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MDS / ADC / NBDE Coaching
Concepts To Remember
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The correct answer is A. Maxillary first premolars are almost always double rooted. When single rooted, they always have two separate root canals. The level of division of the two roots varies, from complete division up to the crown, to only a small separation apically. The mandibular first premolar is most often singlerooted, and the mandibular second premolar is almost always single rooted (double roots are rarer than in the mandibular first). The maxillary second premolar is most often single rooted. The extreme likelihood that the maxillary first premolar will have two roots has implications for both endodontics and exodontia of this tooth. It is also reported that some small percentage (5% in one study) are actually triple rooted. 2. In centric occlusion, the mesiolingual cusp of the maxillary first molar will contact: A. the mesial marginal ridge of the mandibular first premolar and distal marginal ridge of the second premolar B. the distal marginal ridge of the mandibular first molar and distal marginal ridge of the second molar C. the distal marginal ridge of the mandibular second premolar and mesial marginal ridge of the first molar D. the central fossa of the mandibular first molar The correct answer is D. The mesiolingual cusp of a maxillary molar is a holding cusp. The general rule for maxillary holding cusps is as follows: a maxillary holding cusp contacts the distal marginal ridge of its mandibular counterpart and the mesial marginal ridge of the mandibular tooth distal to its counterpart, EXCEPT FOR THE MESIOLINGUAL CUSPS OF THE MOLARS, WHICH CONTACT THE CENTRAL FOSSAE OF THEIR COUNTERPARTS. This should be the central fossa of the counterpart, the mandibular first molar. 3. A rule regarding congenitally missing teeth is: A. A mandibular tooth is more likely to be missing than its maxillary counterpart B. A distal tooth of a type is more likely to be missing than the mesial tooth of the same type C. A mesial tooth of a type is more likely to be missing than a distal tooth of the same type
The correct answer is B. In any set of teeth (incisor, premolar, molar), the distal tooth is more likely to be congenitally missing than the mesial. So lateral incisors are missing more than centrals, second premolars are missing more than first premolars, and third molars are more commonly missing than first or second. Of all of these, the MOST commonly missing is the maxillary lateral incisor. 4. The crowns of the incisors when viewed from the incisal A. are wider mesiodistally than buccolingually in both arches B. are wider buccolingually than mesiodistally in both arches C. are wider mesiodistally in the maxilla, and wider buccolingually in the mandible D. are wider mesiodistally in the mandible and wider mesiodistally in the maxilla The correct answer is C. This is known as an arch trait, as it is true for both incisors of each arch. Both incisors of the maxilla are wider mesiodistally. Both incisors of the mandible are wider buccolingually. The maxillary central, in particular, is known for the greatest assymetry in this regard. It is much wider mesiodistally than buccolingually, and that difference, expressed as a ratio, is greatest for that incisor. It is also the largest incisor, in both dimensions, in absolute size. 5. Which of the following will cause reduction of the size of the pulp chamber in mid-life? A. Formation of primary dentin B. Formation of secondary dentin C. Internal resorption D. External resorption The correct answer is B. Primary dentin surrounds the pulp chamber when the tooth is first formed and erupts. It is the initial dentin that makes up the base of both the crown and root. If the young tooth has a given size pulp chamber, further dentin formation, secondary dentin, later in life, will begin to fill the chamber with dentin, making it smaller. Internal resorption is loss of dentin, resulting in a larger pulp chamber. External resorption involves the exterior of the root and does not change the pulp chamber size. 6. The largest root of the maxillary first molar is the: A. mesiobuccal B. distobuccal C. palatal
The correct answer is C. The palatal or lingual root of the maxillary first molar is the most massive by far. It is normally straight but palatally inclined, giving the three roots a tripod-like appearance. The mesiobuccal root is second in size, and the distobuccal is smallest. The mesiobuccal is often curved distally and the distobuccal curved mesially. This pliers-like appearance is not found in the maxillary second and third molars.
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
The correct answer is A. If you see enough small children in your practice, you'll often notice that a 6-month-old child will have only two teeth: the two mandibular centrals. These are commonly the first teeth to erupt, and most commonly do so at 6 months. Mandibular laterals are often seen at about 9 months. Maxillary centrals and maxillary laterals average about 8 months. First molars then precede canines in both arches, and second molars are last in both arches. The last primary is usually the maxillary second molar at about 24 months. These times may vary considerably. Know the most common order: central, lateral, first molar, canine, second molar. 8. In performing a left working movement: A. Only the left lateral pterygoid contracts C. Both lateral pterygoids contract B. Only the right lateral pteyrgoid contracts D. Neither lateral pterygoid contracts
The correct answer is B. In a left working movement, the mandible moves toward the left. The left side is then known as the working side and the right side as the nonworking (balancing) side. The lateral pterygoids pull the mandibular condyles forward, so the pull of both together results in protrusion. For only a left-sided movement, the left lateral pterygoid does not contract and the left condyle stays in a relatively unchanging position (it does rotate slightly). The right lateral pterygoid contracts and pulls the right side of the mandible outward, and then it turns left, as the left side of the mandible is stationary. Remember that the right lateral pterygoid moves the mandible left, and the left lateral pterygoid moves the mandible right. 9. On which premolar can you see more of the occlusal table from the mesial than from the distal? A. Maxillary first B. Maxillary second C. Mandibular first D. Mandibular second The correct answer is C. The mandibular first premolar is the exception to premolar form in many ways. It is canine-like with a reduced lingual cusp, resembling a cingulum. Its occlusal table tilts downward from buccal to lingual in a slanted fashion. It is also slightly higher on the distal side than the mesial, and its mesial marginal ridge is less prominent than its distal marginal ridge. This means that in a mesial view you can see some of the occlusal table because it slants toward you. From the distal view, this is not true. The higher distal end blocks any occlusal view from that direction. 10. At the cervical line, a cross section of the mandibular canine would show: A. a round shape B. an oval shape wider on the lingual than the labial C. a triangular shape with a distinctly wider labial surface D. an oval shape with a slightly wider labial surface The correct answer is D. The mandibular and maxillary canines exhibit similar cross sectional shapes at the cervical line. The mandibular canine cross section is oval and flattened mesiodistally. It is generally slightly wider at the labial end than at the lingual. The pulp cavity at this point is lens-shaped, double convex. 11. In a mandibular first molar, which pulp horn is likely to be smallest? A. Mesiobuccal B. Mesiolingual C. Distobuccal D. Distal The correct answer is D. The first is that the mandibular first molar is a five-cusped tooth. The second is that the pulpal anatomy reflects the cuspal anatomy (or vice versa). Tall, large cusps are likely to have tall, large pulp horns. Small cusps generally have small associated pulp horns. In this case, the distal cusp is generally the smallest of the cusps of the mandibular first molar. 12. The premolar most likely to have a three-cusped appearance when viewed from the occlusal is the: A. maxillary first B. maxillary second C. mandibular first D. mandibular second The correct answer is D. The premolars are usually considered to be two-cusped teeth (bicuspids). The exception to the rule, to a small extent, is the mandibular second premolar. Often, the lingual cusp area is divided into a mesiolingual cusp and a distolingual cusp. This gives the tooth a three-cusped appearance. A two-cusped variety also exists, with a large lingual cusp instead of the two smaller ones. In the three-cusped variety, a lingual groove separates the two lingual cusps. Note that the two-cusped and threecusped varieties are not grossly different in size, as the single lingual cusp is about the same size as a mesioloingual and distolingual combined. The other premolars exist primarily in double-cusped varieties only. 13.The distolingual cusp of the mandibular first molar contacts: A. the lingual embrasure between the maxillary first molar and second premolar B. the lingual groove of the maxillary second molar C. the central fossa of the maxillary first molar D. the lingual groove of the maxillary first molar
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
B. a distal marginal ridge only D. both a mesial and distal marginal ridge
The correct answer is D. as they are less distinct than on the posterior teeth; and in the posterior teeth, they are often points of occlusal contact. However, the maxillary canine, as well as other anterior teeth, does have both a mesial and distal marginal ridge. The lingual anatomy of the maxillary canine has a cusp tip, with mesial and distal marginal ridges sloping down from it. Centrally, a lingual ridge splits the lingual surface in two. In between the marginal ridge and the lingual ridge, we find two depressions, the mesiolingual fossa and the distolingual fossa. 18. As the tooth bud develops into a tooth, the ameloblasts and odontoblasts: A. become farther apart B. become closer together C. stay approximately the same distance apart D. are always immediately next to each other The correct answer is A. Early in tooth bud formation, the tissues of the enamel organ-outer enamel epithelium, stellate reticulum, stratum intermedium, and inner enamel epithelium-form adjacent to the dentin-forming tissues of the dental papilla. In fact, at this stage, the ameloblasts and future odontoblasts are in contact along the length of the tooth bud. The dentin production begins first, and predentin is laid down by odontoblasts. This predentin production induces the ameloblasts to begin enamel production by cells of the inner enamel epithelium. Thus, dentin is produced above the odontoblasts while enamel is formed below the inner enamel epithelium. Both dentin and enamel are deposited between these two layers, and the former site of the junction of the two layers becomes the DEJ, or dento-enamel junction. By tooth completion, the enamel organ is at the surface of the gingiva while the odontoblasts are producing dentin for the tooth root. Thus, these cell layers are very far apart at this point.
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
The correct answer is C. Mammelons are bumps on the incisal edge of incisors. They are most commonly found on central incisors of both arches, and if found on the laterals, they are less prominent than those found on the centrals. There are normally three, but this is variable. The three are termed mesial, central, and distal. They are often worn off on adult teeth through years of occlusion. 21. As you go from mandibular first to second to third molars, overall root length: A. increases, then decreases B. increases C. decreases D. decreases, then increases The correct answer is C. While the mandibular third molar is often so variable that it is hard to make useful predictions about it, these generalities apply to mandibular first, second, and third molars as you move distally in the arch: 1) they decrease in mesiodistal length, and 2) their roots decrease in length. Third-molar roots may resemble normal molars or may be missing roots or have additional roots. Roots are often partially or totally fused. In some cases they form a cone-like, fused mass, making exodontia much simpler in these cases. In all cases, however, their roots are shorter than those of their second-molar counterparts, which are always smaller than those of the first molars. 22. Incisal contact between the maxillary and mandibular incisors is seen normally: A. in centric occlusion B. in working movements C. in protrusive movements D. in retrusive movements The correct answer is C. Posterior contact is normal during centric occlusion and maintains the vertical dimension of occlusion. In a normal dentition, however, the incisors are slightly out of contact during centric occlusion. When the mandible moves forward (protrusion), the incisal edges of the mandibular anteriors meet the lingual surfaces of their maxillary counterparts as the teeth separate during opening. (Try it in your mouth!). Note that during retrusion (moving the mandible from centric occlusion to a more distal position), no such contact occurs. During working (lateral) movements, only posterior teeth and canines contact (group function), or canines contact alone (canine/cuspid protected guidance).
23. Severing the left lateral pterygoid will cause the mandible to move in what direction if the patient attempts to protrude? A. Posteriorly B. Closure (elevation) C. Right D. Left The correct answer is D. If you like rules, the rule is that if a lateral pterygoid is injured, the mandible moves toward the injured side. If you wish to understand this rule better, imagine two intact lateral pterygoids protruding the mandible normally. Now cut the left lateral pterygoid, and imagine that the left side stays in place but the right side continues to protrude. In effect, the mandible will rotate around the axis of the left side. The left side stays in place while the right side rotates left. Lateral pterygoids have little effect on closing. 24. Which characteristic is NOT typical of lining mucosa? A. Nonkeratinized B. Lines the surface of the hard palate C. Freely moveable D. Contains a well developed submucosa The correct answer is B. Lining mucosa covers most of the oral cavity except for the hard palate and gingival areas. It is usually loose, freely movable, and has a well-developed submucosa. The lamina propria is often highly glandular. The epithelium is thin and nonkeratinized. Epithelial ridges and rete pegs are uncommon and short.
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The correct answer is C. Specialized mucosa is found on the dorsum of the tongue and contains taste buds and various papillae, including circumvallate, foliate, fungiform, and filiform. Masticatory mucosa consists of the gingiva and covering of the hard palate. Most of the other areas of the oral cavity are lined by lining mucosa. The characteristics of masticatory mucosa are keratinization, thin or absent submucosa, and tight binding of the lamina propria to underlying periosteum. Lining mucosa is generally nonkeratinized, with a thin lamina propria. Near the teeth, the gingiva and lining mucosa (alveolar mucosa) meet at the mucogingival junction.
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
C. Third mandibular
The correct answer is A. A mesiodens is a supernumerary located midline in the maxilla. It has a wide variety in morphology and is usually extracted. It is the most common and frequently causes a diastema between the central incisors. The other relatively common supernumeraries are the second maxillary lateral incisor, third mandibular premolar, and fourth maxillary molar. 34. Which cusp of the maxillary molar is NOT part of the trigon (primitive cusp triangle)? A. Mesiolingual B. Mesiobuccal C. Distolingual D. Distobuccal The correct answer is C. In evolution, three cusps of the maxillary molar are considered to be the primary cusp triangle, and the original three cusps of the evolving molar. They form the trigon, and are the MB, ML, and DB cusps. The fourth cusp, the DL, is the smallest, is considered to be a minor cusp, and is known evolutionarily as the talon, or talon cusp. This cusp is less conspicuous as you go from first to second to third maxillary molar. 35. Which factor does NOT affect pulp cavity size in a tooth? A. Caries B. Age of tooth C. Action of dentin-forming ameloblasts D. Abrasion
The correct answer is C. odontoblasts, as dentin formers, influence pulp size because the pulp is surrounded by dentin. Caries may cause deposition of reparative or secondary dentin. The same is true for other factors, such as abrasion, heavy occlusal wear, erosion, etc. Pulp tends to become smaller and more calcified with age, so age is also a factor. 36. A rule regarding congenitally missing teeth is: A . A mandibular tooth is more likely to be missing than its maxillary counterpart B. A distal tooth of a type is more likely to be missing than the mesial tooth of the same type C. A mesial tooth of a type is more likely to be missing than a distal tooth of the same type D. None of the above is true The correct answer is B. In any set of teeth (incisor, premolar, molar), the distal tooth is more likely to be congenitally missing than the mesial. So lateral incisors are missing more than centrals, second premolars are missing more than first premolars, and third molars are more commonly missing than first or second.
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
10. The main bulk of tooth is composed of 11. ..is a linear elevation on the surface of a tooth. 12. ..descends from the tips of the cusps of molars and premolars towards the central part of the occlusal surface. 13. is formed by the union of the triangular ridge of the distobuccal cusp and the distal cusp ridge of the mesiolingual cusp of maxillary molar. 14. ..is one of the primary sections of formation in the development of the crown. 15. .angle is formed by the junction of two surfaces. 16. .angle is formed by the junction of three surfaces. 17. The specifications used for carving individual teeth for the permanent dentition is given by .. 18. Dental age assessment based on the basis of the number of teeth at each chronological age was given by . 19. Dental age assessment based on the stages of formation of crowns and roots of teeth was given by . 20. Dental age assessment in the mixed dentition based on the amount of resorption of roots of primary teeth and amount of development of permanent teeth was given by .. 21. Tooth formation that may be divided approximately into a number of stages that covers continuously the development of teeth was given by.. 22. In the radiological studies of tooth formation there are at least three stages . Nolla expanded it to stages and Gleisen & Hunt into . Stages. 23. Calcification of the primary dentition begins by ..and takes years to be completed.
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
28. The first teeth of the permanent dentition to emerge through the gingiva isand it begins to calcify at 29. The primary function of pulp is . 30. The highest peak of caries attack occurs at.years of age. 31. The primary teeth are also called ../.../............................ 32. The deciduous tooth which is unique in that it has a crown form unlike that of any permanent tooth is 33. Root resorption of deciduous teeth begins after ..year, after it is completely formed. (Rest period) 34. Crowns of the anterior teeth are wider mesiodistally in comparison with their crown lengths. 35. Cervical ridges present buccaly on primary teeth are more pronounced in ..teeth. 36. The enamel rods at the cervix slope .instead of in permanent dentitions. 37. Mesial slope of the cusp is smaller than distal slope in.teeth. 38. The cusp of the primary canine is &.. than permanent canine. 39. From the incisal tip, the crown of primary..tooth is diamond shaped. 40. Bifurcation of the roots of the primary first molar begins almost immediately at . 41. cusp of the maxillary first molar is most prominent , longest and sharpest. 42. Crown of deciduous molar resembles a permanent maxillary premolar. 43. The primary tooth which resembles the permanent maxillary first molar is . 44. The cusp of carebelli of deciduous dentition is found on. 45. A sharp and prominent mesiolingual cusp which is almost entered lingually but in line with the mesial root is an outstanding characteristic feature of .. 46. .is the largest cusp of the primary mandibular first molar 47. When the maxillary and mandibular primary teeth occlude, all the teeth occlude with two teeth in the opposite jaw except..and . 48. The separation of primary anterior teeth due to growth of the jaws is usually seen during ..years of age. 49. The arrangement of natural teeth was described originally by .. 50. The simplest form of tooth with single cones in the reptilian stage is called ..
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
Academy of Higher Education and Advancements in Dentistry (A.H.E.A.D) 57 / 11, Old Rajinder Nagar, New Delhi 110060. Ph: 011 - 25716297, 9810187297. Email- ahead_academy@yahoo.com www.aheadacademy.com
12. Largest embrasure lies between A) Maxillary central incisors B) Maxillary central and lateral C) Maxillary canine and first premolar D) Maxillary lateral incisor and canine 13. The largest embrasure in post. Teeth is A) Buccal B) Distal C) Lingual Occlusal D)
14. The tooth that is commonly seen in an abnormal relation and contact with its adjacent teeth of the same arch A) Mandibular first premolar B) Mandibular lateral incisor C) Maxillary central incisor D) Maxillary lateral incisor 15. Divergence from contact area in proximal surfaces causes embrasures A) Facially B) Lingually C) Cervically D) Facially, lingually, cervically&occlusaly 16. The last primary tooth to be replaced by a permanent tooth is usually the A) Maxillary second molar B) Mandibular second molar C) Maxillary canine D) Mandibular canine 17. Calcification of permanent first molar usually begins in the A) Third month of IU life B) 6th month of IU life C) At birth D) In 3rd month of extra uterine life 18. A radiograph of 4-year old child reveals no evidence of calcification of mandibular second premolar. This shows A) It is too early to make final prediction B) The teeth may develop later C) Primary second molar extracted to allow mesial drifting of permanent first molar D) The child may never develop premolars 19. First evidence of initiation of primary dentition is usually around A) 4 months in utero B) Birth C) 4 months after birth D) One year after birth 20. Ram, a 4 year old boy was on tetracycline therapy. Discoloured teeth will be A) Premolars, incisors and 1st molars B) Canines and 2nd molars C) Canines, premolars and 2nd molars D) Incisors and 1st molars
10. The facial aspect of all teeth is represented by A) Trapezoidal form B) Triangular form C) Rhomboid form D) None of the above 11. The mesial contact area of the permanent canine is at the A) Middle third B) Junction of incisal and middle third C) Junction of middle and cervical third D) None of the above
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