
3_when there is voids that be managed and corrected

118_ Walls of composite cavity should be

acute
1_flat
2_parallel
3_well rounded
4_convergent
5_divergent

119_ Soft tissue inflammation around the implant :

1_periimplantitis
2_Peri implant mucositis

120_ A picture of bone resorption around implant what is the case?

1_periimplantitis
2_Peri implant mucositis

☀Note: Soft tissue inflammation around implant ( 2 ) Bone resorption around implant ( 1 )

121_Finger like projection in lateral border of the tongue which is

painless and not changed in size?
1_Filliform papillae
2_Folliate papillae
3_Papilloma
☀Note : Lateral borders ( No increase in size ) > folliate papillae
Middle surface ( there is increase ) > filliform papilla

44 | P a g e - Dr.Bayan Al Mahari
 122_Causative of herpangina?
1_Coxackie virus
2_Ebstien Barr virus
3_Herpes simplix virus

123_Amalgam pin length

A_2mm
B_3mm
C_1mm

124_ DIC( Disseminated intravascular coagulation) Pain killer?

* Acetaminophen

125_ What will response to aspirin?

1_Osteblastoma
2_Fibrous osteoma
3_Osteoid Osteoma
126_ Antes law definision :
* the total periodontal membrane area of the abutment teeth must
equal or exceed that of the teeth to be replaced

127_ Partial denture used for 3 years now when apply force on the rest an
apical displacement of the partial occur whats the reason?
1_Needs relining
2_Need more rigid clasp
3_Remove the rest
4_Not sure about what was other options

128_ How to avoid ledge?

*Precurve the file

130_ Where is the comment place for denture caused hyperplasia?

1_Palate anteriorly
2_Lower ridge
3_Tuberosity
4_The best advan

131_ The best advantage of coolant?

1_To reduce heat generation
2_To clean cavity from debris

45 | P a g e - Dr.Bayan Al Mahari
 132_ Over protected parents effect?
1_Make Dr uncomfortable
2_Worsens child behavior
☀Note: effect on doctor ( 1 )
effect on child ( 2 )

133-A doctor who decide a medical option without even asking the patient
or referee to him?
Medical decision
Paternalism
Best interest

134-A girl had pink spot in her tooth, What is the cause of pink spot?
Internal resorption
Pulp necrosis
External resorption

135- Diagnosis ith RCT tooth can t respond to cold , hot & electric,
PT can t locate the Pain?
Percussion test
Palpation test

136-about the main disadvantage of Mcspadden technique?

Increase time.
Increase steps.
Difficult in curved canals.
137- Extrusion trauma after 60 Minutes treatment:
RCT
☀Note: After 60 min ( RCT )
Before 60 min ( Re Implant immediately )

138- Removal of the silver obturation :

stieglitz pliers
ultrasonic
3 H files

139-maxillary 1st premolar has:

2 canals

140- Lower first molar has:

3 canals

46 | P a g e - Dr.Bayan Al Mahari
 209- access cavity for upper central incisor ?
Triangular
Oval

156- Access cavity for lower mandibular . 6

Rhomboid
triangle it's base distally
trapezoidal

141- patient with large restoration no response with thermal:

cavity test = preparation test

142- about case had fracture in middle third of root Of central incisor
normally
and tooth responds to cold ,hot....
A Do RCT to coronal part
B Cut apical part & do RCT lesion ‫اذا ﻓﯾﮫ‬
C leave it without tt
D Cut apical part

☀Note: if No Response ( A )
Response ( B )

144-: the patient feel pain on the buccal vestibule:

buccal infilteration

☀Note: Buccal vestibule (buccal infilteration)

Mesial portion of tooth (lingual infiltration targeting Mylohyoid nerve)

lesion ‫اذا ﻓﯾﮫ‬

145-During access opening and you suddenly have a
perforation what is the next step :
find the canals and restore with MTA

202-While removing caries the operator accidentally made a

pin point exposure. He is working with rubber dam & the
patient has hyper salivation:
DPC=Direct Pulp Capping

203- 7 year old patient had trauma & intruded his upper
centrals, X-ray should open apex:
apexogensis
surgical extrusion
orthodontic extrusion
observation

47 | P a g e - Dr.Bayan Al Mahari
 204- In properly prepared canal for obturation the spreader
should reach:
1-2mm short of the WL

205-: A tooth fractured because of trauma with pulp exposure

& it has open apex, pulp response to cold test was sharp but
not lingering & the tooth is sensitive to touch, what's the best
diagnosis:
Symptomatic irreversible
Asymptomatic irreversible
Asymptomatic reversible pulpitis with symptomatic apical
periodontitis
pulp necrosis

206- Fiber optic light can be used to localize the canal orifices
by directing the light to the pulp chamber, the orifices will be
seen:
Dark

207-Pt comes complaining of pain with percussion,

examination showed 9mm isolated pocket in the MB side of the
tooth what could be the cause:
Vertical root fracture

208- Hyper plastic pulp tissue:

Reversible pulpitis
Asymptomatic Irreversible pulpitis
Necrotic

210- the most important in endo rotary?

Proper irrigation
Using EDTA

REMOVAL
212- Barbed broach in endodontic is used for pulp
examination in straight canals:
True
False

213-Physiological reaction of edema on vital pulp:

Increase pulp pressure

48 | P a g e - Dr.Bayan Al Mahari
 214- Case about upper six with large amalgam restoration and
patient feel dull pain , you used all vitality tests and cannot find
any useful results what test will you do:
Anesthesia test
Preparation test = cavity

215-Diameter of pulp arteriole in microns:

50
20
80

216-Case about avulsed tooth after 45 min. , Treatment:

Replant and splint
Endo then replant
Replant then put calcium hydroxide
☀Note: After 60 min ( RCT )
Before 60 min ( Re Implant immediately )

217-A case of upper central with post and core and crown but
substandard Endo treatment , patient felt pain , what to do :
Re-treatment then surgery
Re-treatment
Surgery

218-Endo case scenario about pt. Came to you with short

Endo , after remo ing GP file don t proceed to ape hat is
most likely the problem :
Ledge
Perforation

219- Best media for avulsed tooth :

Cold milk
Room temperature milk
☀Note: the best is HBSS Saved up to 24H THEN cold low fat milk up to 3H

220-Electric pulp test act on what :

Neural cell in the pulp
Bloody supply
Collagen fiber of pulp

49 | P a g e - Dr.Bayan Al Mahari
 221-Tracing of GP used for:
Source of peri-apical pathosis
Chronic peri-apical periodontitis

222-Fiber cell in pulp not stimulated & Unmyelinated?

A fibers
B fibers
C fibers +B
☀Note: A fibers : myelinated + sharp pain
C fiber : unmyelinaed + slow daull pain

223-Sodium hypochlorite function?

Kill micro organism
Remove organic and debris tissues.
Remove inorganic tissues.
☀Note: Sodium hypochlorite = remove organic & debris tissue
EDTA = remove inorganic tissue

224-Normal intra pulpal pressure:

10mmHg

225-Cracked tooth syndrome is best diagnosed by?

Radiograph.
Subjective symptoms and horizontal percussion
Palpation and vertical percussion
Pulp testing

226-Which instrument is best to detect orifices:

Spreader
Endo files with curved tip
Explorer
Endo Explorer

227-Use of sodium hypochlorite

As a mouth wash
To wash to extraction socket
Irrigation solution

228-cause pain and inflammation on pulp:

Prostaglandin

229-patient don't know where is the pain from :

Anesthesia test

50 | P a g e - Dr.Bayan Al Mahari
 230-Substandard RCT & PA lesion 1 year after obturation
with cast post & core, well-sealed crown ?
Apical surgery

231-Most irritant to pulp?

Zinc phosphate cement

232- When Doing RCT using irrigation NaOCL, patient felt

sudden severe pain & swelling due to?
Sodium hypochlorite accident

233-:Thermal compaction technique is:

therma fill Obtura II McSpaden

234-Which surface of distal root of mandibular 1st molar is

more prone to perforation while post preparation
Distal
Mesial
Buccal

235-Perforations in upper premolars due to

Large pulp chamber
Complex internal anatomy
proximal root concavities

236-What is the cement good for pulp:

poly carboxylate because it does not irritate the pulp

146-prognosis of mid root separated instrument:

Good

147-Endodontics has resistance:

enterococcus faecalis
note: bacteria responsible for endo failure
149-Patient with pain, the tests reveals: Percussion: no response, Cold: no response. Hot:
severe pain. EPT(electrical pulp test): response at 80 Control tooth: Percussion: no response.
Cold:5sec Hot:5 sec. EPT: response at 2. What is the pulpal diagnosis?
Symptomatic Irreversible pulpitis
151- What is the most flexible file ?
150-: Pulpal cell that allow lineage of another cell;
◦ Reamer
Ectomesenchymal cell
◦ Barbed broach
Lymphocytes
note
Odontoblasts Positivity of rake angle
H more Then K file
More cutting efficiency
H Then K file
51 | P a g e - Dr.Bayan Al Mahari Flexibility
Reamer Then K Then H file
152- Pulpitis, and vasodilatation of vessels will happen in
which zone of the Pulp? *Inflamation is starting from out side (cell free zone )
Cell free zone *If asked about vasodilation in blood vessels so it in cell free zone
Cell rich zone *Cell free zone has no cells
Pulp core *If says in q that zone has cells and blood vessles so it pulp core
☀Note: vasodilation in blood vessels ( no cell ) = Cell free zone
has cells and blood vessels = pulp core

153-8 yrs old pt had trauma and Pinpoint exposure of the

pulp with no pain. He came to the clinic after 3 days. What
Should you do:
Apexification ( MTA plug)

154-: what is the diameter tip size of GG #1 according to ISO

system :
20
40
50

☀Note: GG #1 = 50
GG #2 = 50+2 =70
GG #3 = 70+2= 90 ..

155- Spontaneous pain for few hours .. Lingering with cold :

Symptomatic irreversible pulpitis

157- pt. suppurative swelling related to lower 6, tender tooth, -ve vitality test
incision& drainage
debridement, incision& drainage
give him tt

158- Pulp stone all true except

Cause pain
Free in pulp chamber

159-about incision & drainage for abscess related to lower 6

open at the most fluctuant point
no need for large opening if the pus already begin to extrude
opening at the end of gingival sulcus
incision until reach the periosteum

160-cell in pulp represent antigen?

Dendritic cell ( Antigen-presenting cells)
Fibroblasts
Odontoblasts

52 | P a g e - Dr.Bayan Al Mahari
 161-Component of Gutta percha.
ZO %50
50% Gp
ZO %70( GP 20%) ( GP 20%, ZO 66%, Heavy metal 11%,plasticizer3%)

162-The least effective irrigation against E. Feacalis.

Naocl
Tetracycline
Iodine
Chlorhexidine

163-: Irrigation solution that kills e. faecalis:

NaoH
MTDA
saline
Chlorohexidine

☀Note: The least Tetracycline then CHX

The best MTAD then Naocl
Kill MTAD then CHX
164_Differentiate between pulp and periodontal abscess
X-rays
Vitality test
Thermal
Percussion

165_ Osteogenesis in endodontic surgery aimed to:

Prevent fibrous tissue growth

166_ Least accurate test

Thermal
Electric
Cavity

167_: 20 years old pt. have avulsed tooth for 60 min. the
management to return vascularity of the tooth:
Scrap the surface of the root.
Place the tooth in sodium sulfide of X %.
soaking in 2.4% sodium fluoride

168_ In endo, one of sealer property is to be flowable (or

wettability) to enhance this quality we can mix it with a
material that have:
Low surface tension
High surface tension

53 | P a g e - Dr.Bayan Al Mahari
 169_AH26 is root canal sealer consists of
ZOE.
Epoxy resin epoxy resin and has 2 types
Steroids A/ AH26
all of the above B /AH plus

170_ Post graduate student uses MTA the prognosis depends

on prevent:
immediate suture.
disturbance during closure of wound

171_ pin point exposure of the pulp which cell is responsible

for healing
odontoblast
osteoblast
fibroblast
Mesenchymal cells

172_ Best way to detect presence of 2 canals:

Radiographically with 2 files inside the root.
The orifices are close to each other.

173_ limitation of usage of apex locator :

narrow canal
short canal
curved canal
open apex

174_ about bacteria that cause failure of endo

staph
strep
e. feacalis

175_ what is the fracture that involves the enamel and dentin
and cementum
crown root fracture
crown fracture

176_ re-treatment case ledge occur now feel no stick:

stripping
perforation
zipping
canal formation

54 | P a g e - Dr.Bayan Al Mahari
 177_ make ledge in the canal. You want to correct this. What is
the most common complication that can occur in this step:
Creation false canal
Stripping
Apical zip
Perforation

178_While you were preparing a canal you did a ledge, then

you used EDTA with the file. This may lead to:
Perforation.
Correction of ledge
False canal
Fracture of root

179_ C shaped canals are often seen in:

maxillary first premolar
maxillary second molar
mandibular first molar
mandibular second molar

180_ Q47: Vasoconstrictor role in endo-surgery is:

inhibition of A fibers in bone
inhibition of A fibers in periodontal ligament
decrease toxicity of L. A
increase duration of L.A

☀Note: In Surgery : decrease bleeding

In Endo : increase duration

181_ How to verify the success of treatment of apical periodontitis:

decrease in the size of radiolucency
the tooth becomes asymptomatic

☀Note: If they asked about clinical success the answer will be absence of signs & symptoms.
If they asked about radiographic success the answer will be reduction in the size of
the lesion

182_Lengths of files and reamers:

22-26-30
25-28-33
21-25-31

55 | P a g e - Dr.Bayan Al Mahari
 183_Q50: What do you call the procedure of sacrificing one root of a multi-rooted tooth to
preserve the integrity of remaining tooth structure?
root amputation
Apicectomy
root end resection

☀Note: Root Amputation (Root Resection): Removal of one or two roots without removing the
crown
Which one has a positive rake angle?
184_ What is the easiest tooth for RCT?
◦ H file
Over filled
◦ k file
under filled ◦ profile
tooth with weeping canal ◦ Proptaper
K file = negative rake angle
187_ A 34 years old male patient is complaining from dull pain on biting on tooth #35, Clinical
and radiographic examinations show poor RCT and recurrent caries under amalgam filling, the
patient feels pain only with biting which subsides by release of the bite. What is your diagnosis?
periapical abscess
periodontitis
root fracture

188_ How can u differentiate between endodontic and non-endodontic pathosis :

Radiographic appearance
Radiographic location
Pulp sensibility testing
189_ patient with RCT done in lower molar 2 weeks back
represented to the clinic with pain dentist found one canal was
missed. how many canals does lower molar have:
3
4
5

190_ cause of discoloration of tooth after RCT:

debris of canal
blood inside canal
bacteria
GP above CEJ

191_ good RCT but it is exposed to oral cavity without coronal restoration for 3 months, tooth
asymptomatic with no radiolucent in x-ray, u should do:
accept RCT and we put crown
re-RCT
no treatment
follow up

192_ fractured instrument in coronal part of root, treatment is:

56 | P a g e - Dr.Bayan Al Mahari
 retrieve it
RCT
Bypass

☀Note: Apical : RCT

Middle : bypass
Coronal : retrieve it

193_ Instrument used in access opening of ceramo-metal crown?

Trans-metal bur ( Metal crown)

194_ Q61: Accessory anesthesia when pt. Feels pain during RCT After IANB
long buccal b. b ‫ اﻻﺟﺎﺑﺔ ﺑﺗﻛون‬anther LANB ‫اﻟﺳوال ﻧﺎﻗص ﺑس ﻋﻠﻰ ﺣﺳب اذا ﻗﺎل‬
Mental B. molar teeth ‫اﻟﺳؤال ﻣﻌﺎه ان اﻟﻣرﯾض راح ﺗﺳوي ﻟﮫ اﻧدو ﻓﻲ ال‬
Lingual infiltration
inferior alvolar nerve block ‫و اﻧت ﻋطﯾﺗﮫ‬
Mylohyoid
‫اﻟﺳؤال ﯾﺟﻲ ﺑطرﯾﻘﺗﯾن‬، ‫ و ﻣﺣﺗﺎج ﻣﺧدر زﯾﺎدة‬، ‫ﺑس ﺑﻌده ﯾﺣس ﺑﺄﻟم‬
195_ Continuous wave compaction:
long buccal ‫اﻟﺣﺎﻟﺔ اﻟﻌﺎدﯾﺔ ﻧﻌطﻲ‬
system b and Obtura II
mylohyoid ‫ راح ﻧﺣطﻲ ال‬mesial ‫او اذا اﻻﻟم ﻧﺎﺣﯾﺔ‬
196_During working on a patient you notice the Furcation perforation, what's the best material
to manage this:
MTA

197_Tooth with external root resorption is found to be:

Necrotic

198_Patient came with necrotic tooth & you noticed external reparation technique where the
root resorption, what's the management: apical portion of the canal is
Pulp debridement & placement of calcium hydroxide maintained free of debris by
199_ Q66: 2% taper of endo files means: recapitulation with a small file
The difference from tip to D16. through the apical foramen'.
Apical patency refers to the
200_ : Patency files: ability to pass a small No
Small file used with irrigation for recapitulation. patency file is small flexible K-
file, which is passively moved
201_ Sudden sharp intense pain is caused by which nerve fibers: through the apical constriction
A-fiber 0.5–1mm beyond the minor
C-fiber diameter, without widening it

349_patient with torus palatinus 10×10 mm in the middle of palate, what the best of major
connector:
A. Mid palatal strap
B. Horseshow strap
C. Full coverage palatal strap

57 | P a g e - Dr.Bayan Al Mahari
 350_130.patient with class III mode I kenndy classification , best major connector:
A. Mid palatal strap
B. Horseshow strap
C. Full coverage palatal strap

351_patient receive 2 sets of new complete dentures before one month

come to clinic with lower lip numbness, the possible cause will be:
A. Mentalis nerve
B. Pressure of mental foramen
C. Pressure of inferior alveolar

352_After doing apicoectomy for a tooth when can we place a crown?

A. 1-2 months.
B. 2-3 months.
C. 3-4 months

353_patient has missed lower 6 , have tilted lower 7 ( 30º) possible

complication that occur when doing preparation of
FPD on 5, 6, 7:
* Pulp exposure
*Over reduction on on side of tilted 7 cuases pulp to be exposed

354_what is position for extraction lower molar of pedo Patient

A. Mandible parallel to floor
B. Mandela 45 to Flore
C. Maxilla parallel to floor
D. Maxilla 45 to Flore

355_GG Sizes 2 ??
1. 0.5mm
2. 0.7mm
3. 0.9mm
356_with mesially carved mesial root What the appropriate treatment?
-hand file
-rotary file
-will not use G.G
-hand and rotary files

357_healthy patient did regular visits to clinic and today came for checkup doctor
decide he will do hepatitis test why coz pt has?
-pale skin
-yellowish skin and eye
-and other 2 choices

58 | P a g e - Dr.Bayan Al Mahari
 358_Pt class 2 division 2 how the anterior guidance will be?
Flat
Steep

359_Amalgam pin length

2mm
3mm
1mm

364_Weired hair cut?

* Unprofessional
* If the doctor had weird hair cut then he's thought to be unprofessional

365_What to give to patient with infective endocarditis‫؟‬

* 2g amoxicillen before surgery with 1 hr

366_When you AIDs pt , the most important finding in the lab result you should concern is
-CD4
-CD8
-basophile
-eosinophlie

367_when the eruption of neonatal teeth ?

* From 0 30 days
☀Note: Natal teeth born with them
Neonatal after birth

368_Heavy smoker how much does he smoke per day?

* More than 20 cigarettes per day ( 1 pack/ day )

269_ Type of stain of tetracycline ?

* Intrinsic stain

370_ Which L.A is contraindicated for pregnant?

-prilocaine
-lidocaine
-mepivacaine
-Etidocaine

371_111-Patient come with severe pain in lower part and there is deep caries the treatment is
RCT and there is calculus and you found impacted molar what the treatment sequence
1-Scaling , RCT , extraction
2-Scaling , extraction , RCT
3- Extraction , Scaling , RCT
☀Note: ‫ار‬ ‫ا‬ ‫دا ل‬ ‫ن‬

59 | P a g e - Dr.Bayan Al Mahari
 372_ Long scenario and then said you have deep caries& want to
place varnish under the amalgam , what is the type?
-copal
-caoh2
-zinc oxide
-GIC

373_Gingival metastasis lesion(seen most frequently in mouth)?

Mandible
Lateral border of tounge
Palate
Floor of mouth

374_ tooth with good crestal bone level(normal to mild) and there is RL lesion in furcation area
, in clinical examination there is 8mm pocket , what is the type of bone loss?
-vertical
-horizontal
-interradicular
-interdental

375_Most common abnormal finding after doing pulpotomy with ferric sulfate in primary tooth ?
-external resorption
-internal resoption
-calcification

376_African,5 years boy complaining of bilateral facial swelling, x.ray showed multilocular
radiolucenency,cause roots resorption with(Starry Sky appearance):
A- Burkitte`s lymphoma
B- cherubism
C- fibrous dysplasia

377_Function of primer is
a.Increase surface energy
b.Bonding with composite

378_Periodontally compromised lower anteriors with high lingual frenal

attachment, then which major connector is indicated:
A. Lingual bar
B. Labial bar
C. Lingual plate

379_About dentin sensitivity how can control by ,?

A. 10% strontium
B. potassium chloride
C. 5% potassium nitrate

60 | P a g e - Dr.Bayan Al Mahari
 380-Child requires graft in his alveolus what is the best graft
A. Autogenous cancellous from iliac crest
B. Autogenous corticocancellous
C. Freeze dried
D. Autogenous cancellous bone

☀Note: bone graft material from best to worse:

1)Autograft urself
2)Allograft another human
3)Xenograft animal
4)Alloplast synthetic or inorganic

381-Doctor injecting child and a story telling:

A. Reinforcement
B. Modeling
C. Behavior and support
D. Distraction
382-2% taper of endo files means:
◦The difference from tip to D16
386-Epileptic Pt should not take which drug:
1. Aspirin.
2. Metronidazole

387-3 year child come to restore his lower, first molar with destruction in to 4 surfaces ,the best
restoration?
1. Amalgam.
2. Full porcelain crown.3
3.Full metal crown = Preformed stainless steel crown.
4. Extraction.

388-Dental floss is used to prevent:

1. Discolouration of teeth.
2. Sensitivity in teeth.
3. Caries in teeth.
4. Interproximal plaque formation

389-Discoloration of the tooth under big amalgam restoration can be prevented by:
1. Using cavity varnish
2. Using correct alloy: mercury ratio.
3. Using zinc phosphate cement base.
390-High rate of fractures at canine region of mandible is due to:
1. Change of direction of forces occurring here.
2. Long canine root
3. C Lower border is thin in this area.
4. Alveolus is thin in this area

61 | P a g e - Dr.Bayan Al Mahari
 391-Lesion similar to Endo Lesion:
1. Hyperparathyroidism
2. Early stage of periapical cemental dysplasia
3. Ossifying Fibromad
4. Ameloblastoma.

392-In terms of caries prevention, the most cost effective method is:
1. Community based programs. = Community water Fluoridation
2. Private based programs
3. Individually based programs

393-Epidemiology can be defined as:

1. A study of special areas of the skin.
2. The study of the distribution and determinant of disease in man.
3. Study of biological animals.

394-The worst Type of bone

Type 1
Type 2
Type 3
Type 4

395-The best Type of bone

Type 1
Type 2
Type 3

396-alginate impression put in water for long time :

Imbibition

397-impression cab poured after 24 hour :

A/ ploy-sulfide
B/ reversible hydrocolloid
C/ irreversible hydrocolloid
D/ condensation silicon
F-Polyvinyl siloxane

398-which sealer is AH plus :

A/ resin
B/ glass inomer
C/ calcium hydroxide
D/ Silica

62 | P a g e - Dr.Bayan Al Mahari
 399-2/3 of the crown of upper 6 fracture and 1/3 remain the tooth respond normally to tests
hat s the management
A/ elective RCT then post and core then crown
B/ composite restoration

400-guid plane
A/ parallel to path of insertion
B/ parallel to lond axis of tooth
C/ perpendicular on the occlusal plan

401-Investmrnt material of metal fused porcelain:

A-gypsum bond for gold
B-silica bond
C-phosphate bond

402-Most support in maxillary denture achieved from :

A/ hard palate
B/ rogae area ( Relief )
C/ maxillary tuberosity

403-impacted canine the father refuse to e tract canine , hat s the most complication occur :
A/ resorption of lateral incisor
B/ transportation

404-most common cause of failure of implant And it s the same cause of the tooth loss :
A/ periodontal disease
B/ occlusal Trauma

405-internal resorption at the apex of tooth of upper 2 ,, history of ortho treatment before 2
ears ,, hat s the cause of resorption :
A/excessive orthodontic force

237_A patient pain related to tooth. Which is tender on percussion ... What is the best
management
Complete root canal of the distal root up to apex
Complete root canal treatment of distal root beyond the apex
Complete root canal treatment of the tooth with corrected working length

238_ What is the most imp property of MTA

It deals better than any other material
Best tensile strength
It has better shear strength than others
Higher Sealing properties than other

63 | P a g e - Dr.Bayan Al Mahari
 239_Time period of splinting tooth after avulsion:
* 2 weeks
☀Note: Avulsion more than 60 m Do rct then repositon in place and splint 4 weeks
Avulsion less than 60 m putted in suitable medium then repostion with splint 2 weeks

240_GG use for: Coronal part of root preparation

241_ A tooth with large amalgam restoration n patient feel pain throbbing and apical abscess
and u can t touch tooth??
Acute pulpitis with chronic periodontitis
Chronic pulpitis with acute periodontist
Symptomatic Irreversible pulpitis with acute apical abscess

242_ A tooth with fracture cusp dentine involve what is the status of pulp in this case
hypersensitivity
Reversible
irreversible
☀Note: If ask about dentin( hypersensitivity )

243_Irreversible pulpitis
No pain on cold
Sharp pain on hot
Mild pain with cold
Severe pain with cold

244_ Most common material used for apexogensis:

* MTA

246_Which test is not used for pulp vitality:

*Percussion

247_Tooth with yellow discoloration the cause is:

Internal resorption
Necrosis
Obliteration of canal

☀Note: Pink: internal resorption

yellow: obliteration of canal

248_Treatment of internal resorption

Condensed with amalgam
Remove remnant pulp tissue
Prepares apical to the resorption area
Silver cone w sealer to the resorption area

64 | P a g e - Dr.Bayan Al Mahari
 249_Pt came with trauma one hour ago in his tooth with moist pulpal exposure (=
contaminated) what is your treatment
Direct pulp capping
Indirect pulp capping
RCT
Extraction

250_Tooth 36 pain that lasts on cold and hot, electric test negative, percussion negative, what
treatment:
RCT
Crown
Restoration

251_ Most characteristic of irreversible pulpitis:

pain on cold,
Lingering pain on cold + shrp with hot
pain in percussion

252_Cross section of k - reamer

Triangular
Square

☀Note: K reamer: Triangular

K File: square
H File: teardrop

253_ A root seldom has 2 pulp canals

Mesio buccal root of upper molar
Mesio buccal of lower molar
Disto buccal root of upper molar

254_Wall of access should be

Divergent
Parallel
Convergent

256_ To differentiate between vital and non-vital pulp

Electric
Percussion
Palpitation
X- ray

258_Concept of protaper system?

Step back
Crown down
☀Note: Step back: hand file
Crown down: rotary

65 | P a g e - Dr.Bayan Al Mahari
 259_Gutta percha should end at :
Radiographic apex .
Internal open apex
External open apex
☀Note: ‫ه ن‬ ‫م ه‬ ‫ق ل‬ ‫م‬ ‫قز ب‬ ‫ه اا ز‬ ‫ان‬ ( ill choose A )

260_ Most narrow area in the root canal?

Apical constriction

261_Why should we use rotary systems in endodontic treatment?

*Better shaping of the canals

262_ Radiograph MOD cavity with RCT, RCT good filing but the patient felt pain . What is the
treatment ?
Reduction occlusion
Retreatment

263_ RCT done 2 days ago, patient came with pain:

Retreat
Adjust occlusion
Extract
Observation

264_ Tooth not responding to vitality test, pain on percussion:

Necrotic pulp with symptomatic apical periodontitis

265_Tooth with fistula, what would you use for radiographic tracing:
Size 10 file
Size 15 paper point
Size 20 GP ( 35 up )

266Lentulo spiral used for ?

Cementation or covering root canal with separating medium

267_Why we use water in rotary?

As a cooling system to reduce heat generation

268_What are the cells in inflammatory reaction of pulp ?

PMN
lymphocytes ( NOT SURE )
granulocyte

269_ Why we remove dentin from canal walls?

Better obturation adaptation & microorganism removal and debries

66 | P a g e - Dr.Bayan Al Mahari
 270_ Patient with radiopacity in the periapical area of 1st mandibular molar with a wide carious
lesion and a bad periodontal Condition is:
Condensing osteitis( chronic focal sclerosing osteomyelitis)

271_ a dentist did RCT for 3 canals in upper 1st molar, the patient came after few days with
pain. What is the number of canals in the upper 1st molar?
4
3

272_ patient come with severe pain in upper 6 .on examination no caries no radiographic
changes ?
Sinusitis

273_causes of overextended obturation:

Lack of apical stop
Too small size gp
Insert spreader too deep

274_ Broken instrument during RCT, best prognosis if broken at:

large part at late stage close to working length

275_ Best intra canal medication:

Calcium hydroxide

277_ Root resorption is due to force

Magnitude
Duration
Direction

278-The success of intra pulpal injection depend on:

Type of Anesthesia
back pressure of needle
depth of penetrated needle
vasoconstrictor

279-Combination between EDTA and Naocl cause?

dark precipitation
White precipitation and creamy discharge
cause nothing

280-Why we put intra canal medication between visit?

Antimicrobial

67 | P a g e - Dr.Bayan Al Mahari
 282- patient fall down in upper central without exposure. complaining of numbness of upper
lip, no change in radiograph .no teeth mobility. management?
Anti-inflammatory and follow up

283-patient with + electric pulp test with pain more than 30 sec what statue of pulp?
Pulp alive but not healthy

284-Canal usually missed in lower central:

Lingual

285-Prognosis in instrument separation in middle third?

Good
Bad

286-While doing RCT the file separated in the apical part what you will use to retrieve it:
IRS (instrument Removal system )

288- Positive electrical test means?

Vital pulp

289-Patient fell and injured the tissue the teeth intruded. What is the condition happened?
Laceration and luxation
Laceration and avulsion
Subluxation

290-he test that measure vitality of pulp

Thermal test
Oxygen Doppler

291- primary apical periodontist?

Poly microbial

☀Note: Primary apical periodontitis results from the microbial colonization of necrotic pulp
tissues.
Secondary apical periodontitis results from a persistent infection of incorrectly treated
root canals.

292-E faecalis cause Primary lesion of

Apical cyst
Apical abscess

293-Bacteria found in abscess?

Anaerobic

294-Bacteria that found in periapical lesion:

Enterococcus faecalis

68 | P a g e - Dr.Bayan Al Mahari
 295_Bacteria in endodontic pathosis mostly is:
Porphyromonas endodontalis obligate anarobe
Streptococcus mutans
Streptococcus anaerobius
All the above

296_ E. faecalis is found in:

reversible pulpitis
irreversible
apical periodontitis
abscess

297_pedo pt cam with Prominence in his central incisor from platal side :
*Talon cusp

298_for cemented crown what is type of GIS :

*Type 1

☀Note: Type 1 : luting

Type 2 : restoration
Type 3 : liner, base
Type 4 : fissure sealant
Type 5 : orthodontic cement
Type 6 : core build up

299_Pt develop submandibular swelling diffuse to all Spaces :

*Ludwig angina
300_Flappy ridge impression?
*Plaster

301_patint complement of stain what is the conservitive treatment:

_veneer
_lumeneer
_3/4 crawon

302_Patint have erosion on palatal surface of max incisor :

Bulimia ner osa

303_ We give patint l.A N Blook and he is still feel pain in the mesial root what is the nerve not
anasthsize:?
*Mylohyoid nerve

304_:Proximal Caries detection by?

*Transilluminator light

305_ Dr want to make incisions in myloheid ridge avoid trauma to:?

*Lingual nerve

☀Note: - Myloheiod : lingual nerve

- condyle : Auriculotemporal

69 | P a g e - Dr.Bayan Al Mahari
 306_ Mcspadden disadvantag ?
*Difficult in curved canals

307_ Pt. had full cover incisors crowns, a week later the pt. complained
from head and pain ant to the ears, clinical examination: +ve fremitis and
mobility. X-ray: no bone loss. What's the sub type of traumatic
occlusion?
Primar .
Secondary
Persistent.
Combined

308_Pt. need RCT in tooth with PFM crown what type of bur use:
* round diamond in porcelain and trnssmetal in metal

309_ Mother called dentist and said that the child drank fluoride
they call emergency what : the mother do?
_make him vomiting
_give him milk

☀Note: If it's more than 15mg/kg:

-Induce vomiting
-Admit to hospital
-Cardiac monitoring
-Ca gluconate iv
-Diuretics

310_Spoon -shaped nails ( koilonychias ) is a Iron :deficiency anemia may be seen in

_Sickle cell anemia

311_At the beginning of the operation day in the clinic, you should start the water/air spray for
three minutes in order to get rid of which type of microorganisms?
* Pseudomonas aeruginosa

312_systemic condition increase risk of gingivitis ?

1_pregnancy
2_diabetic periodontitis = diabetic

313_ 17yrs pt class III x-ray to show growth rate?

_Cephalometric
_ hand res

314_ primary endodontic with secondary periodontal ttt?

_endo then perio
_perio then endo
_extract

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 315_investment material of metal fused to porcelain ?
_gypsum bond
_silica bond
_phosphate bond

316_bennet angle definition??

*The Bennett angle is the angle formed by the sagittal plane and the path of the mandibular
condyle during lateral movement when viewed in a horizontal plane

317_secondary traumatic occlusal with bone loss ?

_10:20 % bone loss
_40:50 % bone loss
_30-50%

318_depth of composite in dentin 1.75-2 mm

319_bevel degree ?
*functional cusp bevel 45
*gingival bevel 30

320_ Treating a dentigerous cyst :

*If large cyst : marsupilization
*Small cyst : enucleatuon& extraction

321_Tooth to appear narrower :

*MF & DF line angles closer & more closely

323_Which of following cause discoloration of single tooth

A- improper RCT
B- tetracycline
C- dentinogensis imperfects
D- amelogenesis imperfect

324_High risk endocarditis after dental procedure

A- valve heart
B- atrial septal with murmur
C- atrial septal without murmur

325_The solution most frequently used to remove the smear layer is

ethylene diamine tetraacetic acid = EDTA

326_Cause 17 age patient with protruded upper teeth

-Thumb sucking
-Mouth breathing

71 | P a g e - Dr.Bayan Al Mahari
 327_First sign of gingival inflammation?
1st GCF increases "2-4" days
Then bleeding on probing "4-7" days
Finally change in color and texture "14-21" days!

329_bur use for rest seat RPD ROUND

330_Most common tumor in parotid gland: polymorphic adenoma

331_ Wharton duct?

parotid gland
submandibular gland
sublingual duct

☀Note: parotid gland (Stenson duct)

submandibular gland (Wharton duct)
sublingual (Bartholin duct)

332_Parotid duct stensen s Opposite max 2 molar

333_Diet for reduce the risk of caries?

Low carbohydrates

335-patient come with swelling on posterior mandible with trismus and pain during chewing,
on examination there is carious lower 6:
A. Submassteric space
B. Submandibular space

336-complication of extraction of wisdom tooth :

A. Vertical defect
B. Horizontal defect
C. Furcation involvement

237-patient take pilocarpine drug , this medication for which disease:

Sjogren's syndrome

338-patient with Parkinson disease has grade II periodontitis

excessive plaque, you advise him to use :
A. Electronic brush
B. CHK mouthwash
C. Interdental brush

339-patient lost 14 and 15 teeth , the best numbers of abutments that achieve the ante's law:
A. 13 and 16
B. 13, 16 and 17

72 | P a g e - Dr.Bayan Al Mahari
 340-patient with class II malocclusion , what is the extraction that correct case:
A. Upper 1st premolar
B. upper 2st premolar

341-patient with class III malocclusion , what is the extraction that correct case
A. Upper 1st premolar
B. lower 1st premolar

☀Note: class 2 extract : upper 4

crowding : upper 4 lower 5
class 3 extract: lower 5 4

342-when mesiobuccal cusp of upper 6 occlude mesial to buccal groove of the lower 6, what is
malocclusion :
A. class I
B. class II
C. class III

343-10 years old child that receive quard helix , the mode of expansion:
A. skeletal
B. Dental
C. 1/2 skeletal and 1/2 Dental
D. -2/3 dental, 1/3 skeletal

344-Functional appliance , which one :

A. Bionator
B. Headgear
C. Revers headgear

345-condyle rotate around which line :

A. Hinge axis
B. Midline
C. Vibrating line

346-porcelain fused to metal crown , in lap the investment material:

A. Silica investment
B. Resin investment
C. Gypsum investment

☀Note: First choice is phosphate investment.

347-In descending order put the following that affect resistance and retention of crown when
doing preparation:
A. Freedome of displacement
B. Type of cement
C. Height

73 | P a g e - Dr.Bayan Al Mahari
 348-child 8 years old come with his brother 14 years seeking for orthodontics:
A. Take photographs
B. Take impression
C. Ask their parents to come

407_gracy scaler 11, 12

- Mesial posterior
- Buccal anterior
- Distal posterior

408_The inferior alveolar nerve is branch of:

1. Mandibular nerve
2. Posterior mandibular alveolar nerve.
3. Anterior mandibular alveolar nerve

409_A child with caries in the incisors we call this caries:

1. Rampant caries.
2. Nursing caries.
3. Children caries

410_The least effective method to kill the HIV is through:

1. NaOcl.
2. Autoclave.
3. Chimoclave.
4. Ultraviolet chamber.

411_Weeping canal we use:

1. Gutta percha.
2. CaOh.
3. Formocresol.

412_Child 6 years old came to u with thumb suck already caused dental problem what u will
do:
1. Nothing.
2. Psychologist treatment.
3. Early habit breaking appliance.

413_What is the forceps used to grasp Epulis Fissuratum during surgical

procedure ?
1. Allis forceps.
2. Addison.
3.Curved hemostat

74 | P a g e - Dr.Bayan Al Mahari
☀Note: - Walsham's Forceps : For nasal fracture treatment if nasal bone is deviated it will be (Ach's forceps)
- Allis Forceps : To hold tissues perior to excision
- Addison Forceps : To hold tissues for suturing
- Stills Forceps : Per wisdom teeth suturing because it is longer than Addison's forceps.
- Artery Forceps: To ligate ruptured arteries or arteries planned to be removed.

414_Twins came to your clinic during routine examination; you found great change behavior
between both of them this due to:
1. Gender.
2. Environment.
3. Maturation.
4. None.

415_Rubber dam is important because it:

1. Improves safety.
2. Looks scientific.
3. Improves suction.

416_Child with vesicle on the hard palate with history of malaise for 3 days what is the
possible diagnosis:
1. Herpes simplex infection. ( Primary Herpetic Gingivostomatitis )
2. Erythematic multiform

417_Preparation of gold crown with excepts of gingival rescission the most proper to extent
the preparation:
1mm under the gingi al margin.
Make it on the fifth.
Make it on the third.
At the gingi al

418_Amount of daily wear of amalgam ingested in the body:

1. 1 - 3 gs /da of mercur .
2. 10 15 gs /da of mercur .
3. 25 gs /da of mercur .

419_After patient came to your clinic and gave you the symptoms and history and complains,
hat s our ne t step in treatment?
1. Clinical examination.
2. Start Endo.
3. Restore the teeth.

420_Patient with pain on 15 and this tooth undergo with RCT but he still has pain on
percussion, what u suspect?
1. Primary Apical Periodontitis.
2. Secondary Apical Periodontitis.
3. Over instrumentation

75 | P a g e - Dr.Bayan Al Mahari
 421_child 8 years old Patient with separation, he is unable to name coloror his name, this
stage is?
1. 3 years old.
2. 4 years old.
3. 10 years old.

422_You extract tooth with large amalgam restoration, how to manage the extracted tooth:
1. Autoclave and deep buried.
2. Sharp container.
3. Ordinary waste container
4. Container Designed not to be burned

423_Cracked tooth syndrome is best diagnosed by?

1. Radiograph.
2. Subjective symptoms and horizontal percussion
3. Palpation and vertical percussion.
4. Pulp testing.

424_Hunter Schreger bands are white and dark lines that appear in:
1. Enamel when view in horizontal ground.
2. Enamel when view in longitudinal ground. ( section )
3. Dentin when view in horizontal ground.
4. Dentin when view in longitudinal ground

425_pt. presented after insertion of complete denture complaining of dysphasia and ulcers
what is the cause of dysphasia?
1. Over extended
2. Over post dammed.
3. Under extended.

426_Young with swelling in the mandible ( # 6 7 -8) area, 3rd molar clinically missed, in X
ray examination we found Radiolucent is cover the pericoronal part of the 3rd molar DIAGNOSIS
1. Dentigerous cyst.
2. Central

428_Adult 20 years male with soft tissue & dental trauma reveals severe pain in soft tissues
with loss of epithelial layers and anterior upper
centrals are intruded the diagnosis is:
1. Abrasion with luxation.
2. Erosion with sub luxation.
3. Laceration with luxation.
4. Laceration with sub luxation.

☀Note: - Laceration ( deep wound)

- Abrasion ( superficial wound)
- Luxation ( intrusion, extrusion)
☀ Injery of lip : laceration

76 | P a g e - Dr.Bayan Al Mahari
 429_Patient complains from swelling in submandibular, swelling increase when patient eating
and swallowing only what type of x ray use to diagnosis:
1. Occlusal x-ray.
2. Panoramic x-ray.
3. Sialography.

430_Parotid DUCT is opposite to:

1. Maxillary premolar.
2. Maxillary 1st molar.
3. Maxillary 2nd molar.
4. Mandibular 1st molar.

431_Stock trays compared to Customtrays for a removable partial denture impression:

1. Customtrays less effective than stock trays.
2. Custom trays can record an alginate impression as well as
elastomeric impression.
3. Customtrays provide even thickness of impression material
4. All of the above.

433_26 - Proxy brush with which type of furcation:

1. I.
2. II.
3. III .
4. IV.

☀Note: - EMBRASURE ( II )
- FURCATION ( III )

434_Patient is diagnosed for ceramo metal full veneer. You plan to use epoxy resin, what's
the best impression material to be used:
1. Poly ether.
2. Poly sulfide.
3. Agar.
4. Irreversible hydrocolloid.

435-Teeth with RCT and you want to use post, which post is the least cause root fracture:
1. Ready made post.
2. Casted post.
3. Fiber post.
4. Prefabricated post.

436-Child have tooth which have no mobility but have luxation, best treatment:
1. Acrylic splint.
2. Flexible fixation.
3. Rigid fixation.

☀Note: No mobility , bcause of lateral luxation So we reposition tooth with forcep then flexible
fixation

77 | P a g e - Dr.Bayan Al Mahari
 437-For root canal treated tooth u DISIDE to put post & amalgam this depend on:
1. Remaining coronal structure.
2. Root divergence.
3. Presence of wide root.
4. Others

438-To a great extent, the forces occurring through a removable partial denture can be widely
distributed and minimized by the following methods ( lower RPD )?
1. Proper location of the occlusal rests.
2. Selection of lingual bar major connector.
3. Developing balanced occlusion.
4. All of the above.

439-The ETCHANT of most dentine bonding systems applied for:

1. 15 seconds.
2. 30 seconds.
3. 40 seconds.
4. 60 seconds.
440_Labial reduction for porcelain metal restoration must be:
1. One plane for aesthetic.
2. Two plane by follow the morphology.
3. 0.8 All.
4. Parallel to axial wall of the teeth.

441_Single rooted anterior teeth has endodontic treatment is best treated by: if a substantial
amount of coronal structure is missing ?
1. Casted post and core.
2. Preformed post and composite.
3. Performpost and amalgam.
4. Composite post and core.

442_The PH of Ca (OH) is equal to:

1. 5.5.
2. 7.5.
3. 12.5.
4. 19.5.

443_ Hypercementosis:
1. Occur in Paget disease.
2. Difficult to extract.
3. Bulbous root.
4. all of the above

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 444_After scaling and root palnning, healing occur by:
1. Connective tissue attachment.
2. Long junctional epithelium.
3. New bone and connective tissue formation.
4 New attached periodontal ligament fibers

445- Endomethazone is a root canal sealer that:

1- Dissolved in fluid so it weakens the root canal filling. ( Apical leackage )
2- Very toxic, contain formaldehyde.
3- Contain corticosteroids.
4- All the above

446_40 - Sealer is used in RCT to:

1- Fill in voids. = b/w canal walls and gutta points
2- Increase strength of RC filling.
3- Disinfect the canal

447_Patient with deep caries in the lower molar, no symptoms and there is radiopaque lesion
at the apex of the distal root of the tooth, what is your diagnosis:
1. Condensing osteitis.
2. Cemental dysplasia.
3. Periapical granuloma

448_ The periodontal tissues comprise which of the following tissues:

1. Gingiva and the PDL.
2. Gingiva, PDL, and alveolar bone.
3. Gingival, PDL, alveolar bone and cementum.
4. Gingiva, PDL, alveolar bone, cementum, and enamel

449_ Periodontal involved root surface must be root planned to:

1. Remove the attached plaque and calculus.
2. Remove necrotic cementum.
3. Change the root surface so it becomes biocompatible.
4. A and B are correct.

450_What is the best instrument used for removing unsupported enamel at the gingival wall of
class II:
1. chisel
2. hatchet
3. gingival margin trimmer

79 | P a g e - Dr.Bayan Al Mahari
 451_ Gingival retraction is done:
1. To temporarily expose the finish margin of the preparation.
2. To accurately record the finish margin and a portion of uncut
tooth surface to the margin in the final impression.
3. Even in the presence of gingival inflammation.
4. By various methods but the most common one is the retraction
cord.
1 + 2.
2 +3.
1 +2 + 4

452_The following is a non-absorbable suture:

1. Plain catgut.
2. Chromic catgut.
3. Silk.
4. All the above

453_Child patient presented with swelling in the bucal and palatal

maxillary anterior area tow days ago, the pathology of the lesion there is a giant cell, what is
diagnosis:
1. Giant cell granuloma.
2. Hemaginoma.
4. Pyogenic granuloma

454_What is the best restoration to the anterior teeth with RCT and conservative opening
access?
1. Retained post metal ceramic.
2. Retained post Jacket crown.
3. Composite.

455_ The best time to treat the pregnancy is:

1. Fist month.
2. Second month.
3. Forth to sixth.
4. Seventh month.

456_Child with anodontia and loss of body hair, the diagnosis is:
1. Down's syndrome.
2. Ectodermal dysplasia. (Hereditary ectodermal dysplasia)
3. Fructose
4. Diabetic

80 | P a g e - Dr.Bayan Al Mahari
 457_ Cavity etching before applying GIC is:
1. Polyacrylic acid 10 seconds
2. Polyacrylic acid 60 seconds.
3. Phosphoric acid 10 seconds.
4. Phosphoric acid 60 seconds.

458_ Electro surgery (voltage frequency) range :

1. 1.5 7.5 million cycle per seconds.
2. 7.5 10 million cycle per seconds.
3. 10 25 million cycle per seconds.

459_ Surgery for ridges aim to: = preprosthetic surgery ?

1. Vertical dimension.
2. Speech.
3. Modify ridge for stability

460_ Microorganism cause the initial caries: ( Microorganism particularly associated with the
initiation of the carious process )
1. Streptococcus mutans.
2. Streptococcus salivary.
3. Lacto

461_Patient on warfarin treatment and you want to do surgery, when you can do:
1. When PTT is 1 1.5 INR on the same day.
2. When PTT is 2 2.5 INR on the same day.
3. When PT is 1 1.5 INR on the same day.
4. When PT is 2 2.5 INR on the same day.

☀Note: - INR If it is 3,5 or less we can perform extraction and dental hygiene . ( PT )
INR = international normalized ratio

462_Patient with pain on the upper right area, and the patient can not tell the tooth causes the
pain what is the least reliable way to do
test pulp:
1. Cold test.
2. Hot test.
3. Electric test.
4. Stimulation the dentine.

463_You want to make amalgam restoration with pin; the pin should go in the dentine:
1. 1mm.
2. 2-3 mm. 2mm
3. 5mm.
4. Should be in the enamel

81 | P a g e - Dr.Bayan Al Mahari
 467_ Facial Skeleton formed from:
1. neural crest cells
2. Para

468_Streptococci detected by ( biochemical tests ):

1. Catalase test.
2. Carbohydrate Fermentation Test
3 Gram stain

469_Apicoectomy what is the right statement ( about indication ):

1. Incisor with an adequate RCT and 9mm lesion.
2. Lateral incisor with good condensing RCT but swelling and pain

470_14 days after the treatment, the tooth asymptomatic before the obturation. First upper
premolar with lesion on the bucal root We can use under the composite restoration:
1. Varnish.
2. Zinc oxide and eugenol.
3. Ca (OH).
4. Zinc phosphate cement.
1+2.
3+4.
2+4.

471_Bitewing exam is used to diagnose EXCEPT:

1. Proximal caries.
2. Secondary caries.
3. Plaque and Gingival status.
4. Periapical abscess.

472_Autoclaving technique is depending on:

1. Dry heat.
2. Steam heat ( under pressure )
3. Chemicals.

473_ Tooth with crown fraction under the gingival and we want to use it, the treatment
1. Amalgam post core under the gingival.
2. Extrusion orthodontic.
3. Restoration under the gingival.

474_ Persons who are working in glass factories they have the disease:
1. Silicosis.
2. Asepsis.

475_ Laser used in endodontic is: ( Root canal preparation ?)

1. Co2.
2. Nd (YAG).
3. Led.

82 | P a g e - Dr.Bayan Al Mahari
 476_When removing lower second molar:
1. Occlusal plane perpendicular to floor
2. Buccolingual direction to dilate socket
3. Mesial then lingual

477_Atropine:
1. Dries secretion such saliva.
2. Depresses the pulse rate.
3. Cause central nervous system depression.

478_Trauma to upper central, the decision is to extract the tooth ,and the patient is young and
wants to replace the tooth immediately after extraction. Best Type of pontic to be designed?
1. Ovate.
2. Egg shaped.
3. Hygienic.
4. Ridge lap.

479_- X-ray periapical for immature tooth is:

1. Generally conclusive.
2. Simply inconclusive.
3. Should be compared with contralateral and adjacent tooth.

480_ The use of low speed hand piece in removal of soft caries in children is better than high
speeding because:
1. Less vibration.
2. Less pulp exposure.
3. Better than high speed.

481_Osteogenesis during endodontic surgery aimed to prevent:

1. Fibroblast growth.
2. Growth factor.
3. Formation of blood.

482_The working surfaces in operation theatre should be disinfected especially for HIV, by
using:
A. Savlon
B. Gamma radiation
C Hypochlorite solution

484_For discharged instrument (blades, needle tips, wedges, etc) put in:
1. Discharged paper box.
2. Designed sharp instrument special container.
3. Disinfectant solution then

83 | P a g e - Dr.Bayan Al Mahari
 486_ In GV black formula : The measurement of the angle of the Blade to the long axis of
the handle is
1. First number.
2. Second number.
3. Third number.

☀Note: - 1ST ( blade width )

- 2nd ( blade length )
- 3rd ( blade angle )

487_30 - When extracting all max teeth the correct order is:
1. 87654321.
2. 87542163.
3. 12345678

489_32 Drug used to decrease saliva during impression taking is:

1. Anticholinergic agent.(atropin)
2. Cholinergic.
3. Antidiabetic.

490_The tooth most commonly removed surgically:

1. Canine.
2. Lower third molar.
3. upper third molar

491-All regard to dentist has needle brick of HBV pt. except:

1. Allow wound to bleed don't scrub.
2. Wash with water then put plaster.
3. Consult immunological unit.
4. pressure on the wound to stop bleeding

492-Squamous cell carcinoma is a malignant from:

1. Skin.
2. Mucous membrane.
3. Gland tissue.
4. Mucous epithelial membrane. ( oral epithelium )

493-Father for child 12 year Pt asked you about, the age for the amalgam restoration of his
child, you tell him:
1. 2 years.
2. 9 years.
3. 2 decade.
4. All life.

84 | P a g e - Dr.Bayan Al Mahari
 494-Pt has unilateral fracture of left the condoyle, the mandible will:
1. Deviate to the left side. ‫ﯾﻛون اﺗﺟﺎه اﻟﻛﺳر ﻧﻔﺳﮫ‬
2. Deviate to the right side. ( opposite side )
3. no deviate

495-4year child come to restore his lower first molar with destruction in 3 to 4 surfaces ,the
best restoration:
1. Preformed crown. = preformed stainless-steel crown
2. Full porcelain crown.
3. Full metal crown.

496-Selection of shade depends on all of the following EXCEPT:

1. Take shade before extraction.
2. Look at yellow board before selecting shade.
3. Selection of shade depends by order on: value chrome, hue.
4. not more than 5 seconds taken to select shade

497-Tooth discoloration from amalgam filling prevented by:

1. Cavity varnish.
2. Proper triturating.

498-patient have a complete denture come to your clinic he complain of gagging he wear the
denture for 5 years he feel the gagging in the first few days and it disappear what is the cause:
1. Extend of the upper denture.
2. The patient has sensitivity to gagging.

499-- Arrange the steps:

1 ca (oH) > 2 bases > 3 varnish > 4 amalgam.

500-Rigid palatal strap major connector the material of construction is:

1. Co-Cr. (Cobalt Chromium)
2. Gold it.
3. Wrought wire.

501-Gingival condition occurs in young adult has poor oral hygiene was weakened:
ANUG. = Acute necrotizing ulcerative gingivitis

502-Prophylactic antibiotic needed in:

1. Local Anesthesia not intraligamentary.
2. Suture removal.
3. Routine tooth brushing.
4. Orthodontic band.

85 | P a g e - Dr.Bayan Al Mahari
 503-Caries progression in children more rapid than adult due to:
1. Difference in PH.
2. Generalized dentine sclerosis by age. = (physiological dentin sclerosis) .
3. Increasing in organic content of tubular dentine by age.

506-Instrument used to handle the needle is:

1. Curved hemostat.
2. Adson forceps.
3. Allies forceps.

☀Note: - Allis for epulis fissuratum

- Addson for flap
- Curved hemostat for needle

507_Porcelain, highly esthetic, anterior maxilla area, we choose:

1. Decor.
2. In Ceram.
3. Impress.

508_The highest strength in porcelain:

*ZR (zirconia) reinforced inceram

509_Main disadvantage of chlorhexidine mouthwash :

* Staining of the teeth.

510-After bleaching a tooth, we want to restore the tooth with composite resin, e don t ant
to compromise the bonding, and we wait for:
1. 24 hours.
2. A week.
3. Choose a different material.

512-7 year old boy came to the clinic in the right maxillary central incisor with large pulp
exposure:
1. Pulpectomy with Ca (OH) 2.
2. Direct pulp capping.
3. Leave it.

513-What kind of periodontal probe is used in the furcation area?

1. WHO.
2. Nabers probe.
3. UNC 15.
4. Michigan

514-Pt taken heparins he should do surgery after:

1. 2 hr.
2. 4 hr.
3. 6 hr.

86 | P a g e - Dr.Bayan Al Mahari
 515- Streptococcus mutants cause caries &this disease is:
1. Epidemic.
2. Endemic.
3. Isolated

516-Silane coupling agent:

1. Used with porcelain to enhance wettability of bonding.
2. Used with tooth and porcelain.

517-The power toothbrush invented in:

1. 1929.
2. 1939.1954
3. 1929.
4. 1959.

518- What kind of suture used under the immediate denture:

1. Horizontal matter suture.
2. Vertical matter suture.
3. Interrupted suture.
4. continuous locked suture

519 - 30years old pt came to the clinic with brownish discoloration of

all his teeth (intrinsic discoloration) & yellowish in U/V light the most
likely cause is:
1. Flourosis.
2. Tetracycline Discoloration
3. Amelogensis imperfect.
4. Dentogensis imperfectea

520-Pt came to the clinic complaining from soreness in the tongue

sore throat the diagnosis is:
Burning mouth syndrome. ( Neural )

521-Old pt came to replace all old amalgam filling he had severe occlusal
attrition the best replacement is:
1. Composite.
2. Amalgam.
3. Cast metal restoration.
4. Full crowns

522-Teenager boy with occlusal wear the best treatment is:

1. Remove the occlusal.
2. Teeth capping. = mouthguard - soft splint
3. Restoration.

523-Which of most likely cause of periodontal cyst: ( latral periapical)

1. Cell rest of Malassez . ( epithelial cell rests of Malassez )
2. Cell rest of serss.
3. Cell of hertwig sheath.

87 | P a g e - Dr.Bayan Al Mahari
524-The percentage of simple caries located in the outer wall of the dentin
(proximal sides of the tooth) which left with out cavitations is
around:
1. 10 %.
2. 30 %.
3. 60 %.
4. 90 %

525-What is the usual time for isolating Chickenpox pt. from the around
people:
1. One week.
2. Until the vesicles become crusted.

526-Nitrous oxide affects:

1. Vit A.
2. Vit B6.
3. Vit B12.
4. Vit C.

527-Water irrigators are used for:

1. Plaque removes.
2. Remove debris between teeth

528-5 years old pt had extraction of the lower primary molar & he had
fracture of the apex of the tooth what is the best treatment:
1. Aggressive remove.
2. Visualization & remove.
3. Visualization & leave.

529-the most common professional use of fluoride in pedo are:

1 Acidulated phosphate fluoride (APF) 1.23%
2 sodium fluoride (NaF),
3 stannous fluoride
☀Note: PEDO:APF
ADULT:NAF

530-Mucoceles the best treatment is:

1. Excision. ( Surgical excision )
2. Leave it.
3. Marspuilization.
4. Cauterization.

531-Most effective method to prevent dental caries:

1. Water fluoridation.
2. Fluoridated tooth past

532-Preparation of gold crown with excepts of gingival rescission the

most proper to extent the preparation:
1mm under the gingi al margin.
Make it on the fifth.
Make it on the third.
At the gingi al.

88 | P a g e - Dr.Bayan Al Mahari
533- Minimal facial reduction when preparing for veneers:
1. 0.3 mm.
2. 0.3-0.5 mm.
3. 1-1.5 mm.

534-Pt came after 24 month of tooth replantation which had

ankylosis with no root resorption it most likely to develop root resorption in:
1. Reduce greatly. -NOT SURE-
2. Increase.
3. After 2 years.
4. After 4 years

535- the most affect tooth in nurse bottle feeding:

1. Lower molars.
2. Upper molars.
3. Maxillary incisors.
4. Mand incisor.

536-patient in the clinic had Bronchial asthma on the dental chair

you will give him epinephrine subcutaneously:
1. 1/1000.
2. 1/10000.
3. 1/100000.

537-Testing a tooth with porcelain fused to metal with:

1. Cold test.
2. Cold and hot.
3. Cold with rubber dam. ( the rubber dam and ice water test )

538-Die ditching means:

1. Carving apical to finish line.
2. Carving coronal to finish line.
3. Mark finish line with pen.

539-Root canal irrigant used to kill E. faecalis

1. NaoH.
2. MTAD.
3. Saline.

540-Hand instrument which we used to make internal angles retentive

grooves and preparation of cavity walls in the cavity is:
1. Angle former.
2. Chisel.
3. File.
4. enamel hatched

541-The vertical fracture of the tooth detected by:

1. Periodontal pocket. (narrow)
2. Radiographically.
3. vertical percussion

89 | P a g e - Dr.Bayan Al Mahari
542-Impression material cause bad taste to patient:
1. polysulphide ( unpleasant test )
2. Polyether.
3. Additional silicon.
4. Alginate.

543-Dry socket ( alveolar osteitis ) appears ( symptoms ) after

extraction :
1. 24 hours.
2. 2 3 days.
3. 1 week.

544-Patient with simple herpes ( Herpes Semplex ), treated by

Acyclovir.The dose should be given is:
1. 400 mg/ three times per day.
2. 200 mg/ five times per day. For 5-7 days
3. 800 mg/ three times per day.

545-One of the prim considerations in the treatment of fractures of the

jaw is :
1. To obtain and maintain proper occlusion.
2. Test teeth mobility.
3. Vitality.
4. Embedded foreign bodies

546-YEARS old patient need to make complete denture has ( thick labial
frenum with wide base) the operation:
1. Vestibuloplasty. - NOTE SURE-
2. Z-plasty.
3. Subperiostumincision.
4. Deepmucoperiostumincision

547-Scrap Amalgam keeps under:

1. Radiographic Fixer solution.
2. Developer.
3. Water

548-Amalgam restoration and there is also gold restoration, result in

galvanic action to manage:
1. Wait.
2. Change restoration. ( replace amalgam with non metallic restoration )
3. Varnish.
4. Separating medium.

549-Patient with leukemia absolute neutrophilic count is 1700 what oral

surgeon should do:
1. Go on the manover.
2. Postpone another day.
3. Work with prophylactic antibiotic.
4. Platelets transfusion.

90 | P a g e - Dr.Bayan Al Mahari
550-A child at dentition age is suffering from:
1. Diarrhea.
2. Sleep disorders.
3. Increased salivation

551-The outline form of upper maxillary molar access opening is

Triangular, The base of this triangle is directed toward:
1. Buccal.
2. Palatal.
3. Mesial.
4. Distal.

552-What is the most factor encouraging dental caries?

1. Xerostomia.
2. Hypo calcification.
3. Smoking.

553-Hypercementosis and ankylosis is seen in:

1. Paget disease.
2. Monocytic fibrous dysplasia.
3. Hyperparathyroidism.

554-The infection will spread cervical in infection from:

1. Lower incisors.
2. Lower premolars.
3. Lower 2nd and 3rd molars.
4. Upper incisors

555-In maxillary upper first molar, Fourth canal is in the :

1. Mesiobuccal root.
2. Distobuccal.
3. Mesio lingual.

556-Osteoradionecrosis is more in:

1. Maxilla.
2. Mandible.

557_Dentinogenesis imperfect has all EXCEPT:

1. Easily fractured bone.
2. Easily fractured enamel.
3. Blue sclera.
4. Supernumerary teeth.

558_ Retention of amalgam depends on:

1. Amalgam bond.
2. Convergence of walls oclusally.
3. Divergence of walls occlusally.
4 Retentive pins.

559_Student came to clinic with severe pain, interdental papilla is inflamed, student has:
1. Gingivitis.
2. ANUG.
3. Periodontitis.

91 | P a g e - Dr.Bayan Al Mahari
560_Which of following restoration more likely to cause wear to opposing?
1. Composite.
2. Gold.
3. Porcelain.
4. Amalgam.

561_Acidulated phosphate fluoride (APF):

1. 1.23%.
2. 2%.
3. 2.23.
4. 3%.

562_Radiolucent lesion with scalloped border above inferior alveolar

canal between roots of mandibular molars, this lesion is:
1. Solitary cyst.
2. Anyresmal bone cyst.

563_Patient 6 years old came to your clinic after he had bicycle accident
one day after, with swelling at his lower lip, clinical examination
shows, teeth did not hurt, what you will do:
1. X-ray.
2. Endo for lower incisors.
3. Pulpotomy.

564_Perforation during endo space preparation what is the most surface

of distal root of lower molar will have tendency of perforation:
1. M surface. ( mesial wall of distal root )
2. D surface.
3. B surface.
4. L surface.

565_17 Acceptable theory for dentinal pain:

1. Hydrodynamic theory.
2. Fluid movement.
3. Direct transduction

566_ Pregnant 25 years, bleeding on probing, location on papilla of

anterior area of the maxilla, isolated:
1. Giant cell granuloma.
2. Pyogenic granuloma
3. Giant cell granuloma

567_19 Pt came to the clinic complaining from pain related to swelling

on maxillary central incisor area with vital teeth under percussion:
1. Periapical cyst.
2. Incisive canal cyst (nasopalatin duct cyst).
3. Globulomaxillary cyst.
4. Anuyrsmal bone cyst.

92 | P a g e - Dr.Bayan Al Mahari
568-Caries detection dye composed mainly of:
1. Acid fuschin.
2. Basic fuschin.
3. Propylene glycol.( polypropylene glycol )

569- Pt came have distal root having periapical radioluscency

denoting the need for endo but pt is financially restrained And wants
to extract the tooth What u do:
1. Tell him to go to another dentist.
2. Followt he pt and extract the tooth.
3. Explain benefit of do nothing, endo and extraction.
4. Explain the pt. benefits of do endo, as saving of the tooth then if he restrains, write that in his
chart ( record ) and extract the tooth.

570-Pt has maxillary posterior partial denture with porcelain teeth He

then lost the mand Posterior teeth what type of teeth used for mand
Partial denture:
1. Porcelain.
2. Acrylic.
3 Metal

571-Orthodontically treatment tooth having rosorption in the canal

what to do:
1. Repeated dressing with calcium hydroxide.
2. Single visit endo.

572-When doing cantilever bridge all except:

1. Small in all diameters.
2. High yield strength.
3. Minimal contact.
4. Small occlosogingivally.

573- Autoclave relative to 100f dry oven:

1. The same time.
2. Slightly higher time.
3. Considerable higher time.
4. Less time.

574-Buccal branch of facial is:

1. Sensory.
2. Motor.
3. Mixed.
☀Note: Motor innervation to muscles of facial expression

575-Pt came to the clinic& u reveled under medical history he had chronic renal failure; he used
to do hemi dialysis the treatment should be:
1. Before one day of dialysis.
2. On the day of dialysis.
3. After one day of dialysis.
4. After one week of dialysis.

93 | P a g e - Dr.Bayan Al Mahari
576-During the orthodontist removes orthodontic brackets he noticed white decalcified lesion
around the bracket what to do:
1. Microabration and application of pumice then fluoride application.
2. Composite resin.
3. Leave and observe

577-Pt presented with bicycle accident u suspect presence of bilateral condylar fracture what is
the best view to diagnose cond. Fracture:
1. Occiptomenatal.
2. Reverse towne Projection
3. Lat oblique 30 degree.

578-Patient on long term antibiotic came with systemic candidias, treatment with :
1. amphotericin B.
2. Flucanzol

579-Patient with Systemic candidiasis, best treated by :

1. amphotericin B.
2. Flucanzol.

580-Patient Is on 10 mg corticosteroids (prednisolone) for months, need dental extraction, you

will:
1. Give antibiotics.
2. Double doze the day of extraction. .
3. Double doze one day before, the same day, and day after surgery
4. Take no action

581-Pt came complain of fracture at the metal porcelain interface may be due to:
1. Failure to condition tooth before application of opaque.
2. Thick body porcelain.
3. Centric contact made at metal porcelain interface.

582-Pt have a complete denture came to the clinic ,tell you no complaint in the talking ,or in the
chewing ,but when you exam him, you see the upper lip like too long ,deficient in the margin ate
of the lip, reason is:
1. Deficiency in the vertical dimensional.
2. Anterior upper teeth are short.
3. Deficient in vit B.

583-Female come need to endodontic for central insical ,and have media composite restorations
in the mesial and distal walls ,and have attrition in the insicial, edge the best restoration?
1. Jacket crown.
2. Full crown. = Full ceramic
3. Metal crown.

584_ How can alter the sitting time for alginate:

1. Alter ratio powder/ water.
2. Alter water ratio.
3. We can't alter it.

94 | P a g e - Dr.Bayan Al Mahari
585_Secondary dentine occurs due to: (reparative dentin )
1. Occlusal trauma.
2. Recurrent caries.
3. Attrition dentine.
4. All of the above.

586_ All of these are ways to give L.A with less pain EXCEPT:
1. Give it slowly.
2. Stretch the muscle.
3. Topical anesthesia.
4. The needle size over than 25 gauge

587_True apex (or obturation):

1_0.5-1 mm shorter than radiographic apex (at the DCJ dentinoCemental junction).
2_0.5-1 mm beyond radiographic apex

588_Dentist provided bleaching which also know as (home bleaching) contain:

1. 35-50%hydrogen peroxide.
2. 5-22% carbamide peroxide
☀Note: In office 35% gel

589_The primary source of retention of porcelain veneer:

1. Mechanical retention from under cut.
2. Mechanical retention from secondary retentive features.
3. Chemical bond by sialine coupling agent.
4. Micromechanical bond from etching of enamel and porcelain

590_pt. presented to u complains of click during open and close. There is no facial asymmetry
except when opening what is the diagnosis:
1. Internal derangement with reduction.
2. Internal derangement without reduction.
3. Rheumatoid arthritis.

☀Note: Click: with redction

No clicking: without reduction

591 Child 10 years come with trauma on the center incisal a year ago ,and have discoloring on
it ,in the exam, no vitality in this tooth ,and in the x ray there is fracture from the edge of the
incisial to the pulp ,and wide open apex the best treatment:
1. apexification
2. RCT with qutta percha.
3. Extract.
4. Capping

592_Patient came to your clinic complaining of pain; upon examination ou can t find a clue.
What s the ne t logical step to do in investigation?
1. MRI.
2. Panoramic x-ray.
3. CT scan.
4. Regular tomography.

95 | P a g e - Dr.Bayan Al Mahari
593_The common cause of fainting in dental clinic are:
1. Vaso-vagal shock.
2. Diabetes.
3. Fear.

594_49 - Sharpening the curette and sickle scaler, the cutting edge should be at angle:
1. 50-60.
2. 70-80.
3. 80-90.

595_All these are contraindicated to RCT except:

1. Non restorable tooth.
2. Vertical root fracture.
3. Tooth with insufficient tooth support.
4. Pt who has diabetes or hypertension

596_Pt came to dental clinic having a homological problem after lab test they found that factor
VIII clotting acti it is less 10% hat s the diagnosis:
1. Hemophilia A.
2. Hemophilia B.
☀Note: Hemophilia A: VIII
Hemophilia B: IX

597_65 Years old black man wants to have very white teeth in his new denture what should the
dentist do:
1. Put the white teeth.
2. Show the patient the suitable color first then show him the white one.
3. Convince him by showing him other patient's photos.
4. Tell him firmly that his teeth color is good.

598_Provisional restoration for metal ceramic abutment is:

1. Aluminum sheet.
2. Stainless steal crown.
3. Zno.
4. Tooth colored polycarbonate crown.

599_Formacresol When Used Should Be

A. Fifth Saturated
B. Full Saturated
C. Half Saturated
D. None Of Above

600_Patient Complain From Bleeding Gum Around Implant No Bone Loss,Pocket Depth
4mm,What Is The Prognosis After Ttt
A. Favorable
B. Questionable

601_Galvani shock
A. Put Varnish
B. Change Restoration
C. Wait

96 | P a g e - Dr.Bayan Al Mahari
602_Minimal Duration From First Rct To A reendo
A. 1month
B. 6days

603_Verruciform Xanthoma Caused By

A. Immunosuppression
B. Allergy

604_Pt. Present In Severe Pain. The Periapical Area Over The Involved Tooth Is Inflamed And
Swollen. The Tooth Is Mobile And Depressible In Its Socket With A Diffused Radiolucency. The
Diagnosis Is
A. Acute Apical Periodontitis
B. Chronic Apical Periodontitis
C. Acute Exacerbation Of Chronic Apical Periodontitis
D. Abscess

605_What Cause Hyperalgesia?

A. Prostaglandin And Serotonin
B. Substance P

606_8 Years Old Child Trauma Of Maxillary Incisor The Material Used For First Visit Apexification
A. Ca(Oh) +Cmc
B. Mta
C. Zoe

Child Has Superficial Injry With Few Epithelial Lining Damage, Intrusion Of Tooth
A. Labrasion With Luxation
B. Laceration With Luxation
C. Laceration With Subluxation

609_Contraindication Of Root Resection

A. Vertical Root Fracture
B. Vertical Bone Fracture
C. Horizontal Root Fracture

610_The Punch Hole In Rubber Dam For Anterior Teeth In A Child Is

A. Small
B. Medium
C. Large

612_Indirect Sequelae Of C.D

A. Altered Taste Perception
B. Alveolar Ridge Resorption
C. Oral Cancer Atrophy in masticatory muscles

613_Intra ligamentary Injection Causes Pulpal Circulation To

A. Cease For 30 Minutes
B. Decrease Slightly
C. Marked Decrease - NOT SURE -
D. No Change

97 | P a g e - Dr.Bayan Al Mahari
614_Patient Returns With Pain After 1 Week Of Rct. Iopa Reveals Rct Failure.Whats Your
Immediate Approach
A. Analgesic
B. Start Re Rct
C. Schedule For Apicectomy
D. Antibiotic And Analgesic

615_Caries Prone Patient.Dentist Prescribe Fluoride And Ask Patient To Reduce His Carbohydrate
Intake And Use Fluoride Mouthwash. Patient Returns After 2 Days With
A. Gingival Enlargement
B. Staining
C. Dry Mouth
D. No Effect

616_Most Common Feature In Diabetics

A. Periodontal Abscess
B. Gingival Recession
C. Mobile Teeth
D. Periodontal Pocket

617_What Is The Etiology For Posterior Open Bite In Children During The Eruption Of Lateral
Incisor
A. Functional Shift
B. Imbalance Between Tongue And Cheek Improper Swallowing
C. Improper Chewing

618_Unilateral Posterior Crossbite During Eruption Of Lateral Due To

A. Functional Shift
B. Imbalance Between Tongue And Cheek
C. Improper Swallowing
D. Improper Chewing E-Tongue Posture
☀Note: Functional shift: Open bite & crossbite

619_Which Artery Of Upper Lip Most Blood Supply :

A. A-Facial
B. B-Maxillary

620_Flappy Ridge Need Special Impression Tech What Is The Suitable Material For The Flappy
Part In The Impression
A. Plaster Of Paris
B. Znoe
C. Agar Agar
D. Compound

621_Flappy Ridge Need Special Impression Tech What Is The Suitable Technique For The Flappy
Part In The Impression
A. Plaster Of Paris
B. Znoe
C. Agar Agar
D. Compound

98 | P a g e - Dr.Bayan Al Mahari
622_12 Yrs. Old Boy With Mobile Upper Central And Upper 6 And So Bad Oral Hygiene With
Severely Inflamed Gingiva And Radiograph Show Massive Loss Of Alveolar Bone
A. Early Periodontitis
B. Papilon Le Fever Syndrome
C. Chronic Periodontitis

623_Tooth Number 26, Had A Root Canal Treatment Since Two Years, Upon X-Ray You Found A
Radiolucency With Bone Resorption Along One Of The Roots
A. Ca(Oh)2
B. Resection Of The Whole Root
C. Redo Rct -NOT SURE-
D. Periodontal Curettage

624_In Rct, Over Preparation Of The Outer Wall Of The Outer Curvature Of The Canal With
Inflexible Instrument Will Cause
A. Zipping
B. Perforation
C. Elbow Formation
D. Ledge Formation

625_The Posterior Seal In The Upper Complete Denture Serves The Following Functions
A. It Reduces Pt. Discomfort When Contact Occurs Between The Dorsum Of The.Tongue And The
Posterior End Of The Denture Base
B. Retention Of The Maxillary Denture
C. It Compensates For Dimensional Changes Which Occur In The Acrylic Denture.Base During
Processing
D. B & C

626_Which Most Important Action Of Inflammation Which Causes Pulp Necrosis

A. Odntoblast Degeneration/ Destruction
B. Odontoblast Aspiration
C. Dilatation Of Vessel/ Vascular Dilation D.Leukocytes Diapedesis

627_Acute Child Abuse

A. Lacerations Lip. Cut Toung. Trauma Teeth
B. Lacerations Lip. Cut Toung. Cigarette Burn
C. Healing Trauma Of Teeth Trauma
D. Healing Cigarettes Burn

628_Patint With Classlll Caries In Central What Use When Restor:

A. Strip
B. Sectional
C. Circumferential

629_Pt Came To Clinic Need Class 2 Partial Denture Dentist Decide That He Need Indirect
Retainer In Opposite Side. Which Of The Following Has Well Developed .Cingulum
A. 11
B. 21
C. 22
D. 13

99 | P a g e - Dr.Bayan Al Mahari
630_Etching Veneer By Use
A. Phosphric Acid
B. Buffered Hydrofluoric Acid 9%

631_Patient Want Bleach We Check Her Teeth Before Bleaching And It's Good There Is No
Problem Normally ..After Bleaching At The Same Day She Backs And Compliment Of Sever Pain.
A. Gingival Burning Because Improper But Gingival Dam
B. Material sensitivity
☀Note: IF - immediately (At the clinic when you do) : A
- after bleaching : B

632_Case About Patint Have Erosion On Palatal Surface Of Max Incis

A. Bulimia Nervosa
B. Erosion
C. Abrasion

633_Dr Want To Make Incisions In Myloheid Ridge Avoid Trauma To-

Lingual Nerve

634_Class One Deep Cavity The Best Base Under Composite

A. Zoe
B. Zinc Phosphate
C. Calcium Hydroxide
D. Rmgi

635_Level Of Chemicals Disinfecting Should Be

A. Immersion The Material
B. Cover Half Of The Material

636-Patient complains from pain in TMJ. During examination you noticed that during opening of
the mouth mandible is deviate to the right side with left extruded. Diagnosis is:
A. disc displace with reduction
B. disc displace without reduction

637-A 60 Year Old Woman Comes To The Clinic With Complaint Of Angular Cheilitis And She Has
-Been wearing the same dentuet for last many years, what is the cause :
Cause of angular chielitis on this case of wearing denture

638-When Is The Best Time For Crucial Intervention To Stop Active

Thumb Sucking Habit
A. Primary Dentition
B. Early Mixed Dentition
C. Late Mixed Dentition
D. Permanent Dentition

639-Pt Came With Severe Pain Related To Pericoronitis Of Lower Third Molar Which Is Partially
Erupted. What Is The Best Tx
A. Irrigation With Hydrogen Peroxide & Prescription Of Antibiotic
B. Prescription Of Antibiotic & Surgical Removal Of Inflamed Tissue
C. Immediate Extraction Of The Offended Tooth

100 | P a g e - Dr.Bayan Al Mahari

640-Pt Came With Pain Under Amalgam Filling, He Pain Is Become Sever And Lingering For 5 To
10 Mins After Any Cold Stimuli, Pt Feel Pain Also On Chewing Food And On Biting. Tooth Has
Positive Response To Cold Test And Percussion
A. Symptomatic Irreversible Pulpitis & Symptomatic Periodontitis
B. Reversible Pulpitis & Symptomatic Periodontitis
C. Asymptomatic Irreversible Pulpitis & Symptomatic Periodontitis
D. Symptomatic Irreversible Pulpitis & Asymptomatic Periodontit

641-Dye That Used With Toludene Blue To Differentiate Between Cancer

& Normal Cells
A. Methylene Blue
B. Lugol
C. Congo Red

642-Pt With Sensitivity Due To Gingival Recession On Upper Central

Incisor, What Is The Best Tx
A. Fluoride Varnish

643-High Tuberosity Block Technique Anesthetize The

A. Maxillary Nerve
B. Posterior Superior Alveolar Nerve
C. Middle Superior Alveolar Nerve

644-Calcifying Odontogenic Tumor Histology

A. Ghost Cell
B. Parakratenize
C. Orthokratenize

645-Success Of Endo Rotary

A. Prepration Coronal Flaring
B. Use Edta
C. Irrigation

646-The Name Of Tool Measuring Ridge Width:

A. Willson Caliber
B. Vernier Calibre

647-Before Placing Restoration In Pedo In Prepared Cavities

A. Clean &Dry
B. Cavity Varnish
C. Base
D. Caoh2 Liner

648-When Doing Re-Endo To Remove Gp , Best Method Is

A. Chemical
B. Mechanical
C. Heat
☀Note: Chemical-Mechanical )‫ز ض‬ ‫(ا‬
‫ب ان ف ق‬ ‫ا‬ ‫دة ا‬ ‫ن ا اب‬

101 | P a g e - Dr.Bayan Al Mahari

649-What's The Logic Method To Detect Working Length
A. Precurve Initial File Before Canal
B. Bisecting Parallel Peru Apical Radiographe
C. Measures By Calculating
D. Push Small File Passing The Foramen

650-Peado,Right Central Incisor Is Shorter Than Left By 2 Mm:

A. Intrusion
B. Avulsion
C. Extrusion

651_Years Girl With Impacted Upper Canine, Father Refused

Surgical Extraction:
A. Spontaneous Eruption
B. Resorption Of Adjacent Lateral Incisors

652-Peado With No Caries,No Missing Teeth, Sjogren Syndrome:

A. Low Caries Index
B. Medium Caries
C. High
☀Note: Because dry mouth

653_Pt Want Implant For Missing Tooth, Oral Examination,Ct , Primary Impression , Cast Have
Been Done , What Ia Next?
A. Complete Blood Count
B. Mri

654_Pt After Fixed Appliance Placing,Copmplaining Of Sever Laceration & Ulceration , On

Examination There Is Excess Wire Is The Cause:
A. Clip The Wire
B. Put Gauz
C. Put Wax Around It
D. Assure The Pt & No Treatment

655_Innervation Of Hard Palate?

* Greater palatine nerve

656_Blood Supply Of Floor Of The Mouth?

* the sublingual branch of the lingual artery.

657_Cause Of Cleft Palate?

A. Failure Of Nasal Process To Join
B. Failure Of Maxillary Processes To Join
C. Failure Of Maxillary & Nasal Process To Join

658_Diapetic Pt Complaining Of Sever Pain, Need Necessary Extraction,

He Did Not Take Insulin, Investigations:
#Rbg ( Do Not Remember But Hight)
#Hbc1 (7% - Normal 5.5%), What Is Management:
A. Give Insulin
B. Extraction Then Give Insulin
C. Wait Until Infection Occure _Give Prophylaxis Antibiotic

102 | P a g e - Dr.Bayan Al Mahari

659_25 Yrs Lady Complaining Of Sever Pain, Intruptted With Sleeping, .. She Is 68 Da s
Pregnant:
A. Take Panorama X.Ray
B. Give Her Intibiotic & Antifungal
C. Do Elective Rct Then Refer To Endodontist

660_Pt Had Stroke 2 Or More Years Ago,Paralaysed, Can Not Move His Hands, Wearing Dirty &
Old Upper Crd, Pt Complaining Of Small & Red Elevations On Hard Palate, Cause Is:
A. No Cleaning & Unintermetted Wearing Of Denture
B. Denture Is Strongly Retentive To Upper Thin Mucosa

661_Pt With Infective Endocarditic Or Prosthetic Valve (Do Not Remember), How U Arrange The
Dental Appointment To Prevent Resistance To Penicillin :
A. Every 7 Days
B. 14 Days

662_Removal Of Undermined Enamel In Class 2, Broximal Box Floor:

A. Gingival Marginal Tremor
B. Hatchet
C. Small Round Bur

663_Amalgam Class 2, The Retention Form Of Box Lingo-Buccally:

A. 1-Divergence Toward Occlusal Surface
B. 2-Divergence Toward Pulpal Floor
C. 3-Parallel To Each Other

664_Pt Wants Implant For Missing 4&5 , 6 Is Mesialy Inclined , (Space Is 14 Mm) , How Many
Implant Can Be Placed:
* Two implantes
☀Note: every 7mm (one implant)

665_Cost Effective Method To Prevent Dental Caries:

A. Water Fluoridation
B. Fluoride Toothpast
C. Dental Health Education Program

666_Dentist Carefully Retracting Lower Lip Of The Pt While Doing Scalling , Pt Is:
A. Have Hiv
B. Herpes Labialis

667_Asking About Type Of Grasp On The Picture:

A. Pen Grasp
B. Modified Pen Grasp
‫ﺻور ارﺟﻌﻠﮭﺎ‬
C. Palm On Thump

668_Pt In Dental Clinic Rinsed His Mouth & Accidently Spit On The
Dental Chair & Floor Instead Of Sputum, Disinfection By Which
Type Of Disinfectant ;
A. Light Concentration
B. High Concentration
C. Follow Manufacture Instructions

103 | P a g e - Dr.Bayan Al Mahari

669_Dentist Who Is Clean, Known Is Free Of Diseases & Follow Infection Control Roles, While
Treating Pt, Dentist Injured His Hand & Bleeded In Pt`S Mouth, What He Should Do:
A. Don`T Till The Pt
B. Till The Pt & Assure Him ,That He`Ll Not Get Infection
C. Pt Rinse His Mouth
D. Doctor & Pt Go To Infectious Disease Center

670_Pt Investigations: Anti Hbe & Anti Hbs & Something Else, So The Pt
A. In Acute Stage
B. Chronic Stage
C. Recovery Stage

671_Pt Had Fpd (Fixed partial denture)In Bangkok , Complaining Of Pain & High Point , What Will
Happen If Not Corrected After One Year?:
A. Fracture Of The Pontic
B. Fracture Of Connecter
C. Fracture Of Abutment

672_Peado Pt Don t Ha e Space Bet een Primar & Permenant Teeth,

He Will Develop;
A. Crowding In Permanents Teeth
B. Malocclusion Class

673_At Which Age Should Take Child To Dentist:

A. 1 Year Old
B. 2
C. 5

674_Anb angle in orthodontic +2 Which Class:

A. 1
B. 2
C. 3

675_Best Way To Apply Sealer Into Canal:

A. Files
B. Peessoo Reamer
C. Lentulo Spiral

676_Cross Section Of Reamer:

A. Round
B. Triangular
C. Trapezoid
☀Note: - K-remar ➡ triangular
- K-file ➡ sequar
- H-file ➡teardrop

678_Motion Of H. File:
A. Failing
B. Rotation

679_Gates Gliddin Used For :

A. Preparation Of Coronal Part
B. Preparation Of Apical Part

104 | P a g e - Dr.Bayan Al Mahari

680_The Best For Luting Porcelain Veneer Which Will Be In Aesthetic Anterior Zone:
A. Light Cure Composite
B. Dual Cure Composite
C. Rmgic

681_Crack On The Porcelain Crown,Management:

A. Apply Composite
B. Zoe
C. Rmgi

682_Radiopaque Porcelain Metal Crown In Facial Space, The Cause Is:

A. Facial Reduction Done In 2 Plans
B. Less Facial Reduction

683_Peado. Pt Came With Abuse Trauma, What To Do:

A. Report Treatmeant- Record
B. Treatment-Record- Report
C. Report- Record- Treatment

684_The Movement Of Piezoelictic Scaler Tip:

A. Round
B. Elliptical
C. Backward
D. Forward
E. Linear

685_Brown Pigmentation On Skin & Oral Mucosa:

A. Addison Disease
B. Petz Juger Syndrome
☀Note: - Addison is adrenal cortical insufficiency has melanin pigmentation in skin an oral
mucosa lip tounge gingival.
- Peutz jeghers it's ineredent interintestinal polyp...has melanotic macules in buccal
and gingival side

686_The Least Important Thing To Be Written In The Consent:

A. The Diagnosis
B. The Risk Percentage
C. The Excepected Cost

687-Step Before Placing The Sealant:

A. Removal Of Caries By Round Bur
B. Polishing By Pumice Past
C. Polishing By Disc

689-Preparation Of Rest Seat On The Canine For Rpd:

A. Extend More Buccolinguly
B. Axtend More In Mesioditstal Direction

105 | P a g e - Dr.Bayan Al Mahari

690-Pt Complain Of Pain In Upper Right Premolar Area & OnExamination All The Teeth Are Sound
, No Periodontal Disease, Pain Increased When Pt Bend Down:
A. Sinusitis
B. Reversible Pulpitis

691-8 Years Old Boy Had Trauma On Central, 3 Days Ago , Feeling
Pain:
A. Dpc
B. Pulpotomy
C. Pulpectomy

692-Old Female With Lower Rpd Kennedy Class I , Complaining Of Pain On Throat During Eating
& Swallowing, Due To:
A. Overextended Lingual Flanges
B. Under Finished Surfaces

693-Dentist Follow Up 2 Groups Of Patients For 6 Years, What Is The Result:

A. Group Of People Who Comes Regularly Showed Good Prognosis & Less Attachment Loss
B. Group Who Not Come For Follow Up Showed Bad Prognosis &
More Attachment Loss
C. They Are The Same Results
D. No Changes

964-17 Years Pt, How To Asses Rate Of Growth?

A. Hand X.Ray
B. Cephalometric

695-Most Common Fluoride Mouth Rinse

A. 0.05% Naf Weekly
B. 0.5% Naf Daily
C.0.2% Naf Weekly
D. 0.2% Naf Daily
☀Note: - 0.2 ➡ WEEKLY
- 0.05 ➡ DAILY

696-Secondary Pre-Operative Radiograph For Implant

A. Mri
B. Forgot (Not Used In Dentistry)
C. Complex Computer Tomography
D. Interactive Computer Tomography
☀Note: - First one ( CBCT )

697-Dmft Decayed (D) Missing (M) Filled (F) Teeth (T)Leads To An Overestimation Regarding
The Caries Lesions. Disadvantage Of This Overestimation
A. Internal Validity
B. External Validity
C. Internal Reliability
D. External Reliability

106 | P a g e - Dr.Bayan Al Mahari

698-Max Dose (In Mg) Of Carbamazepine Divided On Several Times A Day, Given For Trigeminal
Neuralgia
A. 100
B. 200
C. 400
D. 1200

699-Fluoridation Of Water In Ppm Helping To Decrease The Incident Of Caries:

A. 0.2ppm
B. 0.5ppm
C. 1.0ppm
D. 1.5ppm

700-What Is Mta
A. Mineral Trioxide Aggregate
B. Metal Trioxide Aggregate
C. Mineral Trioxide Acetate
D. Mineral Tymol Aggregate

701-Functional Appliance
A. Bionator
B. Posterior Bite Block

702-Pt 11 Years Old Complaining That His Deciduous Lower Second Molar It s Not Like That His
Other Teeth Since Then It Erupted. What s The Most Probable Situation?
A. Retained
B. Submerged
C. Impacted
D. Newly Erupted

704-Pt Has Miller Classe Ii Recession On His Upper Canine. Management?

A. Epithelial Tissue Graft Under Full Thickness Flap
B. Epithelial Tissue Graft Under Split Thickness Flap
C. Connective Tissue Graft Under Full Thickness Flap
D. Connective Tissue Graft Under Split Thickness Flap

705_Diabetic Pt Has Cardiac Val e. He s Allergic To Penicillin, Which Ab

Will You Give For Prophylaxis
A. Amoxicillin 1g 1 H Before Act
B. Amoxicillin 2g 1h Before
C. Clindamycin 600 Mg 1h Before

706_Socket Healing By
A. Primary Intention
B. Secondary Intention
C. Tertiary Intention

707_Pt Has Swelling And Acute Pericoronitis. He Had The Same Symptoms 2 Months Ago.
Treatment For Acute Pericoronitis
A. Ab Only
B. Extraction Then Give Ab
C. Relief Of Occlusion
D. Rinsing And Cleaning

107 | P a g e - Dr.Bayan Al Mahari

708_Pt Has A Buccally Tilted Implant On 11, Which Crown
A. Screwed On Straight Abutment
B. Screwed On Angulated Abutment
C. Cemented On Straight Abutment
D. Cemented On Angulated Abutment

709_Patient Comes To You 2 Days After He Had Ian Block, He Now Has Fever And Trismus.
Which Space Was Affected
A. Pterygomandibular
B. Infratemporal
C. Submasseteric
D. Submandibular

710_Through Which Tissue Might A Hemorrhage Go Over The Cranium

A. Skin
B. Periosteum
C. Subcutaneous Layer
D. Subaponeurotic Layer
- NOT SURE -

711_Pt Comes To The Dentist Complaining From Gum Bleeding. Lost Gum Stipplings. Areas Of
Swelling That Easily Bleed. Pocket Depth 4-6 Mm And No Attachment Level Loss. Most Probable
Diagnosis
A. Acute Gingivitis
B. Chronic Gingivitis
C. Medication-Induced Gingival Enlargement
D. Anug

712_Patient Comes Complaining From Pain On Biting On His Molar That Has Amalgam. Cold Test
Results Are Normal. Patient Says The Restoration Feels High Since It Was Done. Tooth Is Tender
To Touch. Management?
A. Remove Interference
B. Rct
C. Remove Restoration And Put Temporary Filling

713_Pt Received Blow On The Right On His Face. He Has Horizontal Midroot Fracture. No
Response To Pulp Test And Gap Between The 2 Segments. Tooth Is Symptomatic. Management?
A. Institute Rct
B. Extract Apical Part
C. Extract Both Parts
D. Leave It

714_Advantage Of Zinc Polycarboxylate Cement Over Zinc Phosphate

A. Compressive Strength
B. Thinner Layer
C. Biocompatibility
D. Solubility

108 | P a g e - Dr.Bayan Al Mahari

715_Proxybrush Used For EMBRASURE
A. Embrasure Type I
B. Embrasure Type II
C. Embrasure Type Iii
D. Embrasure Type Iv
☀Note: - EMBRASURE➡ 2
- FURCATION➡ 3

716_Comparison Between Gracey And Universal Curette

A. Gracey Has One Cutting Area While Universal Curette Has 2
B. Gracey Is For A Specific Area , Universal Curette Is For 2 Areas
C. Grecey Beveled Edge 70 Degree, Universal Curette 85 Degree
D. Gracey Has Hemicircular Section, Universal Curette Has Triangular Section
1. A
2. A+B
3. A+B+C
4. A+B+D
☀Note: - ‫اد‬ ‫فا‬3 5 ‫ب‬ ‫ باق ان‬4 ‫انقز ب ده ا‬

717_X-Ray Shows Rl Around The Crown Of A Tooth, Which?

A. Nasopalatine Cyst
B. Dentigerous Cyst
C. Ameloblastoma

718_Best Test To Start Endo Diagnosis

A. Cold Test
B. Percussion Test
C. Hot Test
D. Ept (Electrical pulp test)

719_Effect Of Removal Of Smear Layer

A. Better Adaptation Of Filling Material
B. Forces Bacteria Inside The Dentinal Tubules
C. Decreases Permeability Of Dentin

720_Least Conservative Design

A. Freather Edge
B. Chamfer
C. Shoulder
☀Note: most coservative is A

721_Has Sensitivity To Cold On His Molar That Has An Amalgam Restoration, Which Is The Best
Test To Diagnose The Tooth Pulp Status
A. Cold Test
B. Hot Test
C. Ept
D. Cavity Test

722_Patient Has Upper Cd Denture For 3 Years. He s A Cl I Edentulous Lower, Only Have His
Lower Anterior. On Examination What Will You Notice?
A. Severe Bone Loss On Posterior Lower Ridges
B. Severe Bone Loss In Anterior Edentulous Lower Ridge
C. Severe Bone Loss In Anterior Edentulous Upper Ridge

109 | P a g e - Dr.Bayan Al Mahari

723_Hypochlorite Solution Is Used In
A. Surgery
B. Rct

724_Discoid-Cleoid Used For

A. Carving Burnishing
B. Carving Occlusal Surface
C. Burnishing
D. Scrapping Of Excessive Material

725_Where Should We Grasp The Suture Needle To Preserve The Tip Of The Needle
A. Middle Of The Needle
B. 1/3 Between The Tip And The Swage
C. 2/3 Between The Tip And The Swage
D. At The End Next To The Swage

726_Most Used Blade In General Surgery

A. 11
B. 12
C. 15

727_When To Choose Shade Matching

A. Before Preparation
B. During Preparation
C. After Preparation

728_First Thing To Do To Remove Rubber Dam

A. Remove Clasp
B. Cut Interdental

729_Dentist Wants To Put Rubber Dam To Restore A Tooth. After Rubber Dam Is Placed Dentist
Notices Red Color And Swelling Of The Gum Underneath. What Would It Be
A. Auto-Immune Reaction
B. Immunosuppression
C. Immunodeficiency
D. Hyper Immune Reaction

730_Pt 15y Old Has Taken Tetracycline For A Long Time, And Has A Mild Yellowish Tetracycline
Discoloration Of Teeth. How To Remove This Enamel Mild Tetracycline Staining
A. Cmp And Pumice Microabrasion
B. Composite Veneers
C. Home Bleaching
D. Porcelain Veneers

731_Pt 11y Old, Comes Immediately After Trauma. His 2 Upper Centrals Have Been Avulsed 20
Min Ago, After Being Properly Conserved And All Conditions Satisfied, For How Long Will You
Splint Them
A. 1-2 Weeks
B. 2-3 Weeks
C. 3-4 Weeks
D. 4-5 Weeks

110 | P a g e - Dr.Bayan Al Mahari

733_Amalgam Groove
A. 0. 5mm
B. 1mm

734_A Patient Has An Upper Lateral In Crossbite. After Checking, The Pt Has Enough Mesiodistal
Space To Fix The Tooth In His Ideal Position. A Finger Spring Will Be Used For That, In Which
Condition This Is Possible
A. Labially Tilted Lateral Incisor, 5% Deep Bite
B. Labially Tilted Lateral Incisor, 50% Deep Bite
C. Lingually Tilted Lateral Incisor, 5% Deep Bite
D. Lingually Tilted Lateral Incisor, 50% Deep Bite

735_Pt Is Back For His Regular Follow Up After 6 Months. In His Last Visit X-Rays Were Taken
And They Revealed No Caries. Which X-Rays Would He Need This Time
A. 2 Btw
B. 2 Pa
C. No Need For X-Ray This Time

736_What s The Effect Of Vc (Vasoconstriction) Of La In Endo Surgery

A. Decrease Systemic Intake Of The Drug
B. Increase Duration

738_Simplest Pulp Treatment

A. Rct
B. Pulpotomy
C. Pulpectomy
D. Pulp Capping

739_Pt 34 Y Old Has A Red Lesion In His Soft Palate, Diameter 3 Cm, Painful
A. Major Aphtous
B. Minor Aphtous
C. Herpetic Lesion
☀Note: CM NOT MM

740_When You Used Heat Removal For Gatta Bercha You Use
A-Heat Blugger
B-Heat Explorer
C-Excavator

741_Bacteria Cause Endocardiitis

A- Streptococcus
B- Staphylococcus aureus
C- Enterococcus

742_The Base Liner Under Amalgam

A. Caoh
B. Rmgi

743_Which Probe With Round .5 Dental Probe With 1,2,3,5,7,8,9

( The Missing 4&6) Michigan probe

111 | P a g e - Dr.Bayan Al Mahari

744_What s The Most Common Feature To Be Found In Tailor s Teeth
A. Abrasion
B. Erosion
C. Attrition
D. Abfraction

745_Which System Simplifill Apical Seal Used With

A. Protaper
B. Reciprocal
C. Revo S

746_Enamel
A.Repair By Ameloblasts
B.Permeability Reduce With Age
C.Permeability Increase With Age
D.Permeable To Some Ions

747_The Nerve Which Supply The Tounge May Be Anasthesia During Nerve Block Injections
A. Trigeminal N V
B. Facial N Vii

748_Pt Got Root Remnants With 3x4 Cm Radicular Cyst, Management

A. Root Canal Therapy
B. Extraction Of Roots With Curretage Through The Root Socket
C. Extraction & Curretage Trans Buccally
☀Note: - you will extract the tooth but you cant curette through the socket because the socket is
small apically and you have cyst larger than 2 cm.so extract & curette buccally

749-Which Is The Most Likely Cause Of Periodontal Cyst

A. Cell Rest Of Malassez
B. Cell Rest Of Serss.
C. Cell Of Hertwig Sheath.

750-Hardest Portion Of Enamel

A. Hunter Band
B. Longitudinal Enamel
C. Striar Of Rezitus

751-Preventive Resin Restoration

A. Initial Caries
B. Progressive Caries

752-Pt. Had Premature Contact Between The Mb Cusp Of Lower 6 With The Central Fossa Of The
Upper 6. Where Should You Reduce
A. Mb Cusp Tip.
B. Central Fossa
C. Dp Cusp Of The Upper 6.

753-To Disinfect Gutta Percha Points Use

A. H2o2
B. 5.2% Naocl
C. Chx

112 | P a g e - Dr.Bayan Al Mahari

754-Difficulty At Polishing Of Composite Caused By
A. Hard Filler
B. Soft Matrix
C. Hard Filler And Soft Matrix

755-What's The Def Of Pt. Abandonment

A. The Dentist Should Fulfil All Pt. Needs Whatever They Are.
B. The Dentist Should Treat All Pts. Equally.
C. When The Dentist Starts A Specific Procedure For The Pt., He Should Not Leave Him Until It's
Complete

756-Irrigation Solution For Rct Causes Protein Coagulation Is

A. Sodium Hypochlorite
B. Iodine Potassium
C. Formocresol
D. None Of The Above

757-To Prevent Polymerization Shrinkage

A. Place Restn Incrementally And Increase Curing Time
B. Placr Restn Incrementally And Start Soft Self Start

758-Nerve Supply To Lower Canine ?? Incisve

759-What Is The Main Purpose Of Edta In Endo

A. Decalcification Of Dentin
B. Cleaning Debris From Root Canal

760-Best Test Vitality For Crowned Tooth

Test cold

817-Patient With Roughness On Skin Shiny Palms Widening Of Pdl Space But With No Ridge
Restoration And There Is A Bilateral Destruction In Angle Of Mandibular Bone What Is Your
Diagnosis
A. Neoplasm.
B. Scleroderma.
C. Hyperparathyroidism
D. Aggressive periodontitis

818-Local Anesthetic Solution With Highest Tissue Irritancy Is

A. Procaine.
B. Lignocaine.
C. Bupivacaine.
D. Mepivacaine.

819-We Can Use To Palatal Posterior Seal:

A. Le Jao Carver.
B. Kingsley Scraper
C.T Burnishe
☀Note: - Kingsley Scraper use it to locate PPS on the cast
- C.T Burnishe use it to locate PPS on the mouth

113 | P a g e - Dr.Bayan Al Mahari

820-Best Instrument To Locate Vibrating Line With It Is
A.T Burnisher
B. Le Jao Carve
C. Kingsley Scraper

821-Radiographic Diagnosis Of A Well Defined Unilocular Radiolucent Area Between Vital

Mandibular Bicuspids More Likely To Be:
A. Residual Cyst.
B. Mental Foramen
C. Radicular Cyst.
D. Osteoporosis

822-Class 2 Kennedy Good Oral Hygiene And Free Of Caries:

A. Circumferential Clasp
B. Ring Clasp
C. Back Action Clasp

823-Bilateral Edentulous Area Located Posterior To Remaining Natural Teeth

A. Kennedy I
B. Kennedy II

824-According to the Kennedy's classification, (unilateral )edentulous area with natural teeth
remaining both anterior and posterior is:
Class one.
Class two.
Class three
Class four.

825-What Is Most Favorable Place For Streptococcus Mutans

A. Smooth Surface
B. Deep Pits And Fissure
C. Root

826-Pt Got Acute Asthmatic Attack, Management ?

A. Epinephrine, Subcutaneous 1:100
B. Epinephrine, Subcutaneous 1:1000
C. Epinephrine, Subcutaneous 1:10000
D. Epinephrine, Subcutaneous 1:100000

827-Pt Has Bullous Skin Which Oral Lesion He Has?

A. Hypophosphatemia
B. Dentinogenesis Imperfecta
C. Amelogenesis Imperfecta
D. Osteogenesis Imperfecta

828-Psedo Class3 Malocclusions Management

A. Ant Advantage Of Upper Ant Teeth
B. Restriction Of Lower Arch
C. Lip Bumper

114 | P a g e - Dr.Bayan Al Mahari

829-Water Irrigation Device :
A. Dilute Bacterial Product
B. Remove Plaque
C.Prevent Plaque Formation

830-Water Irrigation:
A. Dilute Bacterial Product
B. Remove Plaque
C.Prevent Plaque Formation
☀Note: So dilule not remove - Device (remove)
- System (dilute)

831-60 Year Old Patient Came To The Clinic Complaining Of Excessive Movement Of Denture. On
Examination There Is Elevation Of Anterior End When U Press O The Distal End. TTT
A. Reline
B. Rebase
C. Remake
D. Denture Adhesive

832-What Is The First Thing To Use To Remove Gutta Percha From Canal (For Retreatment)
A. A Cotton Pliers
B. Pesso Reamer
C. New H File

833-Sugar That Inhibits Caries

Xylitol

834-Flap And Cheek Retractor

Minnesota

835-Optimum Crown To Root Ratio For Fpd:

A. 1:2 ideal
B. 2:3 Optimum
C. 3:2
D. 1:1minimum

836-Amalgam Restoration The Cava-Surface Angles ?

90 degree
☀Note: - 1:2 ideal
- 2:3 Optimum
- 1:1 minimum

837-When We Check Occlusion For Amalgam..?

A. After Carving
B. Jst Before Dismissing Da Pt,
C. Aftr 1 Hr,
D. Aftr 1 Day
☀Note: - Polish after 24h

838-When U Are Doing The Preparations For Gold Crowns With Gingival Recession Most Proper
Way For Preparation
A. Under The Margin
B. Above The Margin

115 | P a g e - Dr.Bayan Al Mahari

839-Relation between stress and gingivitis
A. low gingival index
B. drugs relation

840-systemic condition increase risk of gingivitis

A. pregnancy
B. diabetic
C. hypertension
☀Note: - B if said increase risk of periodontitis = diabetic

841-Flouride Used As Varnish ?

Duraphat

842-crown retention factor in descending order

A. height
B. taper
C. free space of dislodgement

843-7 years pt with pain in left lower side there are many caries teeth cant detect the tooth with
pain can confirm diagnosis with:
A. x-ray
B. electric pulp test
C. ask his parent

844_pt vomiting in clinic clean it with

A. high antiseptic
B. medium antiseptic
C. low level of antiseptic

845_The inner layer of x ray come which reduce the spread of radiation :
A. Filter
B. Collimator
C. Anoid

846_The retainer of rubber dam:

a) Four points of contact 2 buccally and 2 lingually without rocking.
b) 4 points of contact 2 buccally and 2 lingually above the height of contour.
c) 4 points of contact 2 mesially and 2 distally.
d) 2 points one buccally and one lingually

847_Diffuse facial swelling #37 necrotic with large periapical radiolucency ,diagnosis:
A.necrotic pulp acute abscess
B.necrotic pulp with symptomatic
d-apical periodontitis

849_Bonding for enamel we use:

A: un filled resin
B: primer with resin modified glass inomer
C: resin dissolves in acetone

116 | P a g e - Dr.Bayan Al Mahari

850_The correct access cavity preparation for the mandibular second molar is:
a. Oval.
b. Quadrilateral.
c. Round.
d. Triangular.

852_Advantage of Quantative light induced fluorescence

A. diagnosis of the early caries
B. Assess the activity of the lesion over time
C. differentiate between enamel and dentin caries
D. determine the depth of the lesion

853_Patient brushing with medium brush horizontally and suffers from tooth loss in the cervical
area, diagnose the lesion:
A. Abrasion
B. Attrision
C. Erosion
D. Caries

854_Cracked tooth syndrome is characterized by:

A.Sharp pain following application of cold
B.Sharp pain following application of heat
C.Sever pain while eating
D.All of the above mentioned

855_During the preparation of class II cavity, which of the following permanent teeth pulp horns
will be the most subject to accidental exposure?
A. Distofacial of a maxillary first molar
B. Distofacial of a mandibular first molar
C. Facial of a mandibular first premolar
D. Lingual of a mandibular first premolar

856_Lady 22 years with high caries index has many stained pit and fissures in maxillary and
mandibular molars and you suspect caries in these fissures. What is the best way for diagnosis:
A. Exploratory preparation of pits and fissures
B. Leave them and follow up after 6 months
C. Do conservative composite restorations
D. Seal the pits and fissures

857_Caries in old patient compared to young patient:

A. Progress slowly in adult
B. Adult suffers less pain compared to young
C. More progressing in old patient than young
D. Adult and young patients have the same progression rate

858_Case of white chalky discoloration in pits and fissure and smooth surface what is the lesion:
A. Arrested caries
B. Active lesion
C. Inactive lesion
D. Residual caries

117 | P a g e - Dr.Bayan Al Mahari

860_Dye materials that help in detect caries:
A. Direct immunofluorescence
B. Propylene glycol
C. Disclosing tablets
D. Chlorhexidine wash

861_We consider the patient at high risk if there is:

A. Presence of any lesions in previous 2 years
B. previous orthodontic treatment
C. Inadequate exposure to topical fluoride
D. moderate oral hygiene

862_A patient that had a class II amalgam restoration, next day he returns complaining of
discomfort at the site of the restoration, radiographically an overhanging amalgam is present.
This is due to:
A. lack of matrix usage
B. Improper wedging.
C. No burnishing for amalgam
D. Improper carving step

863__Pt. presented with inter-proximal discoloration without cavitations.No active caries are
present in his mouth. Your management:
A. fluoride application
B.Conservative cavity preparation
C.Fissure sealant
D.enameloplasty

864_What is the major difference between a class V cavity preparation for amalgam and one for
composite resin by the acid etch technique:
A. Depth
B. Convenience form
C. Position of retention points
D. Angulation of the enamel cavosurface margins

865_In providing indirect tooth colored onlay, a temporary resin is given. Which cement should
be avoided?
A.Polycarboxylate
B.Zinc oxide eugenol
C.Glass ionomer
D.None of the above

866_Why do we perform glazing procedure for the GIC restoration?

A. To ensure a smooth restoration surface and glazed surfaces showed better smoothness in
comparison to those with only finishing.
B. To prevent hydration and deydration
C. Improve retention of the restoration
D. To improve the aesthetic

867_Single tooth discoloration after RCT,

A. Internal bleaching
B. Full ceramic Veneer
C. Partial veneer
D. external bleaching

118 | P a g e - Dr.Bayan Al Mahari

868_By radiometry you found the halogen light cure is 450 Mw/cm2 what you will do
A. Change the battery
B. Change the lamb
C. Don't make Any change, because it is inside normal range
D. Return the device to the factory for resetting

761_How Much Fluoride Toothpaste Should Be Applied To A Toddler's Toothbrush

A. 3 Nurdles
B. Half Inch
C. A Half Pea Size
D. As Much Necessary Depending On The Plaque

762_By What Percentage Are Carious Lesions Reduced In Someone Who Has Continuously Drank
Fluoridated Water Since Birth ?
A. 40%-60
B. 10%_20%
C. 70%_90%

763_Patient With Overhang Amalgam Restoration I Will Replace ItThe Q In Which Stage The
Correction Of Restoration
A. Primarily Stage
B. Restorative Stage
C. Surgery Stage
D. Non Surgical Stage0

764_Patient Come With Sever Pain In Lower Part And There Is Deep Caries The Treatment Is
Rct And There Is Calculus And You Found Impacted Molar What The Treatment Sequence
A. Scaling , Rct , Extraction
B. Scaling , Extraction , Rct
C. Extraction , Scaling , Rct
D. Endo ,scaling, Exo

765_The Inner Layer Of Xray Cone Which Reduce The Spread Of Radiology
A. Filter
B. B-Collimator
C. Anoid

766_Patient Will Have Multiple Extraction What To Do After Extraction For Denture Sake
A. Make Itrupted Suture Cross Papillae
B. Leave To Heal To Avoid Elevations From Sutured Papillae
C. Make Extensive Bone Smothning
D. Put Surgical Pack Only

767_The Origin Of Innervation Of Post Third Of Tongue

A. Trigeminal
B. Lingual
C. Hypoglossal
D. Glossopharyngea

119 | P a g e - Dr.Bayan Al Mahari

768_Which Of The Fibers Only Present In Cementum ?
A. A-Oblique Fibers
B. B-Sharpeys Fibers
C. C-Transeptal Fibers

769_Patient Come With Renal Faliur Want To Preserve His Teeth What
Preservative Material That Is Contraindicated:
A. Glass Ionemer
B. Composiste
C. Fluride Application

770_The Medical History Of A Four Year-Old Patient Reveals That The Child Was Treated For A
Systemic Disease During The First Eight Months Of Postnatal Life. What They Would Most Likely
Be Present On If Any Signs Of Enamel Hypoplasia Do Appear?
A. Maxillary And Mandibular Incisors And First Molars
B. Maxillary And Mandibular Incisors, First Molars, And The Mandibular Canines
C. Maxillary And Mandibular Canines, First Molars, And The Mandibular Lateral Incisors
D. Maxillary And Mandibular Incisors And Canines

771_Before Placing Restoration In Pedo In Prepared Cavities

A. Clean And Dry
B. Cavity Varnish
C. Base

772_Diabetic Missing Lower Ant+Complete Denture Upper Arch : Best Treatment Is

A. Nothing
B. Implant Supporter Prosthesis
C. Fpd
D. Rpd

773_For Incision Wound Healing, Best Healing In Which Shape

A. Circular
B. Triangular
C. Trapezoidal
D. linear

774_Implant Which Is Most Antigenic

A. Heart
B. Liver
C. Kidney
D. Bone Marrow

775_Pit And Fissure Least Affected By Caries.

A. Years 1-2
B. Primary Molar1
C. Nd Primary Molar
D. Years 5

776_After Partial Pulpotomy Permanent Molar

A. Pain And Releave By Analgesic
B. Internal Resorption
C. External Resoption
D. Abcess

120 | P a g e - Dr.Bayan Al Mahari

777_The Best Base Material For Gingiva And Pulp
A. Polycarpoxylate Cement
B. Caoh
C. Gic

778_Pt came to u with sublingual space infection, change in colour of mucosa of floor of the
mouth. The tongue is slightly elevated. How will u do the incision for drainage ?
A. Extra orally parallel to lower border of the mandible.
B. Intraorally parallel to Whartons duct
C. Intra orally between mylohyoid muscle

779_Interproximal Bone Is Parallel To

A. Gingival Margin
B. Cej
C. Pdl
D. Dej

780_Cervical Third Of The Tooth Have Increase Hue

A. Increase More Chroma
B. Decrease Brightness
C. Increase Value

781_How To Increase The Image Quality

A. Increase The Distance Between Object And Cone
B. Decrease The Distance Between Object And Cone
C. Place The Film Perpendicular To The Long Axis Of The Object
D. Place The Cone Perpendicular To The Long Axis Of The Object

782_Best Location And Size Of Root Perforation That Is Favorable:

A. Small Perforation Below Height Of Bone Crest
B. Large Perforation Below Height Of Bone Crest
C. Small Perforation At Height Of Bone Crest
D. Large Perforation At Height Of Bone Crest

783_Minimal Duration Between First Rct And Retreatment

A. Month
B. Days

784_Ration In Consciousness Sedation

A. N2o 40%/70%. O2 60%/30%
B. B.N2o 90%/10% O2 10%/90%

785_Renal Pt Can Make Dental Procedures After Hemodialysis

A. 15 Day
B. 1 Day
C. 30 Day

786_surgical Cleft Palate Close In

A. 1_2month
B. 8_18 Month

121 | P a g e - Dr.Bayan Al Mahari

787_Leeway space:
* it is the space deference between the combined mesiodistal width of the C, D & E teeth and
that of their successors (3, 4 and 5) which is 1.9 mm in maxilla and 3.4 mm in mandible

788_Pix Extra Cusp In Labial Surface Of Central

Incisors
A. Remove Cusp And Endo
B. Remove Cusp No Endo
C. No Treatment
D. Extract Teeth

789_Pt Come To Clinic 4 Years. All Teeth Is Without Edges No History

Of Truma
A. Attration
B. Abrasion
C. Erosion

790_Pix Mucocele ?
*Treatment surgical excision

791_9 Year Upper Right Central Not Erupted

A. Mesiodense
B. Odontome
C. Ectopic Eruption Of Lateral Incisors
D. Perment Teeth

792_Sever Periodontitis Treatment By

A. Tetracycline. Scalling. Root Planning
B. Amoxicillin. Flagyl. Root planning

793_First Visit. Xray Need

A. 1 Panoramic.
B. 2 Bitwing.And Selective Periapical

794_Diabituc Pt Take Insulin

A. Type 1
B. B.Type 2
C. C.Type3

795_Child No Verbal Contact. No Eye Contact

A. Autism
B. Down

796_Pit And Fissure Sealent In

A. Discoloration In Fissure No Catch
B. Clean Fissure Deep Catch

797_Flush Terminal Plane Make

A. Class1
B. Class2
C. Class3

122 | P a g e - Dr.Bayan Al Mahari

798-Side Effect Of Nitrous
A. Anxiety
B. Dizziness
C. Tingling

799-Teeth Of Calcification Complete ?

A. 6 Months
B. 12
C. C.24

800-Time Of Reeruption Of Intrduce Teeth

A. 12 Week
B. 24 Week
C. 4 week

801-Appliance Used To Prevent Thumb Sucking

A. Palatal Exoansion
B. Lingual Holding
C. Paltal Crib

802-Amount Of Anathesia Measure By

A. Age
B. Weight
C. Length

803-Pt 4 Year Sedation

A. Chlorhydrate
B. Barbiturates

804-Mcspadden Technique Disadvantages:

A. Open Apex
B. Curved Canals
C. Irrigular Canals

805-Autoclave:
A. Cold Steralization
B. Hot Dry
C. Steam

806-Chemical Contain In Enamel:

A. Hydoxyapatite
B. Calcium

807-Decalcification Of Enamel During Ortho:

A. Proximal Area
B. Behind Brakets
C. Arround brackets

808-Maxillary Mandibular Fixation Wires:

A. 6 Ench And 20 Gauge
B. 6 Ench And 26 Gauge
C. 4 Ench And 20 Gauge
D. 4 Ench And 25 Gauge

123 | P a g e - Dr.Bayan Al Mahari

809-Pic Like This ( page 111)
A. Dense Evaginatus *Dense invaginatus *
B. Dens Inva0000
C. Internal Resoption

810-Cause Of Malocclusion:
A. Duration
B. Frequent
C. Force

811-5years Old Pt Bilateral Enlargemnt In Lower Jaw And In Xray Radiolecency And Replace
Unerupted Teeth Like This:
A. Cheburism
B. Granuloma
C. Multple Odontogenic Keratocyst

812-Pt Denture Bite His Right Cheek:

A. High Occlusal
B. Use Anatomic Teeth
☀Note: Common Causes of Cheek Biting:
- Inadequate vertical dimension
- Posterior teeth too far buccal of occlusion
- Loss of muscle tonus (lax cheek)
- Posterior teeth edge (insufficient horizontal overlap)
814-Fractured occlusal rest is repaired by:
B. Spot welding
C. Industrial brazing
D. Electric soldering

815-subgingival Scaling And Root Planning Is Done By:

A. Gracey Curette
B. Hoe
C. Chise

816-Patient Just Take L.A, He Gets Discomfort, Warm, His Blood Pressure 100/75, And Take
Arthritis Medication Recently:
A. Hyperglycemia
B. Adrenal Insufficiency
C. Adrenal Crisis
D. Hyperthyro

869_The main reason for using floss before application of rubber dam is to
A. Remove entrapped food
B. Verify the tightness and roughness of the contact area
C. Open the tied contact between the teeth
D. Ligate rubber dam to tooth, after application

870_The preparation of inlay is:

A. larger then amalgam
B. smaller than amalgam
C. Same like amalgam
D. The walls are converged

124 | P a g e - Dr.Bayan Al Mahari

871_Occlusal lock (dovetail) is prepared in conventional class II cavitiesin order to:
A. Prevent occlusal displacement of the restoration
B. Prevent proximal displacement of the restoration
C. Improve the resistance form

872_The outline form in modified class III composite restoration is determined by:
A. Height of the gingival tissue
B. Extension of the caries
C. Oral hygiene of the patient
D. Depth of the lesion

874_In class IV composite restorations, the width of the bevel is determined by:
A. Age of the patient
B. Shade of the composite to be used
C. Amount of retention needed
D. Mesial side required wider bevel than distal sides

875_The time required for dentin bridge formation in direct pulp capping is:
A. Six weeks
B. Ten weeks
C. Fourteen weeks
D. Four weeks

876_The advantage of early caries detection (before cavitations) is:

A. preparation of a small cavity instead of destructive one
B. treating the caries curatively (no cutting) with remineralisation approach
C. placing composite instead of amalgam
D. avoidance pulpal exposure during cavity preparation

877_For a Class III composite resin prepared lingually, the cavo-surface margin of the cavity can
be beveled to:
A. Eliminate the need for internal retention
B. Improve convenience form
C. Aesthetic
D. Increase the surface area for etching

878_Deep dentin caries removal should depend primarily on:

A. Color of the dentin
B. Texture of the dentin
C. Radiographs
D. Caries detection dyes

879_When the margin of the cavity extended to within 2 mm of the crestal bone, the
recommended procedure before placement of the
restoration is:
A. Crown lengthening
B. Sandwich technique (GIC and composite)
C. Tooth extraction because it is non restorable
D. Placement of temporary filling for two weeks and then replace it with a definitive one

125 | P a g e - Dr.Bayan Al Mahari

880_A patient presents with an amalgam restoration fractured at the isthmus six months after
placement. The most likely cause is:
A. Recurrent caries
B. Inadequate depth of the preparation
C. Excessive width of the preparation
D. Premature occlusal contact

881_The copal resin varnish that is placed in the cavity preparation before the amalgam is
condensed provides:
A. Sealing of the margins for the lifetime of the restoration
B. Long-term sealing of the several years duration
C. Short-term sealing of the margins
D. No sealing of the margins

882_(pic page 123)A technique which utilize calcium hydroxide as liner ,placed on
thin layer of questionable remaining dentin is termed as:
A.Direct pulp capping
B.Indirect pulp capping
C.Vitality tests
D.Compaction technique

883_After the dentist has completed an etching procedure on a class III composite preparation,
the preparation become contaminated with saliva. In response, the dentist should do which of
the following?
A. Blow away the saliva with air, then proceed
B. Rinse away the saliva with water, dry the preparation, then proceed
C. Wipe away the saliva with a cotton pellet, rinse the preparation with water, dry it with air,
then proceed
D. Rinse away the saliva with water, dry the preparation with air, then repeat the etching
procedure.

884_Streptococcus mutants activity

A. Acidic
B. Acidogenic and aciduric
C. Not stimulated by sucrose
D. Will produce less amount of acids

885_Bacteria that initiate caries

A. Streptococcus mutants
B.Lacto bacilli
C. Actinomycetes
D.Streptococcus sanguis

886_What is most favorable place for streptococcus mutans:

a. Smooth surface
b. Deep pits and fissures
c. Root
d. lower incisors

887_Dentin dysplasia mostly affects :

a. Dentinal tubules
b. Odontoblasts
c. Dentin near pulp

126 | P a g e - Dr.Bayan Al Mahari

888_Critical PH of saliva at which enamel surface remains intact and the sub surface minerals is
lost at:
A. 4
B. 5.5
C. 7.5
D. 5

889_Bacteria responsible for initiation and progression of caries:

A. Mutansstrepto-cocci and lactobacilli
B. Filamentous bacteria
C. Spiral bacteria
D. P.gingivalis

890_Lateral spread of caries occurs maximally at:

A. Outer enamel surface
B. Dentinoenamel junction
C. Middle of the enamel
D. Middle of the dentin

891_Lateral spread of occurs maximally at:

A. Outer enamel surface
B. Dentinoenamel junction
C. Middle of the enamel
D. Middle of the dentin

892_The drop in PH necessary for demineralization of cementum and dentin is:

A. 5
B. 5.5
C. 4.5
D. 6.5

893_Which of the following substitute sugar for noncariogenic food?

A. Xylitol
B. Fluoride
C. Pit and fissure sealants
D. Sucrose

894_Indication of PRR?
A. discoloured pit and fissure with shallow caries
B. Discolored pit and fissure with deep caries
C. one half the tooth with caries one half sound teeth
D. Non cavitated lesion and a low risk patient

895_Which type of composite resin is used for PRR restorations?

a. Flowable composite
b. Packable composite
c. Resin modified glass ionomer
d. compomer

896_Pits and fissure sealant retention affected by:

A. Contamination by saliva
B. Flow of saliva
C. Depth of cavity

127 | P a g e - Dr.Bayan Al Mahari

897_In terms of caries prevention, the most effective and most costeffective method is:
A. Community based programs
B. Individually based programs
C. Private based programs
D. Vaccination

898_The most important factor for the success of sealant is:

A. Control salivary flow
B. The sealant material
C. No tooth brushing before application
D. No tooth brushing after application

899_What is the best description of successful application of oral hygiene measures?

A. Decrease probing depth
B. Decrease plaque score
C. Decrease bleeding on probing
D. Less number of carious teeth

900_For high risk patients, fluoride varnish should be applied every:

A. One month
B. 3 months
C. Six months
D. One year

901_Fluoride concentration in most of daily used tooth pastes dentifrices

A. 500 900 ppm
B. 1000-1500 ppm
C. 2000-2500 ppm
D. 5000 ppm

902-Sodium fluoride varnish concentration is:

A. 1%
B. 5%
C. 10%
D. 1500

903-Types of steel used in many dental hand instruments:

A.stainless steel and tungsten steel
B.stainless steel and cobalt steel
C.stainless steel and carbon steel

904-Under the composite we can use for pulp protection:

A.Dycal and varnish
B. Zinc oxide euginol
C. Dycal and resin modified glass ionomer
D. Vitrebond and zinc oxide eugeno

905-The GIC superior than composite in:

A. Physical properties
B. Wear resistance
C. aesthetic
D. fluoride release , and less technique sensitive.

128 | P a g e - Dr.Bayan Al Mahari

906-Type of dental floss or the dental floss of choice :
a. waxed nylon
b. unwaxed nylon
c. waxed Tefylon
d. unwaxed Tefylon

907-Compomer is know as:

A. Resin modified glass ionomer
B. Poly acidic modified composite resin
C. Glass ionomer cement
D. A resin composite

908-7th generation bonding agent is:

A. Single component ( *3 component in one bottle* )
B. Two component
C. Three component
D. 4 component

909-During the preparation of class II cavity, which of the following permanent teeth pulp horns
will be the most subject to accidental exposure?
A. Distofacial of a maxillary first molar
B. Distofacial of a mandibular first molar
C. Facial of a mandibular first premolar
D. Lingual of a mandibular first premolar

910-Ameloblastoma of jaw can be treated by

A. Excision
B. Resection
C. Enculation
D. Irradiation

911-Hemidesmosome Basel cell epith. Attached to

a. Lamina Lucida
b. Lamina densa
c. Lamina propria = C.T.

912-Blade of PDL instrument should be:

A. Perpendicular to long access
B. Parallel to long access
C. Perpendicular to shank

913-Pa ent with gingivectomy surgery. A er surgery, xenogra was placed with bio resorbable
sutures placed. Which dressing is placed over it?
A. Eugenol dressing
b. Non-eugenol based
c. Antibiotic dressing

914-The three length of files and reamers that you work by them:
a. 20-26-29
b. 21-25-32
c. 21-25-31

129 | P a g e - Dr.Bayan Al Mahari

915-Die ditching means:
a) Carving apical to finish line.
b) Carving coronal to finish line.
C) Mark finish line with red pen

916-To hasten Zinc oxide cement, you add:

a) Zinc sulfide.
B) Barium sulfide.
C) Zinc acetate
D) Barium chloride

917-Carbohydrate effect on caries by

a. Duration = thumb sucking
b. Form
c. Type
d. frequency

918-Difficult pickling after casting Cause:

Overheating
Overhanging
gases
Water powder ratio

919-distance between two implants

a-1
b-2
c-3
d-4

920-Acute abscess is:

a. Cavity lined by epithelium
B. Cavity containing pus cells
C. Cavity containing blood cells
d. Cavity containing fluid

921-reason of cleft lip:

improper connection between maxillary and medial nasal process

922-Material used to fabricate mouth guard:

a-Poly urethane
b-Poly Vinyl Acetate

923-patient with high Masticatory force and need esthetic restoration in posterior area:
a- composite with no bevel
b- composite with bevel
c- glass ionomer

925_slowest L.A action:

a- bupivacaine
b- mepivcaine
c- prolicaine
☀Note: Bupivacaine longest duration and most tissue irritation

130 | P a g e - Dr.Bayan Al Mahari

926_most common benign tumor in salivary gland:
a- pleomorphic adenoma
b- adenoid cystic carcinoma

927_what is the RPD which is totally teeth support:

a- class 1 totally tissue support
b- class 2 totally tissue support
c- class 3 tooth & tissue support
d- class4
e- class 3

928_at 7 y.o with thumb sucking, how to start treatment:

a- consulting and B
b- psychiatric
c- orthodontic

929_above 7 y.o with thumb sucking, how to start treatment:

a- consulting
b- psychiatric
c- orthodontic

930_rarely there is two canals in:

a- distobuccal in upper molar
b- mesiobuccal in upper molar

931_patient just take L.A, he gets discomfort, warm, his blood pressure 100/75, and (he is or he
is not I can t remember) take arthritis medication recently:
A. hyperglycemia
B. adrenal insufficiency
C. adrenal crisis
D. hyperthyroidism

933_How to make grooves in porcelain veneer

A. Fissure
B. Tapered
C. Round

934_What is the primary goal of gingivectomy

A) pseudo pocket
B) infra bony pocket

935-Patient injected inferior nerve block for lower incisor and still have pain what is the extra
technique?
A) long buccal
B) midline infiltration
C) lingual
D) mental
☀Note: *If he says another nerve block way* Chose D

936_The most used material of intracoronal bleach

A) hydrogen peroxide
B) sodium perborate

131 | P a g e - Dr.Bayan Al Mahari

937-When to first introduce pedo for tooth brush
A. When primary teeth erupt
B. 2 years

938-While extraction of impacted third molar it was displaced posteriorly and superiorly & was fail
to extract what u do
A) CT scan w extract under general anesthesia
B) extract after week
C) follow and leave

939-Porcelain with high strongest:

A-inceram
b-empress

940-Porcelain with high esthetic:

A-inceram
b-empress

941-In case of infection which tooth can cause swelling in anterior part of hard palate:
1/upper lateral
2/ upper central
3/ upper canine
4/upper first premolar

942-Salivary gland disease tumor with perineural invasion:

1. Pleomorphic adenoma.
2. Adenocyc cyst carcinoma (cylindroma) .

943-Paranasal fluid occurs in the fracture of the face

A. Leforte I
B. Leforte II
C. Leforte III
D. Zygomatic fracture
E. All above

944-What is the most important teeth to prevent the severity of crowding:

a. Upper E
b. Upper D Lower E
c. Lower d

945-dentist at the end of the day want to pour alginate imp quickly how can he do that
a. Increase powder/water ratio
b. Hot water
c. Slurry water
d. Increase thickness

946-Check the occlusion of amalgam filling:

a. 1 day a er filling
b. 1 hour a er filling
c. Before patient dismiss

132 | P a g e - Dr.Bayan Al Mahari

947-dental forceps component:
1. Hand, shank, beak
2.hand , hinge, beak

948-Pt. Came to your clinic with pain in his mouth but he cannot localize which the jaw, which
test is useful:
1. Thermal test
2. Percussion test
3. Anesthetic test
4. Cavity test

949-Patient comes with pain but he can't localize the tooth what is the best test:
1. Thermal test
2. Percussion test
3. Cavity test
4. Anesthesia test

450-The best way to make pulp vitality test of a tooth with PFM crown:
1. Cold test
2. Cold and hot
3. Cold with rubber dam
4. Electric test

451-Patient complains from cold the best test is:

1. Electric test
2. Cold test
3. Percussion test
4. Periodontal probe

952-which is the factor deficiency lead to hemophilia B:

A.VIII
B.XII
C.IX factor 9
D.IV
☀Note: A: VIII
B: IX

953-The needle size for surgery:

A.19 gauge
B.25 gauge
C.30gauge

954-time in minutes of application on of topical fluoride:

A_2
B_4
C_6
D_8

955-percentage of fluoride in acidulated phosphate fluoride(APF)?

1.23 %

133 | P a g e - Dr.Bayan Al Mahari

956-percentage of fractures in maxilla:
A_25 %
B_75%
C_50%

957-Best plan of thumb breaking habit:

A. Encourage from parent
B. Stop before eruption of upper permanent central incisor
C. Stop before eruption of lower first molar

1009-cement irritant to pulp

A-zinc phosphate
b-GI
C-zinc polycaboxylate

1010-Patient comes to you with edematous gingiva, inflamed, loss ofgingival contour and
recession, what's the best tooth brushing technique?
A. Modified bass.
B. Modified stillman
c. Charter

1011-Attachement level is the distance from:

a-CEJ to pocket depth
b-CEJ to mucogingival junction

1012-bacteia in endocarditis
a-Actinomyces enterococcus
b-streptococcus mutans
c-streptococcus viridians

1013-What s the maximum size of pulp exposure that will mostly cause failure to do direct pulp
capping?
A. 0.5
B. 0.7
C. 0.9 = 1mm

1014-Equation for Hanau Articulator

A. L= H/8+12
B. L= H+8=12
C. L= Hx8/12
D. L= H/12+8

1015-in ideal infiltration of upper teeth

A. submucosa
B. Intraosseous
C. Subperiosteal
D. Supraperiosteal

1016-Caries depend on
A. Type
B. site
C. depth

134 | P a g e - Dr.Bayan Al Mahari

1017-Extraction Elevators consist of
A. hand. shank. Blade
B. Hand. shank. Tip

1018-Pt with low caries index and small discolored area which is not cavitated or catching no x-
ray change need Follow up each
A. 3 months
B. 9-12
C. 12-18
☀Note: 6 MONTHS

1019-child has oral habit the most affected by;

1- force
2- magnitude
3- duration
☀Note: - Force in eruption tooth in case ortho.
- Magnitude in lesion in apical root in case endo.
- Duration in thump for case pedo.
- Frequency in drink or eat carboheydrat or sugar it will cause caries

1020-Electric test is not reliable in children because:

A. Late formation of A fibers
B. Late formation of c fiber
C. early formation of A fibers
D. early formation of c fiber

1021-patient smoking 15 -20 cigarettes a day for 8 years he com with complain of pain in
gingival Diagnosed as chronic gingivitis ?
a-gum shows inflammation as former smoker
b-less intensity than unsmoker
c-more intensity than non-smoker
d-same as non-smoker

1022-The most successful technique used with children:

a. Tell Show Do
b. Hand over mouth
c. Punishment
d. Physical restrain

1023-When you give sedative inhalation on for patient to prevent hypoxia you give:
A. 95% oxygen and 5% nitrous oxide
B. 90% oxygen and 10%nitrous oxide
C. 85% oxygen and 15% nitrous oxide
D. 100% oxygen and zero nitrous oxide

1024- The ideal gap distance for a *pre-ceramic* solder joint is:
a. 0.1 mm
d. 0.5 mm
b. 0. 15 mm - 0.3mm
e. 0. 5 mm - 0.75 mm
c. 0.3 mm - 0.5 mm

135 | P a g e - Dr.Bayan Al Mahari

1025-The ideal gap distance for a *post-ceramic* solder joint is:
a. 0.1 mm
d. 0.5 mm
b. 0.15 mm - 0.3mm
e. 0. 5 mm - 0.75 mm
c. 0.3 mm - 0.5 mm

1026-critical pH at which enamel start to demineralization

A) 6.5
b) 5.5
c) 5

1027-which stage Dentinogenesis imperfecta occur?

A) formation
b) maturation
c) Histodifferentiation

1028-dentin forms when there is an irritation?

Tertiary dentine

1029-Impression material most stiff is:

Poly ether
Alginate
Poly vinyl siloxane
Agar-Agar

1030-(Crown Case) surgeon needs Impression material to be double pored with fine details in
both casts:
Poly ether
Alginate
Poly vinyl siloxane
Agar-Agar

1031-Dental materials categorized to:

Metals, ceramics, polymers & Cements
Metals, ceramics, polymers & composite
Metals, ceramics, polymers & alginate
Metals, ceramics, polymers & ston

1032-6 years old patient, suffers from dental pain, has blue sclera with defective teeth structures,
with history of multiple fractures and shortened gesture:
Dentinogenesis imperfecta
Amelogenesis imperfecta
Osteogenesis imperfecta
Paget's disease

1033-Oral Medicine case 55-years female with history of kidney stones, psychosis and abdominal
pain, high levels of Ca and Alkaline Phosphatase:
Hyperparathyrodism
Hypoparathyroidism
Hyperthyroid
Hypothyroid

136 | P a g e - Dr.Bayan Al Mahari

1034-years patient with coronal artery disease and takes warfarin
stopped by surgeon and takes Unfractioned heparin to bridge
Warfarin, he stops Unfractioned heparin before operation by:
3 hours
4 hours
5 hours
6 hours

1035-Dentigerous cyst, patient complains of pain, ttt:

Enucleation
Radical resection
Surgical resection of area
Observation and follow-up
☀Note: - *Resection* is the medical term for surgically removing part or all of a tissue,
structure or organ. Resectionmay be performed for a wide variety of reasons.
Aresection may remove a tissue that is known to be cancerous or diseased, and the
surgery may treat or cure a disease process
- *Enucleation* is done under drastic circumstances such as to remove a malignant
tumor in the eye or to relieve intolerable pain in a blind eye. Following enucleation, an
artificial eye (ocular prosthesis) is implanted as a cosmetic substitute for the real eye

1036-lesion with high recurrence rate:

Ameloblastoma
Fibrous dysplasia
Radicular cyst

1037-4-years old Patient, his behavior influenced highly by:

Home environment
Siblings feature
Neighbors
School

1038-ideal biologic width after crown lengthening is:

2 mm interproximal
3 mm interproximal
1 mm all aspects
3 mm all aspects

1039-coronal 2/3 of cementum is:

Acellular extrinsic fibers
Acellular intrinsic fibers
cellular intrinsic fibers
cellular extrinsic fibers

1040-most implants are made of:

Titanium
Hydroxyapatite
Metals

1041-pt came with persistence bleeding after extraction and still persistent after doing suturing
hat s the material can help in clotting :
Gelfom

137 | P a g e - Dr.Bayan Al Mahari

1042-you did RCT for the patient and prescribe ipobrofin 600 for him ,, he came after 2 days with
moderate pain persist with ipobrofin the best management :
A/ replace ipobrofin 600 with acetaminophen 1000mg
B/ Increase the dose of ipobrofin to 1200 mg every 6 hours
C/ replace ipobrofin with Augmentin

1043-PPE put on :
A/ mask .. eyewear.. gloves
B/ gloves .. mask ,, eyewear
☀Note: putting on PPE is Apron or Gown, Surgical Mask, Eye Protection (where required) and
Gloves. Removing Personal Protective Equipment (PPE) The order for removing PPE is
Gloves, Apron or Gown, Eye Protection, Surgical Mask. Perform hand hygiene
immediately on removal.

1044-during try in .. the sequence of check the crown :

A/ Marginal fitness ,, contour ,, proximal contact ,, occlusion ,,esthetic
B/ contour ,, proximal contact ,, marginal fitness ,, occlusion ,,esthetic
C/ occlusion ,, marginal fitness ,, proximal contact ,, contour ,,Esthetic

1045-cutting end of universal curette :

A/ at the tip of working end
B/ at both side of working end
C/ at one side of working end

1046-pt after doing bridge on 456 return to dentist to thank him ,, because she has sever
headache and disappeared after getting the bridge The cause of headache :
A/ migraine
B/ trigemenal neuralgia
C/ muscle spasm and myocardial pain
D/ TMJ disorder

1047-brushing teq for pt with ortho :

A/ charter's
Roll Brushing
Modified stillman
Modified bass Technique

1050-Which cells in established gingivitis :

Lymphocytes
Leucocytes
plasma cells
macrophages

958-Contraindica on of anterior fixed bridge:

A. Abutment teeth not carious
B. Considerable amount of ridge resorption
C. Crown extremely long

959-angle between blade and facial surface

A-70-80
b-100-110
c-45-90

138 | P a g e - Dr.Bayan Al Mahari

960-very destructive molar u make post and core what is the best material for core??
A-amalgam
b-composite
c-resin

961-chronic renal disease come with:

a. hypothyroidism
b. hyperparathyroidism

962-Addition of vasoconstrictor to local anesthesia:

a. increase bleeding
b. reduces toxicity of L. A
c. reduces pain of L. A
d. increase duration and quality
☀Note: *Decrease bleeding ,Decrease toxicity ,Increase duration*

963-child with thumb sucking the time for correction by ortho take
A 6 months
B 7
C 9
D 4

964-child with thumb sucking age for correction the by ortho take
A 6
B 7 Years
C 9
D 4

965-how to make surgical mask effect:

a-put it in disinfectant
b-change it between patient
c-hold it from periphery

966-What is the most commonly used cement as a base to protect pulp?

A. Resin cement
B. Zinc eugenol
C. Zinc phosphate
D. Zinc poly carboxylate

967-what is the forceps used to extract upper premolar

A. No.88
B. Universal maxillary 150

968-Pt 70 year have invasive poor differentiated ulcer lesion sq.c.c it is prognosis
A. Good prognosis with less recurrence
B. Good prognosis with high recurrence
C. Poor prognosis high recurrence
D. Poor prognosis with less recurrence

139 | P a g e - Dr.Bayan Al Mahari

969-what is the type of wax used to verify the occlusal reduc on for full
veneer restoration
A. Onlay wax
B. Lowa wax
C. Utility wax
D. Korecta wax

970-MTA is a single visit ttt have the only advantage which is

A. It provides a high seal ability than conventional method
B. Have high tensile strength
C. Have high shear strength
D. Provide good relief of pain

971-the difference between the alveolar epithelium and the gingival epithelium is
A. Absence of stratum spinosum
B. Absence of stratum granulomatous
C. Absence of stratum cornium

972-The overhanging restora on

A. Increase the micro leakage of the restoration
B. Affect integrity if proximal contact
C. Affect periodontal health

973-class 4lower complete edentulous upper. High bone resorption of lower ant region with bad
oral hygiene and gingival recession pt. Is diabetic the appropriate. Treatment for lower ridge
A. Implant supported f pd
B. Tooth supported fpd
C. Metallic pd
D. Acrylic pd

974-Improper occlusal harmony in restoration will cause

A. Pulp fibrosis
B. Pulp degeneration
C. Lateral load and affect periodontal health

975-formula of periodontal instrument is 15, 38, 84, 13, The angle of cutting edge
A. 15
B. 38
C. 84
D. 13
☀Note: -A: for width of the blade
-B: for angle of the cutting edge
-C: for length of the blade
-D: for angle of the blade

976-disadvantage of plastic reusable syringe is

A. Distortion if autoclaved
B. Provide single hand aspiration
C. Light weight

140 | P a g e - Dr.Bayan Al Mahari

977-fluoride found in fluoride varnish
A. Stannous FL 2%
B. Stannous FL 5%
C. Sodium FL 2%
D. Sodium FL 5%

978-time in days to *established* gingivitis

1-2
2-3
5-7
14-21 days

979-time in days to *early* gingivitis

1-2
2-3
4-7 day
14-21

980-time in days to *initial* gingivitis

1-2
2-4 days
5-7
14-21

981-minimum time for antibiotic

3 days
5
7
12

982-maximum time for antibiotic

3
5
7
10 to 14 days

983-pt. Come with pain in chewing. Cold test is normal but tooth sensitive and pain on biting
A. Normal pulp with normal pdl
B. Normal pulp with symptomatic periodontitis
C. Asymptomatic reversible pulpitis with symptomatic periodontitis
D. Asymptomatic irreversible pulpitis with asymptomatic Periodontitis

984-what is the best to make centric *occlusion*

1- Bone to bone
2- Tooth to tooth

985-what is the best to make centric *relation*

1- Bone to bone
2- Tooth to tooth

141 | P a g e - Dr.Bayan Al Mahari

986-using of floss:
A. Overhang restoration
B. Disturb interprox. Plaque

987-pt. Come to check up u found white spot on his tooth that change in color from normal
enamel and disappear by
1- wetting
2- Hypocalcifed enamel
3- Hyper calcified enamel
4- Incipient caries

988-The sequence in deep carious lesion close to pulp are

a. GI base, varnish, caoh2
b. Varnish, GI base, caoh2
c. Caoh2, GI base, varnish
d. Caoh2, varnish, GI base

989-Imaging showing disk position and morphology and TMJ bone:

a. MRI
b. CT
c. Arthrography
D. Plain radiograph.
E. Plain tomography

990-Best treatment of choice for carious exposure of primary molar in 3year old child who
complain of toothache during and after food taking:
A. Direct pulp capping with caoh
B. Direct pulp capping with ZOE paste
C. Formocresol pulpotomy
D. Caoh pulpotomy

991-Discoloration of endo treated teeth:

a. Hemorrhage after trauma.
B. Incomplete remove GP from the pulp chamber.
C. Incomplete removal of pulp tissue

992- Interproximal caries of is best detected by: OR The x-ray of choice to detect is:
1. Periapical X-ray film
2. Bitewing X-ray film
3. Occlusal X-ray film
4. None of the above

993-Fluoride tablets: = Sodium fluoride chewable tables

A. Only swallowed
b. Chewing then swallowing
C. Only chewing but not swallowing

994-Impression that can be poured more than once:

a. Alginate
b. polyvinyl
c. Condensation Silicon

142 | P a g e - Dr.Bayan Al Mahari

995-Access cavity for upper 4 & 5 premolar has two roots and two canals
1. Ovoid
2. Square
3. Triangular

996-base of diagnosis :-
A. Clinical and radiographic examination
B. Oral hygiene record

997-Pt 17 years complain from lesion like white band in cheek, he was in exam has history of
hepatitis C and adrenal disease in childhood, saw tooth:
1. Lichen planus
2. Lichenoid reaction

998-Most common acute injury during flossing

A. Injury of inter dental papilla
B. Loss of attachment in palatal of posterior upper

999-Names of caries system:

1/ MTD
2/ MDF
3/ DMF = Decayed -Missed -Filled

1000-60 years need removable to restore missing teeth upper 5, 4 has proximal caries, what to
do ?
1- extraction
2- remove caries before impression

1001-during examination, there is unelevated lesion on the check, that has variable "many color "
hat is if diagnosis
1- bulla
2- nodules
3- macule

1002-Which of the following is a common osseous lesion in periodontitis?

A. Exostosis
B. Crater
C. Buttressing bone
D. Hemiseptum

1003-Short sharp pain of tooth transmitted to brain by

A. A-delta fibers
B. C-fibers

1004-Inflamantion of tooth transmitted to brain by

A. A-delta fibers
B. C-fibers

1005-Flap used to fix bony un attached pocket to be attached again

1. Apical reposi on
2. Coronal reposi oned
3. Modified Widman
4. Not displaced flap

143 | P a g e - Dr.Bayan Al Mahari

1006-relation between cutting blade and tooth is called:
a-angulation
b- adaptation
c-activation
☀Note:, Angulation face of blade ‫ان‬ ‫ان ط‬
Adaptation: cutting edge with tooth surface

1008-bluish s ollen gla ed lesion on tip of tongue and laterall in 25 ears female:
a- Sq. Cell
b- Hemangioma
c- Neuro fibroma
d- Lipoma

1051-Patient having an orthodontic treatment and came back with bleeding when brushing in a
specific area :
periodontitis
gingivitis
gingival hypergrowth

1052-A little girl 5 years going to have chemootherapy and have deep caries on first primary
molars without image on the furation area what to do :
Extraction
Pulpotomy
Pulpectomy

1053-A women with all ceramic anterior upper fpd , what happens to anterior lower teeth:
abrasion
Attrition
Erosion
Abfraction

1054-Bacteries responsible for aggressive periodontitis :-

Aggregatibacter actinomycetemcomitans

1055-fractured upper central, only 1mm remain supragingival,prper ttt:

set post & crown
gingivectomy
rown lengthening then post & crown

1056-the bacteria communicate with each other by :

Courum sensingI
courum signaling
courum transfer

1057-Resin bonded bridges is commonly used with cases of :

Cares
Discoloration
Teeth fractures
Mobile teeth

144 | P a g e - Dr.Bayan Al Mahari

1058-Slow way if using palatal expansion appliance Open
1 ml every other day
0.5 ml every other day
1 ml every week
1.5 ml every other day

1059-Pt class 2 division 2 how the anterior guidance will be?

Flat
Steep

1060-Which matrix best for MOD amalgam?

Tofflemier metal matrex with metal band
Tofflemier with ultra thin band Contoured matrix band

1061-In primary impression when u remake it?

If its displaced and moved during setting
if the metal tray show through the impression when there is voids
that be managed and corrected

1062-Finger like projection in lateral border of the tongue which is

painless and not changed in size?
Filliform papillae
Folliate papillae
Papilloma

1063-Causative of herpangina?
Coxackie viru s
Ebstien Barr
virus Herpes
simplix virus

1064-What to give to patient with infective endocarditis?

2g amoxicillen before surgery with 1 hr

1065-Amalgam pin length

2mm
3mm
1mm

1066-What will response to aspirin?

Osteblastoma
Fibrous osteoma
Osteoid Osteoma

1067-Antes lawde finision: "the total periodontal membrane area of the abutment teeth must
equal or exceed that of the teeth to be replaced.

1068-Headgear force?
Intermittent

1069-Camouflage of cl3 with no crowding?

Extraction of lower 4s

145 | P a g e - Dr.Bayan Al Mahari

1070-Treatment of anterior open bite?
Fixed appliance with plastic postrior bite block

1072-Where is the comment place for denture caused hyperplasia?

Palate anteriorly
Lower ridge
Tuberoaity

1073-irritate the pulp if used to fabricate temporary crown on direct tech

Dimethacrylatebisacrylate
polyethylen methacrylate

1074-Micanazole antifungal target point on fungi is

- mRNA
- cell wall
- DNA

1075-Pt feel sharp nerve like pain when he swallow or rotate his head , the pain in pharynx base
of tongue and neck ... what is it ?
- eagel s s ndrome
- trigeminal neuralgia
- glossophyrengeal neur

1076-Long scenario and then said you have deep caries& want to place varnish under the
amalgam , what is the type ?
- copalite
- caoh2
- zinc oxide

1077-tooth with good crestal bone level (normal to mild) and there is RL lesion in furcation area
in clinical examination there is 8mm pocket , what is the type of bone loss ?
- vertical
- horizontal
- interradicular
- interdental

1078-what to check last during try in:

aesthetics
occlusion
Proximal contact
Marginal integration
Stability
Occlusion

1079-Patient with bad occlusal force came back with porcelain fracture
A. Tell lab to do stronger porcelain
B. Increase porcelain thickness
C. Night guard

1080-Contraindication Of Root Resection

A. Vertical Root Fracture
B.Vertical Bone Fracture
C.Horizontal Root Fracture

146 | P a g e - Dr.Bayan Al Mahari

1081-A patient comes to your clinic with severe pain,.there's shaped lesion a long the root of RCT
tooth inX-ray. What 's the diagnosis
A. Periodontal pocket
B. Vertical fracture
C. Lateral canal
D. Secondary periodontitis

1082-most appropriate root configuration for abutment of FPD :

A. Conical
B. Multirooted
C. Root that wider mesiodistally more than buccolingually

1083-most difficult root canal in RCT :

A. Long narrow curved
B. Short wide straight

1084-oblique ridge in upper 1st molar :

A. Run from distopalatal cusp to mesiopalatal cusp .
B. Run from mesiobuccal cusp to distobuccal cusp .
C. Run from distobuccal cusp to mesiopalatal cusp
D. Run from mesiobuccal cusp to distopalatal cusp

1085-percentage of ( Naf ) in fluoride varnish :

A. 0.5%
B. 5%

1086-Type of topical ( F ) that give to child of 2 years old :

A. foam
B. varnish
C. gel
D. mouth rinse

1087-Busy dentist take the alginate imperssion and put it in water , the
alginate will develop?
A. Synersis
B. Imbibitation
C. Chalky appearance

1088-poorest prognosis for avulsed tooth :

A. Open apex less than 24 hrs.
B. Open apex more than 24 hrs .
C. Closed apex more than 24 hrs
D. Closed apex less than 24 hr

1089-Functional appliance , which one :

A. Bionator
B. Headgear
C. Revers headgear

147 | P a g e - Dr.Bayan Al Mahari

1090-condyle rotate around which line :
A. Hinge axis
B. Midline
C. Vibrating line

1091-fracture with did face mobility involve nasal

bridge and infraorbital margins :
A/ lefort l = note for( Maxillary bone)
B/ lefort ll = note for( Infra orbital bone )
C/ lefort lll = note for(Mediyal orbital bone)

1092-Most common cause of porosity in a porcelain restoration is:

1. Moisture of contamination.
2. Excessive firing temperature.
3. Excessive condensation of the porcelain.
4. Inadequate condensation of porcelain.

1093-Where does the breakdown of Lidocaine occurs

1. Kidneys.
2. Liver.

1094-Instrument used to catch the flap (soft tissue) when we do impaction in lower third molar:
1.Adson forceps.
2.(Adson tissue forcep)
3. Allis forceps.
4. Curved hemostat.
5. Regular tweezers

1095-Time of PT, PTT

PT: 11 15 sec; PTT: 25 40 sec

1096-After patient came to your clinic and gave an extended history and complains, hat s our
next step in treatment?
1. Clinical examination.
2. Start the treatment.
3.Radiographic examination

1097-An 8 years old child suffered a trauma at the TMJ region as infant. Complaining now from
limitation in movement of the mandible. Diagnosis is:
1. Sub luxation.
2. Ankylosis

1098-Fractured tooth to alveolar crest, what's the best way to produce ferrule effect?
1. Restore with amalgam subgingivally
2. Crown lengthening.
3. Extrusion with orthodontics.

1099-The role of good sterilization:

Washing, drying, inspection, Bagging, autoclave, storage
Inspection, autoclave, drying, storage.
Autoclave, drying, storage

148 | P a g e - Dr.Bayan Al Mahari

1100-Fluoride amount in water should be:
1. 0.2-0.5 mg/liter.
2. 1-5 mg/liter.
3. 0.7 1.2 mg/liter = 1mg
4. 0.1- 0.2 mg/liter.

1101-Ugly duckling stage:

1. 9 to 11 years old.
2. 13 to 15 years old.
3. 7 to 9 years old

1102-Scale to measure marginal deterioration:

1. Mahler scale.
2. Color analogues scale

1103-biological width of the gingiva:

1. 1mm.
2. 2mm

1104-2nd maxillary premolar contact area:

1. Middle of the middle third with buccal embrasure wider than lingual embrasure.
2. Middle of middle third with the lingual embrasure wider than the buccal embrasure.
3. Cervical to the incisal third.

1105-When Making centric occlusion for complete denture, it is advisable to have:

1. 1-2 mm of vertical and horizontal overlap of upper and lower anterior teeth with no
contact.
2. Definite tooth contact of upper and lower anterior teeth in order to facilitate the use of
anterior teeth for incision

1106-The most frequent cause of failure of a cast crown restoration is:

1. Failure to extend the crown preparation adequately into the gingival sinus.
2. Lake of attention in carving occlusal anatomy of the tooth.
3. Lake of attention to tooth shape, position and contacts.
4. Lake of prominent cusps, deep sulci and sharp marginal ridges

1146-Cell of chronic inflammation:

1. Lymphocytes.
2. PMN.
3. Neutrophils.

1147-Dentist must:
1. Treat PT medically.
2. Prescribe medicine to PT with medical problem.
3. Do clinical examination, take medical history and evaluate the medical state.

1148-physiological reaction of edema on vital pulp:

1. Decrease tissue fluid by decompression of blood vessel.
2. Increase blood pressure.
3. Necrosis of pulp due to hyproxia and anoryxia.

149 | P a g e - Dr.Bayan Al Mahari

1149-7 days after amalgam restoration PT came complaining of pain during putting spoon on the
restored tooth, this is due to:
1. Irreversible pulpitis.
2. Reversible pulpitis.
3. Broken amalgam.
4. Galvanic action.

1150-Composite for posterior teeth:

1. Micro filled + fine filler.
2. Macro filled + rough filler.
3. Hybrid + rough filler.

1151-Geographic tongue is seen in PT with:

1. Diabetes.
2. Iron deficiency anemia.
3. Pemphigus.
4. psoriasis

1152-The most important (considerations for successful) RCT is to seal:

1. Apical 1/3.
2. Middle 1/3.
3. Cervical 1/3.

1153-The most common complication after extraction for diabetic PT is:

1. Infection.
2. Serve bleeding.
3. Oedema.

1154-The first pharyngeal arch will form:

1. Maxilla.
2. Mandible.
3. Thyroid.
4. Hyoid

1155-The posterior seal in the upper complete denture serves the following functions:
1. It reduces patient discomfort when contact occurs between the dorsum of the tongue and the
posterior end of the denture base.
2. Retention of the maxillary denture.
3. It compensate for dimensional changes which occur in the acrylic denture base during
processing.
4.All of the above

1156-In persons with normal healthy gingivae, the proper device for cleaning interproximal
surfaces is the:
1. Dental floss.
2. Interproximal brush.
3. Powered (electric) toothbrush.
4. Hand toothbrush.
5. Water irrigation device.

150 | P a g e - Dr.Bayan Al Mahari

1157-The best method for plaque control is:
1. Through mechanical tooth cleaning.
2. By the use of chemical agents once\day.
3. By the use of effective chemical agents.

1158-Oral lesions of lichen planus usually appear as

1. White streaks.
2. Red plaques.
3. Small, shallow ulcers.
4. Papillary projections.
5. Bullae.

1159-Radiograph diagnosis of bone destructive lesion in the mandible without evidence of bone
formation:
1. Osteomyelitis.
2. Malignancy.
3. Fibro-osseous lesion.
4. Fracture.

1160-Treatment of internal resorption involves:

1. Complete extirpation of the pulp to arrest the resorption process.
2. Enlarging the canal apical to the resorbed area for better access.
3. Utilizing a silver cone and sealer to fill the irregularities in the resorbed area.
4. Filling the canal and defect with amalgam.
5. Sealing sodium hypochlorite in the canal to remove inflammatory tissue.

1161-The movement of water across a selectively permeable membrane is called:

1. Osmosis
2. Active transport
3. Filtration
4. Diffusion

1162-What is the amount( of anesthetic agent ) in mg in 1.8 ml of 2% xylocain?

20 mg/ml
1.8 mg/ml
36 mg

1163-It is preferable to be the length of the handle of the custom tray:

1. 10mm.
2. 20mm.
3. 15mm.
4. 25mm.

1164-What is the basis for the current endodontic therapy of periapical lesion?
1. Due to reach collateral circulation system, the periapical area usually heals despite the
condition of the root canal.
2. if the pulpal source of periapical irritation is removed, the potential for complete periapical
healing is present.
3. Strong intracanal medications are recuired to sterilize the canal and the periapical area to
promote healing.
4. Periapical lesions, especially apical cyst must be treated by surgical intervention.

151 | P a g e - Dr.Bayan Al Mahari

1165-The occlusal reduction for all metal veneer crowns should be:
1. Be as flat as possible to enable easy fabrication of occlusal anatomy.
2. Follow the occlusal morphology with a clearance ranging from1 to 1.5 mm with the opposing
dentition.
3. Follow the occlusal morphology with a clearance of no more than 0.5 mm with the opposing
dentition.
4. Be the last step in tooth preparation.
☀Note:
All metal:
buccally : 1mm
lingually : 1mm
functional cusp: 1.5mm
non functional : 1mm
All ceramic :
all over 2 mm
PFM:
buccally:1.5mm
lingually : 1mm
functional cusp : 2mm
non functional cusp :1.5 mm

1166-The incisal guide should be set on the articulator at:

1. Zero degree.
2. 20 degree.
3. 40 degree.
4. non

1167-The lateral condylar posts should be set on the articulator to:

1. Zero degree.
2. 20 degree.
3. 40 degree.
4. 15 degree.

1168-You need .to get the teeth shade:

1. Shade guide.
2. Incisal guide.
3. Acrylic teeth.
4. Porcelain teeth.

1169-Cleft palate, cleft lip, missing ear, prognathism are:

1. Acquired defects.
2. Congenital defects.
3. Developments defects.
4. None

1170-When the mandible moves to the working side, the opposite side cusp to cusp contacts in
order to balance stresses of mastication. This relation is called:
1. Working relation.
2. Balancing relation.
3. Occlusal relation.
4. None.

152 | P a g e - Dr.Bayan Al Mahari

1171-The relation involves the movement of the mandibular to the side
either right or left in which the act of mastication is to be
accomplished. Therefore the side to which the mandible moves is
called:
1. Balancing side.
2. Working side.
3. Compensating side.
4. All.

1172-Accidents, surgery, pathology are:

1. Acquired defects.
2. Developments defects.
3. Congenital defects.
4. None.

1173-A rigid part of the partial denture casting that unites the rests and another part of the
prosthesist the opposite side of the arch is called:
1. Minor connecter.
2. Major connector.
3. Retainer.
4. Rest.

1174-The part of a removable denture that forms a structure of metal struts that engages and
unites the metal casting with the resin forming the denture base is called:
1. Minor connecter.
2. Major connecter.
3. Denture base connector.
4. Retainer.

1175-The primary guiding surface that determines the path of insertion for thepartial denture is:
1. The tooth surface opposite to the edentulous areas.
2. The tooth surface adjacent to the edentulous areas.
3. None.
4- Guiding plane

1176-To fabricate a removable partial casting requires making a second cast of high-heat
investment material this cast is called:
1. Study cast.
2. Master cast.
3. Refractory cast.
4. All

1178-Moon face appearance is not present in:

a. Le fort I.
B. Le fort II.
C. Le fort III
d. Zygomatic complex.

1179-Child with late primary dentition has calculus and gingival recession related to upper molar
what is the diagnosis:
1. Periodontitis.
2. Local aggressive Periodontitis.
3. Viral infection

153 | P a g e - Dr.Bayan Al Mahari

1180-One of these has no effect on the Life span of handpiece:
a-Low Air in the compressor.
b-Trauma to the head of the hand piece
c-Pressure during operating

1107-ETCHANT of most dentine bonding system is applied for:

1. 15 secons.
2. 30 seconds.
3. 40 seconds

1108-Fibers which completely embedded in cementation and pass from cementation of one tooth
to the cementation of adjacent tooth is
1. Sharpies fibers.
2. Transceptal fibers.
3. Lougtudinual fibers

1109-Polishing bur containing how many blades for composite polishing:

1. The first one.
2. 7-9.
3. 9-11.
4. 12 and above.

1110-Cementosis and ankylosis of the teeth is common features of:

1. Cherbisn.
2. Ostiomylitis.
3. Paget's disease of the bone.
4. Stager syndrome.

1111-Polysulfide rubber base which used for final impression must be:
1. Pouring in first 1 hour.
2. Pouring in first 2 hour.
3. Using cooling water.
4. Pouring in first 12 hour

1112-Use of dental elevator is for all except:

1. Wheel and axis.
2. Wedging.
3. Lever.
4. Wedging of socket wall.

1113-Camphor Mono-Chlorophenol contains phenol in concentration: ( as root canal dressing )

1. 0.5%.
2. 35%. (paramonochlorphenol ) and 65%. ( camphor )
3. 65%. + ..
4. 5%.

1114-One of anatomical land mark (in determining the occlusal plane) is:
1. Ala tragus line.
2. Ala orbital.
3. Frank fort plane.

154 | P a g e - Dr.Bayan Al Mahari

1115-Hyperemia results in:
1. Trauma from occlusion.
2. Pain of short duration.
3. Radiographic changes.
4. All of short duration.

1116-Facial nerve supply:

1. Masseter muscle.
2. Temporalis muscle.
3. Buccinator muscle.
4. Mylohyoid muscle.

1118-Foramen Ovale is in the following bone:

1. Parietal.
2. Temporal.
3. Occipital.
4. Sphenoid.

1119-All are single bone in the skull except:

1. lacrimal.
2. Occipital.
3. Sphenoid.
4. Vomer

1120-post retention depends on:

1. Post length.
2. Post diameter.
3. Post texture.
4. Core shape
5. Design of the prosthesis.
a) 1+2.
b) 1+2+3.

1121-Buccal object rule in dental treatment of maxillary teeth:

1. MB root appear distal to P if cone is directed M to D.
2. DB root appear mesial to P if cone is directed M to D.

1122-etching 15 sec for composite restoration use:

1. 37%phosphoric acid.
2. 15%nitric acid.
3. 3%sulfuric acid.

1123-All of these are landmarks that indicate post palatal seal except:
1. Fovea palatine.
2. Hamular notch.
3. Vibrating line.
4. Retromolar pad

1124-Maximum time elapsed before condensation of amalgam after trituration:

1. 1minute.
2. 3minutes.
3.9minutes.

155 | P a g e - Dr.Bayan Al Mahari

1125-Contact point in the proximal surface in which of the following presenting occlusal one
third:
1. Lower anterior tooth.
2. Maxillary posterior molar.
3. Lower premolars.

1126--to recheck centric relation in complete denture:

1- Ask PT to swallow and close.
2- Ask Pt to place tip of the tongue in posterior area of denture and close.
3- Ask PT to wet his lip and tongue.
4- All of the above.

1127-reduction in amalgam restoration should be:

1- 1-1.5 mm.
2- 1.5-2 mm.
3- 2-3 mm.
4- 3-5 mm

1128-what is the name of 1st pharyngeal arch:

1. Maxillary.
2. Mandible.

1129-occlusal rest function:

1- To resist lateral chewing movement.
2- To resist vertical forces. *(support)*
3- Stability.

1130-Etching veneer by use:

buffered hydrofluoric acid 9%

1131-depth of composite restoration in enamel dentine depth?

0.5mm
1
1.5
2 -NOT SURE-

1132-pt. has bad oral hygiene and missing the right latral treatment ?
Maryland bridge

1133-after extraction which the best thing used to clean the socket?
-Sterilized saline
-Water top
-Hydrogen Proxied
-CHX

1134-space between pt & cephalometry?

a)12cm
b)15cm =5 feet
c)18
d)20

156 | P a g e - Dr.Bayan Al Mahari

1135-space between dr & xray?
a)12
b)6 feet
c)18

1136-When placing implant and you want to have interdental papilla regrowth you should leave
btw base of proximal plate & crestal bone?
-3.4 -NOT SURE-
-4.4
-6.4

1137-CD4 level in AIDs pt is?

-<500
-1500
-1200

1138-The doctor conduct should be :

Ethical -laws -professionalisms
Law - ethical - professionalisms
Self decision -professionalisms-ethical
Ethical-moral professionalisms

1139-Slow way if using Quad helix appliance?

Open 1 ml every other day
0.5 ml every other day
1 ml every week
1.5 ml every other day

1140-the most common allergic to the dental care?

A-glass ionomer
B-SSC(stainless steel)
C-Antibiotics

1141-O lear plaque inde :

1-disclosing agent
2-prophy paste
3-periodontal probe
4-sharp explorer

1142-which muscle is elevated and retracted the mandible?

Temporalis

1143-what is mean of Non malfeasance?

do no harm

1144-wide canal what the obtureation tech u will use ?

WVC (warm vertical compaction)

1145-Least number of space should be found in primary space to decrease

crowding in permanent teeth:
a. 2mm
b. 4mm
c. 6mm

157 | P a g e - Dr.Bayan Al Mahari