WELLS REVIEWER---DENTAL ANATOMY AND OCCLUSION

1. How soon after the eruption of a permanent tooth is the apex usually fully developed?
1. Immediately
2. 3 months
3. 2 or 3 years
4. 5 or 6 years
2. Special consideration should be given in preparing a tooth for operative or endodontic restoration
because two pulp canals are usually found in the
1. Mesial root of maxillary molars
2. Root system of a mandibular canine
3. Distal root of mandibular first molars
4. Lingual root of maxillar first premolar
3. The primary function of the dental pulp is to
1. Form dentin
2. Provide nutrition
3. Provide sensation
4. Protect the periodontium
5. Assure root end closure
6. Prevent multiple foramina
4. Well-developed pulp horns in anterior teeth extending into the three labial lobes indicates that the
tooth belongs to a person who has
1. Youth
2. Passed middle age
3. A calcium deficiency
4. Class II malocclusion
5. Class III malocclusion
6. Teeth of the typical tritubercular form
5. Gingival and alveolar mucosa differ in that attached gingival is
1. Light pink and freely movable, while alveolar mucosa is red and tightly bound down
2. Red and tightly bound down, while alveolar mucosa is light pink and freely movable
3. Red and freely movable while the alveolar mucosa is light pink and firmly bound down
4. Light pink and firmly bound down, while alveolar mucosa is red and freely movable.
6. Bone surrounding the root of the tooth and providing attachment for principal fibers of the
periodontal ligament is
1. Alveolar bone proper
2. Bone trabeculae
3. Cancellous bone
4. Supporting bone
5. Compact bone
7. Radiographically the anterior palatine foramen is roughly a
1. Circular radiolucent area
2. Radiopaque circular area
3. Radiolucent and radiopaque circular area
4. Heart-shaped radiolucent area
5. Radiopaque elliptical area
8. The mandible is the mobile osseous component of the masticatory system because
a) It affords protection to nerves and vascular vessels against the tongue
b) It serves as anchorage for the articular, muscular, and alveolar processes
c) It has its right and left central parts rigidly united at the symphisis

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12.

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d) Its alveolar process, as the other processes, is formed during the development of the teeth and
will disappear if the teeth are lost
e) Its arch is wider in the molar region than the arch of its alveolar process forming the so-called
molar shelf
1. A,b
2. A,b,c,e
3. B,d
4. C,d,e
5. All of the above
The alveolar crest and interdental septum can be altered by
a. Tilting of the tooth
b. Drifting of the tooth
c. Rotation of the tooth
d. Changing the height of the gingivoenamel junction (eruption of the tooth)
1. A,b,c
2. A,b,d
3. A,c,d
4. B
5. B,c,d
6. All of the above
Which of the following permanent teeth is generally the first to erupt?
1. Maxillary central incisor
2. Mandibular first molar
3. Mandibular central incisor
4. Mandibular lateral incisor
The first evidence of calcification of the permanent first molars occurs approximately at
1. Birth
2. 3 years of age
3. 6 years of age
4. None of the above
Pulp cavities is primary teeth are generally
a. Proportionately smaller than in permanent tooth
b. Proportionately largen than in permanent tooth
c. Correspond in size to that of the permanent teeth
d. Distinguished by long, pointed pulp horns
e. Obliterated
1. A,e
2. B,d
3. C,d
4. B,e
5. A
6. B
7. C
Within a tooth the entire space occupied by dental pulp is properly referred to as the
1. Pulp cavity
2. Pulp chamber
3. Intradental space
4. Interdental space
5. Pulp canals
6. Interproximal space

14. Following the intial period of functional activity, the size of the pulp cavity is constantly reduced.
Appreciable alteration in the size of the pulp chamber is a direct result of
1. Deposition of primary dentin
2. Deposition of secondary dentin
3. Pulp fibrosis
4. Metaplasia
5. All of the above
15. When lingual surfaces of the maxillar incisors are compared, the maxillary lateral incisors would
characteristically have
a. A shallow lingual fossa
b. More pronounced marginal ridges
c. A smooth exaggerated cingulum
d. A more rounded incisal outline
1. A,d
2. B,d
3. B,c
4. A
5. D
16. Which of the ff statements regarding the occlusal surface of the mandibular permanent first molar
are correct?
a. The lingual cusps are sharper and more pointed than the buccal cusps
b. A typical transverse ridge divides the occlusal surface
c. The cusps and groove pattern is distinctly different from that of a typical second molar
d. The mesiolingual cusp is wider mesiodistally than the mesiobuccal cusp
e. The mesiobuccal cusp tends to be much larger than the other buccal cusps
1. A,c
2. A,d
3. B,c
4. B,e
5. C,d
6. C,e
17. The mesial marginal ridge of most posterior teeth is located more occlusally than is the distal
marginal ridge. Which tooth is most likely to be the exception?
1. Maxillary first premolar
2. Maxillary second molar
3. Mandibular permanent second molar
4. Mandibular first molar
18. In respect to occlusal morphology, the mandibular third molar is most similar to be
1. Maxillary permanent first molar
2. Mandibular permanent first molar
3. Mandibular permanent second molar
4. Mandibular deciduous second molar
19. The mesial outline of the labial aspect of the mandibular permanent canine, from the contact area
to the apex of the rooth is
1. Convex
2. Concave
3. Irregular
4. Relatively straight

20. From the occlusal view, the mandibular permanent first molar has four major cusps. In increasing
size from the small to large, they are
1. DB, DL, ML, MB
2. D, DB, MB, ML
3. DL, MB, ML, DB
4. ML, MB, DB, DL
5. MB, ML, DL, D
21. In comparison with the mandibular permanent canine, the maxillary permanent canine in the
same mouth
1. Has a shorter root
2. Is wider mesiodistally
3. Is narrower mesiodistally
4. Has a less pronounced cingulum
22. Mandibular premolars differ from maxillar premolar in that the mandibular premolars
a. Are longer and larger in all directions
b. Have crowns much more rounded and lingual cusps not as strongly developed
c. Have roots much less flattened mesiodistally
d. Have crowns tilted lingually
1. A,b,c
2. A,b,d
3. B,c,d
4. C,d
23. A maxillary right canine may be distinguished from a maxillary left canine because
1. The root always curves to the distal in the apical one-third
2. The distal half of the canine shows more convexity than the mesial half
3. Labially, the cusp tip is placed distal to a line which bisects the crown and root
4. Lingually, the cervical line slopes mesially
24. The posterior teeth most likely to have a pronounced concavity on its mesial surface is the
1. Maxillary first premolar
2. Maxillary second premolar
3. Mandibular first molar
4. Mandibular first premolar
5. Mandibular second premolar
25. The anterior tooth most likely to have a bifurcated root is the permanent
1. Maxillary canine
2. Mandibular canine
3. Maxillary central incisor
4. Mandibular lateral incisor
5. Mandibular central incisor
26. Viewed from the occlusal aspect which two teeth may have buccal convergence of the proximal
surfaces?
1. Mandibular second premolar and maxillary first molar
2. Mandibular first premolar and mandibular second premolar
3. Maxillary first premolar and mandibular second premolar
4. Maxillary second premolar and mandibular first premolar
27. What is the usual relationship of the lingual cusp tips of the maxillary premolars to the buccal
cusp tips?
1. Buccal to the buccal cusp tip
2. Exactly lingual to the buccal cusp tip
3. Lingual and distal to the buccal cusp tip

4. Lingual and mesial to the buccal cusp tip

28. The mandibular second premolar most closely resembles the mandibular first premolar?
1. From the buccal aspect
2. From the occlusal aspect
3. In that both have bifurcated roots
4. In that the lingual cusp is of the same size
29. The number and arrangement of cusps, numbers, and location of roots, the developmental
grooves, and the oblique ridge are similar in the maxillary deciduous second molar and the
1. Maxillary second premolar
2. Maxillary permanent first molar
3. Mandibular permanent first molar
4. Maxillary permanent second molar
5. Mandibular permanent second molar
30. In anesthesia of the mandibular arch, local infiltration is more likely to be effective in the
1. Molar area
2. Incisor area
3. Premolar area
4. All of the above
31. .
32. When restoring coronal structure, the creation of excessively round buccoproximal line angles
tends to
1. Create defensive fuction with the interdental papilla
2. Decrease defective function in relation to the interdental papilla
3. Improve the function of the interdental embrasure
4. Decrease occlusal loading
33. Which of the ff jaw positions is determined almost exclusively by tooth contact?
1. Maximum opening
2. Terminal hinge
3. Masticatory cycles
4. Postural position
5. Retruded contacting position
6. Intercuspal position
34. In the ff horizontal pantographic tracing of the left condyle, locate the movement of the condyle
in extreme left lateral mandibular movement
..
35.
36. Cervical line contours are closely related to the attachment of the gingival at the neck of the
tooth. The greatest contours of the cervical lines and gingival attachments occur on which of the
ff surfaces?
1. Distal surface of anterior teeth
2. Distal surface of posterior teeth
3. Mesial surface of anterior teeth
4. Mesial surface of posterior teeth
37. In the ff drawing of maxillary permanent teeth.
38. Identify the mandibular movement in the diagram in question 37,
1. Intercuspal position
2. Protruded contacting movement
3. Lateral contacting movement (working side)
4. Lateral contacting movement (nonworking side)
5. Lateral protrusive contacting movement

39. In the ff drawing, identify cusp, tooth and jaw movement indicated by arrow
Cusp
a. ML
b. DL
c. MB
d. DB
e. LI
f. BU
Maxillary tooth
g. 2nd molar
h. 1st molar
i. 2nd premolar
j. 1st premolar
Jaw movement
k. Working side lateral
l. Nonworking side lateral
m. Protrusive
n. Lateral protrusive
1. E,I,L
2. E,J,L
3. A,H,K
4. E,I,K
5. E,J,K
6. E,I,M
7. E,J,N
8. A,J,N
40. Which of the ff statements are true concerning the act of swallowing?
a. Several swallows are necessary to empty the mouth of a large food mass
b. Atypical swallowing or empty mouth swallowing without tooth contact is typical of the
very young or very cold
c. The act of swallowing is an innate neuromuscular reflex that is either present at birth or
established shortly thereafter
d. Swallowing activity can be accomplished in spite of tremendous tissue destruction or loss
of much of the masticatory structures through disease or injury.
1. A,b,c
2. A,b,d
3. A,c,d
4. B,c,d
41. In the ff horizontal pantographic tracing of left condyle, locate the movement of the condyle in
terminal hinge position

42. In the ff drawing of maxillary permanent teeth the arrow represents a possible contacting area and
direction for a mandibular cusp
Identify the mandibular cusp
1.
2.
3.
4.

MB cusp of the first molar

DL cusp of the first molar
Ml cusp of the first molar
DB cusp of the first molar

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5. Fifth cusp of the first molar

6. MB cusp of the second molar
7. ML cusp of the second molar
8. DB cusp of the second molar
Identify the mandibular movement indicated by the arrow in the drawing below
1. Intercuspal position
2. Protruded contacting movement
3. Lateral contacting movement (working side)
4. Lateral contacting movement (nonworking side)
5. Lateral protrusive contacting movement
Identify the cusp of the maxillary tooth and mandibular movement in an ideal occlusion
represented by the arrow in the drawing below
Max cusp
a. Buccal cusp of 2nd premolar
b. Li cusp of 2nd premolar
c. Bu cusp of 1st premolar
d. Li cusp of 1st premolar
Mandibular movement
e. Lateral contacting movement (working side)
f. Lateral contacting movement (nonworking side)
1. C,G
2. C,F
3. B,G
4. B,F
5. D,G
6. D,F
7. D,E
8. NONE OF THE ABOVE
In an ideal occlusion, an exaggerated Bennett component in lateral jaw movement has its greatest
potential for interference in which of the ff anatomic entities?
1. Mesiodistal positioning of cusp tips
2. Buccolingual positioning of cusp tips
3. Position of central fossa
4. Depth of central fossa
Which of the ff teeth are most often in abnormal relation and contact with adjacent teeth in the
same arch?
1. Mandibular 1st premolars
2. Maxillary canines
3. Mandibular 2nd molars
4. Maxillary lateral incisors
5. Maxillary 2nd premolars
The lingual cusps of the mandibular permanent first molar are widely separated. In ideal
occlusion which cusps moves between these cusps in lateral excursion?
1. MB cusp of the max 1st molar
2. ML cusp of the max 2nd molar
3. Lingual cusp of the max 2nd premolar
4. ML cusp of the max 1st molar
5. DL cusp of the max 1st molar
Viewed labially, contact areas of anterior teeth are incisal to the middle third of the tooth. An
exception to this rule is the

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1.
2.
3.
4.
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1. Mesial contact of the maxillary canine

2. Distal contact of the maxillary canine
3. Mesial contact of the maxillary lateral incisor
4. Mesial contact of the mandibular lateral incisor
5. Distal contact of the mandibular lateral incisor
In the intercuspal position of the lingual cusp of the maxillary second premolar contacts the
1. Distal fossa of the mandibular second premolar
2. Mesial marginal ridge of the mandibular first molar
3. Distal marginal ridge of the mandibular second molar
4. Distal marginal ridge of the mandibular first premolar
Architecture of the mandible, tMJ, and teeth tends to produce functional harmony. This is best
exemplified by combination of
1. Short protrusive-retrusive horizontal movement of the mandible
2. Long vertical mandibular movement
3. Shearing laterally directed mandibular movements
4. Long protrusive horizontal mandibular movement
Overjet means
1. Overclosure
2. buck teeth
3. Malocclusion
4. Vertical overlap
5. Horizontal overlap
In a class 1 relationship and in centric occlusion opposing contact may be expected at
1. Buccal slopes of lingual cusps of mandibular posterior teeth
2. Buccal slopes of lingual cusps of maxillary posterior teeth
3. Buccal slopes of buccal cusps of maxillary posterior teeth
4. Lingual slopes of lingual cusps of mandibular posterior teeth
5. Maxillary lingual slopes of buccal cusps into mandibular sulci
The MB cusp of the maxillary permanent first molar occludes with the mandibular permanent
first molar in
Central occlusal fossa
Lingual groove
Distobuccal groove
Mesiobuccal groove
In an ideal intercuspal position, tips of the lingual cusps of a three-cusped mandibular second
premolar
1. Lie in the central groove of the maxillary second premolar
2. Contact the lingual cusp of the maxillary second premolar
3. Contact the buccal cusp of the maxillary second premolar
4. Are free of contact
In normal occlusion the buccal cusps of maxillary teeth occlude
1. With the lingual surface of the mandibular teeth
2. With the buccal surface of the mandibular teeth
3. In the central sulci of the mandibular teeth
4. Cusp tip to cusp tip
In the intercuspal position, the incisor third of the labial surface of the mandibular canine opposes
the
1. Maxillary lateral incisor and maxillary canine at the approximation of their marginal ridges
just lingual to the contact area

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2. Mesiolingual fossa of the maxillary canine at the point on the lingual slope of the mesial
marginal ridge near the junction of the cervical and middle thirds
3. Incisal embrasure between maxillary canine and lateral incisor
4. None of the above
In a permanent dentition which exhibits severe crowding and overlapping of mandibular incisors
and in which the mandibular canines articulate between the maxillary lateral incisors and
maxillary canines, the condition is referred to as
1. Class I occlusion
2. Class I malocclusion
3. Class II occlusion
4. Class II malocclusion
5. Class III occlusion
6. Class III malocclusion
The mesial contact area of a maxillary lateral incisor is usually located
1. In the incisal third of the crown
2. At the junction of the middle and incisal thirds of the crown
3. At the junction of the middle and cervical thirds of the crown
4. At the middle of the middle third
When the permanent maxillary arch is viewed occlusally, generally the
1. Distobuccal angle of the first molar is acute
2. Second molar is wider mesiodistally than the first molar
3. Second premolar is wider buccolingually than the first molar
4. Lingual embrasures are wider than the buccal embrasures
Teeth require adjacent and opposing contacts of a
1. Negative but active nature
2. Positive and active nature
3. Negative and passive nature
4. Positive but passive nature
5. None of the above, the words are mutually exclusive
6. All of the above. Contact is the important feature, not whether it is positive or negative
In an ideal intercuspal position the DL cusp of the maxillary first molar occludes in the
1. Mesial fossa of the mandibular second molar
2. Central fossa of the mandibular first molar
3. Mesial fossa of the mandibular first molar
4. Embrasure between mandibular first and second molars
Incisal wear of anterior teeth increases the ratio of lingual surface of crown length to labial
surface crown length in
1. Maxillary canines only
2. Mandibular canines only
3. All maxillary anterior teeth
4. All mandibular anterior teeth

63. In an ideal intercuspal position to the DB cusp of a maxillary second molar

1. Occludes in the distal fossa of the mandibular second molar
2. Occludes in the central fossa of the mandibular second molar
3. Lies in the sulcus of the buccal groove of the mandibular second molar
4. Lies in the buccal embrasures between the mandibular second and third molars
5. Contacts the distal marginal ridge of the mandibular second molar
64. In the intercuspal position, the lingual cusp of the mandibular first premolar usually occludes
1. In the lingual embrasure between the maxillary canine and the first premolar

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66.

67.

68.

2. In the lingual embrasure between the maxillary premolars

3. With the mesial marginal ridge of the maxillary second premolar and the distal marginal ridge
of the first premolar
4. With the lingual surface of the maxillary first premolar
5. With no maxillary tooth
In an ideal intercuspal position the distal cusp of a mandibular first molar
1. Is free of contact
2. Lies in the mesial fossa of the maxillary first molar
3. Lies in the central fossa of the maxillary first molar
4. Relates to the distal fossa of the maxillary first molar
5. Lies in the buccal embrasure between the maxillary first and second molars
The normal relation of the maxillary permanent first molar to the mandibular arch, in the
intercuspal position, is established when
1. It occludes with the mandibular second premolar and mandibular first molar
2. Its distal surface is in the same plane as the distal surface of the mandibular first molar
3. Its distobuccal cusp falls in the mesiobuccal groove of the mandibular first molar
4. The mesiolingual cusp falls in the central fossa of the mandibular first molar
In ideal occlusion, buccal cusps of maxillary teeth occludes with
1. Grooves and embrasures
2. Grooves only
3. A marginal ridge and embrasures
4. Marginal ridges only
The lingual surface of the mandibular second premolar differs from the lingual surface of the
mandibular premolar in that its
1. Surface is narrower mesiodistally
2. Surface has no more than one cusp
3. Lingual cusp is proportionately lower and has less development
4. Surface is proportionately much wider and mesiodistally and the mesiolingual cusp is higher.