1. When a person extracts Tooth 15.
Which motion will they use?

2. When a right hand person extracts Tooth 15.
In which position will they perform the extraction?

3. When a left hand person does an extraction of Tooth 35.
In which position, will they perform the extraction?

4. To extract Tooth 37, for a left hand practitioner?
Which position will you stand at?

5. What force movement will you apply to deliver a left lower 2nd premolar?

6. Forceps movement for extraction of Tooth 16?

7. When a right hand person extracts Tooth 46.
In which position will they perform the extraction?

8. When a right hand person extracts Tooth 37.
In which position will they perform the extraction?

9. What would you advise her?

10. Whose consent will be needed before proceeding with any treatment?

11. How will you make sure this patient gets good treatment?

12. All of the following are true while treating Individuals with Disabilities, except?

13. What is the safest agent for internal bleaching?

14. How often do you change the bleaching agent for internal bleaching?

15. Side effects of internal bleaching?

16. The patient also uses prednisolone for his joint issues.
Side effects for long term use of prednisolone?

17. What is the best method you can do to assure that the children understood your lecture?

18. After the lecture, one child came to you and said that his tooth is in pain. What will you do?

19. A teacher gets her daughter who is 12 years old to show you her dental concerns. You see her and notice she needs orthodontic treatment on her teeth. Whom she should go for a referral – protocol on who she should see first?

20. One of the kids asks you what fluoride toothpaste should he use?

21.What treatment do you suggest as almost all of the crown is fractured?

22. What final restoration will you give?

23. Another patient, Trauma to Tooth 21, tooth is mobile and elongated on x-ray, no metallic sounds on percussion?
What is the diagnosis?

24. This child had the following lateral cephalometric image, what classification does it belong to?

25. Another case, an Emergency patient where a patient starts shouting when you ask the history of trauma from the wife. Best management?

A 34 year old Mum brings her 9 year old child to the practice for some fillings.

26. Which teeth can you see in the picture of the child?

A 34 year old Mum brings her 9 year old child to the practice for some fillings.

27. The mum has a retained 63 which she complains is becoming loose over the last couple of months. She would like to keep the tooth. The tooth has a composite veneer but looks discolored so she would like to improve it.
You took a Periapical xray and found that the root of the 63 is very short which concerns you. The patient is now open to options but would like something non invasive, affordable, long lasting and cosmetic.

A 34 year old Mum brings her 9 year old child to the practice for some fillings.

28. One of the teeth of the mum requires root canal treatment and you take a working length radiograph.
What should you do further?

A 34 year old Mum brings her 9 year old child to the practice for some fillings.

29. The mum tells you that she occasionally has vesicles around the lips and you suspect it to be oral herpes simplex infection.
Test to diagnose Herpes simplex virus?

A 34 year old Mum brings her 9 year old child to the practice for some fillings.

30. On your last patient of the day you suspect Lichen planus.
Appropriate treatment?

A 56 year old complete denture wearer presents to you with the below clinical finding.

31. Diagnosis?

A 56 year old complete denture wearer presents to you with the below clinical finding.

32. What kind of tissue can we find in biopsy?

A 56 year old complete denture wearer presents to you with the below clinical finding.

33. Treatment if you want to give him a new denture?

A 56 year old complete denture wearer presents to you with the below clinical finding.

34. Reason for the lesion?

A 56 year old complete denture wearer presents to you with the below clinical finding.

35. Patient would like to get implants in the lower edentulous area.
About the implant in the lower 4 quadrant, what will you tell him?

36. She is otherwise fit and healthy. Her mother is keen for surgery whilst she is on a gap year and before she leaves home for university.

37. The mum wants to examine herself as well.
The mum says she got an extraction done overseas, came to your clinic for a check up as she has pain in the back tooth region and you have seen a remnant of a root fragment left behind on the x ray.
How will you manage her case now?

38. On the next visit, the mum’s sister comes to you.
A 45 year patient with pain in the lower teeth region, poor dental hygiene, very anxious and never visits the dentist because of anxiety.
Had 3rd molar extraction at age 19 and never visited the dentist after that.
Most appropriate step to develop trust with this patient?

39. Your next patient of the evening is a 72 year old dementia patient, has hypertension under medication, undergoing bisphosphonate treatment for osteoporosis and diabetes with poor oral hygiene.
Asking for an implant for Tooth 25.
The most important contraindication?

40. Your last patient smokes 20 cigarettes /day, asthmatic, mildly controlled diabetic and on denosumab.
Which one is the major risk factor for implant treatment?

41. 16 year old soccer player at school beginner level.
Which mouthguard should be used?

42. Jim is a 12 year old hockey and rugby player.
What mouthguard to give?

43. The least recommended for breathing while doing sport?

44. Not true about mouthguards?

45. What holds true?

46. You place a restoration for one of the back teeth & child comes the day after restoration in pain. What will be the first thing you check?

47. Mum of the child says she might have a clenching and grinding habit.
How to confirm the active bruxism?

48. What would you write in informed consent for Botulinum toxin for TMJ if considered for the mum?

49. On the same day, you plan on extracting one of the teeth for your next patient.
What antibiotics after extraction will you give as the patient suffers from Hashimoto disease who is taking thyroxine & is an Asthmatic?

50. A 21-year-old male patient, with a noncontributory medical history was referred for the treatment of pain and intraoral localized swelling in the left mandibular first molar. Clinical and radiographic examinations revealed large caries and periapical and furcal lesions related to tooth #36. There was a localized swelling on the gingival sulcus. The tooth mobility was grade II and periodontal probing through the furcation showed increased probing values with grade II defect. An electric pulp test displayed a negative response. Endodontic treatment was administered in two visits, with an interappointment calcium hydroxide medication.
A week later, the localized swelling was quite resolved, the symptoms of the tooth disappeared and the root canal treatment was completed. No periodontal treatment was rendered.
A year follow-up radiograph showed complete soft and hard tissue repairs in the periapical and furcal area of tooth #36.

Diagnosis?

51. A 45-year-old female patient, whose medical history was noncontributory, came to the clinic for evaluation and treatment of tooth #46. She complained discomfort on chewing, related to tooth #46.
Clinical and radiographic examination revealed a sinus tract and radiolucent lesion in the furcal and distal side of tooth #46. Periodontal probings were increased at the furcal and distal side of tooth #46. The tooth gave a negative response to vitality tests. After the endodontic access cavity was established, a mesio-distal crack line was observed. Root canal treatment completed and occlusal reduction was performed. The patient was referred for a prosthetic crown. After a year of following period, the repair of lesion was observed and the tooth was asymptomatic.

Diagnosis?

52. A 42-year-old male patient, whose medical history was noncontributory, came to the clinic with a history of acute pain and localized swelling in the left mandibular molar area. Radiographic examination presented severe bone loss around the distal root of tooth #37. The cause of the bone loss was considered related to the uncleaning space between the second and third molar.
The rest of the dentition had normal periodontal values.
The tooth #37 was unresponsive to vitality tests. After completion of root canal treatment, the patient was referred for extraction of the third molar tooth. At the 6 month recall visit, the complete repair of the bony lesion was observed.

Diagnosis?

53. A 45-year-old woman presented to inquire about options for preserving tooth #36. The patient’s medical status was noncontributory. The tooth was characterized by gingival reddening and swelling at the buccal side. The patient complained of periodic discharge of pus from the periodontal pocket, sensitivity on percussion, tooth mobility, and intermittent pain. Radiographs displayed a bony defect in the furcal and periapical area of tooth #36, which had unsuccessful root canal treatment. The probing depth in the furcal area was 12 mm and probable throughout (grade III furcal lesion). The patient was informed about the methods and risks of the treatment. Endodontic retreatment was performed and treatment results were evaluated 3 months later which showed that the furcation lesion still remained intact. Therefore, periodontal treatment & surgery was planned for the treatment of the furcation defect. A year-long recall radiograph showed complete bone repair in the furcation defect.

Diagnosis?

54. Teeth #26 and #27 tested vital to thermal and electrical testing, probing 12 mm into the furcation. The patient’s chief complaint was discomfort to cold.

Diagnosis?

A 10-year-old boy complains of transient sharp pain from his back teeth on both sides while brushing with cold water.
The teeth do not cause pain on biting.
The upper 6s erupted on time, and the child’s mother noticed that some of them appeared to crumble as soon as they emerged through the gum. He had neonatal jaundice.
He maintains good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.
You noticed opacities on his molars and incisors.

55. On the Basis of what you know already, What do you suspect as a likely diagnosis?

A 10-year-old boy complains of transient sharp pain from his back teeth on both sides while brushing with cold water.
The teeth do not cause pain on biting.
The upper 6s erupted on time, and the child’s mother noticed that some of them appeared to crumble as soon as they emerged through the gum. He had neonatal jaundice.
He maintains good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.
You noticed opacities on his molars and incisors.

56. Which factor is the least supported to cause such a defect?

A 10-year-old boy complains of transient sharp pain from his back teeth on both sides while brushing with cold water.
The teeth do not cause pain on biting.
The upper 6s erupted on time, and the child’s mother noticed that some of them appeared to crumble as soon as they emerged through the gum. He had neonatal jaundice.
He maintains good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.
You noticed opacities on his molars and incisors.

57. Which feature could suggest that this presentation is Amelogenesis imperfecta?

A 10-year-old boy complains of transient sharp pain from his back teeth on both sides while brushing with cold water.
The teeth do not cause pain on biting.
The upper 6s erupted on time, and the child’s mother noticed that some of them appeared to crumble as soon as they emerged through the gum. He had neonatal jaundice.
He maintains good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.
You noticed opacities on his molars and incisors.

58. Which treatment option is the most conservative for the incisors?

A 10-year-old boy complains of transient sharp pain from his back teeth on both sides while brushing with cold water.
The teeth do not cause pain on biting.
The upper 6s erupted on time, and the child’s mother noticed that some of them appeared to crumble as soon as they emerged through the gum. He had neonatal jaundice.
He maintains good oral hygiene with limited consumption of refined carbohydrates and carbonated beverages.
You noticed opacities on his molars and incisors.

59. What interim treatment option will you choose for the molar?

A 38-year-old patient complained of severe pain and tenderness associated with one of his teeth. The tooth had previous endodontic treatment. Clinical examination showed that the tooth of concern was the maxillary right cuspid, which had lost its coronal filling.
Records show that the other dentist used 0.5% sodium hypochlorite as irrigation for root canal treatment and the tooth was vital and proper isolation was used.
The medical history revealed that the patient is on Omeprazole medication for gastrointestinal ulceration.

60. What could be the possible reason for symptoms in the maxillary right cuspid?

A 38-year-old patient complained of severe pain and tenderness associated with one of his teeth. The tooth had previous endodontic treatment. Clinical examination showed that the tooth of concern was the maxillary right cuspid, which had lost its coronal filling.
Records show that the other dentist used 0.5% sodium hypochlorite as irrigation for root canal treatment and the tooth was vital and proper isolation was used.
The medical history revealed that the patient is on Omeprazole medication for gastrointestinal ulceration.

61. After a checkup you said to the patient that he needed a coronal filling and a crown for the endodontically treated tooth ASAP after endodontic treatment. Patient got frustrated and explained that the other dentist did not advise regarding the crown.
How will you manage now?

A 38-year-old patient complained of severe pain and tenderness associated with one of his teeth. The tooth had previous endodontic treatment. Clinical examination showed that the tooth of concern was the maxillary right cuspid, which had lost its coronal filling.
Records show that the other dentist used 0.5% sodium hypochlorite as irrigation for root canal treatment and the tooth was vital and proper isolation was used.
The medical history revealed that the patient is on Omeprazole medication for gastrointestinal ulceration.

62. You decided to re-treat the root canal. Which needle should you use for irrigation?

A 38-year-old patient complained of severe pain and tenderness associated with one of his teeth. The tooth had previous endodontic treatment. Clinical examination showed that the tooth of concern was the maxillary right cuspid, which had lost its coronal filling.
Records show that the other dentist used 0.5% sodium hypochlorite as irrigation for root canal treatment and the tooth was vital and proper isolation was used.
The medical history revealed that the patient is on Omeprazole medication for gastrointestinal ulceration.

63. The patient asked about the prognosis for the nonsurgical retreatment.
What will you tell him?

A 38-year-old patient complained of severe pain and tenderness associated with one of his teeth. The tooth had previous endodontic treatment. Clinical examination showed that the tooth of concern was the maxillary right cuspid, which had lost its coronal filling.
Records show that the other dentist used 0.5% sodium hypochlorite as irrigation for root canal treatment and the tooth was vital and proper isolation was used.
The medical history revealed that the patient is on Omeprazole medication for gastrointestinal ulceration.

64. Best prescribe medication for the patient’s pain?

65. The patient has sensitivity to hot stimuli, which test can you use to diagnose the pulp condition?

66. Your provisional diagnosis is irreversible pulpitis and you decided to treat the tooth with RCT.
You have given an inferior alveolar nerve block, the right side of lip and tongue is anesthetized but no numbness around the tooth region.
What can you do next?

67. What is the best irrigation protocol to be used?

68. With what measure do you prevent the tooth from Vertical Root Fracture?

69. Regarding the relationship between carbohydrate intake and caries, which of the following factors is least important?

70. Consistent methods of evaluating a patient’s oral hygiene are desirable because?

71. While pit and fissure sealants are frequently used for permanent teeth. Their use in deciduous teeth is?

72. All of the following about dental floss Is/are true except?

73. The fundamental requirement for all health information given to a layman is that it be?

74. With which of the following impression materials is it advisable to wait 20 to 30 minutes before pouring of models for stress relaxation to occur?

75. Senior dentist requested that you mix alginate and take an impression. While measuring the water, you got involved in a conversation with your patient and did not notice how cold it was. This oversight will?

76. You are taking an impression with alginate and unbeknown to you there is debris on the tissue. How will this affect the final impression?

77. If your patient indicates a tendency to gag while taking alginate impressions, which of the following maneuvers can help make the procedure easier for the patient?

78. Today was a very busy day for you, you took alginate impressions for the patient in the morning. Since you were so busy, you left the alginate impressions in the lab most of the morning. You decided to place the impressions in a bowl of water so that they would not dry up before you had a chance to pour them up in dental stone. Which of the following was the result of leaving these impressions immersed in water for a few hours?

A female patient presented at your clinic complaining of a diffuse pain associated with her lower complete denture bearing area. The patient wears the denture in the morning, but by afternoon time it gets so difficult for her to bear the denture. Her doctor thinks it is due to mental nerve compression by lower denture and refers to you for a second opinion.

79. What investigations will you perform other than checking the denture borders?

A female patient presented at your clinic complaining of a diffuse pain associated with her lower complete denture bearing area. The patient wears the denture in the morning, but by afternoon time it gets so difficult for her to bear the denture. Her doctor thinks it is due to mental nerve compression by lower denture and refers to you for a second opinion.

80. What are the clinical symptoms of mental nerve compression by the denture borders?

A female patient presented at your clinic complaining of a diffuse pain associated with her lower complete denture bearing area. The patient wears the denture in the morning, but by afternoon time it gets so difficult for her to bear the denture. Her doctor thinks it is due to mental nerve compression by lower denture and refers to you for a second opinion.

81.What will help in the diagnosis of an increased vertical dimension of occlusion?

A female patient presented at your clinic complaining of a diffuse pain associated with her lower complete denture bearing area. The patient wears the denture in the morning, but by afternoon time it gets so difficult for her to bear the denture. Her doctor thinks it is due to mental nerve compression by lower denture and refers to you for a second opinion.

82. Why does the pain increase throughout the day and disappears on removal of the denture?

A female patient presented at your clinic complaining of a diffuse pain associated with her lower complete denture bearing area. The patient wears the denture in the morning, but by afternoon time it gets so difficult for her to bear the denture. Her doctor thinks it is due to mental nerve compression by lower denture and refers to you for a second opinion.

83. Her dentist referred her for a second opinion. What do you have to do when you receive a referral?

84. How to remove a needle from the syringe?

85. Where should a sharp container be seated?

86. Best way to remove a surgical bur from a high speed handpiece is?

87. The greatest threat to dental professionals that experience a needlestick injury is?

88. Post exposure prophylaxis is not available for which blood borne pathogen?

A male patient, 32 years of age, presented to the office with acute pain in the right mandibular quadrant. On initial radiographs, the presence of deep mesial and distal caries approaching pulp cavities were observed on tooth #47. As a result of the diagnostic tests, increased pain with cold, palpation, percussion was observed with negative mobility. This was diagnosed as irreversible pulpitis, and we proceeded with a root canal treatment.Once the root canal treatment was complete, now it is time to decide on coronal restoration placement.

89. Which statement describes the ideal timing for placement of the definitive restoration?

A male patient, 32 years of age, presented to the office with acute pain in the right mandibular quadrant. On initial radiographs, the presence of deep mesial and distal caries approaching pulp cavities were observed on tooth #47. As a result of the diagnostic tests, increased pain with cold, palpation, percussion was observed with negative mobility. This was diagnosed as irreversible pulpitis, and we proceeded with a root canal treatment.Once the root canal treatment was complete, now it is time to decide on coronal restoration placement.

90. Which of the following is an indication for placing only a direct restoration (amalgam or composite)?

A male patient, 32 years of age, presented to the office with acute pain in the right mandibular quadrant. On initial radiographs, the presence of deep mesial and distal caries approaching pulp cavities were observed on tooth #47. As a result of the diagnostic tests, increased pain with cold, palpation, percussion was observed with negative mobility. This was diagnosed as irreversible pulpitis, and we proceeded with a root canal treatment.Once the root canal treatment was complete, now it is time to decide on coronal restoration placement.

91. You are trying to pick up a post type. Your colleague reminded you that fewer root fractures have been recorded in laboratory studies with?

A male patient, 32 years of age, presented to the office with acute pain in the right mandibular quadrant. On initial radiographs, the presence of deep mesial and distal caries approaching pulp cavities were observed on tooth #47. As a result of the diagnostic tests, increased pain with cold, palpation, percussion was observed with negative mobility. This was diagnosed as irreversible pulpitis, and we proceeded with a root canal treatment.Once the root canal treatment was complete, now it is time to decide on coronal restoration placement.

92. When a prefabricated post system is used to restore a posterior tooth, the most desirable post design is?

A male patient, 32 years of age, presented to the office with acute pain in the right mandibular quadrant. On initial radiographs, the presence of deep mesial and distal caries approaching pulp cavities were observed on tooth #47. As a result of the diagnostic tests, increased pain with cold, palpation, percussion was observed with negative mobility. This was diagnosed as irreversible pulpitis, and we proceeded with a root canal treatment.Once the root canal treatment was complete, now it is time to decide on coronal restoration placement.

93. Which statement is most accurate about the removal of gutta-percha for post space?

94. Why do you think the denture is now moving while eating even though the patient was wearing denture for 17 years?

95. After the examination, you decided to make a new denture.
What additional information is needed?

96. How do you adjust this problem in a new denture?

97. Which muscle has an effect on the anterior labial border of lower denture?

98. While fabricating the complete denture, the primary indicator of the accuracy of border molding is?

99. How is the vertical distance typically recorded?

100. Which type can be excluded from informing the technician without compromising ethical compliance to the treatment?