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Preliminary & Diagnostic Work Up Flashcards

7 cards from real CCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Preliminary & Diagnostic Work Up flashcards as text
  1. Which of the following best describes the purpose of a diagnostic mock-up applied directly in the patient's mouth?

    Answer: To allow intraoral evaluation of proposed tooth shape and length before any preparation

    An intraoral mock-up uses provisional composite or bisacryl material to preview proposed changes directly on the patient's teeth without altering tooth structure.

  2. During the preliminary evaluation, the ceramist notes that a patient's existing PFM crowns have black gingival margins. What does this indicate for planning all-ceramic replacements?

    Answer: Metal substructure oxidation is telegraphing through; all-ceramic restorations should eliminate this issue

    Black or gray gingival margins on PFM crowns result from metal oxide show-through; replacing them with metal-free all-ceramic restorations removes this esthetic problem.

  3. What is the significance of recording centric relation (CR) during the preliminary work-up?

    Answer: It provides a reproducible reference position of the condyles to mount casts accurately

    Centric relation is the most reproducible and stable mandibular position and serves as a reliable starting point for mounting diagnostic casts and designing occlusion.

  4. A patient presents with multiple failing ceramic restorations that fractured within two years of placement. What preliminary diagnostic step is most important before replacement?

    Answer: Identifying the occlusal load or parafunctional habits contributing to failure

    Understanding why restorations failed—such as bruxism, heavy occlusal contacts, or inadequate preparation—is essential to prevent recurrence.

  5. In the preliminary work-up, the ceramist evaluates the patient's lip line at full smile. A high lip line affects ceramic design primarily because:

    Answer: The gingival margin and cervical third of restorations will be visible and must be esthetically refined

    A high lip line exposes the gingival margins of anterior restorations during smiling, making precise margin placement and cervical contour critical to the final esthetic result.

  6. What does an occlusal analysis during preliminary work-up help the ceramist determine?

    Answer: Guidance patterns, premature contacts, and occlusal interferences that could stress ceramic restorations

    Occlusal analysis identifies guidance patterns and contacts so ceramic restorations can be designed to function within the patient's occlusal scheme without undue stress.

  7. When evaluating tooth proportions in a diagnostic work-up for ceramic veneers, the ideal width-to-length ratio for a maxillary central incisor is approximately:

    Answer: 75–80%

    A width-to-length ratio of approximately 75–80% is considered esthetically pleasing for maxillary central incisors in dental ceramic design.