1. An 11-year-old child complains about missing crown of the 12 tooth as a result of a trauma. The tooth root is well treated. What prosthetic construction is indicated for elimination of this defect? A



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1. An 11-year-old child complains about missing crown of the 12 tooth as a result of a trauma. The tooth root is well treated. What prosthetic construction is indicated for elimination of this defect?
A. Cantilever prosthesis supported by the 13 tooth
B. Il'ina-Marcosian's pivot tooth
C. Cantilever prosthesis supported by the 11 tooth
D. Bridge-like prosthesis supported by the 13 and 11 teeth
E. Partial removable replacing prosthesis

2. 1. Parents came to the dentist for consultation with their 7-year-old child. Family lives in region with decreased level of fluoride in drinking water. During intraoral examination dentist revealed that 54, 55, 64, 65, 75, 85 teeth were premature missed. It was indicated prosthetic treatment. What disease can be formed due to the decreased level of fluoride?
A. Dental caries
B. System hypoplasia
C. Fluorosis
D. Erosion of enamel
E. Local hypoplasia

3. A 7-year-old boy was directed to the dentist with the aim of preventive examination. During intraoral examination it was revealed multiple caries. Index DMF+df is 8. What teeth mostly are involved in carious process in this age?
A. Primary molars
B. Primary canines
C. Primary canines and first permanent molars
D. Primary molars and first permanent molars
E. Primary incisors

4. Parents of a 6-year-old girl came to the dentist. During intraoral examination multiple caries of the occlusion surfaces of all primary molars was revealed. What functional deviations will be formed in the child?
A. Lazy mastication
B. Deviation of speech
C. Infantile swallowing with tongue thrusting
D. Infantile swallowing
E. Mouth breathing

5. Parents of the 9-year-old child came to the dentist with complaint on the partial defect of the lower dental arch. What factors more often can lead to the premature loss of teeth?
A. Traumatic tooth injuring
B. Hypoplasia and fluorosis
C. Processes of inflammation character and tumors
D. Caries and its complications
E. Adentia

6. Parents of the 7-year-old girl came to the dentist with the aim of the preventive examination of their daughter. Extraoral sighs are without changes. Data of intraoral examination: premature extraction of the 64 and the 65 teeth is noted. What pathological changes will be developed in the child without any treatment?
A. Extrusion of the 74 tooth
B. Distal movement and vestibular position of the 26 tooth
C. Extrusion of the 75 tooth
D. Distal movement of the 26 tooth
E. Mesial movement of the 26 tooth, extrusion of the 74 and the 75 teeth

7. Parents of the 6-year-old boy came to the dentist for the consultation. They complained of the tooth absence on the lower dental arch in their sun. During intraoral examination of the boy the absence of the 73 tooth was revealed. What pathological changes can be developed in a case of premature loss of the primary canine?
A. Elongation of the lower dental arch
B. Shortened of the dental arch on the left, shift of the central line to the left
C. Deep bite
D. Mesial occlusion, shift of the central line to the left
E. Vestibular inclination of the lower incisors

8. During the intraoral examination of a 6-year-old boy the dentist revealed that the 54, 55 and 84 teeth are extracted. The rest of teeth are intact. For what morphological changes can the premature loss of the primary teeth lead to?
A. Elongation of dental arches, changes in the relationship of the first permanent molars
B. Slow of the jaw growth
C. Asymmetrical growth of the dental arches, changes in the relationship of the first permanent molars
D. Shortened of the dental arch, changes in the relationship of the first permanent molars
E. Expansion of the dental arch

9. The 9-year-old boy came to the dentist with his parents. During the intraoral examination the absence of the 53, 64 and 75 teeth was revealed. Which complication can be expected in a case of premature loss of these teeth in the child of such age?
A. Expansion of the dental arches
B. Shortening of the dental arches changes in the relationship of the first permanent molars
C. Retrusion of the frontal upper teeth
D. Elongation of dental arches, changes in the relationship of the first permanent molars
E. Protrusion of the frontal upper teeth

10. Parents of a 5-year-old child came to the dentist to carry out the examination of the child. Objective extraoral examination revealed: asymmetrical face due to increasing of the lower third. Objective intraoral examination revealed: absence of all primary molars. Dentist proposed to make the removable prosthetic appliance. What is the purpose of such appliance in this case?
A. A. Prevention of dento-alveolar changes in three planes and A. Prevention of dento-alveolar changes in three planes and harmful habits A. Prevention of dento-alveolar changes in three planes and A. Prevention of dento-alveolar changes in three planes and harmful habits A. Prevention of dento-alveolar changes in three planes and A. Prevention of dento-alveolar changes in three planes, to arise the A. Prevention of dento-alveolar changes in three planes, to arise the Prevention of dento-alveolar changes in three planes, to arise occlusion, to provide eruption of the primary teeth and mastication mastication
B. All answers are correct
C. To maintain primary and permanent teeth, to prevent formation of infantile type of swallowing
D. To provide favorable conditions for permanent teeth eruption
E. Prevention of malocclusions, arising of the height of occlusion

11. During the preventive examination of schoolchildren high frequency of defects of the dental arches was revealed. In what age frequency of defects of the dental arches in children is supposed to be the highest.
A. 13 years
B. 8 years
C. 5 years
D. 11 years
E. 4 years

12. During the preventive examination of a 9-year-old child the dentist detected the defect of the dental arch. What should be described during the examination of the children with defects of the dental arches and estimation of diagnosis?
A. Functional characteristics of occlusion 5 years
B. Clinical characteristic of occlusion in such case
C. Morphological and functional characteristics of occlusion
D. Sizes of the defect and depth of location of the permanent teeth follicles
E. Etiological factors that are cause of defect

13. A 6-year-old girl came to the dentist. During the intraoral examination premature loss of the primary incisors was revealed. Primary canines and primary molars are intact. What functional deviations can appear in the child of such age?
A. Disturbance of speech function
B. Disturbance of esthetics, speech function, of biting process of food
C. Disturbance in swallowing function
D. Disturbance of mastication function
E. Disturbance of biting process of food

14. The absence of the 54 and the 64 teeth was revealed in a 6-year-old girl. What possibilities have teeth that are located from the both sides of the defect of the dental arch?
A. To move distally
B. To leave on their place for a long time
C. To move to the direct of the defect
D. To move in vestibular direction
E. To turn around their own axis

15. During preventive examination in the kinder garden12 children with missed primary molars, canines or incisors were revealed. It was proposed to carry out prosthetics for some of them. In what case prosthetics is not indicated?
A. Processes of disturbances of occlusion height are taking place
B. When tooth loss took place half of a year before physiological tooth change
C. When it is necessity of eruption processes stimulation
D. In a case of the partial adentia
E. Presence of malocclusions in combination with defects of the dental arches

16. During preventive examination in the kinder garden some children with missed primary molars, canines or incisors were revealed. Thus some of children have other stomatological diseases. Define, what from the enumerated is not contraindication for making prosthesis for children.
A. Multiple caries, complicated caries
B. Psychical disorders in the child
C. Unbearableness of materials prosthetic appliance is made from
D. Diseases of mucous membrane in the oral cavity
E. Presence of carious cavity on the occlusal surface of the 54 tooth

17. The 54 and the 55 teeth were extracted in a 5-year-old child. The rest of the teeth are intact. For what morphological changes the premature extraction of these teeth can lead for?
A. Expansion of the dental arch, the first permanent molars won't be in normal relationship
B. Shortening of the dental arch
C. Delay of the jaw growth
D. Expansion of the dental arch
E. Elongation of the dental arches, the first permanent molars won't be in normal relationship

18. A 4-year-old girl with infantile type of swallowing is on the clinical review of orthodontist. Premature loss of what teeth can be the cause of this harmful habit?
A. Primary canines
B. First primary molars
C. Second primary molars
D. All primary molars
E. Central and lateral primary incisors

19. A 4,5-year-old girl came to visit the dentist. During examination the absence of the primary lateral incisors was revealed. Primary canines and molars are intact. What morphological changes can be expected in nearest future in this case?
A. Changing of the vertical size of the dental arch
B. Shortening of the dental arch
C. Asymmetry of the dental arch
D. Disturbance of the form of the dental arch
E. Morphological changes won't be present

20. Parents of a 9-year-old girl came to the dentist for the examination of their daughter. In the medical card the dentist marked the next received data: the absence of the primary upper first molars. What changes can be expected in this case?
A. Changes won't be present
B. Shortening of the dental arch
C. Asymmetry of the dental arch
D. Protrusion of the upper frontal teeth
E. Disturbance of the form of the dental arch

21. A 7,5-year-old boy came to dentist with complains on the mobility. During intraoral examination it was revealed that 52 tooth is mobile due to the physiological resorbtion. Dentist made a mistake. He made extraction of the 53 tooth beside the 52 tooth. What changes can be expected in this case?
A. Changes won't be present
B. Shortening of the dental arch from the left, anomaly of position of the 13 in the future
C. Asymmetry of the dental arch with shift of the upper central line to the left, anomaly of position of the 13 tooth in the future
D. Protrusion of the upper frontal teeth
E. Asymmetry of the dental arch with shift of the upper central line to the right, anomaly of position of the 13 tooth in the future

22. For what period a splint should be fixated in a case of incomplete luxation of the permanent tooth?
A. For 1 month
B. Don't carry out splinting
C. For 6 months
D. For 2 weeks
E. For 2 months

23. When it takes place crown fracture of a tooth involving enamel, dentin and exposure of the pulp it should be carried out?
A. Pulp extirpation
B. Biological method of treatment
C. Pulp amputation
D. Making inlay
E. Setting the biological liner and restoration with composite

24. In a case of the acute trauma of the primary teeth in the most cases it occurs:
A. Pulp amputation
B. Biological method of treatment
C. Setting the biological liner and restoration with composite
D. Pulp extirpation
E. Making inlay

25. A 12-year-old patient received trauma due to blow. There are complains on fracture of the tooth. During objective intraoral examination it was revealed that crown of the 12 tooth is broken on a half of the crown. Pulp chamber is open. The dentist set diagnosis: fracture of the crown of the 12 tooth. What does it mean "fracture of a tooth"?
A. It is partial separation the tooth from the alveolar bone
B. Open mechanical injuring of the tooth, soft tissues without destroying their anatomical цілісності
C. It is incomplete fracture of the tooth without its parts
D. Closed mechanic injuring of the tooth and soft tissues without destroying anatomical form of their crown
E. It is complete separation of a part of the hard tissues of the tooth crown

26. What teeth can be replantated?
A. When a surgeon extracted a tooth by mistake
B. Teeth, which were knocked out as a result of acute trauma
C. Extracted teeth that were deep location in the alveolar bone a result of trauma (orthodontic treatment with the aim of move the tooth on it place is impossible)
D. Fracture of the toot root and luxation of the crown wreckage
E. All answers are correct

27. A 5-year-old child received trauma of the upper jaw. During objective intraoral examination it was revealed: crowns of the 51 and the 61 teeth are shorter from the neighbor teeth on half of the crow height. Mucous membrane is hyperemic in the region of the 51 and the 61 teeth. Apexes of roots of the 51 and the 61 teeth are situated in the spongy matters tissue of the corpus of the upper jaw. What should be the doctor's tactic?
A. Replantation
B. Extraction of the 51 and the 61 teeth
C. Splinting of the teeth with ligature
D. Supervision for a long time
E. Reposition of the 51 and the 61 teeth

28. A 4-year-old child received trauma two ours ago. Parents came with the child to the duty dentist, who set following diagnosis: intrusive luxation of the 61 tooth. What is the dentist's tactic?
A. Supervision for a long time
B. Splinting of the 61 tooth
C. Extraction of the 61 tooth
D. Pulp exterpation of the 61 tooth
E. Reposition of the 61 tooth

29. A 15-month-old child was directed to the pediatric dentist with diagnosis: trauma of the upper jaw, intrusive luxation of the 51 tooth. What is the dentist's tactic?
A. Reposition of the 51 tooth
B. Splinting of the 51 tooth
C. Supervision over the self-eruption of the traumatic injuring tooth
D. Replantation of the 51 tooth
E. Extraction of the 61 tooth

30. As a result of blow on the area of the upper central incisors of a 15-year-old boy moved into the base of a jaw on a half of the crown height. Determine the dentist's tactic.
A. Replantation of the 11 and the 21 teeth into the dental arch, splinting with a ligature
B. Transplantation of the 11 and the 21 teeth into the dental arch, endodontic treatment
C. Extraction of the 11 and the 12 teeth, orthopedic treatment of these teeth
D. Operative moving of the 11 and the 21 teeth into the dental arch, immobilization of the teeth, possible endodontic treatment in future
E. Dynamic supervision, possible endodontic treatment in future

31. A 4-year-old child fallen down and due to this has trauma of the upper central incisors. During examination dentist set following clinical diagnosis: intrusive luxation of the 61 tooth. What should be the dentist's tactic?
A. Orthodontic and endodontic treatment
B. Extraction of the 61 tooth
C. Extraction and replantation of the tooth
D. Extraction of the 61 tooth. Supervision over the self-eruption of the tooth during 9-12 months
E. Medicament and orthodontic treatment

32. Upper central incisors of a 13-year-old child are injured due to received trauma. The child came to the dentist through 40 minutes after trauma. During intraoral examination it was revealed that the 11 and the 21 teeth moved into the depth of the jaw bone on a half of the tooth crown. It is determined some blooding from the gingiva mucosa around the tooth. Membrane mucosa isn't damaged in the area of trauma. It isn't revealed pathological mobility of the 11 and the 21 teeth, neighbor teeth and alveolar bone. Sighs of the fracture are absent on X-ray. What will be optimal dentist's tactic in the case?
A. Replantation of the 11 and the 21 teeth after previous endodontic treatment of this teeth
B. Moving of the 11 and the 21 teeth in the dental arch, their immobilization by the splint, dynamic supervision, electro-odonto-diagnostics
C. Extraction of the 11 and the 12 teeth
D. Moving of the 11 and the 21 teeth in the dental arch up to the occlusal plane, their immobilization by the splint. Dynamic supervision with determination of further therapy by the results of electro-odonto-diagnostics
E. Dynamic supervision, electro-odonto-diagnostics, application of anti-inflammation therapy and physiotherapeutic procedures

33. Parents came with 4-year-old sun to the orthodontist with complains on the worsening of the face appearance. There were received the following data from the clinical examination: deep bite, multiple caries of the primary molars and incisors. Patient was directed for the treatment to pediatric dentist. What is the main method of treatment of tooth crown defects in the period of primary dentition?
A. Standard metal crowns
B. Plastic inlays
C. Prosthetics
D. Restoration
E. Porcelain inlays

34. 14. An orthodontist revealed injuring of the crown part of the primary molars (74 and 84 teeth) in the 9-year-old boy. It was recommended to cover these teeth with thin metal crowns. In what case it is expediently to cover primary teeth with thin metal crowns in the period of primary dentition?
A. All answers are correct
B. Hypoplasia or aplasia
C. Presence of several carious cavities
D. Pathological attrition of the teeth
E. Circular caries

35. A 6-year-old patient complains of ugly smile. There were received the following data from extraoral objective examination: the face is symmetrical, proportional. During intraoral examination it was revealed next changes: early mixes dentition, primary molars are on the stage of eruption. Primary molars are injured by carious process and their crown parts are destroyed in a half of the crown. Orthodontist indicated crowns from nickel and chrome alloy on the 74 and the 75 teeth. What term of service is of crowns from nickel and chrome alloy?
A. From 2 to 3 years
B. It depends from the stage of tooth crown destruction
C. Not less than 3 years
D. From 1 to 2 years
E. It depends from the term of physiological tooth change

36. Patient has 5 years. The crown part of his 74 tooth is destroyed as a result of complicated caries. An orthodontist indicated restoration of the crown part of the teeth with the orthopedic construction. What orthopedic construction is expedient to use in a case of complete destruction of the crown of the primary tooth?
A. Standard metal crown
B. Inlay
C. Post with a crown
D. Methodic of tooth restoration
E. Ceramic crown

37. An orthodontic revealed hypoplasia of the first permanent molars in a 9-year-old patient. During intraoral examination it was revealed: deep bite, crown parts of the first permanent molars are completely destroyed, changed in color. It was indicated orthodontic treatment with the purpose of occlusion arising. What methods of orthopedic treatment are expedient to use for arising the crown part height of the permanent tooth in conditions of the total absence of the crown part of the tooth in children in the period of mixed dentition?
A. Metal-ceramic crowns
B. Standard metal crowns
C. Ceramic crowns
D. Metal posts
E. Inlays

38. An orthodontist indicated a post for the upper first premolar of the 11-year-old patient. The patient feels an anxiety, has increased salivation. What peculiarities are not characteristic in a case of prosthetics of the permanent teeth with posts in the period of mixed dentition?
A. It doesn't interfere the final root formation
B. It leads to the adequate partition of functional load
C. It couldn't be the cause of pathological changes in periapical tissues
D. It is possible to make preparation of whole length of the root
E. It allows to carry out changing of the covering crowns after complete tooth eruption

39. A 13-year-old patient came to the orthodontist with complains on loss of the crown part of the 11 tooth. The orthodontist recommended fixing a post. What minimal thickness of the post should be used during preparation for prosthetics?
A. Not less than 1,5 mm
B. Not less than 2,5 mm
C. Not less than 0,9 mm
D. Not less than 0,5 mm
E. Not less than 0,4 mm

40. Parents came with 4,5-year-old sun to the dentist with complains on the pain and black color of teeth. Dentist revealed multiple caries with complications, after that it was carried out treatment and patient was directed to the orthodontist. Orthodontist in diagnosis indicated the first subclass by Kurilenko. What defects refer to the first subclass by Kurilenko's classification?
A. Atypical cavities
B. Defects of the posterior teeth
C. Defects of the frontal teeth
D. Defects of all groups of teeth
E. Defects of the teeth with vital pulp

41. Premature loss of all primary molars one year ago is estimated in a 6-year-old girl from the anamnesis. During examination the dentist revealed problems with nasal breathing. Data of the intraoral examination: crowding of the lower frontal teeth, the upper frontal teeth cover the same lowers on 2/3 of their height, relationship of the first permanent molars are neutral. What should be done firstly in this case?
A. Prosthetics of the defects of the dental arches, orthodontic treatment with the removable orthodontic appliance
B. Prosthetics of the defects of the dental arches
C. Consultation of otolaryngologist
D. Orthodontic treatment with the removable orthodontic appliance
E. Supervision for a long time, prosthetics of the defects of the dental arches

42. The 15 tooth was extracted due to granulomatous periapical inflammation in a 11-year-old girl. Data of the intraoral examination: the upper incisors cover the same lowers on 1/3 of the crown; relationship of the first permanent molars and canines is I Class by Angle. Choose the rationale construction of the preventive prosthetic appliance?
A. Cast removable partial denture (RPD)
B. Prosthetic appliance (a crown with a loop)
C. Bridge denture with one support
D. Extensible bridge denture
E. Acrylic partial removable denture

43. Removable dentures were made for a 5-year-old child due to premature loss of the second primary molars. When these should be changed?
A. In 2,5 years
B. In a 1 year
C. In a 0,5 year
D. In 3 years
E. In a 1,5 year

44. Parents of a 10-year-old boy complain of the teeth absence. During extraoral examination the dentist revealed that face is symmetrical, isn't proportional due to decreasing of its lower part. During intraoral observation the dentist estimated the absence of the 12, 14, 15, 17, 22, 24, 25, 27, 34, 37, 44, 45 and 47 teeth. Data of X-ray diagnostics confirmed the diagnosis of the partial adentia, absence of the follicles of these teeth. Choose the most rationale type of prosthetic appliance.
A. Cantilever bridge denture
B. Bridge dentures
C. Cast removable partial denture (RPD)
D. Partial removable acrylic dentures on the upper and lower jaws
E. Implants with further prosthetic treatment



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