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Cast Metal Restorations

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

Reduction of tooth structure must be appropriate. Gold requires a thickness of...

a)

0.5 mm on the occlusal surface of a posterior tooth

b)

1mm on the occlusal surface of a posterior tooth

c)

2mm on the occlusal surface of a posterior tooth

d)

2.5mm on the occlusal surface of a posterior tooth

2.

These are the common casting defects and their causes EXCEPT...

a)

Large nodule due to air trapped during investing

b)

Multiple random nodules caused by inadequate vacuum during mixing

c)

Black, rough casting due to breakdown of investment from excessive heat

d)

Random porosity caused by excessive casting force

3.

Choose the CORRECT lab fabrication sequences of a metal crown...

a)

Working cast-Die preparation-Investing-Wax pattern-Casting

b)

Impression-Die preparation-Working cast-Investing-Wax pattern-Casting

c)

Die preparation-Wax pattern-Working cast-Investing-Casting

d)

Working cast-Die preparation-Wax pattern-Investing-Casting

4.

The following statements are TRUE regarding investment materials EXCEPT...

a)

must provide sufficient strength to withstand the heat of burnout

b)

must reproduce precisely the detailed form of wax pattern

c)

must not expand to duplicate the actual casting of the molten metal

d)

must expand sufficiently to compensate for the shrinkage of the alloy

5.

These are the correct statements of cast metal onlay EXCEPT...

a)

Retention can be improved by providing the correct taper

b)

Resistance form is improved by increased height as long as diameter is constant

c)

Protection from fracture and wear

d)

Preparation features that increase the resistance to rotation is not needed

6.

Regarding gold onlay...

a)

Will lead to tooth discolouration

b)

Is indicated in extruded teeth

c)

Is contraindicated in patient with high caries index

d)

The preparation of buccal and lingual walls are converge occlusally

e)

The buccal reduction is extending 2.0 mm in depth with shoulder margin

7.

Choose the CORRECT statements for cast gold onlay over silver amalgam restoration

a)

Bevels are placed at the occlusal and gingival cavosurface margins to provide frictional retention

b)

The cavity width is kept at ¼ th the intercuspal distance

c)

Subgingival extension of gingival seat is acceptable if indicated

d)

Internal line angles are rounded

8.

A basic requirement for inlay is that the opposing walls should be parallel to provide good retention. Select the ACCEPTABLE taper during inlay tooth preparation.

a)

b)

c)

d)

10°

9.

Select the TRUE statements regarding

contraindications for gold inlay.

a)

When there is adjacent or opposing teeth have dissimilar metallic restorations, cast gold onlay should be avoided in order to prevent galvanism

b)

When there are other gold castings present in the mouth

c)

In situation where the proximal margins extend subgingivally

d)

Gold inlays are not used as an abutment for a fixed or removable prosthesis

10.

One of the advantages of cast metal restorations is….

a)

fabricated by indirect technique and able to accurately reproduce precise details of occlusal, axial contours and contacts.

b)

cheaper than amalgam or composite resin restorations

c)

esthetically acceptable in facial surfaces of posterior teeth.

d)

less occurrence of microleakage since it is cemented with luting cements.