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APR O B
Decanul facultii Stomatologie
USMF N.Testemianu
Dr.habilitat,profesor universitar
I.Lupan
____ ______________2013
SUBIECTELE CTRE EXAMENUL DE STAT
LA PROPEDEUTICA STOMATOLOGIC I IMPLANTOLOGIA DENTAR
DISCIPLINA STOMATOLOGIE TERAPEUTIC
1. Abordarea optim pentru diagnosticul durerii odontogene este:
A. examenul radiologic;
B. percuia;
C. inspecia;
D. examinare clinic secvenial prin colaborare cu relatrile pacientului;
E. anamneza.
(D).
2. Calcifierea pulpar:
A. este un rspuns la mbtrnire;
B. nu este legat de statusul periodontal;
C. precede resorbia intern;
D. indic prezena canalelor secundare;
E. se poate manifesta prin prezena pulpoliilor.
(A,E).
3. Canalele radiculare suplimentare:
A. sunt mai frecvent ntlnite la molari inferiori;
B. au o inciden redus la dinii frontali superiori;
C. nu apar la primul molar superior ;
D. dac nu sunt depistate i tratate,constituie o cauz a eecurilor terapeutice
endodontice;
E. pot fi indentificate,n toate situaiile,prin examinarile Rx.
(A,B,D).
4. Precizai afirmaiile corecte , dintre cele de mai jos n legatura cu resorbia
radicular extern i cea intern:
A. resorbia radicular extern are dimensiune mai mare dect cea intern;
B. resorbia radicular intern apare n continuitate cu canalul radicular ,pe
imaginea Rx.;

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C. resorbia radicular extern apare radiografic suprapus peste canalul radicular

sau fr legtur cu acesta;
D. resorbia radicular intern are dimensiune mai mare dect cea extern;
E. dispozitivile electronice de msurare a lungimii canalelor radiculare sunt foarte
utile pentru depistarea i localizarea ambelor tipuri de resorbii radiculare.
(B,C).
5. Patru canale radiculare pot fi gsite cu frecvena crescutr (cca .25% din
cazuri)la:
A. M1 inferior;
B. M2 inferior;
C. M3 inferior;
D. M1 superior;
E. M2 superior.
(A,D).
6. Al patrulea canal radicular dac exist, este localizat cu predilecie n:
A. rdcina P. a M1 superior;
B. rdcina M.V. a M1 superior;
C. rdcina D.V. a M1 superior;
D. rdcina D. a M1 inferior;
E. rdcina D. a M2 inferior.
(B,D,E).
7. Dou canale radiculare pot fi gsite cu frecvena crescut (cca .25% din cazuri)la:
A. Premolarul 1 superior;
B. Premolarul 2 superior;
C. Incisivul inferior;
D. Premolarul 1 inferior;
E. Molarul 2 inferior.
(A,B,C,D).

8. Caninul inferior:
A. prezint foramenul apical localizat la distan de apexul anatomic, n majoritatea
B.
C.
D.
E.

cazurilor;
are lungimea medie de 25 mm;
poate prezenta 2 canale radiculare n 20% din cazuri;
are lungimea medie de 26,5 mm;
prezint adesea foramine apicale accesorii multiple.
(B,C).

9. ndeprtarea n totalitate a dentinei alterate din procesul carios coronar,nainte de

deschiderea camerei pulpare,este necesar deoarece:

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A. asigur o bun vizibilitate asupra cmpului operator;

B. realizeaz cavitatea de acces coronar, care permite inserarea i manevrarea
instrumentarului endodontic n axul canalelor radiculare,fr interferene cu
pereii coronari;
C. permite aprecierea gradului de distrucie coronar;
D. evit contaminarea ulterioar a canalelor radiculare n timpul manoperelor de
tratament;
E. realizeaz condiiile necesare unei obturaii corecte tridimensionale,a canalelor
radiculre,prin nchiderea etan a obturaiei provizorii coronare.
(A,C,D).

10.

ndeprtarea peliculei de smear layer de pe pereii canalelor radiculare n

decursul preparrii acestora:
A. poate fi realizat prin irigaii endodontice repetate cu soluie NaOCl 2,5%;
B. este necesar pentru aderena i adaptarea optim a materialelor de obturaie
radicular la dentina pereilor canalari;
C. se realizeaz prin utilizarea sistemelor de preparare a canalelor cu unde
ultrasonice;
D. se realizeaz prin utilizarea sistemelor de preparare a canalelor cu raze laser;
E. se poate obine folosind soluie de EDTA,n etapa final a preparrii canalelor
radiculare.
(B,D,E).

11. Utilizarea acului Hedstrom file pentru prepararea manual a canalelor radiculare
A.
B.
C.
D.
E.

are ca rezultat:
eficacitate sporit de penetrare (permeabilizare), la micarea de avansare;
eficacitate de rzuire (raclare),la micarea de retragere;
eficacitate sporit de penetrare i rzuire,la micarea de avansare-rotare n sensul
acelor de ceasornic(- tur) retragere;
eficacitate sporit n lrgirea canalelor radiculare nguste;
eficacitate sporit n lrgirea canalelor radiculare curbe.
(B).

12. Perforaia (calea fals) la nivelul furcaiei radiculare este cauzat de :

A. supradimensionarea sau instrumentarea excesiv a cavitii de acces endodontice;
B. utilizarea incorect a acelor Hedstrom file;
C. utilizarea incorect a acelor tip Kerr-file;
D. utilizarea incorect a instrumentarului rotativ tip Pesso,GatesGlidden,Beutelrock;
E. morfologia corono-radicular .

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(A,D).
13. Materialele pe baza de hidroxid de calciu utilizate pentru obturaie radicular:
A. realizeaz nchiderea etan de durat a spaiului canalar;
B. stimuleaz cicatrizarea prin neodentinogenez;
C. sunt indicate n obturaia de canal mixt(pasta-pasta),dup extirparea vital;
D. sunt indicate pentru sterilizarea canalelor radiculare i vindecarea leziunilor
periapicale n tratamentul gangrenei pulpare;
E. previn durerile consecutive obturaiei de canal cu depire datorit citotoxicitii
lor reduse (sunt biocompatibile).
(B,C,D).
14. Zona bogat celular a pulpei dentare:
A. este stratul profund al regiunii periferice a pulpei, la limita cu regiunea central
pulpar;
B. este mai bine reprezentat n pulpa coronar fa de cea radicular;
C. este rezultatul migrrii centrale a celulelor de la periferie n urma ncheierii
formrii dentinei;
D. conine cu precdere macrofage,celule mezenchimale nedifereniate i limfocite;
E. evideniaz o activitate mitotic crescut n urma leziunilor ireversibile i
mortificrii odontoblatilor.
(A,B,E).
15. Odontoblatii se aseamn cu cementoblatii i osteoblatii deoarece:
A. produc o matrice organic ce se mineralizeaz ulterior;
B. au caractere morfologice asemntoare;
C. au caracteristici ultrastructurale similare;
D. sunt celule proteinosecretoare;
E. au raporturi anatomice asemntoare cu structurile esuturilor pe care le produc.
(A,C,D).
16. Dei au multe aspecte asemntoare cu cementoblatii i
osteoblatii,odontoblatii se deosebesc de acetia prin:
A. producia matricei organice i compoziia acesteia;
B. caractere morfologice;
C. caracteristici ultrastructurale;
D. raporturile anatomice cu structurile esuturilor pe care le produc;
E. prezena prelungirilor celulare.
(B,D).
17. Distana pe care se extind n dentin prelungirile celulare odontoblastice:
A. a fost evideniat pn la jonciunea smal-dentin la nivel coronar;
B. este un factor cauzal principal al hipersensibilitii dentinare;

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C. este variabil cu vrsta i etapa de evoluie a dintelui;

D. este dependent de activitatea mitotic continu a odontoblastului;
E. este modificat de efectele manoperelor terapeutice de restaurare coronar asupra
structurilor pulpare.
(A,C,E).
18. Fibroblatii:
A. sunt celulele cele mai numeroase ale pulpei dentare;
B. sunt capabili de evoluie i difereniere spre alte forme celulare;
C. cresc numeric pe msura ce vasele sanguine i fibrele nervoase involueaz odat
cu vrsta;
D. sunt prezeni predomimant n zona bogat celular a pulpei;
E. sunt prezeni predominant n regiunea central a pulpei.
(A,B,D).
19. Apa din structura pulpei dentare reprezint (n procente din volumul organului
pulpar):
A. 92-95%;
B. 80-85%;
C. 70-78%;
D. 85-92%;
E. 78-80%.
(D).
20. Fibrele nervoase din pulpa dentar sunt:
A. predominat mielinice;
B. predominat senzoriale;
C. distribuite neuniform n structura pulpei dentare;
D. capabile s elibereze neuropeptidele pe care le conin.
E. afectate nc din faza de debut a inflamaiei pulpare acute ,evolund rapid spre
necroz i autoliz.
(C,D).
21. Volumul fluxului sanguin n pulpa dentar:
A. este mai redus n poriunea coronar dect n poriunea radicular;
B. este mai mare n poriunea coronar dect n poriunea radicular;
C. este mai redus n regiunea periferic a pulpei dect n regiunea central;
D. este mai mare n regiunea periferic a pulpei dect n regiunea central;
E. este predominant sub controlul sistemului vegetativ simpatic.
(B,D,E).
22. Calcifierile pulpare:
A. afecteaz afluxul sanguin pulpar,prin strmtarea orificiului apical;

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B. sunt corelate constant cu vrsta cronologic,fiind un semn de mbtrnire a

organului pulpar;
C. sunt cunoscute sub formele de degenerescen calcar, calcifieri distrofice,
denticuli, depunere de dentin secundar;
D. prezint o matrice organic de colagen, pe structura creia se produce
mineralizarea similar cu dentina;
E. nu sunt legate de vrsta ,fiind prezente frecvent i la tineri.
(A,C,D,E).
23. Sonda rigid endodontic,instrument auxiliar al trusei de examinare,este folosit
pentru:
A. ndeprtarea resturilor de esut pulpar din zonele greu accesibile ale camerei
pulpare;
B. localizarea orificiilor canalelor radiculare;
C. reperarea poriunilor nendeprtate din tavanul camerei pulpare;
D. permeabilizarea poriunii iniiale a canalului radicular;
E. ndeprtarea obstacolelor minerale(depuneri de dentin secundar,denticuli)din
poriunea iniial a canalului radicular.
(B,C).
24. Diferenele determinante ntre acul tip K-reamer i cel tip K-file sunt constituite
de:
A. numrul de spire i muchii tietoare(lamele)pe unitatea de lungime ;
B. direcia spirelor;
C. adncimea anurilor dintre muchiile tietoare;
D. configuraia geometric pe seciune transversal;
E. lungimea pe care sunt dispuse spirele.
(A,D).
25. Eficacitatea ndeprtrii coninutului canalelor radiculare este influnat
determinant de:
A. tipul de instrumente endodontice manuale utilizate;
B. soluia de irigare folosit;
C. anatomia spaiului endodontic;
D. tehnica de lucru adoptat;
E. motivul care a impus necesitatea tratamentului endodontic.
(A,C,E).
26. Condensatoarele endodontice tip pluggerprezint:
A. parte activ cu mner manual i/sau digital, ambele metalice;
B. parte activ metalic i mnere digitale, dim mas plastic, cu dimensiuni
standartizate ISO i codificate prin culori;
C. parte activ neted ,efilat progresiv,cu vrf ascuit;
D. parte activ neted,efilat progresiv,cu capt plat(fr vrf);

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E. parte activ neted cu diametru constant,cu capt plat(fr vrf).

(A,B,D).
27. Condensatoarele endodontice tip spreaderprezint:
A. parte activ cu mner manual i/sau digital ,ambele metalice;
B. parte activ metalic i mnere digitale, dim mas plastic, cu dimensiuni
standartizate ISO i codificate prin culori;
C. parte activ neted ,efilat progresiv,cu vrf ascuit;
D. parte activ neted,efilat progresiv,cu capt plat(fr vrf);
E. parte activ neted cu diametru constant,cu capt plat(fr vrf).
(A,B,C).
28. Acul manual tip K-file,modificat prin schimbarea configuraiei geometrice pe
seciune transversal a prii active din ptrat n romb,poart numele de:
A. Unifile;
B. Helifile;
C. Flexofile;
D. K-Flex file;
E. Pathfinding file.
(D).
29. Shimbarea configuraiei geometrice pe seciune transversal a prii active din
ptrat n romb confer acului manual tip K -file, modificat astfel,caracteristici
superioare de :
A. rezisten la torsiune;
B. rezisten la traciune;
C. flexibilitate;
D. eficien de tiere (rzuire sau raclare);
E. precizie.
(C,D,E).
30. Modificri semnificative ale formei circulare pe seciune transversal a
preparaiei unui canal radicular se produc atunci cnd se folosesc:
A. Ace tip Kerr -reamer,cu micare de penetrare i rotaie;
B. Ace tip Kerr -reamer, cu micare de rzuire (raclare);
C. ace tip Kerr -file,cu micare de penetrare i rotaie;
D. ace tip Kerr -file,cu micare de rzuire (raclare);
E. ace tip Hedstrom file, cu micare de rzuire (raclare).
(D,E).
31. Acele tip Hedstrom file, sunt recomandabile pentru:
A. lrgirea mai important a preparaiei canalare;
B. realizarea stopului apical al preparaiei radiculare prin tehnica step down-step
back, n canale foarte largi;
C. dezobturarea canalelor radiculare ,n cadrul relurii tratamentului endodontic;
D. realizarea preparaiilor canalare pentru pivoturi radiculare prefabricate;

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E. ndepartarea unor corpuri strine din canalele radiculare.

(A,C,E).
32. n tehnica de obturaie radicular prin injectare-modelare, folosind sistemul
Obtura,temperatura de lucru a gutapercii termoplastifiate este de:
A. 160 C;
B. 200C;
C. 60C;
D. 85C;
E. 50C.
(C).
33. Aspectele determinante ale calitii unei irigaii endodontice sunt legate de:
A. cantitatea(volumul) de soluie irigant;
B. aciunea demineralizant (chelatoare) a soluiei;
C. aciunea antiseptic (antimicrobian) a soluiei;
D. capacitatea lubrifiant a produsului;
E. pH-ul soluiei de irigare.
(A,C,D).
34. Precizai care dintre urmtoarele procedee sunt indicate pentru prevenirea
apariiei complicaiilor pulpare n timpul preparrii cavitilor, folosind
instrumentar rotativ la turaii nalte:
A. ndepartarea continu i eficient a detritusurilor i a fragmentelor enamelodentinare rezultate n timpul lucrului;
B. rcirea eficace cu jet de aer continuu;
C. rcirea eficace cu jet de ap continuu;
D. rcirea eficace cu jet de ap i aer, sub form de spray,continuu ;
E. evitarea presiunilor exagerate a instrumentarului,folosind micri ntrerupte.
(C,D,E).
35. Cementul radicular este mai rezistent la resorbie dect osul alveolar, deoarece:
A. cementul este mai mineralizat dect osul;
B. cementul are n structur un factor inhibitor al resorbiei;
C. osul este vascularizat ,iar cementul nu;
D. caracteristicile fibrelor din compunerea cementului sunt diferite,fa de cele ale
osului,i au tendina de rezisten sporit la aciunea celulelor de tip clastic
(cementoclaste, respectiv osteoclaste);
E. n mod normal, fiziologic,cementul radicular este mult mai rezistent fa de
forele de presiune.
(B,E).
36. Factorii cauzali locali pricipali ai resorbiei radiculare sunt:
A. factorul de activare a cementoclastelor;

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B.
C.
D.
E.

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creterea pH-ului substanei fundamentale;

presiunea excesiv;
inflamaia;
scderea pH-ului substanei fundamentale.
(C,D).

37. Cavitatea de acces coronar subdimensionat (insuficient) conduce la apariia

urmtoarelor complicaii:
A. nereperarea tuturor orificiilor canalelor radiculare;
B. curarea incomplet a coninutului spaiului endodontic;
C. fracturarea instrumentarului endodontic n timpul manoperelor terapeutice;
D. dificulti n realizarea restaurrii morfofuncionale coronare finale;
E. modificri de culoare ale esuturilor dure dentare coronare restante.
(A,B,C,E).
38. Eugenatul de zinc,folosit ca material de obturaie radicular,conine unele
adaosuri pentru ameliorarea proprietilor sale ,astfel:
A. pulbere de argint pentru creterea adezivitii;
B. acetat de zinc,pentru scurtarea timpului de priz;
C. colofoniu, pentru creterea aciunii antiseptice;
D. corticosteroizi(hidrocortizon acetat, dexametazon), pentru controlul reaciilor
locale produse de parodontitele apicale acute iritative, consecutive depirii
apexului cu acest tip de material;
E. timol biiodat, pentru creterea radioopacitii.
(B,D).
39. Preparatele arsenicale acioneaz necrozant asupra esutului pulpar vital prin:
A. depolimerizarea substanei fundamentale;
B. blocarea enzimelor oxidante celulare;
C. substituirea sulfului din gruprile tiol ale aminoacizilor care-l conin;
D. paralizia capilarelor;
E. liza membranelor celulare.
(B,C,D).
40. Recapitularea (revenirea succesiv cu un ac de diametru inferior, dup fiecare
ac utilizat) n prepararea canalelor radiculare este o regul caracteristic i
obligatorie n:
A. tehnica preparrii conice;
B. tehnica step- back;
C. tehnica clasic;
D. tehnicacrown-down;
E. tehnicastep down-step back.
(B,E).

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41. Obturaia radicular prin condensare termomecanic a

gutapercii(termocompactare Mc Spadden) prezint urmtoarele caracteristici de
tehnic:
A. turaie de 8-10.000 rot./min.,timp de maximum 2-3 secunde;
B. turaie de 18-20.000 rot./min.,timp de maximum 8-10 secunde;
C. conul principal adaptat cu vrful la limita apical a preparaiei;
D. conul principal adaptat cu vrful la circa 1-1,5 mm de limita apical a preparaiei;
E. nu necesit utilizarea de ciment de sigilare.
(A,D).
42. Care este grosimea stratului de smal la nivelul cuspizilor,premolarilor i
respectiv,molarilor:
A. 2,3 mm;
B. 1,2 mm;
C. 1,5 mm;
D. 2,6 mm;
E. 2 mm.
(A,D).
43. Jonciunea smal-cement poate mbrca urmtoarele aspecte:
A. smalul acoper cementul pe o scurt ntindere, de 0,5 -1 mm;
B. cementul acoper pe o scurt ntindere smalul;
C. smalul acoper cementul pe o scurt ntindere,de 2-3 mm;
D. smalul i cementul nu se ntlnesc ,lsnd o poriune variabil de dentin
descoperit;
E. smalul i cementul se ntlnesc n raport cap la cap, cu o limita net ntre ele.
(B,D,E)
44. Cementul celular se caracterizeaz prin:
A. structur asemntoare cu osul spongios;
B. structur asemntoare cu osul lamelar;
C. dispunere n zona bifurcaiei sau trifurcaiei radiculare,la pluriradiculari;
D. dispunere n treimea apical a rdcinii;
E. dispunere n treimea coronar a rdcinii.
(B,C,D).
45. Cementul fibrilar se caracterizeaz prin:
A. structur asemntoare cu osul spongios;
B. structur asemntoare cu osul lamelar;
C. dispunere n zona bifurcaiei sau trifurcaiei radiculare,la pluriradiculari;
D. dispunere n treimea apical a rdcinii;
E. dispunere n treimea coronar a rdcinii.
(A,E).
46. Care dintre urmtoarele substane minerale din structura dentinei sunt prezente
ntr-o proporie de peste 1% din totalul acestei componente dentinare:

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A.
B.
C.
D.
E.

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Pag. 11 /34

F;
Mg;
Mn;
CO2;
Zn.
(B.D).

47. Care dintre urmtoarele detalii de imagini microscopice pe seciuni dentinare

reprezint formarea i creterea dentinei:
A. stratul granular Tomes;
B. linia neonatal;
C. liniile Owen;
D. liniile Von Ebner;
E. liniile Schreger.
(B,C,D).
48. Precizai care dintre urmtoarele date privind grosimea stratului de dentin, n
raport cu localizarea, la dinii permaneni sunt corecte:
A. 3-5 mm.la nivelul rdcinii;
B. 3-5 mm.n dreptul marginii incizale la frontali;
C. 3-4 mm. la nivelul coletului;
D. 1-3mm. la nivelul apexului;
E. 3-7mm. n dreptul suprafeei ocluzale la premolari i molari.
(A,B,C,D,E).
49. Precizai care dintre urmtoarele date, privind raportul Ca/P n compoziia
chimic a dentinei ,sunt corecte:
A. 1,92;
B. 2,17;
C. 2,94;
D. 1,62;
E. 2,56.
(D).
50. Precizai care dintre urmtoarele date, privind raportul Ca/P n compoziia
chimic a smalului ,sunt corecte:
A. 1,92;
B. 2,17;
C. 2,94;
D. 1,62;
E. 2,56.
(A,B).

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1 . Approach is optimal for the diagnosis of odontogenic pain :

A radiological examination ;
B. percussion ;
C. Inspection ;
D. Sequential clinical examination in conjunction with patient accounts ;
E. history .
(D).
2 . Calcification of the pulp :
A. is a response to aging ;
B. is not related to periodontal status ;
C. precede internal resorption ;
D. indicates the presence of the secondary canals ;

DATA:

Pag. 12 /34

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E. may be manifested by presence of denticle.

(A, E).
3 . Additional root canals :
A. are more frequently encountered in the lower molars ;
B. have a reduced incidence of upper frontal teeth ;
C. does not appear on the first upper molar ;
D. if are not detected and treated, are a cause of endodontic treatment failures ;
E. can be identified in all cases by X-ray examination.
(A, B , D ) .
4 . Specify correct statements, of the following, in relation to the external and internal root
resorption:
A. External root resorption is larger than the internal;
B. Internal root resorption occurs in continuity with the canal on X-ray image;
C. External root resorption appears superposed on radiographic canal or unrelated to it;
D. Internal root resorption is larger than the external;
E. The electronic device for determination of root canal length is very useful for the
detection and localization of both types of root resorption.
(B, C)..
5 . Four root canals can be found in high frequency (about .25 % of cases ) to:
A Ist lower molar;
B. IInd lower molar;
C. IIIrd lower molar;
D. Ist upper molar;
E. IInd upper molar.
(A, D ) .

6 . If there is the fourth root canal, is localized mainly in :

A. palatal root of Ist upper molar ;
B. mesial-bucal root of Ist upper molar;
C. distal-bucal root of Ist upper molar;
D. distal root of Ist lower molar;
E. distal root of IInd lower molar.
( B , D , E) .
7 . Two canals can be found with high frequency (about .25 % of cases ) to:
A. Ist upper premolar;
B. IInd upper premolars;
C. lower incisor;
D. Ist lower premolar;

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E. IInd lower molar.

(A, B , C , D ) .
8 . Lower canine:
A in most cases, the apical foramen is localized at the level of anatomical apex;
B has an average length of 25 mm ;
C. may have two canals in 20 % of cases ;
D has an average length of 26.5 mm ;
E. often present multiple accessories apical foramen .
(B,C).
9. Removal of all necrotic dentine from the coronal caries cavity before opening the pulp
chamber is necessary because:
A. provides a clear view of the operator field;
B. Performing coronal access cavity , allowing the insertion and handling endodontic
instruments in root canals axis without interfering with coronary walls ;
C. permit assessment of the degree of coronary destruction ;
D. avoid further contamination during maneuvers root canal treatment ;
E. performs correct conditions for a three-dimensional root canal filling, by sealing the
crown with temporary fillings .
(A, C , D ) .
10 . Removal of the pellicle " smear layer" on the walls of root canals during their
preparation :
A may be carried out by repeated endodontic irrigation with 2.5 % NaOCl solution ;
B. is required for adhesion and optimum adaptation of root filling materials to dentin walls;
C. is carried out by using ultrasonic systems for root canal preparation;
D is carried out by using the laser for root preparation;
E. can be obtained using EDTA solution, at final stage of preparation of root canals .
( B , D , E) .
11 . Using Hedstroem file for manual preparation of root canals results :
A. increased efficiency of penetration (permeability) in moving forward ;
B. Efficacy scraper (scraping), of the extraction movement ;
C. increased efficiency of penetration and scraping at moving forward - rotation in
clockwise ( - turn) extraction;
D. increased efficacy in enlargement of the narrow canals ;
E. Increased efficacy enlargement of curved root canals .
(B).
12 . Perforation of root furcation is caused by:
A. oversizing instrumentation for access of endodontic cavity;
B. incorrect usage of Hedstroem file;
C. incorrect usage of Kerr file;
D. incorrect usage of rotary instrumentation type Pesso Reamer , Gates - Glidden ,

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Buterlock ;
E. morphology of endodontic space.
(A, D ) .
13 . Remedies based on calcium hydroxide used for root filling :
A. obtain permanent sealing of canal space;
B. stimulates healing by new dentine genesis ;
C. are indicated in mixed root canal filling (paste - paste) after vital extirpation ;
D. are suitable for sterilization of root canals and healing of over-apical lesions in the
treatment of pulp gangrene;
E. prevents pain of overfilling, because of their low cytotoxicity (are biocompatible) .
(B,C,D).
14. cell rich area of the pulp:
A is the deep layer of peripheral region of the pulp, borderline of central region of the pulp;
B. is better represented in the coronal pulp then the radicular;
C. is the result of central migration of cells from the periphery following the finishing of
dentine formation;
D. contain mainly macrophages, undifferentiated mesenchymal cells and lymphocytes ;
E. shows an increased mitotic activity after irreversible lesions and mortification of
odontoblasts .
(A, B , E) .
15 . Odontoblasts resembles cementoblasts and osteoblasts because:
A. produce an organic matrix that is subsequently mineralized;
B. have similar morphological characters ;
C. have similar ultrastructural characters;
D. are cells that secret proteins;
E. have similar anatomical ratios with tissue structures they produce .
(A, C , D ) .
16. Though many similar aspects to cementoblasts and osteoblasts , odontoblasts, differ
from them by :
A. Production and composition of the organic matrix ;
B. morphological characters ;
C. ultrastructural features ;
D. anatomical ratio with tissue structures they produce;
E. presence of cellular extensions .
(B, D).
17. The distance extending into dentine odontoblastic cellular extensions (prolongations):
A. was highlighted by enamel - dentine junction at coronal level;
B. is a primary causal factor of dentine hypersensitivity ;
C. varies with age and stage of development of the tooth ;
D is depended on the continuous mitotic activity of odontoblast;

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E. is modified by the effects of therapeutic maneuvers on structures pulp of coronal

restoration .
(A, C , E) .
18 . Fibroblasts :
A. are the most numerous cells of the dental pulp ;
B. are capable of development and differentiation to other cell types ;
C. the number increases as blood vessels and nerve fibers regresses with age ;
D. are present predominantly in the rich cell area of the pulp ;
E. are present predominantly in the central region of the pulp .
(A, B , D ) .
19 . Water in the structure of the pulp represents (in percent of the volume of the pulp ) :
A 92-95 % ;
B. 80-85 % ;
C. 70-78 % ;
D. 85-92 % ;
E. 78-80 % .
(D).
20 . Nerve fibers in dental pulp are :
A. predominant myelin ;
B. predominantly sensory ;
C. unevenly distributed in the structure of dental pulp ;
D. able to release neuropeptides they contain .
E. affected since the early stages of acute pulp inflammation, necrosis and autolysis rapidly
evolved into .
(C,D).

21. The volume of blood flow in the dental pulp :

A it is reduced at coronal portion than in the root portion ;
B. it is higher at coronal portion than the root portion ;
C. it is reduced at the peripheral region of the pulp than in the central region ;
D it is higher in the peripheral region than in the central region of the pulp ;
E. is predominantly under the control of the sympathetic autonomic system .
( B , D , E) .
22. Calcification of the pulp :
A. affects blood flow of the pulp through the apical hole;
B. are consistently correlated with chronological age, a sign of aging of the pulp organ ;
C. are known as forms of calcareous atrophy, dystrophic calcifications , denticles ,
deposition of secondary dentine ;
D. the organic matrix of collagen, the structure of which is similar to dentin mineralization

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occurs ;
E. not related to age, for younger is frequently present .
(A, C , D , E) .
23. rigid endodontic probe, auxiliary instrument of examination kit is used for :
A. removing remnants of pulp tissue in hard to reach areas of the pulp chamber ;
B. locating canal ostiums ;
C. sighting not removed portions from the roof of the pulp chamber;
D. penetration of initial portion of the root canal ;
E. removing minerals obstruction ( secondary dentin deposition , denticles ) of the initial
portion of the root canal .
(B,C).
24. The differences between the K reamer and K file, consist of :
A number of turns and cutting edges ( blades ) per unit length ;
B. turns direction;
C. The depth of the grooves of the cutting edges ;
D. geometric configuration in transverse section ;
E. length that the turns are arranged .
(A, D ) .
25. Effective removal of the root canals content is determinative influenced by:
A. the type of the used manual endodontic instruments;
B. used irrigation solution;
C. anatomy of the endodontic space ;
D. the technique applied;
E. the reason of the endodontic treatment .
(A, C, E).

26. Endodontic condenser " plugger " includes:

A. active part with manual handle and / or digital , both metal;
B. metal active part and digital, plastic handles with ISO standardized sizes and color coded
;
C. smooth, tapered gradually with sharp apex active part;
D. smooth, gradually tapered with flat top active part ;
E. smooth, constant diameter with flat top active part .
(A, B, D).
27. Endodontic condenser " spreader " includes:
A. active part with manual handle and / or digital , both metal;
B. metal active part and digital, plastic handles with ISO standardized sizes and color coded

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C. smooth, tapered gradually with sharp apex active part;

D. smooth, gradually tapered with flat top active part;
E. smooth, constant diameter with flat top active part.

(A, B , C ) .
28. K -file manual needle, modified by changing the geometric configuration of the cross
section of the active part from square into rhomb is called:
A. Unifile ;
B. Helifile ;
C. Flexofile ;
D. K -Flex file ;
E. Pathfinder file .
(D).
29. Changing the geometric cross section configuration of the active part from square into
rhomb gives K -file manual needle, changed this way, superior features as follows:
A torque resistance;
B. traction resistance;
C. flexibility ;
D. cutting efficiency ( scraping or scratching ) ;
E. accuracy.
( C , D , E) .
30 . Significant changes of the circular shape on cross-section of the root canal preparation
occurs when use :
A. Kerr - reamer file with penetration and rotational motion ;
B. Kerr - reamer file with scraping motion ( scratching ) ;
C. Kerr -file with penetration and rotational motion ;
D. Kerr -file with scraping motion ( scratching ) ;
E. Hedstroem file with scraper motion ( scratching ) .
(D, E).
31 . Hedstroem file are recommended for :
A an important enlargement of the canal preparation;
B. realization of the root apical preparation by techniques "step down , step back " in very
wide canals ;
C. removing filling material from root canal in the case of endodontic retreatment ;
D. achieve canal preparation for prefabricated root posts ;
E. removal of foreign objects from root canals.
(A, C , E) .
32. The root filling technique by injection, using the " Obtura " system, temperature of the
gutta-percha is :
A. 160 C ;
B. 200 C ;

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C. 60 C ;
D. 85 C ;
E. 50 C.
(C).
33. determining aspects of the quality of endodontic irrigation are related to:
A quantity ( volume) of irrigation solution;
B. demineralized action ( chelation ) of the solution;
C. antiseptic ( antimicrobial ) solution ;
D. lubricating ability of the product;
E. pH of the irrigation solution .
(A, C , D ) .
34 . Indicate which of the following processes are indicated for the prevention of pulp
complications during cavity preparation, using high speed rotary tools :
A. Continuous and efficient removal of debris and enamel - dentine fragments that results in
the work;
B. Effective cooling continuously with jet of air;
C. effective cooling with continuously jet of water;
D. effective cooling with water and air as a " spray " continuously ;
E. avoiding excessive pressure of the instrumentation, using interrupted movements .
( C , D , E) .
35 . The root cementum is more resistant than alveolar bone as resorption because:
A. cementum is more mineralized than the bone ;
B. cementum has in its structure an inhibits factor of resorption ;
C. the bone is vascularized but cementum not ;
D. characteristics of fibers from the composition of cementum are different, as those of the
bone , and have a tendency to higher resistance to clastic type cells ( cementoclaste ,
osteoclasts respectively ) ;
E. normally, physiological, root cementum is more resistant to the pressure forces .
(B, E).
36. The Main local causative factors of root resorption are :
A activating factor cementoclasts ;
B. increasing pH of fundamental substance ;
C. excessive pressure ;
D. inflammation ;
E. decreasing pH of fundamental substance .
(C,D).
37 . undersized ( insufficient ) coronal access cavity, lead to the following complications:
A. not sighting of all ostiums of root canals ;
B. insufficient cleaning of endodontic area;
C. fracture of endodontic instruments during therapeutic maneuvers ;
D. difficulties in morphological and functional restoration of the crown;

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E. discoloration of the remaining coronal hard tissue of the tooth.

(A, B , C , E) .
38 . zinc eugenate, used as a root filling material, contains some additives to improve its
properties as follows:
A silver powder to increase adhesion ;
B zinc acetate , to short the setting time ;
C. rosin in order to increase antiseptic action ;
D. corticosteroids ( hydrocortisone , dexamethasone) to control local reactions caused by
irritative acute apical periodontitis consecutive exceeding apex with this type of material ;
E. biodate thymol to increase radiopacity.
(B, D).
39. Arsenical remedies has necrotizing action for vital pulp tissue by:
A. depolymerization of ground substance ;
B. blocking cellular oxidative enzymes ;
C. substituting sulfur in the thiol groups of amino acids which it contains ;
D. paralysis capillaries ;
E. lyse of the cell membranes.
(B,C,D).
40 . "Recapitulation " (successively return with a lower diameter of file after each file used)
in the preparation of root canals is a mandatory and feature rule :
A The technique of tapered preparation;
B. "step -back" technique;
C. classical technique ;
D. " crown- down" Technique;
E. "step down , step back" technique.
(B, E).

41 . Filling of the root canal thermo-mechanical condensation of the gutta percha (Mc
Spadden ) present the following technical features :
A. speed of 8-10,000 rpm . , for a maximum of 2-3 seconds ;
B. Speed of 18-20000 rpm . , for 8-10 seconds ;
C. The main adapted cone with tip to apical limit of the preparation ;
D. The main adapted cone with tip about 1-1.5 mm to apical limit of the preparation ;
E. do not require the use of sealing cement .
(A, D ) .
42 . Which is the thickness of the enamel in cusps of premolars and molars :
A 2.3 mm ;
B. 1.2 mm ;
C 1.5 mm ;
D. 2.6 mm ;

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E. 2 mm .
(A, D ) .
43 . Cement-enamel junction may include the following aspects:
A. enamel cover cementum on a short of 0.5 -1 mm ;
B. cementum covers a short stretch of the enamel ;
C. enamel covers cementum in short stretch of 2-3 mm ;
D. enamel and cementum do not meet , leaving a variable portion of discovered dentine;
E. Enamel and cementum meet in the report together with a net boundary between them.
( B , D , E)
44 . Cellular cementum is characterized by:
A similar structure to cancellous bone ;
B. similar structure to lamellar bone;
C. layout in the root furcation or bifurcation at the multirooted teeth;
D. layout in the apical third of the root ;
E. layout in the coronal third of the root .
(B,C,D).
45 . Fibrillar cementum is characterized by:
A similar structure to cancellous bone;
B. similar structure to lamellar bone;
C. layout in the root furcation or bifurcation at the multirooted teeth;
D. layout in the apical third of the root ;
E. layout in the coronal third of the root ..
(A, E).
46 . Which of the following minerals present in the structure of dentine in a proportion of
more than 1 % of the total of the components dentine :
AF;
B. Mg ;
C. Mn ;
D. CO2 ;
E. Zn .
( B.d ) .
47 . Which of the following microscopic images detail, in dentinal section, presents
formation and growing of dentine:
A Tomes granular layer ;
B. neonatal line ;
C. Owen lines ;
D. Von Ebner lines ;
E. Schreger lines .
(B,C,D).
48. Specify which of the following data, according to thickness of dentine, in relation to

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location , at the permanent teeth are correct :

A. 3-5 mm. at the root level ;
B. 3-5 mm. at incisal edge to the front ;
C. 3-4 mm. on the neck region;
D. 1 -3mm .to the apex ;
E. 3- 7mm . occlusal surface of the premolars and molars .
(A, B , C , D , E) .
49 . Indicate which of the following data, the Ca / P ratio in the chemical composition of
dentine are correct :
A. 1.92 ;
B. 2.17 ;
C. 2.94 ;
D. 1.62 ;
E. 2.56 .
(D).
50 . Indicate which of the following data, the Ca / P ratio in the chemical composition of
enamel , are correct :
A. 1.92 ;
B. 2.17 ;
C. 2.94 ;
D. 1.62 ;
E. 2.56 .
(A, B ) .

1. :
.
B.
C.
D.
E.
(D)
2. :
. .
B. ;
. ;
D. ;

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.
(A,E).
3. :
A. ;
B. ;
C. ;
D. ,
;
E.
(.B.D.)
4. ,
:
A. , ;
B.
.
C.
;
D. , ;
E.
.
(,C)
5. (25%
) :
A. 1
B. 2
C. 3
D. 1 .1
E. 2
(,D)
6. ( )
:
A. I .
B. I .
C. - I .
D. I .
E. II .
(B,D,E).

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7. ( 0,25%
):
A. I ;
B. II ;
C. ;
D. I ;
E. II ;
(A,B,C,D).
8. :
A.
;
B. 25 ;
C. 20% ;
D. 26,5 ;
E. .
(B,C).
9. ,
:
A. ;
B.
,
;
C. ;
D.
;
E. ,

.
(A,C,D)
10.
:
A.
NaOCl 2,5%;
B.
;
C.
;
D.
;
E. ,
.

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(B,D,E).
11. Hedstrm
:
A. ()
;
B. (),
.
C.
( - )
;
D. ;
E.
.
(B).
12. ( ) :
A.
;
B. Hedstrm -;
C. - ;
D.
Pesso,Gates-Glidden,Beutelrock;
E. ;
(, D).
13. , :
A. ;
B. ;
C.
-;
D.
;
E. -
() .
(B, C, D).
14. :
A. ,
;
B.
;
C.
;

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D. ,
;
E.
.
(A, B, E)
15. , :
A. ,
;
B. ;
C. ;
D. - ;
E. ,
.
(A, C, D).
16. :
A. ;
B. ;
C. ;
D. ,
;
E. .
(B, D).
17. :
A. - ;
B. ;
C. ;
D. ;
E. ,
.
(A, C, E).
18. .:
A. ;
B. ;
C.
;
D. ;
E. .

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(A, B, D).
19. (
):
A. 92-95%;
B. 80-85%;
C. 70-78%;
D. 85-92%;
E. 78-80%.
(D).
20. :
A. ;
B. ;
C. ;
D. , .
E. .
(C, D).
21. :
A. , ;
B. , ;
C. , ;
D. , , ;
E. .
(B, D, E).
22. . :
A. ;
B.
;
C. ,
,,
;
D. ,
;
E. .
(A, C, D, E).
23. :
A.
;
B. ;
C. ;
D. ;

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E. (
, ) .
(B, C)
24. - K- :
A. () ;
B. ;
C. ;
D. ;
E. .
(, D).
25. :
A. ;
B. ,;
C. ;
D. ;
E. , .
(A, C, E).
26.
"Plugger" :
A. /
;
B.
ISO ;
C. ,
;
D. , (
);
E. (
)
(A,B,D).
27.
"spreader :
A. /
;
B.
ISO ;
C. ,
;
D. , (
);

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E. (
).
(A, B, C).
28. K-
:
F. Unifile;
G. Helifile;
H. Flexofile;
I. K-Flex file;
J. Pathfinding file.
(D).
29. K- ,

:
A. ;
B. ;
C. ;
D. (
);
E. .
(C, D, E).

F.
G.
H.
I.
J.

30.
:
Kerr -reamer, - ;
Kerr -reamer, ();
Kerr -file, - ;
Kerr -file, ()
Hedstrom file, ().

(D, E).
31. Hedstrom file :
A. ;
B.
step down-step back;
C.
;
D. ;
E. .
(A, C, E).

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F.
G.
H.
I.
J.

DATA:

Pag. 30 /34

32.
, Obtura,
:
160 C;
200C;
60C;
85C;
50C.
(C).
33. ( )
:
A. () ;
B. ;
C. () ;
D. ;
E. .

(A, C, D).
34. ,


:
A.
;
B. ;
C. ;
D. - ;
E. .
(C, D, E).
35. , , :
A. , ;
B. ;
C. , ;
D. ,
;
E.
.
(B, E).
36. :

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A.
B.
C.
D.
E.

DATA:

Pag. 31 /34

;
;
;
;
.

(C, D).
37.
.:
A. ;
B. ;
C.
;
D.
;
E. .
(A, B, C, E).
38. -
,
A. ;
B. , ;
C. , ;
D. (, )
;
E. .
(B, D).
39. :
A. ;
B. ;
C. ,
;
D. ;
E. .
(B, C, D).
40. (
)
:
A. ;
B. step- back;

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C. ;
D. crown-down;
E. step down-step back.
(B, E).
41.
( Mc Spadden) :
A. 8-10,000 / 2-3 ..;
B. 18-20000 / 8-10 .;
C.
;
D. 1-1,5
;
E. .
(, D).
42. .:
A. 2,3 ;
B. 1,2 ;
C. 1,5 ;
D. 2.6 ;
E. 2 .
(, D).
43. - :
A. 0,5 -1 ;
B. ;
C. 2-3 ;
D. (
);
E. .
(B, D, E)
44. :
A. , ;
B. ;
C. ;
D. ;
E. .
(B, C, D).
45. :

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A.
B.
C.
D.
E.

DATA:

Pag. 33 /34

, ;
;
;
;
.

(, ).
46. ,
1% .:
A. .F;
B. Mg;
C. ;
D. 2;
E. Zn.
(B.D).
47.
:
A. Tomes;
B. ;
C. Owen;
D. Von Ebner;
E. Schreger.
(B, C, D).
48. ,
:
A. 3-5 mm. ;
B. 3-5 mm. ;
C. 3-4 . ;
D. 1-3. ;
E. 3-7. .
(A, B, C, D, E).
49. , , /
:
A. 1,92;
B. 2.17;
C. 2.94;
D. 1.62;
E. 2.56.
(D).
50. , , /
, :
A. 1,92;

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B.
C.
D.
E.

Pag. 34 /34

2.17;
2.94;
1.62;
2.56.

(A, B).

ef. catedr
dr. med.conf.univ

DATA:

N. Chele