DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question #1
In reference to the partially edentulous arch and accompanying framework shown --what is the Kennedy classification ? Class I, Modification 0 Class II, Modification 1 Class III, Modification 0 Class IV, Modification 0 Does this RPD have an axis of rotation ? If so, where is it located? What class(s) of RPDs do not have an axis of rotation?

Question #2
The accompanying figure depicts the lingual surface on the lower anterior teeth of a patient who is currently wearing a bilateral distal extension removable partial denture that was fabricated 5 years ago. What do you think is the most likely cause for the tissue damage that has occurred on tooth #22? The lower anterior teeth should have been plated and were not . The patient's oral hygiene is poor and tissue breakdown followed pocket formation on the distal of tooth #22. A rest preparation and rest should have been placed on tooth #22. A cast circumferential clasp was used on tooth #22----it should have been wrought wire.

Question #3
Your patient has teeth 20-29 remaining . You plan to use mesial rests and I -bars on both terminal abutments . Because there are lingual tori present , you will need to use linguoplating in the premolar areas . The illustration is a lingual view of teeth 27-29. The dotted line on #29 represents the height of contour (survey line ). What should be the relationship of the superior border of the plating and the survey line ? The plating should extend above the survey line. The plating should end at or below the survey line . The plating must end exactly at the survey line.

DONE BY : BILAL ALOMARI The plating must end below the survey line .

RPD QUESTIONS

Question #4
In the maxillary class III RPD shown either a palatal strap or an anterior-posterior palatal strap major connector may be used . If an anterior-posterior strap design is to be considered, the opening between the anterior and posterior palatal straps should be at least _______ mm. 5 10 15 20

Question #5
True or False Because there are no movable tissues on the palate , the borders of maxillary major connectors may be located farther from the gingival margins than those of mandibular major connectors. True False

Question #6
On the mandibular class III framew ork shown, circumferential clasps have been used on the canine , premolar, and molars. Which one of the following statements regarding the clasping is TRUE ?

The retentive arms on the canine and premolar should be wrought wire while those on the molars should be cast . The lingual arms on the molars are frequently the retentive arms because there are often no usable facial undercuts. If the undercut on the second premolar is on the distofacial , the circumferential retentive arm would most likely be changed to I -bars. In order to ensure adequate retention, the tips of both the buccal and lingual arms on the molars should be placed in undercuts. 3

DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question #7
True or False On the RPD framework shown, the rests on teeth numbers 20 and 28 are indirect retainers and function when the patient bites down on the distal extension area. True False

Question #8
True or False Guide surface preparations should be completed before rest seat preparations . True False

Question #9
True or False In the class II mandibular RPD shown to the right, the clasp on tooth #27 should be wrought wire BECAUSE the cingulum rest acts like a distal rest and the tip of the retentive arm is in front of the axis of rotation. True False

Question #10
True or False When tripoding a cast , the vertical arm of the surveyor must be locked in position . True False

Question #11
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DONE BY : BILAL ALOMARI RPD QUESTIONS Referring to the maxillary class II RPD design shown to the right, which of the following statements is TRUE ? A short thick I-bar clasp could be used on tooth #6. A wrought wire circumferential clasp could be used on toot h #6. It is sometimes not necessary to use any clasp on tooth #6. 2 and 3 are both true

Question #12
The following statement refers to the drawing of the class I RPD to the right: The clasp arm on tooth #20 should be wrought wire BECAUSE functional forces cause tissueward movement of the denture base, the denture rotates around the rest (which is on the distal), and the clasp arm engages the tooth, tending to tilt it distally. The statement and the reason are true AND related. The statement and the reason are true but are NOT related. The statement is true but the reason is false. Neither the statement nor the reason is true.

Question #13
In the maxillary class I RPD shown at the right , the posterior border of the palatal plate major connector should be located as far forward as is possible while maintaining enough width for strength approximately 20 mm behind the anterior border approximately 10 mm anterior to the fovea palatini at the posterior palatal seal area

Question #14
True or False

DONE BY : BILAL ALOMARI RPD QUESTIONS All components of a maxillary major connector should cross the palate at right angles to the midline and curves in the major connector should be located to one side of the midline . True False

Question #15
In the case shown to the right, which is the most effective indirect retainer? The rest on tooth #19. The rest on tooth #21. The rest on tooth #27. The rest on tooth #28.

Question #16
What is the most significant problem with the rest shown on the mandibular canine to the right ? The rest should be wider inciso -gingivally . The rest should be located more toward the incisal edge . The rest should be thicker buccolingually . The rest should be located in a prepared rest seat.

Question #17
True or False In the RPD shown to the right, the guide surface - guide plate contacts on the distal surfaces of teeth numbers 20 and 29 determine a definite path of displacement /dislodgement . True False

Question #18
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DONE BY : BILAL ALOMARI True or False

RPD QUESTIONS

The all plastic maxillary RPD should be avoided in all partial dentures except where the prosthesis is considered transitional and loss of the remain ing teeth is imminent . True False

Question #19
True or False Tooth-supported RPDs require physiologic relief of the guide plates . True False

Question #20
The superior border of a mandibular lingual bar major connector must be at least _____ mm below the gingival margins . 1-2 2-3 3-4 4-5

Q u estion

#2 1
.

y m ajo r co nnecto rs except w here plating is used , the bo rder o f the m ajo ,r r sho uld be at least m m aw ay fro m the______ gingival m argin 1 3 5 6

Q u estion

#2 2
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DONE BY : BILAL ALOMARI RPD QUESTIONS For the anterior-posterior palatal strap maxillary major connector , the anterior, posterior, and lateral straps should be about ______ mm wide. 4-6 6-8 8-10 at least 10

Question #23
The basic philosophy of dental treatment for a partially edentulous patient is to preserve what remains and restore what is missing replace the missing teeth improve the path of insertion reshape rotated teeth

Question #24
It is best not to use a balanced occlusion when mandibular RPDs oppose maxillary complete dentures. True False

Question #25
The function of the guide plate is to help establish a definitive path of insertion /dislodgement . stabilize the RPD by controlling its horizontal position . provide contact with the adjacent tooth. all of the above

Question #26
What is the design error in the maxillary RPD framework shown to the right ?

DONE BY : BILAL ALOMARI The anterior teeth should have been plated . An anterior-posterior palatal strap major connector should have been used. There should be a cast circumferential clasp on tooth #6. The posterior border of the major connector should cross the palate at right angles to the midline.

RPD QUESTIONS

Question #27
What would be the best denture base connector when there is limited interocclusal space (<3 mm). Open latticework Meshwork All metal base All plastic base

Question #28
The first consideration in developing occlusion is the evaluation and establishment of the correct position of the occlusal plane . This may be compromised by super -erupted and malposed teeth. True False

Question #29
Your patient's partially edentulous arch is depicted in the illustration to the right. The missing teeth (with the exception of the third molars) were extracted three weeks ago. What would be the best denture base/replacement teeth combination in this instance ? Open latticework Metal bases with beads for attachment of processed t ooth colored acrylic resin . An all metal base

DONE BY : BILAL ALOMARI Tube teeth

RPD QUESTIONS

Question #30
A wrought wire clasp is NOT used in which of the following situations ? On a terminal ab utment of an extension RPD. As an embrasure clasp. On a tooth with an indirect retainer on it . Both 1 and 2 above.

Question #31
True or False In designing a RPD framework for the partially edentulous arch to the right---if at all possible , circumferential clasps should be used on the numbers 28 and 30. They would be preferred to infrabulge retainers . True False

Question 32
True or False Determining areas for physiologic relief is accomplished by marking the framework intraorally. This process includes adjusting the casting to allow for functional movement on Class I and II RPDs to relieve stre ss on the terminal abutment teeth. True False

Question 33
Reciprocation between bracing and retentive components requires I-bars be used bracing components contact after retentive components correct timing of contact during seating and removal of the RPD

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DONE BY : BILAL ALOMARI both 2 and 3

RPD QUESTIONS

Question 34
Infrabulge clasps originate above the height of contour below the height of contour above the 0.01" undercut above the occlusal surface of most premolars

Question 35
True or False A modified palatal plate is used in maxillary class II cases and may or may not include lingual plating True False

Question 36
All of the following clasps are infra bulge clasps except ? I-bar Modified T-bar Roach clasp Akers clasp

Question 37
A clasp assembly should have a retentive arm with adequate length and taper for flexibility have a retentive arm that terminates in an undercut have elements that considered together , provide 180 degree encirclement

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DONE BY : BILAL ALOMARI all of the above

RPD QUESTIONS

Question 38
The partial denture that will be completed on the framework shown to the right can do all of the following except transfer stresses to the abutment teeth transfer stresses across the arch minimize supereruption of opposing teeth act as an orthodontic retainer for the lower incisor teeth .

Question 39
True or False Maxillary class II RPDs do not have an axis of rotation because no functional movement will occur over the hard midline suture of the palate . True False

Question 40
In a Class III modification 1 RPD, the rests are usually placed on the canines away from the modification space in the area of the opposing occlusal contact adjacent to the modification space.

Question #41
A mandibular lingual bar major connector such as the one shown in the RPD to the right requires a minimum of _____mm of vertical height between the gingival margin and the floor of the mouth. 4

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DONE BY : BILAL ALOMARI 5

RPD QUESTIONS

7
8

Question 42
The presence of mandibular lingual tori would indicate the need for a metal base lingual plating tube teeth extra indirect retainers

Question 43
The illustration to the right shows a framework for a mandibular class II RPD. The indirect retainer on tooth 21 functions when the patient chews on something hard the patient chews on something soft the patient chews on something sticky the patient bites the bullet

Question 44
True or False An anterior-posterior palatal strap maxillary major connector has greater strength and rigidity than a horseshoe design . True False

Question 45
Your patient has the mandibular arch form shown to the right . A rest on which tooth would be the most effective indirect retainer ?

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DONE BY : BILAL ALOMARI 20 21 22 27

RPD QUESTIONS

Question 46
Your patient exhibits the mandibular class II modification 1 arch shown to the right. Tooth #30 is tilted mesiolinguallly and has very little tissue undercut on the lingu al. What is the best clasp for this situation? Cast circumferential clasp utilizing a distolingual undercut Cast I-bar utilizing a mesiolingual undercut Cast ring clasp utilizing a mesiolingual undercut Wrought wire circumferential clasp utilizing a distolingual undercut .

Question 47
Rigid metal retention is associated with a dual path of insert ion a class IV RPD the need for excellent esthetics all of the above

Question 48
True or False The palatal strap maxillary major connector is primarily used in short span maxillary class III modification 1 RPDs. True False

Question 49
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DONE BY : BILAL ALOMARI RPD QUESTIONS Your patient has the class I arch shown to the right. The axis of rotation is most frequently determined by : the placement (location) of the primary rests the type of clasp arms selected the placement of the minor connectors the placement of the indirect retainers

Question 50
In maxillary RPDs , the bead line is approximately _______mm thick (deep). 4 3 2 1

Question #51
The C + 1 rule Does not apply to class IV RPDs Does not apply to class III RPDs Gives a general rule for the number of clasps Both 1 and 3

Question #52
Which of the following maxillary major connectors possesses the least strength and rigidity? Anterior-posterior palatal strap Horse-shoe Palatal plate

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DONE BY : BILAL ALOMARI Modified palatal plate

RPD QUESTIONS

Question #53
True or False A cingulum rest is normallly placed between the middle and incisal thirds of the maxillary incisors in order to avoid occlusal interfer ences. True False

Question #54
Your patient exhibits the mandibular class II modification 1 arch shown to the right. Tooth #30 is tilted mesiolingually , but has a very severe tissue u ndercut on the lingual. What is the best clasp for this situation ? Cast circumferential clasp utilizing a distolingual undercut . Cast I-bar utilizing a mesiolingual undercut . Cast ring clasp utilizing a mesiolingual undercut. Wrought wire circumferential clasp utilizing a distolingual undercut .

Question #55
True or False All methods of measuring the vertical dimension of occlus ion agree on one major principle : In physiologic functions (speaking and swallowing ) the teeth should make contact. True False

Question #56
True or False

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DONE BY : BILAL ALOMARI RPD QUESTIONS Malposed or super-erupted teeth may cause a discrepancy between centric relation and centric occlusion. Therefore, it is recommended that the opposing teeth not touch during the making of a centric relation record for mounting of diagnostic casts . True False

Question #57
True or False The purpose of the centric relation record is to record the exact position of the maxilla to the mandible in a protrusive relation . True False

Question #58
True or False If abutment teeth require crowns, the RPD design is prepared after the crowns are cemented. True False

Question #59
True or False Alginate imp ression materials have excellent dimensional stability over time and seldom lead to over extended vestibular extensions . True False

Question #60
True or False Master casts for patients with lone-standing abutments should be poured in "Silky Rock" stone.

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DONE BY : BILAL ALOMARI True False

RPD QUESTIONS

Question #61
True or False The altered cast impression technique is often used on Class I and Class III RPDs . True False

Question #62
Your patient exhibits the partially edentulous mandibular arch shown to the right. The maxillary arch is to be restored with a complete denture . Teeth 20 and 29 will receive crowns . There are no contraindications to any type of clasping . Which of the following clasp assemblies would you use on 20 and 29. Mesial rests and I-bars Mesial rests and mod ified T-bars Distal rests and WW circumferential clasps Distal rests and cast circumferential clasps .

Question #63
Your patient exhibits the partially edentulous mandibular arch shown to the right. The maxillary arch is to be restored with a complete denture. Teeth 20 and 29 will receive crowns . There are very high labial frenal attachments on both sides . Which of the following clasp assemblies would you use on 20 and 29? Mesial rests and I-bars Mesial rests and modified T -bars Distal rests and WW circumferential clasps

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DONE BY : BILAL ALOMARI Distal rests and cast circumferential clas ps.

RPD QUESTIONS

Question #64
Your patient exhibits the partially edentulous mandibular arch shown to the right. The maxillary arch is to be restored with a complete denture. The undercuts on 20 and 29 are on the distal portion of the facial surface . There are no contraindications to either infrabulge or suprabulge retainers. Which of the following clasp assemblies would you use on 20 and 29? Mesial rests and I-bars Mesial rests and modified T-bars Distal rests and WW circumferential clasps Distal rests and cast circumferential clasps

Question #65
True or False Reciprocation of clasps is related to the timing of contact between the braci ng and retentive clasp arms in order to prevent undue forces on the abutment teeth during seating and removal of the RPD . True False

Question #66
Your patient has the partially edentulo us arch shown to the right. The undercuts on 21 and 28 are on the mesiofacial surfaces . The most commonly used clasp assemblies on the premolars would be : Distal rests and I-bars Distal rests and modified T -bars Distal rests and cast circumferential clasps Distal rests and WW circumferential clasps

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question #67
Your patient has the partially edentulous arch shown to the right. The undercuts on 21 and 28 are on the distofacial surfaces. There are no contraindications to any types of clasps . Under these circumstances , the most commonly used clasp assemblies on the premolars would be : Distal rests and I-bars Distal rests and modified T-bars Distal rests and cast circumferential clasps Distal rests and WW circumferential clasps

Question #68
Your patient has the partially edentulous arch shown to the right . The undercuts on 21 and 28 are on the mesiofacial surfaces and there are no contraindications to suprabulge or infrabulge retainers . The long range prognosis for the molars is poor but your patient does not want them extracted at this time. Several alterations in the usual design could be made to facilitate later conversion of the prosthesis to a class I RPD . One of them involves the clasp assemblies on the premolars . Your recommendation? Distal rests and I-bars Distal rests and modified T -bars Distal rests and cast circumferential clasps Distal rests and WW circumferential clasps

Question #69
True or False Your patient has the partially edentulous arch form shown to the right . The molars have drifted mesially and lingually . With these factors in mind, rigid metal retention could be considered for use on the molars . True

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DONE BY : BILAL ALOMARI False

RPD QUESTIONS

Question #70
Which one of the following classes of RPDs NEVER has an axis of rotation ? Class I Class II Class III Class IV

Question #71
What is the major problem with the RPD framework shown to the right? Teeth numbers 21 and 28 should be plated. The plating on the lingual surfaces of the anterior teeth should cover the cinguli. Distal rests would be better than mesial rests on teeth numbers 21 and 28. Cast circumferential clasps are preferred with the mesial rests on teeth numbers 20 and 29.

Question #72
Which of the following could be reason (s) for choosing the double lingual bar major connector shown to the right ? Large interproximal spaces have resulted from periodontal surgery. The patient exhibits a high floor of the mouth . There is overlapping of the anterior teeth . Both a and b above.

Question #73
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DONE BY : BILAL ALOMARI True or False

RPD QUESTIONS

When possible , plating on maxillary RPDs should be avoided due to the potential for interfering with speech and occlusion . True False

Question #74
The survey line (height of contour) of a full contour wax-up for a crown for an RPD abutment tooth can be visualized using red wax zinc stearate powder border wax pressure indicating paste

Question #75
Your patient has only teeth numbers 20 through 29 remaining . You have tried in the framework and are border molding the extension areas in preparation for an altered cast impression. The distobuccal area is shaped by the ? Buccinator muscle Masseter muscle Internal pterygoid muscle Mylohyoid muscle

Question #76
Your patient has teeth numbers 20 through 29 remaining . The survey line and undercut (shaded area) for tooth #29 are as shown on the right. There is no contraindication to the use of an infrabulge clasps but

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DONE BY : BILAL ALOMARI RPD QUESTIONS there is a very solid contact in the m esial-occlsual fossa. What would be your choice for rest location and retentive arm? Distal rest and cast circumferential clasp Distal rest and cast I-bar Mesial rest and cast I-bar Distal rest and WW circumferential clasp

Question #77
Your patient has teeth numbers 20 through 29 remaining . The survey line and undercut (shaded area) for tooth #29 are as shown on the right. There is no contraindication to the use of an infrabulge clasps and there are no occlusal problems affecting rest location . What would be the best choice for rest location and retentive arm ? Mesial rest and I-bar Mesial rest and modified T-bar Mesial rest and WW circumferential clasp Distal rest and WW circumferential clasp

Question #78
Your patient has teeth numbers 20 through 29 remaining . The survey line and undercut (shaded area) for tooth #29 are as shown on the right. There is no contraindication to the use of an infrabulge clasps . The opposing occlusion is provided by a complete denture. What would be your choice for rest location and retentive arm? Mesial rest and I-bar Mesial rest and modified T -bar Mesial rest and cast circumferential clasp

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DONE BY : BILAL ALOMARI Distal rest and WW circumferential clasp

RPD QUESTIONS

Question #79
Your patient has only teeth numbers 20 through 29 remaining . You have tried in the framework and are border molding the extension areas in preparation for an altered cast impression. The distolingual border molding is shaped by the ? Masseter muscle Internal pterygoid muscle Superior constrictor muscle Mylohyoid muscle

Question #80
True or False As a general rule, plating is indicated for the maxillary arch if there are less than three contiguous maxillary incisor teeth remaining . True False

Question #81
All of the components listed below may be involved in the 180 degree encirclement rule EXCEPT I-bar Minor connector Guide plate Open latticework

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question #82
What is the correct relationship of the foot of an I-bar to the survey line (height of contour) on a terminal abutment for an extension RPD ? The foot should be entirely above the surv ey line . The foot should be partially above and partially below the survey line . The foot should be totally below the survey line. The relationship of the fo ot of the I-bar and the survey line is of no consequence .

Question #83
True or False The primary indication for and Oddo clasp occurs when an anterior abutment has excessive labial inclination so that the retainer (clasp) would be very close to the incisal edge. True False

Question #84
True or False The purpose of the altered cast impression procedure is to obtain the maximum support possible from the edentulous areas of class I and cla ss II RPDs. True False

Question #85
True or False

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DONE BY : BILAL ALOMARI RPD QUESTIONS When there are extensive edentulous areas present in both arches and no opposing teeth meet, we should establish the vertical dimension of occlusion prior to making a centric relation record. True False

Question #86
True or False You are fabricating maxillary and mandibular RPDs for your patient . At the framework try-in appointment, both frameworks should initially be placed in the mouth to check for occlusal interferences . True False

Question #87
True or False A protrusive record is made with the mandi bular anterior teeth approximately 6 mm forward of centric relation (or with the mandibular and maxillary anterior teeth in an edge to edge relationship). This record is used to set the horizontal condylar guidance on the articulator. True False

Question #88
True or False The space that opens between the posterior teeth during anterior movement of the mandible is called Christensen 's Phenomenon. This posterior separation is increased if the incisal guidance is increased . True

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DONE BY : BILAL ALOMARI False

RPD QUESTIONS

Question #89
True or False Before trying in a framework , you should inspect the master cast for damage and inspect the framework for sharp fi ns. True False

Question #90
True or False Your RPD framework fits the cast but does not fit in the mouth. One should assume that the impression for the cast was inaccurate and that a new impression will need to be made. True False

Question #91
True or False The fewer teeth that remain, the more like a denture the RPD becomes and the more likely the need for a custom impre ssion tray. True False

Question #92
Reason(s) for selecting a mandibular lingual plate major connector is /are? The presence of lingual tori .

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DONE BY : BILAL ALOMARI Anticipated loss of one or more of the remaining teeth . A high lingual frenum . 1, 2, and 3 above

RPD QUESTIONS

Question #93
Your patient has teeth 20 through 29 remaining . Tooth #29 exhibits the tooth contours and undercut shown in the illustration to the right. Which of the clasp assemblies listed has the GREATEST DANGER of torquing the abutment during functional movements of the extension base ? Mesial rest and cast I-bar Distal rest and WW circumferential clasp RPA clasp assembly with a cast clasp All have about the same potential danger

Question #94
Which of the following clasps commonly utilize lingual undercuts ? Ring clasp Extended arm clasp Half and half clasp Both 1 and 3

Question #95
Which of the abutments in the partially edentulous arch to the right has the greatest potential for utilization of a ring clasp ? #18

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DONE BY : BILAL ALOMARI #21 #28

RPD QUESTIONS

None of the abutments have any potential for the use of a ring clasp .

Question #96
True or False Metal denture bases are most commonly used over well -healed posterior ridges where vertical space is a problem . True False

Question #97
True or False Referring to the partially edentulous arch shown to the right . The guide plates on teeth 21 and 28 should curve buccolingually and extend lingually just short of the distolingual line angles . True False

Question #98
A cingulum rest should be placed between the occlusal and middle thirds of the incisor tee th. above the middle third of the incisor teeth . at the junction of the gingival and middle thirds of the incisor teeth. on the disto-incisal edges of the in cisor teeth.

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question #99
The external finish line is the external junction of framework metal and denture base plastic. the external junction of framework metal and supporting tissues . the external junction of the framework metal and the natural teeth . the external junction of the natural teeth and the denture base plastic .

Question #100
True or False As a general rule, a removable partial denture needs C +1 clasps where C=Kennedy classification number . True False

Q u estion
A bead "

#1 0 1
line " " ajo r co nnecto rs

d o nly o n m andibular m

ew o rk m etal and tissues a o f the abutm ent teeth bot h and 2 above 3

Q u estion

102

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DONE BY : BILAL ALOMARI RPD QUESTIONS Your patient has the partially edentulous arch shown in the illustration on the left. Tooth #28 has the survey line an d undercut shown in the illustration on the right . There are no contraindications to any type of clasp or to any rest location . What would be your first choice for the clasp assembly on tooth #28? distal rest and cast circumferential clasp distal rest and WW circumferential clasp distal rest and I-bar clasp distal rest and modified T-bar clasp

Question 103
Your patient has the partially edentulous arch shown in the left illustration. Tooth #28 has the survey line and undercut shown in the illustration on the right . There are no contraindications to any type of clasp or to any rest location. What would be the most common choice for the clasp assembly on tooth #28? distal rest and cast circumferential clasp distal rest and WW circumferential clasp distal rest and I-bar clasp distal rest and modified T -bar clasp

Question 104
The superior border of a mandibular lingual bar major connecto r should be at least 3 mm from the tooth/tissue junction at least 2 mm from the tooth/tissue junction located at the tooth/tissue junction at least 3 mm above the tooth/tissue junction

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question 105
The internal finish line is the butt joint between the metal and plastic on the tissue side of the edentulous area the butt joint between the metal and plastic on the outer surface of the RPD a type of posterior palatal seal a special type of bead line

Question 106
A class I modification 0 RPD normally has how many clasps ? 1 2 3 4

Question 107
Select a maxillary major connector for the large Class III modification 1 RPD shown to the right. The residual ridges are good and the abutment teeth are strong. Palatal strap

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DONE BY : BILAL ALOMARI Modified palatal plate Horse-shoe Anterior-posterior palatal strap

RPD QUESTIONS

Question 108
True or False When an RPD is fully seated , the tips of the clasp arms should exert very light pressure against the abutment teeth. True False

Question 109
Your patient's partially edentulous arch form is shown in the left illustration. The clasp assembly for tooth #20 is illustrated on the right. When is the retentive arm activated ? When the patient bites down on the extension base . When there is an attempt to dislodge the RPD. When the extension base moves toward the tissues . It should never be activated.

Question 110
True or False Guide plates for tooth-supported RPDs may extend above the height of contour while those on extension RPDs should not .

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DONE BY : BILAL ALOMARI True False

RPD QUESTIONS

Question 111
Select a maxillary major connector for the large Class III modification 1 RPD shown to the right. The residual ridges are of medium quality but the third molar abutment teeth are weak . A wide single palatal strap An anterior-posterior palatal strap A modified palatal plate A horse-shoe

Question 112
Select a maxillary major connector for the Class III modification 1 RPD shown to the right. The residual ridges are of good quality and the first premolar and second molar abutment teeth are strong. Anterior-posterior palatal strap Horse-shoe Modified palatal plate Palatal strap

Question 113
Select a maxillary major c onnector for the Class III modification 1 arch shown to the right. The residual ridges are of good quality and the first premolar and third molar abutment teeth are strong . The patient relates a long history of gagging problems and , in fact, had major problems with the impressions for the study casts .

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DONE BY : BILAL ALOMARI Anterior-posterior palatal strap Horse-shoe Modified palatal palte Palatal strap

RPD QUESTIONS

Question 114
Your patient has the partially edentulous arch shown in the left illustration . Tooth #28 has the survey line and undercut shown in the right drawing . An infrabulge clasp CAN NOT be used due to a very high frenal attachment immediate ly below the abutment. What would be your first choice for the clasp on tooth #28? A cast circumferential clasp A wrought wire circumferential clasp A cast circumferential embrasure clasp A wrought wire circumferential embrasure clasp

Question 115
If a mandibular RPD abutment must be crowned , the FPD impression should include all the abut ment teeth for the RPD a full arch impression the retromolar pads all of the above

Question 116
A tissue undercut may preclude the selection of 35

DONE BY : BILAL ALOMARI A suprabulge clasp An infrabulge clasp A half and half clasp A combination clasp

RPD QUESTIONS

Question 117
A combination clasp assembly gen erally has a cast bracing arm a distal rest a wrought wire retentive arm all of the above

Question 118
Your patient's partially edentulous mandibular arch form is shown to the right. Which of the abutment teeth would be likely to have a combination clasp ? Not likely on any of the abutments #20 very likely; #29 less likely #29 very likely ; #20 less likely #31 very likely ; not likely on either #20 or #29

Question 119
A modified T -bar on a terminal abutment for a Class I partially edentulous arch (such as the one shown)

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DONE BY : BILAL ALOMARI is used with a distal rest is placed into a distobuccal undercut

RPD QUESTIONS

should have the vertical approach arm distal to the gre atest mesio-distal curvature of the facial surface both 1 and 2

Question 120
Which of the following should be considered in diagnosis for an RPD patient ? interarch space tissue undercuts occlusal contacts all of the above

Question #121
True or False For a removable partial denture abutment that must be crowned , more than the normal occlusal reduction will be required . True False

Question 122
A lingual plate mandibular major connector may be selected because the mandibular incisors are tilted lingually there are mandibular tori present there is a high lingual frenum

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DONE BY : BILAL ALOMARI all of the above

RPD QUESTIONS

Question 123
A master cast for a RPD should be blocked out and duplicated before overlapped incisors are recontoured rest preparations are prepared the framework is waxed up all of the above

Question 124
Rest placement on a terminal abutment of a Class I RPD depends on the opposing occlusion the tilt of the abutment tissue undercuts all of the above

Question 125
What is the problem (if any) with the design of the I-bar on tooth #28? The I-bar should be placed in front of the greatest mesio-distal curvature, not behind it. The I-bar should be placed more distally , closer to the guide plate. The I-bar should extend above the survey line .

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DONE BY : BILAL ALOMARI There is no problem; the position of the I-bar is correct.

RPD QUESTIONS

Question 126
Your patient has the arch form shown to the right. You plan to use mesial rests and I-bars but will need to plate the premolars due to the tori. What should be the relationship of the superior border of the plating and the height of contour on the lingual surfaces of teeth numbers 20 and 29? The plating must end below the height of contour . The plating must end at the height of contour. The plating must end above the height of contour . None of the above is correct.

Question 127
A general rule for clasping teeth which lie anterior to the axis of rotation (e.g. tooth #21 in the illustration to the right ) in a Class II modification 1 RPD is: Always use cast clasps Never use suprabulge clasps Use wrought wire clasps Use 0.030 inch undercut for stability

Question 128
A general rule for rest placement on an abutment adjacent to an extension area is ? Place the rest on the occlusal surface on the opposite side of the tooth from the extension area. Place the rest on the occlusal surface adjacent to the extension area .

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DONE BY : BILAL ALOMARI Place rests on both the mesial and distal occlusal surfaces . Do not place a rest on this tooth.

RPD QUESTIONS

Question 129
Low fusing metal is associated with which of the following procedures ? The altered cast impression. Physiological adju stment of the framework. The RPD remount cast. Making records for RPDs.

Question 130
Physiologic adjustment of the framework is usually done at delivery of the RPD. should be done at the framework try-in appointment. is usually done at the records appointment . may be omitted in the presence of strong abut ments and good residual ridges.

Question #131
True or False An exception to the C+1 rule for number of clasps is the Class II modification 0 case. True False

Question 132

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DONE BY : BILAL ALOMARI Physiologic adjustment is related to the axis of rotation adjustment of the framework to the teeth functional movement of the framework all of the above

RPD QUESTIONS

Question 133
True or False If physiologic adjustment of the framework is not done on a Class I modification 1 RPD, the clasps may not release in function . True False

Question 134
True or False The bracing arm of a circumferential clasp assembly must always lie at or above the height of contour. True False

Question 135
Your patient has the partially edentulous arch shown to the right . What would be the best clasps for tooth number 20 and 29 if they were tilted mesially ? Mesial rests and cast I-bars

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DONE BY : BILAL ALOMARI Mesial rests and WW I -bars Distal rests and WW I-bars Distal rests and combination clasps

RPD QUESTIONS

Question 136
Your patient has the partially edentulous arch shown to the right . The premolars are tilted lingually and the re are no facial undercuts. There are, however, undercuts on the lingual. What would be the best clasps for this situation ? Lingual I -bars Roach clasps Akers clasps Half and Half clasps

Question 137
The external finish line on a maxillary Class I RPD originates from the lingual of the guide plate of the terminal abutment and ends at the hamular notch. in the glenoid fossa . opposite the buccal pouch. opposite Stenson's duct.

Question 138
The open latticework on a maxillary class I RPD covers the hamular notch.

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DONE BY : BILAL ALOMARI covers the tuberosity. does not cover the tuberosity. does not require substantial interach spac e.

RPD QUESTIONS

Question 139
The partial denture design should be finalized prior to any emergency treatment . any fixed prosthodontic treatment . preparation of rest seats. both 2 and 3 above.

Question 140
Your patient has the partially edentulous arch shown to the right. The root of #29 has been saved as an overdenture abutment. True or False The presence of the overdenture abutment may change the axis of rotation but will not change the clasping considerations on tooth #28. True False

Question #141
When placing the tripod marks on the diagnostic cast , the vertical arm of the surveyor should have the analyzing rod in place . should be moved up or down to touch the tissues at widely separated areas. Both 1 and 2 are true

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DONE BY : BILAL ALOMARI Neither 1 nor 2 are true

RPD QUESTIONS

Question 142
The internal and external finish lines are normally superimposed over each other . normally offset from each other to avoid weakness in the framework. normally designed and placed independently . none of the above statements are true.

Question 143
In general, lingual plating should be supported by the inclined surfaces of the mandibular incisors . with minor connectors. with bracing arms . with rests.

Question 144
A maxillary arch without three contiguous incisors (such as the one shown) usually requires plating of the remaining incisor should not be plated should have a horse-shoe major connector both 1 and 3 above.

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question 145
The external finish line on the distal extension side of the mandibular Class II modification 1 RPD for the partially edentulous arch shown to the right runs from the lingual frenum to the retromolar pad . runs from the lingual of the guide plate to the floor of the mouth. runs from the mesial of the gu ide plate to the retromolar pad. cannot be determined without more information .

Question 146
True or False Wrought wire retentive arms are usually selected for distal extension RPDs when the tips of the arms lie behind t he axis of rotation. True False

Question 147
Occlusal rest preparations should be spoon shaped at least 1/3 the buccolingual width of the occlusal surface at least one millimeter deep all of the above

Question 148
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DONE BY : BILAL ALOMARI Guide plates for anterior teeth should be kept to the labial for best esthetics . should be kept to the lingual for best esthetics . be thinned on the labial aspect . both 2 and 3 above.

RPD QUESTIONS

Question 149
An anterior-posterior palatal strap major connector is less rigid than a horse -shoe major connnector because it (the A-P strap) has less width. The first statement is true but the reason is false . The first statement is false and the reason is also a false statement . The first statement is true and the reason is true . The first statement is false but the reason is a true statement.

Question 150
Your patient has the partially edentulous arch form shown . All of the abutments have good bone support. On which one of the abutments would you likely utilize a WW clasp ? #22 #29 #32 None of the above.

Question #151
Which of the following clasp assemblies utilize a primary rest and an auxiliary rest ? RPA clasp

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DONE BY : BILAL ALOMARI Ring clasp Infrabulge clasp Extended arm clasp

RPD QUESTIONS

Question 152
True or False In a circumferential clasp assembly , only one of the arms may extend into an undercut. True False

Question 153
Which of the following steps is done LAST ? Rest preparation Framework try-in Centric relation records Altered cast impression

Question 154
Incisal rests are generally more positive vertical stops than cingulum rests . may interfere with the opposing occlusion . should not be used on maxillary incisors . all of the above.

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question 155
True or False Cast retentive arms are usually selected when the RPD is tooth supported or when the retentive tips release during functional movements of extension RPDs . True False

Question 156
Cleaning a removable partial denture in sodium hypochl orite may result in increased caries activity increased periodontal problems corrosion of the metal of the framework 1 and 2 above

Question 157
Which of the following clasp assemblies utilizes a lingual undercut and can be used on premolars for either extension or tooth-supported RPDs? half and half clasp lingual I -bar lingual modified T -bar ring clasp

Question 158
If a metal base is to be used 48

DONE BY : BILAL ALOMARI RPD QUESTIONS an altered cast impression should be made after framework tr y-in a stock tray should be used for the final impression a custom tray should be used for the final impression interocclusal records must be made after t ooth selection

Question 159
True or False When surveying to determine the height of contour of the abutments , the mark on the tooth must be made by the side of the lead marker . True False

Question 160
Clasps help stabilize the RPD by controlling occlusal movement. help stabilize the RPD by controlling gingival movement . may also funct ion as indirect retainers . prevent excessive biting forces on the abutments .

Question #161
Your patient exhibits the partially edentulous arch shown to the right . Tooth #29 is tilted mesially . The undercut is on the mesiofacial surface. What would be the best clasp assembly for this situation ? Distal rest and cast circumferential clasp . Distal rest and WW circumferential clasp.

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DONE BY : BILAL ALOMARI Mesial rest and I-bar. Distal rest and I-bar.

RPD QUESTIONS

Question 162
During biting , a maxillary Class I RPD will rotate around a line determined by the rigid metal above the survey line and closest to the extension areas . This line is called Camper's line Frankfurt line Dual path line Axis of rotation

Question 163
The WORST clasp assemb ly for a terminal abutment on a mandibular class I RPD (such as #29 in the partially edentulous arch to the right) is Mesial rest and I-bar Distal rest and cast circumferential clasp Mesial and distal rest and a 1/2 and 1/2 clasp Mesial rest and modified T -bar

Question 164
The guide surface preparation should be curved mesio-distally bucco-lingually

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DONE BY : BILAL ALOMARI occluso-gingivally none of the above

RPD QUESTIONS

Question 165
Fill in the blank What are the indications for a linguoplate as a major connector for a mandibular RPD? High floor of the mouth (<7 mm of vertical height) High lingual frenum Presence of lingual tori One or more missing incisors Periodontially involved incisors with possible loss in the future Lingually tilted mandibular anterior teeth

Question 166
Fill in the blank. Name four types of suprabulge clasps . Circumferential Embrasure Ring Hairpin

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question 167
Fill in the blank. Your patient has teeth numbers 20 through 29 remaining . The illustration to the right shows t he design for a modified T -bar retainer on tooth #29. The vertical line on the tooth represents the greatest mesiodistal curvature of the facial surface . Do you see any problems with the design ? The approach arm of the modified T-bar must be placed just to the mesial of the greatest mesio-distal curvature of the facial surface. Otherwise there is the possibility that the entire RPD could be displaced upward and backward without the retentive arm flexing. In this case, the RPD would exhibit no retention.

Question 168
Fill in the blank In the illustration shown to the right , what would be your first choice for a retainer (clasp) on tooth #6? Wrought wire circumferential clasp

Question 169
Fill in the blank Your patient has the partially edentulous arch shown to the right. The molars have drifted mesially and lingually so that the only usable undercuts are on the mesiolingual . What clasps would you use on the molars if (1) there were no large tissue undercuts and (2) there were large tissue undercuts? Part 1: mesiolingual I-bars Part 2: ring clasps with rigid facial portions and auxiliary distal rests

Question 170
Fill in the blank Which classes of mandibular RPDs require an altered cast impression ? Classes I and II.

Question #171
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DONE BY : BILAL ALOMARI Fill in the blank

RPD QUESTIONS

Important factors in determining the path of insertion /dislodgement are : 1. potential guide surfaces 2. undercuts for direct retention 3. hard and soft tissue interferences 4. esthetic considerations

Question 172
Fill in the blank Incisal rests should generally not be used o n maxillary incisors . Why? Poor esthetics and interferences with the opposing occlusion .

Question 173
Fill in the blank For tooth-supported RPDs, where are the primary rests normally placed ? In tooth-supported RPDs, primary rests are usually located on the tooth next to the edentulous space and on the portion of the occlusal surface immediately adjacent to the edentulous space---thus avoiding additional minor connectors and gingival coverage.

Question 174
Fill in the blank For extension RPDs, where are the primary rests usually placed ? On the tooth next to the edentulous space but on the portion of the occlusal surface away from the edentulous space. .

Question 175

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DONE BY : BILAL ALOMARI Fill in the blank

RPD QUESTIONS

What is/are the indications for the use of a maxillary palatal plate major connector which is composed partly of metal and partly of plastic ? See example to the right. Plastic in the posterior aspect of the major connector allows for post-insertion revision of the posterior palatal seal and for relining or rebasing over residual ridges that are still in the process of recontouring (healing).

Question 176
Fill in the blank What are the indications for the use of a maxillary horseshoe major connector? A horse-shoe or U-shaped maxillary major connector is indicated when a large, inoperable torus extends posteriorly within 8 mm or less of the junction of the hard and soft palates or when the patient cannot tolerate contact of the prosthesis with the posterior portion of the palate---a gagger!

Question 177
Fill in the blank The total retention for a RPD is obtained from 1. denture style retention (adhesion, cohesion, interfacial surface tension) 2. frictional retention from guide surface/guide plate contacts 3. mechanical retention from clasps (direct retention)

Question 178
Fill in the blank What are the components of a clasp assembly ? 1. one or two rests 2. a retentive arm 3. a bracing or reciprocating element 4. one or more minor connectors

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question 179
Fill in the blank An ideal clasp assembly should possess the following qualities : 1. support 2. bracing 3. reciprocation 4. 180 degree encirclement

Question 180
SUPPORT for a RPD framework is provided by? Support is provided almost entirely by rests. Some support is furnished by other rigid metal located above the survey line (e.g. the rigid portions of retentive arms and bracing and reciprocating arms). However, these components usually lie on inclined surfaces and should never be expected to provide primary vertical support. In the maxillary arch, some support may also be provided by the major connector if it covers a significant portion of the hard palate. When considering the RPD as a whole, the denture bases also provide support, much more so in extension RPDs than toothsupported RPDs.

Question #181
Fill in the blank Explain the difference between bracing and reciprocation . Bracing and reciprocation are both provided by rigid portions of clasps, guide plates, and minor connectors. Under certain circumstances, linguoplating may also provide bracing and reciprocation. Bracing occurs when the RPD is fully seated. Bracing elements distribute horizontal forces across the arch. Reciprocation is dynamic and requires timing. The rigid elements must contact the abutment teeth as the retentive arms pass over the height of contour during insertion and removal of the prosthesis.

Question 182
Fill in the blank Factors important in the selection of a particular clasp design include ?

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DONE BY : BILAL ALOMARI 1. tooth contour (location of undercut) 2. tissue contour 3. flexibility of the clasp arm 4. tooth coverage 5. esthetic requirements 6. the capacity for adjustment, maintenance, and replacement 7. the ability to provide stabilization (bracing) .

RPD QUESTIONS

Question 183
Fill in the blank What are indirect retainers and how do they function ? Indirect retainers are rests that are located anterior to the retentive arms on distal extension RPDs. They function when dislodging forces attempt to move the denture base away from the basal seat tissues. By preventing downward movement of the anterior portion of the RPD, the indirect retainers force the direct retainers (clasps) to activate when movement away from the basal seat is attempted. .

Question 184
Fill in the blank ______________________________ are mechanical retainers that originate from a point at or above the height of contour---usually from a rest , minor connector, or guide plate---and angle downward across the clinical crown where the tip is located in the prescribed undercut. Suprabulge retainers

Question 185
For a circumferential clasp , the undercut must be located on the same side of the abutment as the point of origin .

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DONE BY : BILAL ALOMARI on the opposite side of the point of origin.

RPD QUESTIONS

Question 186
Fill in the blank What is a combination clasp ? A combination clasp is a circumferential clasp assembly composed of a rest, a flexible wrought wire retentive arm, and a rigid cast reciprocating/bracing arm.

Question 187
Fill in the blank When is a combination clasp most commonly used ? The combination clasp is most commonly used for extension RPDs when 1. a tissue undercut below the terminal abutment precludes the use of a bar clasp 2. the mesial tilt of the terminal abutment would cause the guide plate to pre-empt the mesial rest in an I-bar clasp assembly 3. a retainer is placed on a tooth that lies bodily in front of the axis of rotation

Question 188
Fill in the blank What is the "RPA" clasp concept and what is the problem with the design ? The RPA concept has occasionally been recommended for distal extension RPDs and includes a distal guide plate, a mesial rest, and a circumferential retentive arm originating from the guide plate. Problem: If the originating portion of the arm lies above the height of contour, it will pre-empt the mesial rest and will act like a distal rest on an inclined plane. The retentive tip will now engage the undercut during functional movement of the extension base.

Question 189
Fill in the blank What is the name of the clasp assembly shown to the right ? The picture shows an embrasure clasp assembly (which is a type of circumferential or suprabulge clasp).

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

Question 190
Fill in the blank What is the most significant error in the design shown to the right. (Hint: the error is not particularly easy to see but it involves the major connector .) The biggest problem with the design is that the major connector ends in the gingival sulcus of the anterior teeth. If the intent is to plate these teeth, the plating must cover the cinguli and extend interproximally up to the contact points. If plating is not desired, the border of the major connector must be at least 6 mm away from the gingival margins.

Question #191
Fill in the blank The illustration shown to the right was taken from an advertisement that appeared in one of the dental journals. It suggests that a bar bridge/splint in combina tion with a precision or semi -precision removable partial denture is appropriate treatment for "Geriatric Reconstruction." What do you think about this type of treatment ? There are many problems with this type of treatment for a large percentage of geriatrics patients. First of all, many older patients simply do not have the manual dexterity to control the precise insertion and removal of this type of prosthesis. Secondly, the splinting of teeth means the only means of assuring adequate interproximal plaque control by use of floss threaders under the soldered contacts--also a very difficult task for people with marginal coordination and dexterity. In general, one could say that plaque control is more difficult for the geriatric population than for younger patients. Recurrent decay around crown margins is common among geriatric patients. Whenever possible, margins should be as accessible as possible---that is not the case with this type of restoration. The rule of "KISS" (keep it simple stupid) may not have the best connotation but is true most of the time and certainly in relation to removable prostheses for geriatric patients. Make insertion and removal of the prosthesis as easy as possible. Avoid precision attachments and the like. Allow for repair of the underlying restorations and design the RPD so that teeth can be added to the prosthesis if natural teeth are lost. Don't do anything that will compromise oral hygiene.

Question #192
Fill in the blank

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DONE BY : BILAL ALOMARI RPD QUESTIONS The illustration to the right shows the tissue surface of a maxillary removable partial denture. The arrows point to the junction of the framework metal and the plastic denture base. What is this structure called ? Internal finish line

Question #193
Fill in the blank The illustration to the right shows a tooth-supported segment of a mandibular removable partial denture framework . The red arrow is pointing to the raised edge of metal where the framework and plastic denture base will meet . What is this structure called? External finish line

Question #194
Fill in the blank The illustration to the right shows a maxillary class I RPD framework with an anterior -posterior palatal strap major connector. What is the minimum acceptable distance between the anterior and posterior straps (red arrow)? 15 mm.

Question #195
Fill in the blank What Kennedy classification is the RPD shown in the picture to the right? What is the name of this type of major connector ? Class II, modification 0 Modified palatal plate

Question #196
Fill in the blank What is the Kennedy classification of the maxillary RPD shown to the right?

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DONE BY : BILAL ALOMARI Class III, modification 0

RPD QUESTIONS

Question #197
Fill in the blank What is the Kennedy classification of the maxillary RPD to the right? shown

Class III, modification 1. If tooth #14 had not been missing, it would have been a Class IV. However, no modification spaces are possible in a class IV RPD---any other edentulous area takes precedence in nomenclature .

Question #198
Fill in the blank The red arrows point to a "ridge" of metal on the framework where the framework and the denture base plastic will meet . What is this "ridge" called? External finish line

Question #199
Fill in the blank The illustration to the right shows a tooth-borne segment of a mandibular RPD . There is an I-bar retainer on the molar abutment. What is unusual about this retainer ? Generally, lingual I-bars on lower molars should be placed at the mesiolingual corner of the abutment. This helps prevent the approach portion of the arm from standing out in the floor of the mouth and irritating the tongue. Will this arm work? Probably. There is very little tooth or tissue undercut so the arm may not stand out in the floor of the mouth even though it is positioned further posteriorly than would usually be desired.

Question #200

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DONE BY : BILAL ALOMARI Fill in the blank

RPD QUESTIONS

The illustrations above show a very large maxillary RPD and a close -up of one of the ? retentive arms. What type of retentive arms have been used on this prosthesis Oddo hinge clasp

.. .. .... , , , , , " " , 84 , ....

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DONE BY : BILAL ALOMARI

RPD QUESTIONS

. . . .

WWW.RAINBOW.6OLAB.COM

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