113B:
Complete
Dentures


Deflasking,
Remounting,
and
Selectively
Grinding

Compression
Molded
Complete
Dentures.

Study
Review
Guide

Reference:
“Yellow
AFP;
pgs
95‐106”

1.
The
objective
of
the
deflasking
procedure
is
to
remove
the
denture
from
the
investment
material

without:



 a.
breaking
the
denture



 b.
exposing
the
denture
to
leftover
monomer



 c.
dislodging
the
denture
from
the
cast



 d.
exposing
the
polymerized
acrylic
resin
to
oxygen



 
 ANSWER
=
A
and
C


2.
The
denture
flask
and
its
contents
should
be
kept
at
_____________°F
before
deflasking.



 a.
100
 
 b.
70
 
 c.
room
temperature
 
 d.
60



 
 ANSWER
=
C


3.
The
equipment
needed
to
deflask
a
denture
includes:



 a.
Plaster
knife
 b.
two
chisels
 
 c.
wax
spatula
 
 d.
plaster
saw



 e.
flask
ejector
unit



 
 ANSWER
=
A,
B,
D,
E


4.
Arrange
the
steps
for
deflasking
a
denture
into
their
correct
order.



 a.
Using
inward
and
downward
pressure,
apply
force
until
the
flask
halves

 
 



come

apart



 b.
Make
sure
the
flask
is
cool



 c.
Place
flask
in
the
ejector
unit




 d.
Close
the
unit
and
pass
the
chisels
through
the
holes
in
the
sides
of
the

 

 





ejector
into
the
slots
between
the
two
halves
of
the
flask



 e.
Remove
lid
of
flask
with
plaster
knife



 
 ANSWER
=
B,
E,
C,
D,
A


5.
T
or
F:_____
Chisels
act
as
levers,
and
the
sides
of
the
ejector
as
fulcrums,
making
it
quite
easy
to

separate
the
mold
from
the
flask.



 
 ANSWER
=
TRUE
(give
me
a
lever
long
enough,
and
a
prop
strong

 
 enough,

and
I
can
single‐handedly
move
the
world….Archimedes)


6.
When
the
denture
flask
is
placed
into
the
ejector
unit,
the
knockout
plate
should
be:



 a.
face
up
 



 b.
face
down
 
 



 c.
be
removed
first
 
 



 d.
hit
with
a
hammer
lightly
first



 
 ANSWER
=
A


7.
Arrange
the
steps
for
removing
a
denture
cast
from
the
investment
mold
into
their
correct
order.



 e.
Pry
off
the
occlusion
cap
to
exposing
the
cusp
tips
and
incisal
edges
of
the



 




denture
teeth.



 d.
In
specific
areas,
cut
the
outer
walls
of
the
stone
mold
with
a
plaster
saw.



 b.
Pry
the
sectioned
stone
mold
away
from
the
facial
surfaces
of
the
denture

 
 




with
a
plaster
knife.



 a.
Trim
stone
away
from
lingual
areas
of
anterior
teeth.


 f.
Take
out
inner
sections
of
the
maxillary
and
mandibular
mold.



 g.
remove
all
debris
from
indexing
grooves
and
base
of
the
cast.



 .c
clean
away
any
remaining
plastic
bubbles
or
stone
residue
from
the

 


 



 





denture
teeth.




 
 ANSWER
=
E,
D,
B,
A,
F,
G,
C


8.
T
or
F:_____
Saw
cuts
should
be
made
in
the
areas
around
the
canines,
taking
care
not
to
saw
into

the
denture.



 
 ANSWER
=
TRUE


9.
T
or
F:_____
Trimming
stone
away
from
the
lingual
portion
of
anterior
denture
teeth
before


 removing
excess
inner
stone
prevents
the
possibility
of
the
denture
snapping
in
half.



 
 ANSWER
=
FALSE
(
it
helps
reduce
the
possibility
of
the
denture
lifing

 


 off
the
cast
when
the
inner
portion
of
the
mold
is
removed).


10.
After
deflasking,
if
there
is
any
evidence
that
the
denture
has
come
loose
from
the
cast,
the
lab

tech
must:



 a.
reflask
directly
to
final
close




 b.
notify
the
dentist
that
the
operation
has
failed
and
must
be
restarted.



 c.
ask
the
dentist
if
the
case
should
be
remounted
onto
the
articulator



 d.
use
articulating
paper
to
determine
high
spots,
and
add
methyl

 
 
 




methacrylate
to
correct
the
discrepancy.



 e.
proceed
as
normal,
because
shifting
of
the
denture
on
the
cast
is
normal

 
 




after

processing,
and
is
easily
corrected
during
finishing.



 
 ANSWER
=
C


11.
T
or
F:_____Dentures
should
not
be
shell
blasted
during
the
deflasking
procedure.



 
 ANSWER
=
TRUE


12.
Shell
blasting
a
denture
on
the
cast
can
cause:



 a.
The
denture
to
be
lifted
from
the
cast



 b.
Shell
fragments
to
lodge
between
the
dentuere
and
the
cast



 c.
the
denture
to
not
fit
on
the
cast
right
again,
making
proper
fit
impossible.



 d.
the
denture
to
split
in
half,
or
abrade
denture
teeth
so
quickly
they
lose

 


 





function




 
 ANSWER
=
A,
B,
C,


13.
T
or
F:_____
Remounting
and
selective
grinding
corrects
contact
relation
changes
in
denture
teeth

that
may
have
occurred
during
processing.



 
 ANSWER
=
TRUE

14.
The
most
common
change
that
occurs
with
compression
molded,
heat‐cured
dentures
is:



 a.
lateral
tooth
shift



 b.
tooth
axial
shift
(twisting)
 



 c.
loss
of
curve
of
Wilson



 d.
loss
of
VDO



 
 ANSWER
=
D


15.
Increases
in
VDO
in
the
range
of
______mm
to
______mm
are
acceptable.



 
 ANSWER
=
0.25
to
0.5


16.
Two
common
changes
in
contact
relation
of
denture
teeth
that
can
occur
during
processing
are


(list
them):



 _________________________________
 _________________________________



 
 ANSWER
=
Change
in
VDO,
Tooth
shifting


17.
Circle
all
that
apply.

Reasons
that
denture
teeth
may
shift
in
position
include:



 a.
Baseplate
wax
is
unstable,
and
denture
teeth
can
drift
easily
in
trial

 



 



 





denture.



 b.
Setting
expansion
of
the
stone
used
to
flask
the
wax
denture.



 c.
Not
removing
excess
stone
in
incisal
areas
of
denture
teeth
after
deflasking.



 d.
Resin
packing
pressures
during
trial
packs
and
final
close



 e.
During
polymerization,
the
resin
expands
and
contracts,
possibly
moving


 




teeth.




 
 ANSWER
=
A,
B,
D,
E


18.
T
or
F:_____
Acrylic
resin
dough
expands
when
it
is
heated,
and
contracts
when
it
is
cooled.


 



 
 ANSWER
=
TRUE


19.
When
rearticulating
a
denture,
retention
grooves
should
be
carved
with
a:





a.
cutoff
disc
 
 b.
heatless
stone



c.
84‐T
bur
 
 d.
rubber
wheel



 
 ANSWER
=
A


20.

Retention
grooves
should
be
placed
onto
______________
areas
of
the
cast:


 a.
right
and
left
buccal,
anterior,
and
posterior



 b.
posterior
and
anterior
only



 c.
continuous
lines
around
the
body



 d.
right
and
left
buccal,
and
posterior
only



 
 ANSWER
=
A


21.
Before
rearticulating
a
denture,
the
bottom
of
the
cast
and
_______________
must
be
completely
clean

and
free
of
debris.



 
 ANSWER
=
Index
Keys.


22.
T
or
F:_____
While
rearticulating
a
denture,
total
contact
between
the
cast
and
the
mounting
must

be
achieved.



 
 ANSWER
=
TRUE


23.
It
is
not
a
good
idea
to
cover
the
entire
junction
line
of
a
denture
/
mounting
when
rearticulating

the
denture
because:



 a.
it
will
form
a
permanent
seal,
and
the
only
way
to
break
it
is
to
break
the

 

 




denture
or
mounting.



 b.
it
will
secure
the
mounting
to
the
denture
too
tightly,
allowing
no
cushion

 
 




for
checking
the
teeth,
which
can
cause
the
denture
teeth
to
become
loose



 c.
it
will
mask
the
junction
line,
and
you
will
not
be
able
to
tell
if
the
denture

 
 




is
firmly
seated
against
the
mounting



 d.
none
of
the
above,
because
the
entire
junction
line
should
be
covered.



 
 ANSWER

=
C


24.
The
objective
of
selective
grinding

a
denture
is
to:



 a.
reduce
the
cusp
angles
to
more
acceptable
levels



 b.
increase
the
depth
of
the
fossa’s



 c.
add
anatomy
for
esthetics



 d.
eliminate
premature
tooth
contacts
in
a
wide
range
of
jaw
movements.



 
 ANSWER
=
D
[from
the
book,
pg
98,
b:
The
objective
of
selectively

 


 grinding
complete
dentures
for
balance
is
to
eliminate
premature

 
 
 tooth

contacts
(interferences)
that
prevent
multiple,
well
distributed

 
 
 points
of
contact

between
upper
and
lower
teeth,
in
anterior
and

 
 
 posterior
areas,
on
the
right
and

left,
during
working,
balancing,
and

 
 
 protrusive
occlusion]


25.
List
three
types
of
tooth
interferences
that
may
be
present
on
a
complete
denture
prior
to

selective
grinding.


 ______________________________________________



 ______________________________________________



 ______________________________________________



 
 ANSWER
=
high
spots,
deflective
contacts,
prematurities


26.
Match
the
type
of
interface
with
the
type
of
mark
it
will
leave
when
articulating
paper
is
used
on

the
occlusal
surface.



 TYPE
OF
CONTACT
 
 
 MARKS
LEFT
BY
ARTICULATING
PAPER



 a.
proper
contact
 
 
 i.
white
spots
surrounded
by

 
 


 
 
 
 
 



carbon
rings
or
“donuts”.



 b.
light
contact
 
 
 ii.
A
single
dark
spot
on
the
tooth



 c.
contact
too
strong
 
 
 iii.
A
faint
smudge
is
left
on
the
teeth



 
 ANSWER
=
(a
–
ii);

(b
–
iii);

(c
–
i)


27.
T
or
F:_____
when
a
denture
is
properly
balanced,
marks
will
reveal
themselves
as
solid
dark
spots

in
all
areas
of
contact.



 
 ANSWER
=
TRUE


28.
From
the
list
below,
choose
the
equipment
and
materials
that
are
recommended
for
selective

grinding
operations.



 a.
black
and
red
articulating
paper
(the
thinnest
available)



 b.
engine
and
handpiece



 c.
hand‐held
wax
carving
tools



 d.
burnishing
tools



 e.
mounted
stones
and
diamonds
for
the
straight
handpiece.



 f.
milling
paste



 
 ANSWER
=
A,
B,
E,
F


29.
The
_____________________
bur
attachment
is
especially
recommended
for
selective
grinding

operations.



 a.
84‐T
 
 b.
margin
trimming.
 
 c.
#6
ball
diamond










d.
½
round




 
 ANSWER
=
C




30.
The
major
procedures
for
selective
grinding
operations
are
(circle
all
that
apply):



 a.
correct
the
VDO



 b.
restore
CO



 c.
correct
working
and
balancing
occlusion



 d.
correct
protrusive
occlusion



 e.
mill‐in
the
dentures



 
 ANSWER
=
A
thru
E



31.

Before
attempting
any
corrections,
you
must
make
sure
the
readings
on
the
articulator
are
the

same
as
when
the
denture
teeth
were
set
in
wax,
including
making
sure
that
the

______________________________
and
the
_______________________
are
properly
placed.



 
 ANSWER
=
condylar
elements
/
incisal
guide
pin.


32.
T
or
F:_____
Before
making
selective
grinding
adjustments,
the
incisal
guidepin
should
be
in
the

same
setting
as
when
the
case
was
finally
waxed.



 
 ANSWER
=
TRUE


33.
T
or
F:_______
bulk
grinding
on

several
teeth
to
re‐establish
the
compensating
curve
is
acceptable.



 
 ANSWER
=
FALSE
(Only
grind
on
an
isolated
tooth
that
has
clearly

 


 migrated
out
of
line.
Do
not
grind
on
several
teeth
just
to
“touch
up”

 


 your
compensating
curve.)


34.
In
a
set
of
complete
dentures,
a
pin
opening
of
______mm
is
the
limit
of
reasonable
acceptability.




 
 ANSWER
=
1mm


35.
In
a
single
complete
denture,
a
pin
opening
of
_______mm
is
the
limit
of
reasonable
acceptability.



 
 ANSWER
=
0.5mm
(half
that
of
a
set
of
dentures)


36.

If
2mm
of
incisal
pin
opening
is
present
and
isolated
migration
of
a
tooth
is
not
responsible
for
it,

you
should:


 a.
use
selective
grinding
operations
to
close
the
gap
to
acceptable
limits.



 b.
use
a
fine
cutting
disk
to
remove
1mm
of
acrylic
from
the
denture
base,

 
 




then

re‐process
the
denture
to
repair
your
cut.



 c.
notify
the
dentist
that
the
patient
needs
to
come
back
in
for
preliminary

 
 




impressions.



 d.
Do
not
proceed
until
you
consult
the
dentist.



 
 ANSWER
=
D


37.
When
deepening
surfaces
marked
by
articulating
paper
opposite
stamp
cusps,
you
should:



 a.
use
black
articulating
paper
to
mark
the
high
spots
on
the
left
and
right

 
 



sides



 b.
tap
the
denture
together
gently



 c.
use
red
articulating
paper
for
marking
high
spots,
not
black



 d.

Make
corrections
by
grinding
stamp
cusps
only



 e.
being
careful
to
not
grind
stamp
cusp
tips.



 
 ANSWER
=
A,
B,
E


38.
When
deepening
surfaces
marked
by
articulating
paper
opposite
stamp
cusps,
it
is
acceptable
to

grind
on
______________________,
__________________________
and


__________________________________.



 
 ANSWER
=
fossae,
proximal
marginal
ridges,
cusp
inclines.


39.
When
the
incisal
guide
pin
is
touching
the
table,
and
there
are
multiple,
evenly
distributed
points

of
contact
between
MAX
and
MAND
teeth,
you
have
restored:



 a.

Vertical
Dimension
of
Occlusion
(VDO)



 b.
Centric
Occlusion
(CO)



 c.
Centric
Relation
(CR)



 d.
Facebow
replication
position



 
 ANSWER
=
B


40.

In
complete
dentures,
the
cusp
to
__________________
approach
to
cusp
placement
is
typically
used.



 
 ANSWER
=
“occlusal
embrasure”


41.
Occasionally,
contacts
between
opposing
anterior
teeth
develop
during
correction
of
vertical

processing
errors.

When
this
occurs,
it
is
best
to
selectively
grind
the

_________________________________________________________________________________
as
needed,
until
proper

function
is
restored.



 a.
facioincisal
surfaces
of
the
MAX
anteriors



 b.
linguoincisal
surfaces
of
the
MAX
anteriors


 c.
linguoincisal
surfaces
of
MAND
anteriors



 d.
facioincisal
surfaces
of
MAND
anteriors.



 e.
None
of
the
above,
anterior
teeth
should
NEVER
be
exposed
to
grinding

 
 


(for

esthetics
purposes)




 
 ANSWER
=
D


42.
There
are
________
paths
of
travel
possible
when
newly
remounted
dentures
are
moved
into

working
and
balancing
relations.




 
 ANSWER
=
2


43.
The
2
paths
of
travel
possible
when
newly
remounted
dentures
are
moved
into
working
and

balancing
relations
are
(circle
all
that
apply):



 a.
a
path
along
which
the
upper
and
lower
teeth
mesh
best




 b.
a
path
governed
by
the
way
the
articulator
settings
guide
the
upper

 
 


 





member
through
lateral
movements



 c.
a
path
along
the
lingual
surfaces
of
MAX
canines
called
canine
guidance.



 d.
a
path
which
causes
the
mandibular
anteriors
to
lock.



 
 ANSWER
=
A
and
B


44.
T
or
F:_____
After
remounting
a
denture
to
an
articulator,
getting
the
teeth
to
mesh
using
the

“tooth
guided”
path
is
a
reliable
method
for
correcting
interferences
between
denture
teeth
along

that
path.



 
 ANSWER
=
FALSE
(according
to
the
book,
it
is
an
unreliable
method)


45.
T
or
F:_____
The
only
way
to
correct
interferences
between
denture
teeth
is
to
use
the
path
that
is

dictated
by
articulator
settings.



 
 ANSWER
=
TRUE


46.
The
objective
of
correcting
working
and
balancing
occlusion
is
to:



 
_________________________________________________________________________________.



 
 ANSWER
=
once
again
make
the
tooth
guided
lateral
paths
and
the





 articulator
guided
lateral
paths
coincide.
 


47.
When
checking
working
and
balancing
jaw
movements
for
a
denture,
it
is
important
to

incorporate
__________________.



 
 ANSWER
=
Sideshift


48.
T
or
F:_____
Red
articulating
paper
is
used
when
checking
balancing
and
working
sides
of
a

denture
because
it
will
not
be
confused
with
the
black
marks
left
when
VDO
and
CO
were
corrected.


 
 ANSWER
=
TRUE


49.T
or
F:_____
When
checking
the
working
side,
posterior
teeth
should
not
have
any
contact
cause
by

working
side
collisions.



 
 ANSWER
=
TRUE


50.
If
Anterior
interference
is
present,
you
should
grind
the:



 a.
facioincisal
surface
of
lower
anteriors
as
needed



 b.
lingual
surface
of
upper
anteriors
as
needed



 c.
incisal
surface
of
lower
anteriors
as
needed



 d.
facioincisal
surface
of
upper
anteriors
as
needed



 
 ANSWER
=
A
or
B



51.
When
working
on
the
__________________
side
of
a
denture
in
a
lateral
movement,
the
________________

rule
is
used.



 a.
Balancing
;
BULL



 b.
Balancing
;
LUBL



 c.
Working
;
BULL



 d.
Working
;
LUBL



 
 ANSWER
=
C


52.
T
or
F:_____
Grinding
on
the
“balancing”
side
of
a
denture
in
a
lateral
excursion
movement
will

help
correct
high
spots
on
the
working
side,
if
the
BULL
rule
is
followed.



 
 ANSWER
=
FALSE
(do
not

grind
on
the
balancing
side
by
applying
the

 


 BULL
rule,
only
the
working.)
 


53.
When
grinding
on
a
complete
denture
to
correct
working
/
balancing
movements,
you
notice

some
red
marks
are
left
by
articulating
paper
and
you
decide
that
selective
grinding
is
needed
on
the

working
side
.
Following
the
BULL
rule,
select
the
choices
below
that
would
be
acceptable
to
grind

on.
(all
teeth
are
on
working
side)



 a.
Mesiobuccal
cusp
of
the
MAX
1st
molar



 b.
Mesiolingual
cusp
of
the
MAND
2nd
molar



 c.

Distolingual
cusp
of
MAND
3rd
molar




 d.
Distobuccal

cusp
of
MAX
3rd
molar



 e.
Mesiobuccal
cusp
of
MAX
2nd
molar



 f.
Mesiolingual
cusp
of
MAX
1st
molar



 
 ANSWER
=
A,
B,
E,


(while
C
and
D
are
technically
correct
for
the

 
 


 BULL
rule,
don’t
forget
that
3rd
molars
are
not

 
 
 
 


 reproduced
in
complete
dentures)

54.
The
only
cusp
inclines
on
the
balancing
side
of
a
complete
denture
that
are
candidates
for

grinding
to
correct
working
/
balancing
interferences
are
the:



 a.
inclines
and
cusp
tips
associated
with
the
buccal
cusps
of
the
mandibular




 teeth



 b.
cusp
inclines
only
(no
cusp
tips)
associated
with
the
buccal
cusps
of
the

 


 mandibular
teeth



 c.
cusp
tips
and
inclines
associated
with
the
lingual
cusps
of
the
maxillary

 


 teeth



 d.
cusp
inclines
only
(no
cusp
tips)
associated
with
the
lingual
cusps
of
the

 


 maxillary
teeth.



 
 ANSWER
=
A

(all
other
red
markings
should
be
disregarded
on
the


 


 balancing
side.)


55.
T
or
F:
_____
Working
and
balancing
corrections
are
done
together,
so
red
articulating
film
should

be
placed
on
both
the
balancing
and
working
side
prior
to
checking
lateral
excursion.
 



 
 ANSWER
=
TRUE


56.
The
working
and
balancing
sides
are
correct
when:



 a.
no
red
marks
are
left
by
articulating
paper



 b.
numerous,
well
distributed
working
and
balancing
side
contacts
develop



 c.
red
marks
are
left
by
articulating
film
on
the
working
side,
but
none
are

 
 



found

on
the
balancing.



 d.
red
marks
are
left
by
articulating
film
on
the
balancing
side,
but
none
are


 




found

on
the
working.



 
 ANSWER
=
B


57.
The
practical
limit
of
a
lateral
excursion
test
movement
is
____________________.



 a.
cusp
tip
contact



 b.
cusp
to
fossa
contact



 c.
cusp
to
cusp
contact



 d.
cusp
ridge
contact



 
 ANSWER
=
D


58.

Arrange
the
steps
for
performing
a
RIGHT
lateral
excursion
and
selective
grinding
operations

into
their
correct
order.



 a.
Move
the
articulator
into
a
right
lateral
excursion
(right
side
becomes

 
 




working
side)
 


 b.
Selectively
grind
until
proper
contacts
are
achieved.



 c.
Observe
marks
left
by
articulating
film,
BULL
cusps
of
working
side,
and

 
 





buccal
cusps
and
inclines
of
MAND
teeth



 d.
Place
red
articulating
paper
between
MAX
and
MAND
teeth
on
both
the

 
 



right

and
left
sides



 e.
Lock
down
the
right
condylar
element
and
release
the
left
on
the


 



 





articulator



 
 ANSWER
=
E,
D,
A
,
C,
B



 


59.
T
or
F:_____
To
correct
protrusive
interferences,
it
is
important
to
grind
the
appropriate
inclines,

but
to
not
reduce
the
height
of
any
of
the
cusps.



 
 ANSWER
=
TRUE


60.
The
practical
limit
of
a
protrusive
excursion
is:



 a.
when
the
incisors
are
edge
to
edge



 b.
when
the
incisors
are
just
short
of
edge
to
edge
relationship



 c.
the
posteriors
are
just
short
of
cusp
to
cusp
tip
relationship



 d.
the
posteriors
are
touching
cusp
to
cusp
tip



 
 ANSWER
=
A
and
C


61.
Contact
between
the
upper
and
lower
anteriors
with
no
posterior
contact
is
achieved
by:



 a.
grinding
facioincisal
surfaces
of
MAND
incisors



 b.
grinding
lingual
surfaces
and
incisal
edges
of
MAX
anteriors



 c.
grinding
facial
surfaces
of
MAX
anteriors



 d.
grinding
lingual
surfaces
of
MAND
anteriors.



 
 ANSWER
=
A
and
B
(B
as
a
last
resort)


62.
JEOPARDY
QUESTION:

“As
a
last
resort
for
achieving
contact
between
upper
and
lower
anteriors

with
no
posterior
contact,
it
is
acceptable
to
grind
on
lingual
surfaces
and
incisal
edges
of
these

teeth.”



 ___________________________________________?



 
 ANSWER
=
What
are
maxillary
anterior
teeth?


63.
Contact
between
the
upper
and
lower
posterior
teeth
with
no
anterior
contact
can
be
achieved

by:



 a.
grinding
distal
inclines
of
MAX
buccal
cusps



 b.
grinding
premature
mesial
inclines
on
MAND
lingual
cusps


 c.
milling
the
occlusion
where
articulating
paper
leaves
marks



 d.
as
a
last
resort,
milling
facioincisal
surfaces
of
MAX
anteriors



 
 ANSWER
=
A
and
B


64.

The
process
of
covering
the
occlusal
surfaces
of
the
teeth
with
abrasive
paste
and
with
the
teeth

in
contact,
rubbing
off
any
remaining
small
interfaces
is
called:



 a.
Occlusal
selective
grinding



 b.
Selective
occlusal
milling



 c.
Milling‐in
the
occlusion



 d.
Grinding‐in
the
occlusion



 
 ANSWER
=
C


65.
There
are
_______
varieties
of
abrasive
paste
available
for
milling
operations.



 
 ANSWER
=
2
(one
for
porcelain
teeth
,
the
other
for
[acrylic?]
)


66.

Arrange
the
procedures
for
milling‐in
the
occlusion
into
their
correct
order.



 a.
Place
the
abrasive
paste
on
the
occlusal
surfaces
of
the
teeth.



 b.
Raise
the
incisal
guide
pin
above
the
incisal
guide
table



 c.
Release
centric
locks
so
the
upper
member
of
the
articulator
moves
freely



 d.
From
CO
position,
engage
in
protrusive
movements
about
5
times,

 
 



 





returning
to
CO
each
time.



 e.
Repeat
the
entire
operation
3
or
4
times.



 f.
From
CO
position,
engage
in
right
and
left
lateral
movements
about
5
times

 





 




for
each
side,
returning
to
CO
each
time.



 
 ANSWER
=
b,

c,
a,

f,

d,

e


**Questions
67
‐
??
deal
with
Selective
grinding
of
Monoplane
Complete
Dentures**


67.
T
or
F:_____
The
objective
in
setting
teeth
0°
on
a
monoplane
is
to
make
the
monoplane
as
flat
as

possible.



 
 ANSWER
=
TRUE


68.
T
or
F:_____
The
rule
in
selective
grinding
monoplane
denture
occlusions
is
to
is
to
flatten
the

occlusal
plane
of
one
arch
and
then
adjust
the
teeth
in
the
other
arch
against
that
standard.



 
 ANSWER
=
TRUE




69.
T
or
F:_____
After
remounting
a
case,
if
the
incisal
guidepin
does
not
touch
the
plate,
you
should

consult
the
dentist
before
proceeding.



 
 ANSWER
=
FALSE
(Only
if
the
pin
is
off
the
plate
>
2mm)


70.
T
or
F:_____
The
mandibular
arch
should
be
the
first
arch
adjusted
because
the
mandibular
teeth

are
almost
set
on
a
flat
plane.



 
 ANSWEER
=
TRUE


71.
T
or
F:_____
Teeth
that
do
not
conform
to
the
monoplate
can
be
detected
by
rubbing
a
flat
glass

plate
across
the
entire
arch
form.
The
glass
will
leave
glass
oxides
on
high
spots,
marking
them.



 
 ANSWER
=
FALSE
(A
flat
aluminum
plate
should
be
used,
not
a
glass

 


 
 plate)


72.
T
or
F:_____
High
spots
can
be
reduced
by
using
the
edge
of
an
abrasive
wheel
mounted
in
a

handpiece.



 
 ANSWER
=
TRUE


73.
T
or
F:_____
Once

the
occlusal
plane
of
the
mandibular
arch
is
flat,
the
articulater
should
be
locked

and
the
lower
arch
shoult
not
be
touched
again
for
grinding.



 
 ANSWER
=
TRUE


74.
For
dentures
with
acrylic
teeth,
the
denture
can
be
removed
from
the
articulator
and
the
occlusal

surfaces
of
the
teeth
can
be
sanded
against
a
glass
slab
wrapped
in
_________
grit
wet
or
dry

sandpaper..



 a.
300
 
 b.
320
 
 c.
350
 
 d.
375



 
 ANSWER
=
B


75.
T
or
F:_____
When
grinding
MAX
teeth
in
a
denture,
high
spots
are
located
by
applying
two
pieces

of
articulating
paper,
one
on
the
right
and
the
other
on
the
left.




 
 ANSWER
=
TRUE


76.
T
or
F:_____
Grinding
on
Maxillary
teeth
should
be
continued
until
the
incisal
guide
pin
touches
the

plate.



 
 ANSWER
=
TRUE


77.
When
grinding
a
high
spot,
you
should
zero
in
on
that
area
until
no
grinding
is
required
on
that

spot.



 
 ANSWER
=
FALSE
(You
should
grind
a
little
bit
in
the
spots

 
 


 surrounding
the
high
point
to
avoid
ditching
and
creation
of
posterior

 


 vertical
overlap).




78.

In
the
diagrams
below,
determine
where
and
how
the
contact
is
incorrect
(which
tooth
in
the

figure
is
the
problem,
contact
too
heavy
or
too
little),
indicate
what
the
mark
left
by
the
articulating

paper
would
look
like
(“donut”,
solid
dark
spot,
or
smudge),
and
describe
where
selective
grinding

would
best
be
used
to
correct
the
problem.

(cusp
incline,
marginal
ridge,
fossa,
etc).

All
diagrams

show
the
teeth
from
the
lingual
aspect
of
the
right
side.
(Answers
are
given
after
each
set
of
figure

questions)



 
 




Fig
A




78A:

Circle
the
correct
answer:


The
contact
for
Fig
A
is:




 a.
too
heavy
 b.
too
light
 c.
correct
 e.
can’t
be
determined


78B:
The
set
of
teeth
showing
incorrect
contact(s)
to
are
the:



 a.
2nd
premolars
 
 b.
1st
molars
 
 c.
2nd
molars
 
 d.
tongue


78C:
Based
on
your
answer
for
78A,
the
mark
left
by
the
articulating
paper
would
appear
to
be


(circle
the
correct
answer):











a. 













b. 











c. 




d.
No
marks
would
be
seen.


















Donut

















Dark
Mark












Light
Mark


78D.
If
adjustment
is
needed,
The
correct
way
to
remedy
this
problem
using
selective
grinding
would

be
to:




 ______________________________________________________________________________.



ANSWERS
=
(78A:
A);


(78B:
B);

(78C:
A);

(78D:
Selectively
grind
in
the
MAND
1
molar
fossa)




79.
 
 




Fig
B





79A:

Circle
the
correct
answer:


The
contact
for
Fig
B
is:




 a.
too
heavy
 b.
too
light
 c.
correct
 e.
can’t
be
determined


79B:
The
set
of
teeth
showing
incorrect
contact(s)
are
the:



 a.
2nd
premolars
 
 b.
1st
molars
 
 c.
2nd
molars
 
 d.
none


79C:
Based
on
your
answer
for
78A,
the
mark
left
by
the
articulating
paper
would
appear
to
be


(circle
the
correct
answer):











a. 













b. 











c. 




d.
No
marks
would
be
seen.


















Donut

















Dark
Mark












Light
Mark


79D.
If
adjustment
is
needed,
The
correct
way
to
remedy
this
problem
using
selective
grinding
would

be
to:




 ______________________________________________________________________________.




 
 ANSWERS
=
(79A:
B);

(
79B:
B);

(79C:
C);

(79D
grind
in
the
fossa
of
the
MAND
2nd



 
 premolar
and

MAND
2rd
molar
until
the
contact
is
closed
to
the
point
of
being



 
 correct)







80:












 Fig
C




80A:

Circle
the
correct
answer:


The
contact
for
Fig
B
is:




 a.
too
heavy
 b.
too
light
 c.
correct
 e.
can’t
be
determined


80B:
The
set
of
teeth
showing
incorrect
contact(s)
are
the:



 a.
2nd
premolars
 
 b.
1st
molars
 
 c.
2nd
molars
 
 d.
none


80C:
Based
on
your
answer
for
78A,
the
mark
left
by
the
articulating
paper
would
appear
to
be


(circle
the
correct
answer):











a. 













b. 











c. 




d.
No
marks
would
be
seen.


















Donut

















Dark
Mark












Light
Mark


80D.

If
adjustment
is
needed,
The
correct
way
to
remedy
this
problem
using
selective
grinding

would
be
to:




 ______________________________________________________________________________.




 
 ANSWERS
=
(80A:
C);

(80B:
D);

(80C:
B);

(80D:
No
adjustment
needed)




81.
In
the
diagram
below,
circle
the
areas
that
would
signify
ideal
Stamp
cusp
placement
in
centric

occlusion.







 
 81
ANSWER
=