Bayan's Notes PDF

By:Dr.
Bayan AlMahari
| 2020 |
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..‫مهف فًٕ اٌم االشٕب انٓ ممكه وذرسٍب نالمحذبن‬
o Endo : page[2]
o Perio : page[5]
o Fluoride : page[8]
o Implant : page[12]
o Ethics : page[28]
o ْ‫ جصذٕخ مهف انغبمذ‬: page[30]
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☀P.S:
Dr.Fatima ‫ اَل صفذة فٓ انبزُٔ شزح‬-

..‫ وقهحً مه انحجمٕعبت‬Ethics ‫ َ انـ‬Fluoride ‫ انـ‬-
..‫ ضفث عهًٕ شُٔة وُجس َ صُر‬..‫ انحصذٕخ كبن مه قزَة انُجسبة‬-
..ً‫َاوشبهلل جسحفٕذَن مى‬
- BEST.OF.LUCK -
| Dr.Bayan AlMahari |
Endo :
..ٍٍ‫عُذَا َٕع‬
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.

☀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

Perio :
:‫☀ شزح انمسبئم‬
☀ 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☀فً أشٍاء بتأثز فً سزعت فقذاٌ انعضى‬

smocking and diabetes ‫سي‬
☀ 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%
:‫َجً نكٍف بٍطزح انسؤال راح اجٍبهكى سؤال جاًَ باالختبار‬

12y pt have attachment loss 3-4 and 30% bone loss ?
stage ll grade c
‫ ؟‬grade c ‫نٍش قهُا‬
ًُ‫ ٌع‬١ ٍ‫ ٌعًُ اكثز ي‬5.5 ‫ عهى عًز انًزٌض َٔشٕف طهع‬bone loss ‫بُقسى ال‬
rapid bone loss stage c

☀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
- subgingival insertion angle = 0 degree
- Angulation for instrument sharpening = 100-110 degrees
☀CUERTTES:

☀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

☀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
Naber’s: for furcation
☀WALL DEFECTS:

‫‪Fluoride :‬‬
‫مهخص اسئهً انفهُرأذ بٕجّ فّ االمحذبن صٕغً مه ‪ 5‬صٕغ‪:‬‬
‫☀ٔبمب بٕسبنك عه وسبً انفهُرأذ فّ انمًٕ أَ انمعجُن أَ انمضمضة‬

‫‪• Flouride‬‬
‫)‪� water : 1000ppm (0.7 :1.2%‬‬
‫‪�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%‬‬
‫☀ بٕسبل عه دبنة طفم َ ٔقُل عمزي كذا َ ٔبخذ فهُرأذ فٓ انمبْ كذا فىعطًٕ‬
‫سبهمىث اْ كثز؟ وعزفً مه ٌبنجذَل‪:‬‬
‫‪9|Page-‬‬ ‫‪Dr.Bayan‬‬ ‫‪Al Mahari‬‬

‫☀بٕذٔك دبنً َٔقُل بٕأخذ فهُرٔذ فّ انمًٕ كذا َفهُرٔذ سببهمىحبل كذا‬
‫َعبٔش جذذد درجً انفهُرَسٔش فّ انذبنً دِ بحجمع انفهُرأذ فّ انمًٕ ‪ +‬انسببهمىحبل‬
‫َانهّ ٌٕطهع جذذد بًٕ وُع انفهُرَسس مه انجذَل دي‬
‫☀بٕقُنك دبنً أخذ جزعة مزي َادذي كذا فهُرَسٔش َبٕسبل عه جشخٕص‬
‫انذبنً َدي انجذَل انهّ بٕذذد‬
‫‪10 | P a g e -‬‬ ‫‪Dr.Bayan‬‬ ‫‪Al Mahari‬‬

‫☀بٕٕذٔك دبنً أخذت جزعة مزي َادذي فهُرٔذ َٔسأل عه أجعبمم معبي اساِ‬
‫طُارئ‬
‫َدي انجذَل انهّ بٕذذد‬
‫‪11 | P a g e -‬‬ ‫‪Dr.Bayan‬‬ ‫‪Al Mahari‬‬

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
B/ type ll the best posterior mandible
C/ type lll
D/ type lV *** posterior maxilla
 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 ,, what’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 your implant?
-11
-10
-8
 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:
 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
 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
 34, 35, 36 are missing.. 37 is slightly mesially tilted. The total remaining space is
14mm, what’s the maximum 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
 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
 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
 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
B. Forgot (Not Used In Dentistry)
C. Complex Computer Tomography
D. Interactive Computer Tomography
 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:
A. Full contact between 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
 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
 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
 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
 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
 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
 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
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
- 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
When we don’t maintain confidentiality ?
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
allowed to leave the practice without the dentist’s permission
☀ْ‫مزاجعة مهف انغبمذ‬
�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
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
☀Note : Box floor ➡ GMT
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
�19_ peado pt don’t have space between primary & 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
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
�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
�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
��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
�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
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
�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
�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
�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)
�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.
�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
2-lupus
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
�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
�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
2_IM
3_Rinse after extraction
4_Gel after extraction
�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
�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
�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 with 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
�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
and tooth responds to cold ,hot....
A◦ Do RCT to coronal part
B◦ Cut apical part & do RCT
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)
�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
�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
�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
�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 removing GP file don’t proceed to apex what 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
�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
☀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
�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
�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
�150-: Pulpal cell that allow lineage of another cell;

◦ Ectomesenchymal cell
◦ Lymphocytes
◦ Odontoblasts
152- Pulpitis, and vasodilatation of vessels will happen in
which zone of the Pulp?
◦ Cell free zone
◦ Cell rich zone
◦ 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
�161-Component of Gutta percha.
◦ ZO %50
◦ 50% Gp
◦ ZO %70( GP 20%)
�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
�169_AH26 is root canal sealer consists of
◦ ZOE.
◦ Epoxy resin
◦ Steroids
◦ all of the above
�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
�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
�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
�184_ What is the easiest tooth for RCT?

◦ Over filled
◦ under filled
◦ tooth with weeping canal
�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:
◦ 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
�194_ Q61: Accessory anesthesia when pt. Feels pain during RCT After IANB
◦ long buccal b.
◦ Mental B.
◦ Lingual infiltration
◦ Mylohyoid
�195_ Continuous wave compaction:

◦ system b and Obtura II
�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

root resorption, what's the management:
◦ Pulp debridement & placement of calcium hydroxide
�199_ Q66: 2% taper of endo files means:
◦ The difference from tip to D16.
�200_ : Patency files:

Small file used with irrigation for recapitulation.
�201_ Sudden sharp intense pain is caused by which nerve fibers:

◦ A-fiber
◦ C-fiber
�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
�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
�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: ِ‫نٕ يٕجٕد أل شً اَذٔ َختار‬
�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
�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
�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
�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
�399-2/3 of the crown of upper 6 fracture and 1/3 remain the tooth respond normally to tests
what’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 extract canine ,what’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
years ,, what’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
�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
�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
◦ 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
�259_Gutta percha should end at :
◦ Radiographic apex .
◦ Internal open apex
◦ External open apex
☀Note: ً‫ ( سانت عهٍٓا اكثز يٍ قزٔب ٔكم شخص ٌقٕل شً ٔ كم يهشيت يذهٕنت ش‬ill 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
�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
�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
�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 nervosa
�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
�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?
• Primary.
• 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
�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
�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
�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
�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
�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
�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
☀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 gingival margin.
• Make it on the fifth.
• Make it on the third.
• At the gingival
�418_Amount of daily wear of amalgam ingested in the body:

1. 1 - 3 μgs /day of mercury.
2. 10 – 15 μgs /day of mercury.
3. 25 μgs /day of mercury.
�419_After patient came to your clinic and gave you the symptoms and history and complains,
what’s your next 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
�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
�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
�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.
�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
�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
�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
�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.
3. 5mm.
4. Should be in the enamel
�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.
�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
�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.
�494-Pt has unilateral fracture of left the condoyle, the mandible will:
1. Deviate to the left side.
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.
� 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, we don’t want
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.
�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.
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.
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 gingival margin.
• Make it on the fifth.
• Make it on the third.
• At the gingival.
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
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.
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.
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.
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.
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.
585_Secondary dentine occurs due to: (reparative dentin )
1. Occlusal trauma.
2. Recurrent caries.
3. Attrition dentine.
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 you can’t find a clue.
What’s the next logical step to do in investigation?
1. MRI.
2. Panoramic x-ray.
3. CT scan.
4. Regular tomography.
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 activity is less 10% what’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
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
613_Intra ligamentary Injection Causes Pulpal Circulation To

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

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 )‫(انمفزَض‬
‫نٕ االجابّ ْذي يٕ يٕجٕدة تاكذٔ يٍ االجٕبت انً فٕق‬

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

659_25 Yrs Lady Complaining Of Sever Pain, Intruptted With Sleeping,….. She Is 68 Days
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��
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

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 Have Space Between Primary & 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

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��

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

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 Valve. 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��

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

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: - ٍ‫ فتاكذٔ ادس‬3ٔ5 ٍٍ‫ ٔ باقً انًالسو ب‬4 ‫انقزٔب دهٓا‬
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��

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

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��

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

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

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

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

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

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

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

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��

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

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��

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

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

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

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

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

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

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.��

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��

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

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

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��

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 %��

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

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

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

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
what’s the material can help in clotting :
Gelfom��

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��

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

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

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

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

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

1006-relation between cutting blade and tooth is called:
a-angulation
b- adaptation��
c-activation
☀Note:, Angulation face of blade ٍ‫انسطخ يع انس‬
Adaptation: cutting edge with tooth surface
1008-bluish swollen glazed lesion on tip of tongue and laterally in 25 years’ 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��

1058-Slow way if using palatal expansion appliance Open
1 ml every other day
0.5 ml every other day
1 ml every week��
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��

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 syndrome��
- 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

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

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, what’s your
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

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.

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.

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.

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.

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

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.

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.

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

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
1 ml every week��
1140-the most common allergic to the dental care?

A-glass ionomer
B-SSC(stainless steel)��
C-Antibiotics
1141-O’leary plaque index:

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��

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By:Dr.

..‫مهف فًٕ اٌم االشٕب انٓ ممكه وذرسٍب نالمحذبن‬

Dr.Fatima ‫ اَل صفذة فٓ انبزُٔ شزح‬-

..ً‫َاوشبهلل جسحفٕذَن مى‬

Apical and Pulpal

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

 Reversible pulpitis : A clinical diagnosis based on subjective and objective

 Symptomatic irreversible pulpitis: A clinical diagnosis based on subjective

 Asymptomatic irreversible pulpitis: A clinical diagnosis based on subjective

Previously initiated therapy: A clinical diagnostic category indicating that the

2|Page- Dr.Bayan Al Mahari

 Symptomatic apical periodontitis: Inflammation, usually of the apical

 Asymptomatic apical periodontitis: Inflammation and destruction of apical

 Acute apical abscess: An inflammatory reaction to pulpal infection and

 Chronic apical abscess: An inflammatory reaction to pulpal infection and

 Condensing osteitis: Diffuse radiopaque lesion representing a localized bony

3|Page- Dr.Bayan Al Mahari

 REVERSABLE: - seconds ( pulp return normal )

 SYMPTOMATIC IRRIVERSABLE PULPITIS: - sharp pain on thermal test

 ASYMPTOMATIC IRRIVERSABLE PULPITIS: - response normally to thermal test

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

 ASYMPTOMATIC APICAL PERIODONTITIS: - No pain

 ACUTE APICAL ABSCESS: - sever spontaneous pain

 CRONIC APICAL ABSCESS: - little or no discomfort

- associated sinus track

- usually seen at apex of tooth

4|Page- Dr.Bayan Al Mahari

• 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

• Grade A : result <0.5 slow bone loss

• Grade B : result 0.5-1 moderate

• Grade C : result >1 rapid

bone loss‫☀فً أشٍاء بتأثز فً سزعت فقذاٌ انعضى‬

☀ 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%

:‫َجً نكٍف بٍطزح انسؤال راح اجٍبهكى سؤال جاًَ باالختبار‬

5|Page- Dr.Bayan Al Mahari

- Angle between blade and shank:

• Univeral Curette = 90 degrees

• (Universal or gracey) = 70-80 degrees

- Angulation between blade and tooth:

• Univeral Curette = 90 degrees

- Optimal Angulation for SRP = 45 - 90 degrees

- subgingival insertion angle = 0 degree

- Angulation for instrument sharpening = 100-110 degrees

6|Page- Dr.Bayan Al Mahari

[Flaps created by and incisions] [Pedicle flaps]

Double papilla flap is an alternative technique to

7|Page- Dr.Bayan Al Mahari

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

Naber’s: for furcation

8|Page- Dr.Bayan Al Mahari