DEPARTMENT OF ORAL AND

MAXILLOFACIAL SURGERY
GOVERMENT DENTAL COLLEGE &
HOSPITAL, AHMEDABAD.

Graft

Presented by:-Ankita Machhar

Rinkal Rathwa
Intern Batch:-2013 14.
Que :-1. To obtain best long term result, which of the following procedures for
1

augmentation genioplasty is recommended :

A.
B.
C.
D.

On lay bone graft

Injection of silastic gel
Insertion of silastic rubber implant
Pedicled horizontal sliding osteotomy

Ans :- D. Pedicled horizontal sliding osteotomy

Ref. :- Neelima Malik , Page No. 270.
Que :-2. Augmenteal genioplasty is done by:
A.
B.
C.
D.

Sliding horizontal osteotomy

Bone graft
Silicone implants
None of the above

Ans :- A. Sliding horizontal osteotomy

Ref. :- Neelima Malik , Page No. 270.
Que :-3. Skin graft vestibuloplasty prevent relapse by :
A.
B.
C.
D.

Forming a barrier to reattachment of muscle to periosteum

Promoting osteogenesis to establish a bone barrier to loss of sulcus depth
Causing an inhibitory effect on fibro blosis in the underlying tissue
None of the above

Ans :- A. Forming a barrier to reattachment of muscle to periosteum

Ref.:- Neelima Malik, Page No. 388, Vinod Kapoor.

Que :-4. The thickness of split thickness Skin graft used in maxillofacial
2

Surgery ranges from:

A.
B.
C.
D.

2 to 3 mm
1 to 2 mm
0.3 to 1.5 mm
1.3 to 1.5 mm

Ans :- C. 0.3 to 1.5 mm

Exp.:- The split thickness graft consist of epidermis & the superficial part of
dermis, thus containing few skin appendageal structures. The grafts are
classified as thin ( up to 0.3 mm), medium (0.4-0.5mm) & thick (0.6mm).
Split graft of 0.3 to 0.5 mm thickness are commonly used in oral &
maxillofacial region. They can be harvested either with a manual device or
with a motor driver electric dermatome. The great advantage of split
thickness skin graft is that they are more early maintained so that mecrosis
is relatively unlikely. A disadvantage is shrinkage of approximately 20%.
The thickness of full thickness skin graft which include 100% epidermis &
dermis normally is greater than 1mm.
Ref.:- Peterson , 4th Edition, Page No.- 249.
Que :- 5. Best graft for alveolar cleft surgery:A.
B.
C.
D.

Posterior iliac crest

Anterior iliac crest
Clavicle
Rib

Ans :- A. Posterior iliac crest

Exp.:- Autogenous cancellous bone & marrow are still the gold standard & are
inductive & conductive agents, especially when in correct with the
connective tissue closely related to the living bone periosteum.
Rib is used for primary bone grafting. Where is particular marrow &
cancellous iliac crest bone grafts are used for secondary grafting .
Ref. :- Reconstruction of alveolar cleft by John . F. Helfrick, Page No. 1580, 1581.
Que :-6. A 30 yrs old Patient underwent resection of mandible for the
3

treatment of ameloblastoma . The best graft is:A.

B.
C.
D.

Free iliac crest graft

Free vascularized iliac crest graft
6th rib
Allograft of the bone

Ans :- B. Free vascularized iliac crest graft

Exp.:- Mandibular reconstruction after resection of mandible for treatment of
ameloblastoma mandibular reconstruction can also be accomplished by a
variety of means.
They included
a. Autogeneous vascularised bone by pedicled flaps.
b. Autogenenous vascularised bone by free flaps.
- Iliac crest based on deep circumflex iliac artery
- Fibula based on peroneal artery
- Radial forearm based on radial artery
- Second metatarsal
- Calvanium based on superficial temporal artery.
c. Autogeneous non- vascularised bone
- Calvanium
- Iliac crest
- Rib
d. Allografts
e. Xenograft
f. Alloplastic materials.
- Stainless steel reconstruction plate
- Hydroxyapatite.
Ref. :- Various texts

Que :-7. In a patient with Cleft Palate alveolar bone grafting should be done.
4

A. After expansion of maxilla & correction cross bite, but before cuspid
eruption.
B. Before expansion of maxilla & correction of cross bite but after Canine
eruption
C. Before expansion of maxilla & correction of cross bite & after Canine
eruption.
D. After expansion of maxilla & correction of cross bite & after canine
eruption.
Ans :- A. After expansion of maxilla & correction cross bite, but before cuspid
eruption.
Que :-8. The earliest operative procedure undertaken in the management of a
complete unilateral cleft lip with alveolar & palate is
A.
B.
C.
D.

Palatorrhaphy
Cheilorrhaphy
Alveolar cleft graft
Correction of maxilla mandibularr disharmonies.

Ans :-B. Cheilorrhaphy

Exp.:- general management protocol for the cleft patient:- Immediately after birth - paediatric consultation diagnosis of life expectancy
of a child.
- Within first weeks of life hearing testing.
- At 10 to 12 weeks surgical repair of lip.
- 1yar to 18 months :- repair of cleft palate.
- 3 months after palate repair: team evaluation for speech &language
assessment.
- 3 to 6 years:- lip nose revision if necessary pharyngeal surgery.
- 7 years :- Orthodontic treatment phase I
- 9-11 years:- Pre- alveolar bone grafting
- 12 years or later :- Full orthodontic treatment phas-II
- 15-18 years :- Placement of implants, fixed bridge etc for missing teeth
- 18-21 years:- Surgical advancement of maxilla if required.
- 16-18 years:-final nose & lip revisio.
Ref. :- Neelima Malik , Page No. 513.
Que :- 9. The most important reason for placing an alveolar graft in cleft
5

palate patient is:

A.
B.
C.
D.

Improve pronunciation
Improve breathing efficiency
Make eruptive pathway for permanent canine
Improve feeding efficiency

Ans :- C . Make eruptive pathway for permanent canine

Exp.:- Aim of alveolar bone grafting in cleft cases is to restore normal from &
function to the orofacial tissues, there by allowing the child to develop to
his or her full potential.
The bone graft supports the naso labial tissues, allow normal eruption &
alignment of the perment incisor & canine teeth, & helps close any
oronasal fistulac that are present.
Ref. :- Textbook of Maxillofacial surgery Vol -2, Page no. -1062.
Que :-10.A surgical obturator has to be inserted :A.
B.
C.
D.

One day prior to the surgery

On the day of the surgery
14 days after the surgery
30 days after the surgery

Ans :- B. On the day of the surgery

Ref. :- International Journal of Dental Clinics 2011, Page No. 96-97.
Que :-11. Which material is used for the bone graft:A.
B.
C.
D.

Autogenous bone
Allogenic bone
Alloplastic material
Above all

Ans :- D. Above all

Ref. :- Neelima Malik, Page No. 412.
Que :-12. Rate of resorption of graft is less:6

A.
B.
C.
D.

Superior border augmentation

Inferior border augmentation
Onlay graft
Inter Position bone grafting

Ans :- D. Inter Position bone grafting

Ref. :- Neelima Malik, Page No. 414.
Que :-13. When edentulous maxilla or mandible has adequate bone height
but inadequate bone width.
A.
B.
C.
D.

Onlay grafting
Visor osteotomy
Sinus lift
Cartilage graft

Ans :- A. Onlay grafting

Ref. :- Neelima Malik, Page No. 414.
Que :-14. In maxillary sinus lift procedure, graft material is user:A.
B.
C.
D.

Liliac crest chancellors graft

Rib graft
Hydroxyl appatite
Above all

Ans :- D. Above all

Ref. :- Neelima Malik, Page No. 415.

Que :-15. Alveolar ridge augmentation can be divided into:7

A.
B.
C.
D.

One categorey
Two categories
Three categories
None of them

Ans :- B . Two categories

Ref. :- Neelima Malik, Page No. 417.
Que :-16. Keloid is best treated by
A.
B.
C.
D.

Intrakeloidal injection of triamcinolone

Wide excision & grafting
Wide excision & suturing
Deep x-ray therapy

Ans :- B. Wide excision & grafting

Ref.:- B & L , 23rd Edition , Page no. 39.
Que :-17. Deep skin burns is treated with
A.
B.
C.
D.

Split thickness graft

Full thickness graft
Amniotic membrane
Synthetic skin derivatives

Ans :- A. Split thickness graft

Exp.:- Partial thickness burns can heal without surgical interaction but full
thickness burns require surgical management with split thickness graft.
Ref. :- B & L , 23rd Edition , Page no. 195.

Que:-18. An isograft indicates transform of tissues between:8

A.
B.
C.
D.

Related donors
Monozygotic twins
Parts of same individual
Unrelated donors

Ans :- B. Monozygotic twins

Exp.:- Allograft / :- Graft transferred from one individual to another
Homograft :- of the same species.
Hetrograft:- graft taken from different species.
ISO/synergistic graft :- Transplant between identical twins.
Autogeneous graft:- Graft from the same individual
Heterotropic Graft :- Transplant being positioned in a different site.
Ref. :- B & L , 23rd Edition , Page no. 126.
Que:-19. A graft that has been derived from another species of different
genetic disposition is also known as a:
A.
B.
C.
D.

Allograft
ISO graft
Homograft
Heterograft

Ans :- D. Heterograft
Ref. :- B & L , 23rd Edition , Page no. 126.

Que :-20. Graft from sister to brother is

9

A.
B.
C.
D.

ISO graft
Allograft
Autograft
Heterograft

Ans:- B . Allograft
Ref. :- B & L , 23rd Edition , Page no. 126.
Que:-21. Highest chance of success in renal transplant is seen when the donor
is the
A.
B.
C.
D.

Identical twin
Father
Mother
Sister

Ans :- A . Identical twin

Ref. :- B & L , 23rd Edition , Page no. 141.
Que:-22. Transplantation of kidney from mother to son is an example of:
A.
B.
C.
D.

Autograft
Allograft
ISO graft
Xeno graft

Ans :- B. Allograft
Ref. :- B & L , 23rd Edition , Page no. 126.

Que :-23. Wolfs graft is

10

A.
B.
C.
D.

Partial thickness graft

Micro vascular free graft
Full thickness graft
Mucocutaneous flap

Ans :- C. Full thickness graft

Exp.:- Thierch graft- Split thickness graft
- Wolfs graft Full thickness graft
Ref.:Que :-24. Wound contraction can be mostly effectively minimized by :
A.
B.
C.
D.

Split skin graft

Full thickness graft
Allowing secondary granulation
Dressing with placenta

Ans :- B. Full thickness graft

Exp:- Thicker the skin, the better the cosmetic result& the thinner the skin, the
better the take.
This dictum should be remembered whether partial thickness or full
thickness skin graft is to be used.
Ref. :- S. Das , 2nd Edition, Page No. 60.

Que :-25. In a free gingival graft, what happens to epithelium of the graft? It?
11

A.
B.
C.
D.

Remains as such
Proliferates
Degenerates
Has to be removal by surgeon

Ans :- C . Degenerates
Exp.:- The free gingival autograft is used to increase the width of attached gingival
or to cover the denuded roots. The graft consists of epithelium & a thin
layer of connective tissue taken from keratinised donor sites. The ideal
thickness of the graft is 1 to 1.5mm. the epithelium of the graft degenerates
and is replaced newly from the borders of recipient site.
Ref. :- Carranza, 10th Edition, Page No. 1010.
Que :-26. The success of a free gingival graft procedure depends upon which
of the following .
A.
B.
C.
D.

The graft being immobilized at the recipient site

The donor tissue being as thick as possible and containing periosteum
A thick blood clot remaining between the recipient & donor tissue
Periosteal fenestration being present.

Ans :- A . The graft being immobilized at the recipient site

Exp.:- The free gingival graft should be immobilized at the recipient site because
movement will interfere with healing.
- Excessive tension will warp the graft
- Thick blood clot interferes with graft vascularity.
- Respect for tissues is essential for success.
Ref. :- Carranza, 10th Edition, Page No. 1010.

Que :-27. Which of the following is a mucogingival surgery

12

A.
B.
C.
D.

Free gingival graft

Wildman flap
Gingivaltomy
Gingivoplasty

Ans :- A . Free gingival graft

Exp.:- The following are the mucogingival ( plastic ) surgery techniques:1. Technique of increasing the width of attachment gingival
Eg.:- Free gingival graft
Apically displaced flap
2. Thechniques for coverage of denuded roots
Eg.:
Laterally displaced pedicle graft, coronally displaced flap,
Free gingival graft etc.
3. Technique to deepen the vestibule
Eg.:- Free autogeneus grafts.
4. Techniques for the removal of frenum.
Ref. :- Carranza, 10th Edition, Page No. 1008.

Que :-28. GTR is related to

A.
B.
C.
D.

Gingivoplasty
Frenectomy
Mucogingival surgery
Gingivatomy

Ans :- C . Mucogingival surgery

Ref. :- Carranza, 10th Edition, Page No. 1021.
Que :-29. Placement of graft will be failure in which class of re cession
13

A.
B.
C.
D.

Class I
Class II
Class III
Class IV

Ans :- D. Class IV
Exp.:- Millers classification of Gingival recession
Cl I Marginal tissues recession that does not extend to mucogingival junction.
No soft tissue or bone loss in interdental area.
Cl-II- Marginal gingival recession extends to mucogingival junction. No soft tissue
or bone loss in interdental area.
Cl-III- Marginal recession extends beyond MEJ. There is soft tissue & bone loss
interdentally or malpositioning of the tooth.
Cl-IV- Recession extends beyond MEJ with severe soft tissue & bone loss with
severe tooth malposition.
The prognosis for class I & II is excellent where as for class III partial coverage
can be expected. Class IV recession has very poor prognosis.
Cntenon to distinguish between miler class II & III recession is.
Interdental bone.
Ref. :- Carranza, 10th Edition, Page No. 1015.
Que :-30. The tissue preferred for free gingival graft in order of preference is
A.
B.
C.
D.

Alveolar mucosa
Attached gingival
Edentulous mucosa
Unattached gingival

Ans :- B . Attached gingival

Exp.:- The order of preference for a free gingival graft is attached gingiva,
masticatory. Mucosa from edentulous ridge and palatal mucosa.
Ref. :- Carranza, 18th Edition, Page No. 655.
Que :-31. All of the following are definite indication of mucogingival surgery
14

except :
A.
B.
C.
D.

One wall bony desert

High frenal attachment
Insufficient width of attached gingival
Shallow vestitute

Ans :- A . One wall bony desert

Ref. :- Carranza, 10th Edition, Page No. 1005.
Que :-32. The free gingival graft is placed on:
A.
B.
C.
D.

On the periosteum
Bone
Gingival
Periodontal pocket

Ans :- A . On the periosteum

Exp.:- Periosteum should be left covering the bone. It severe as a recipient bed.
- Grafts can be placed directly on bone tissues. This is a variant technique.
Ref. :- Carranza, 10th Edition, Page No. 1008.
Que :-33. A coronally positional pedide graft is used when a single tooth
exhibits gingival relesion and:
A.
B.
C.
D.

Bleeding
Pus discharge
Irresible pulpitis
Sensitivity

Ans :- D. Sensitivity
Ref. :- Carranza, 10th Edition, Page No. 1006.

Que :-34. Ideal thickness of a free gingival graft obtained from the palate is:
15

A.
B.
C.
D.

O.5- 1 mm
1 1.5 mm
1.5 2.0 mm
2 2.5 mm

Ans :- B. 1 1.5 mm
Exp.:- Proper thickness is important for surgical of the graft.
It should be thin enough to permit ready diffusion of nutritive fluid from the
recipient site. Which is essential in the immediate post-transplant period.
- A graft that is too thin may necrose & expose the recipient site.
- It the graft is too thick, its peripheral layer is jeoparadized because of the
excessive tissue to that separates it from new circulation & nutrients.
- Thick grafts may also create a duper wound at donor site, with the possibility
of injuring major palatal arteries.
- The ideal thickness of a graft is between 1.0 & 1.5 mm.
- After the graft is separated, loose tissue tabs from the under surface should
be removed & the edges are thinned to avoid bulbous marginal and interdental
contours.
Ref. :- Carranza, 10th Edition, Page No. 770.
Que :-35. Guided tissue regeneration (GTR) is done in:A.
B.
C.
D.

Vertibular deepening procedures

Freneatomy
Flap surgeries
Gingivatomy

Ans:- C . Flap surgeries

Exp.:- Guided tissue regeneration is based on the assumption that only the
penodontal ligament cells have the potential for regeneration of the
attachment apparatus ( New attachment ) of the tooth. The technique
consists of placing barriers of different types to cover the bone and
penodontal ligament to prevent the migration of epithelium.
Ref. :- Carranza, 8th Edition, Page No. 626.
Que:-36. The graft with maximum osteogenic potential is:
16

A.
B.
C.
D.

Allograft
Xenograft
Autocrtical
Auto canellus

Ans:- D . Auto canellus

Exp.:Autograft/ - Graft taken from one place & replaced in another position.
Autogenous in the same person.
Graft
Eg. Osseous coagulan, bone blend
- Intra oral cancellous bone marrow.
- Iliac graft.
Allograft/ - graft taken from different or genetically not related individual, within
Homograft
the same species .
Eg. Undecalcified / Decalcified free dried bone grafts.
Xenograft/ - Graft taken & transferred from one species to another species.
Heterograft
Eg. Calf bone, kiel bone, anorganic bone.
Isograft - Graft transferred from genetically similar individual (twins ).
Alloplastic - Inert synthetic material introduced into body.
Grafts
Eg. HTR . Polymer
Calcium phosphate
Biomaterials.
Coral derived materials.
Bioactive glam atc.
Autogeneous cancellous bone graft have.
Maximum osteogenic potential.
Most of the bone grafts are osteo conductive only.
Ref. :- Carranza, 10th Edition, Page No. 977.
Que:-37. Which of the following grafts has the best prognosis?
17

A.
B.
C.
D.

Xenograft
Autograft
Allograft
Homograft

Ans :- B. Autograft
Exp.:- Allografts and xenografts are foreign to the organism and therefore may
provoke an immune response.
Ref. :- Carranza, 10th Edition, Page No. 977.
Que :- 38. The best bone graft which can be utilized for reconstruction is:A.
B.
C.
D.

Costo chondral graft

Calvarial graft
Like crest graft
Metatarsal bone graft

Ans :- C . Like crest graft

Ref. :- Carranza, 10th Edition, Page No. 977.
Que:-39. The best way to fill a bony defect will be with which of the following?
A.
B.
C.
D.

Hydroxyl apatite
Donor graft
Xenograft
Autograft

Ans :- D . Autograft
Ref. :- Carranza, 8th Edition, Page No. 629.

Que:-40. Bioglass is used in:

18

A.
B.
C.
D.

Root biomodification
Respective osseous surgery
Regonration osseous surgery
Mucogingival surgery

Ans :- C. Regonration osseous surgery

Exp.:- Bioglass is an alloplastic / non bone graft material. It consists of Sodium
and Calcium Salts, Phosphates and Silicon Dioxide. The other alloplastic
graft materials are.
-

Hydroxyl apatite Ca / P ratio of 1.67

Tricalcium phosphate Ca / P ratio of 1.5
HTR polymers
Coral derived materials.

Ref. :- Carranza, 10th Edition, Page No. 982.

Que :- 41. Anorganic bone is an example of:A.
B.
C.
D.

Autografts
Alloplasts
Xenografts
Allografts

Ans :- C . Xenografts
Exp.:- Calf bone Treated by detergent, sterilized and frees dried.
Kiel bone

- Ox (or) Claf bone dentured with 20% H2O2 acetone and

sterilized
Anorganic bone Ox bonefrom which the organic material is removed by
ethelene diamine.
Ref. :- Carranza, 10th Edition, Page No. 980.

Que:-42. Bone graft procedures are most successful in treating:19

A.
B.
C.
D.

In furation involvement
Deep, two-wall craters
Narrow three-wall defects
Osseous defects with one remaining

Ans:- C . Narrow three-wall defects

Exp.:Type of defect
One wall osseous defect
Wide & shallow two wall defects
Wide & shallow two wall defects
Narrow & deep two wall defects

Surgical Procedure
Respective osseous surgery
Regenerative osseous surgery
Respective osseous surgery
Regenerative osseous surgery

Ref. :- Carranza, 10th Edition, Page No. 950.

Que:-43.hydropatite (1.67 ) Capo4
A.
B.
C.
D.

Osteoinductive
Osteo Conductive
Both a and B
None of the above

Ans :-B . Osteo Conductive

Exp.:- The grafts placed in the bony defect; it may act. As.
Osteogenic Contains viable bone cells and ajdeposit bone in the defect
- It is the ideal property of a bone graft.
- Eg. Autogeneous cancellous bone
Osteoinductive Actively include bone formation
- Eg. Decalcified freeze dried bone.
Osteoconductive - Induces bone formation when placed next to viable bone only.
- Eg. Calcium phosphate biomaterials like hydroxyl petite and tricalcium
phosphate.
Ref. :- Carranza, 10th Edition, Page No. 982.
Que:-44. Graft when taken from a different species is called a:
20

A.
B.
C.
D.

Xenograft
Autograft
Allograft
Homograft

Ans :-A . Xenograft

Exp.:Autograft/ - Graft taken from one place & replaced in another position.
Autogenous in the same person.
Graft
Eg. Osseous coagulan, bone blend
- Intra oral cancellous bone marrow.
- Iliac graft.
Allograft/ - graft taken from different or genetically not related individual, within
Homograft
the same species .
Eg. Undecalcified / Decalcified free dried bone grafts.
Xenograft/ - Graft taken & transferred from one species to another species.
Heterograft
Eg. Calf bone, kiel bone, anorganic bone.
Isograft - Graft transferred from genetically similar individual (twins ).
Alloplastic - Inert synthetic material introduced into body.
Grafts
Eg. HTR . Polymer
Calcium phosphate
Biomaterials.
Coral derived materials.
Bioactive glam atc.
Autogeneous cancellous bone graft have.
Maximum osteogenic potential.
Most of the bone grafts are osteo conductive only.
Ref. :- Carranza, 10th Edition, Page No. 976.
21

Que:-45. Which of the following material has osteo conductive property

A.
B.
C.
D.

Autogenous graft
Hydroxayapatite
Plastic materials
Cartilage

Ans:- B . Hydroxayapatite
Exp.:- The grafts placed in the bony defect; it may act. As.
Osteogenic Contains viable bone cells and ajdeposit bone in the defect
- It is the ideal property of a bone graft.
- Eg. Autogeneous cancellous bone
Osteoinductive Actively include bone formation
- Eg. Decalcified freeze dried bone.
Osteoconductive - Induces bone formation when placed next to viable bone only.
- Eg. Calcium phosphate biomaterials like hydroxyl petite and tricalcium
phosphate.
Ref. :- Carranza, 10th Edition, Page No. 976.
Que:-46. Iliae crest graft shoul ideally be taken from:
A.
B.
C.
D.

Lateral aspect
Medical aspect
Postero superior aspect
Anterior inferior aspect

Ans:- B . Medical aspect

Ref.:-

Que:-47. Decalcified freeze dried bone graft is an example of:

22

A.
B.
C.
D.

Xenograft
Autograft
Alloplast
Allograft

Ans:-D . Allograft
Exp.:Autograft/ - Graft taken from one place & replaced in another position.
Autogenous in the same person.
Graft
Eg. Osseous coagulan, bone blend
- Intra oral cancellous bone marrow.
- Iliac graft.
Allograft/ - graft taken from different or genetically not related individual, within
Homograft
the same species .
Eg. Undecalcified / Decalcified free dried bone grafts.
Xenograft/ - Graft taken & transferred from one species to another species.
Heterograft
Eg. Calf bone, kiel bone, anorganic bone.
Isograft - Graft transferred from genetically similar individual (twins ).
Alloplastic - Inert synthetic material introduced into body.
Grafts
Eg. HTR . Polymer
Calcium phosphate
Biomaterials.
Coral derived materials.
Bioactive glam atc.
Autogeneous cancellous bone graft have.
Maximum osteogenic potential.
Most of the bone grafts are osteo conductive only.
Ref. :- Carranza, 9th Edition, Page No. 817.
23

Que:-48. Regeneration of lost periodontium involves.

A.
B.
C.
D.

Healing by new attachement formation

Healing by long junctional epithelium formation.
Healing by re-attechment.
Healing by scar formation.

Ans :- A . Healing by new attachement formation

Ref. :- Carranza, 8th Edition, Page No. 402.
Que:-49. What do you understand by isograft?
A.
B.
C.
D.

Bone taken from same individual

Bone taken from generally simiar individual
Bone taken from identical twin
Bone taken from the same individual

Ans:- C . Bone taken from identical twin

Ref. :- Carranza, 9th Edition, Page No. 813.
Que:-50. Which one of the following is the role of barrier membrance in
GTR?
A.
B.
C.
D.

To help overall healing

Prevention of epithelium migration
To stop bleeding
To prevent underlying tissues

Ans:- B . Prevention of epithelium migration

Ref. :- Carranza, 10th Edition, Page No. 972.

Que:-51. Which of the following is used as bio-degradable membrane in

24

guided tissue regeneration process?

A.
B.
C.
D.

Polyplactic acid
Poly tetra fluoroethylene
Millipore
Core membrane

Ans:- A . Polyplactic acid

Ref. :- Carranza, 10th Edition, Page No. 973.
Que:-52. Transplantation between gengetically different members of the same
species is termed as.
A.
B.
C.
D.

Autograft
ISOgraft
Allograft
Xenograft

Ans:- C . Allograft
Ref. :- Carranza, 10th Edition, Page No. 978.
Que:-53. Which is an example of non-graft associated regenerative technique?
A.
B.
C.
D.

HTR Polymer
Bioactive glass
Osseous cogulum
GTR

Ans:- D . GTR
Exp.:- Curettage chemical agents, surgical techniques and guided tissue
regeneration are non bone graft associated procedures for regeneration.
Ref. :- Carranza, 10th Edition, Page No. 972.

Que:-54.The difference between a skin graft and skin flap is:

25

A.
B.
C.
D.

There is no difference
Blood supply
Nerve supply
Epidermal involvement

Ans:- B . Blood supply

Ref. :- Carranza, 10th Edition.
Que :-55. What are stages of the graft take?
A.
B.
C.
D.

Imbition, inosculation, neovascular, ingrowth

Inosculation, imbition, neovascular, ingrowth
Hemostasis, inflammatory phase, proliferative phase, maturation
Imbition , neovascular, ingrowth, inosculation.

Ans:- A . Imbition, inosculation, neovascular, ingrowth

Ref. :- Carranza
Que:-56. The difference between a split thickness graft and full thickness skin
graft is:
A. A FTSG covers more surface area than STSG
B. A FTSG has its own blood supply where as a STSG does not
C. A STSG contains epidermis and part of the dermis where as a FTSG
contains epidermis & all of the dermis
D. Above all.
Ans:- C. A STSG contains epidermis and part of the dermis where as a FTSG
contains epidermis & all of the dermis
Ref.:- Vinod Kapoor

Que:- 57. The definition of an allograft is:

26

A.
B.
C.
D.

Graft from one place to another on same individual

Graft from one individual to another of same species
Graft from one individual to another of a different species
Artificial graft

Ans:- B . Graft from one individual to another of same species

Ref.:- Bhalaji
Que:- 58. Which of the following regarding split-thickness versus full
thickness skin graft is false?
A.
B.
C.
D.

STSG has the advantage of more sites

There is lower rate of survival with
There is greater secondary cont traction with FTSG
The aesthetic result of STSG is usually poor

Ans:- C . There is greater secondary cont traction with FTSG

Ref.:- Neelima Malik
Que:-59. Skin graft for facial wound is taken from:
A.
B.
C.
D.

Medial aspect of thigh

Cubital fossia
Groin
Post auricular region

Ans:- D . Post auricular region

Ref.:- Vinod Kapoor

Que:-60. The best skin graft for open wound is:

27

A.
B.
C.
D.

ISO graft
Homo graft
Allograft
Autograft

Ans:- D . Autograft
Ref.:- Neelima Malik
Que:- 61. Bone can be harvested from:
A.
B.
C.
D.

Iliac crest
Proximal tibia
Distal radius
All

Ans:- D . All
Ref. :- Bhalaji
Que:-62. White graft are:
A.
B.
C.
D.

Nerve rejected
Are immunologically biocompatible
Are rejected cout evidenlce of vascularisation.
Behave in same munner as autogenous graft.

Ans:- C . Are rejected cout evidenlce of vascularisation

Ref. :- Vinod Kapoor

Que:- 63. The best bone graft which can be utilized for reconstruction of large
28

mandibular defect is:

A.
B.
C.
D.

Costochondroal graft
Calvarical graft
Liliac crest graft
Metatarsal bone graft

Ans:- C . Liliac crest graft

Ref.:- Neelima Malik
Que:- 64.liliac creast graft should ideally be taken from:
A.
B.
C.
D.

Lateral aspect
Medical aspect
Posterosuperior aspect
Anterioinferior aspect

Ans:- B . Medical aspect

Ref. :- Bhalaji
Que:-65. A patient in whom iliac crest graft has been taken for mandibular
reconstruction, should be kept nil orally postoperatively.
A.
B.
C.
D.

For 6 hrs
Till bowel sounds apperer
For 12 hrs
Till patient is ambulatory

Ans:- B . Till bowel sounds apperer

Ref.:- Bhalaji

Que:- 66. The graft of choice in a 30 yrs old patient of ameloblastic resection
29

would be:
A.
B.
C.
D.

Free iliac crest graft

Free vascularised iliac crest graft
Medullary bone graft
6th rib

Ans:- B . Free vascularised iliac crest graft

Ref.:- Vinod Kapoor
Que:-67. Which of the following is the most complication of the free jejuna
interposition graft in reconstruction of the evophagas?
A.
B.
C.
D.

Fistula formation
Graft failure
Hematoma
Stricture

Ans:- B. Graft failure

Ref.:- Neelima Malik
Que:-68. Which of the following statements about residual alveolar ridge cleft
is true?
A.
B.
C.
D.

Most common indication for grafting is inadequate oral feeding

Most common bone graft used for closure is cranial bone
Use of cancellous bone fragments. Is the ideal choice.
None of above.

Ans:- A . Most common indication for grafting is inadequate oral feeding

Ref.:- Bhalaji

Que:-69. In which type of Bone graft bone grafted from animal bones.
30

A.
B.
C.
D.

Allograft
Xenograft
Autogeneus graft
None of above

Ans:- B . Xenograft
Ref. :- Bhalaji
Que:- 70. Iiliac bone graft is used for.
A.
B.
C.
D.

Reconstruction of large mandibular defect

Reconstruction of maxillary defect
Reconstruction of condyl
Reconstruction of TMJ

Ans:- A . Reconstruction of large mandibular defect

Ref.:- Bhalaji
Que:-71. The baric advantage of sagittal split osteotomy is/are:
A.
B.
C.
D.

It is carned out intra-orally as well as eztra orally

No bone grafting is required when defect is less than 8 mm
There are no chances of parestnesia
All of the above

Ans:- B . No bone grafting is required when defect is less than 8 mm

Exp. :- It is carried out intra-orally as well as extra orally.
- There are no chances of paresthenia
- No bone grafting is required when defect is less then 8mm.
Ref.:- Bhalaji
Que:- 72. Allografts are grafts taken from:
31

A.
B.
C.
D.

Same species & individual are genetically species

Different species
Same patient species but individual are genetically not related
Some species & between genetically identical indivaduals

Ans:- C . Same patient species but individual are genetically not related
Exp.:Autograft/ - Graft taken from one place & replaced in another position.
Autogenous in the same person.
Graft
Eg. Osseous coagulan, bone blend
- Intra oral cancellous bone marrow.
- Iliac graft.
Allograft/ - graft taken from different or genetically not related individual, within
Homograft
the same species .
Eg. Undecalcified / Decalcified free dried bone grafts.
Xenograft/ - Graft taken & transferred from one species to another species.
Heterograft
Eg. Calf bone, kiel bone, anorganic bone.
Isograft - Graft transferred from genetically similar individual (twins ).
Alloplastic - Inert synthetic material introduced into body.
Grafts
Eg. HTR . Polymer
Calcium phosphate
Biomaterials.
Coral derived materials.
Bioactive glam atc.
Autogeneous cancellous bone graft have.
Maximum osteogenic potential.
Most of the bone grafts are osteo conductive only.
Ref.:- Vinod Kapoor.
Que :- 73. Composite grafts consist of:
32

A.
B.
C.
D.

Bone only
Medullary bone only
Bone & soft tissue
Particulate bone mixed with resins

Ans:- C . Bone & soft tissue

Ref.:- Bhalaji
Que:- 74. The following methods are commonly used methods of ridge
extension procedure of the mandible:
A.
B.
C.
D.

Secondary epithelialisation
Mucosal graft vertibuloplasty
Skin graft vertibuloplasty
All of the above

Ans:- D . All of the above

Ref.:- Vinod Kapoor
Que:-75. Which graft are rejected without evidence of vascularisation.
A.
B.
C.
D.

None graft
Bone graft
White graft
Xeno graft

Ans:- B . Bone graft

Ref.:- Neelima Malik

Que:- 76. A skin graft vertibuloplasty prevents relaps by:

33

A.
B.
C.
D.

Physically maintaing the depth of the vertibule

Prevecting the reattachment of the muscle to inhibitory periosteum
Causing an, effect on fibroblasts in the underlying tissue
None of above

Ans:- A . Physically maintaing the depth of the vertibule

Ref.:- Neelima Malik
Que:- 77. During genioplasty there are chances of injuries:
A.
B.
C.
D.

Inferior alveolar nerve

Marginal mandibular nerve
Mantel nerve
Lingual nerve

Ans:- C . Mantel nerve

Ref.:- Neelima Malik
Que:-78. Among the following which are character of an ideal graft.
A.
B.
C.
D.

It should withstand mechanical forces

It should produced no immunological response
It should actively assist osteogenic process of the host
All of the above

Ans:- D. All of the above

Exp.:- It should withstand mechanical forces.
- It should produced no immunological response.
- It should actively arrist osteogenic process of the host.
Ref.:- Neelima Malik
Que:- 79. A transplant of bone from one human to anothers is termed:
34

A.
B.
C.
D.

Autogenous
Heterogenous
Homologous
Alloplastic

Ans:- C . Homologous
Exp.:Autograft/ - Graft taken from one place & replaced in another position.
Autogenous in the same person.
Graft
Eg. Osseous coagulan, bone blend
- Intra oral cancellous bone marrow.
- Iliac graft.
Allograft/ - graft taken from different or genetically not related individual, within
Homograft
the same species .
Eg. Undecalcified / Decalcified free dried bone grafts.
Xenograft/ - Graft taken & transferred from one species to another species.
Heterograft
Eg. Calf bone, kiel bone, anorganic bone.
Isograft - Graft transferred from genetically similar individual (twins ).
Alloplastic - Inert synthetic material introduced into body.
Grafts
Eg. HTR . Polymer
Calcium phosphate
Biomaterials.
Coral derived materials.
Bioactive glam atc.
Autogeneous cancellous bone graft have.
Maximum osteogenic potential.
Most of the bone grafts are osteo conductive only.
Ref. :- Vinod Kapoor.
Que:-80. Bone transplant from one human to another is termed
35

A.
B.
C.
D.

Allogenous
Autogenous
Homogenous
Hetrogenous

Ans:- C . Homogenous
Exp.:Autograft/ - Graft taken from one place & replaced in another position.
Autogenous in the same person.
Graft
Eg. Osseous coagulan, bone blend
- Intra oral cancellous bone marrow.
- Iliac graft.
Allograft/ - graft taken from different or genetically not related individual, within
Homograft
the same species .
Eg. Undecalcified / Decalcified free dried bone grafts.
Xenograft/ - Graft taken & transferred from one species to another species.
Heterograft
Eg. Calf bone, kiel bone, anorganic bone.
Isograft - Graft transferred from genetically similar individual (twins ).
Alloplastic - Inert synthetic material introduced into body.
Grafts
Eg. HTR . Polymer
Calcium phosphate
Biomaterials.
Coral derived materials.
Bioactive glam atc.
Autogeneous cancellous bone graft have.
Maximum osteogenic potential.
Most of the bone grafts are osteo conductive only.
Ref.:- Bhalaji
Que:-81. Generally bone marrow for grafting the defects is abtained from:
36

A.
B.
C.
D.

The iliac crest

The mandible
Rib
Maxillary tuberosity

Ans:- A . The iliac crest

Ref. :- Vinod Kapoor
Que:- 82. Which of the following bone graft has the greatest osteogenic
potential.
A.
B.
C.
D.

Autogenous cortical graft

Autogenous cancellous graft
A freele dried bone graft
Xenograft

Ans:- B. Autogenous cancellous graft

Ref.:- Neelima Malik
Que:- 83. To get the best long term result which of the following procedures
for augmentation genioplasty are recommended?
A.
B.
C.
D.

Injection of silastic gel

Pedicled horizontal sliding osteoton
Only bone graft
Insertion of silastic rubber implant

Ans:- C . Only bone graft

Ref.:- Neelima malik

Que:-84. Non bone graft materials used in periodontal surgery include:

37

A.
B.
C.
D.

Cartilage, cemantun, xenograft

Dentin,plaster of paris, allograft
Cartilage, sclera, duva, dental cementun
Xenograft

Ans:- C. Cartilage, sclera, duva, dental cementun

Ref.:- Vinod Kapoor
Que:- 85. Horizontal osteotomy mostly performed in:
A.
B.
C.
D.

Cartilage graft
Sandwitch graft
Skin graft
None of above

Ans:- B . Sandwitch graft

Ref.:- Neelima Malik
Que:- 86. A fracture patient having adequate height and inadequt width for
prosthesis in maxilla than which graft is used.
A.
B.
C.
D.

Sinus grafting
Skin grafting
Onlay grafting
Sandwitch graft

Ans:- C . Onlay grafting

Ref.:- Neelima Malik

Que:- 87. Ossesintegrated implant can be used with:

38

A.
B.
C.
D.

Skin bone grafting procedure

None bone graft
A&B
Onlay bone grafting procedure

Ans:- D. Onlay bone grafting procedure

Exp.:- The grafts placed in the bony defect; it may act. As.
Osteogenic Contains viable bone cells and ajdeposit bone in the defect
- It is the ideal property of a bone graft.
- Eg. Autogeneous cancellous bone
Osteoinductive Actively include bone formation
- Eg. Decalcified freeze dried bone.
Osteoconductive - Induces bone formation when placed next to viable bone only.
- Eg. Calcium phosphate biomaterials like hydroxyl petite and tricalcium
phosphate.
Ref.:-Neelima Malika
Que:-88. Following of which graft is used in both anterior & posterior region.
A.
B.
C.
D.

Onlay grafting
Alveoplasty
Skin grafting
Sandwitch grafting

Ans:- A . Onlay grafting

Ref.:- Neelima Malik

Que:- 89. Best graft for onlay grafting.

39

A.
B.
C.
D.

Rib
Clavicle
Anterior iliac crest
Posterior iliac crest

Ans:- A. Rib
Ref.:- Vinod Kapoor
Que:- 90. An ideal bone graft material should have following properties.
A.
B.
C.
D.

Biologic acceptability
Predictability
Good patient acceptance
All of the above.

Ans:- D . All of the above

Ref.:- Bhalaji
Que:-91. Tissue transfer from one position to a new position in same
individual is a type of which graft:
A.
B.
C.
D.

Autograft
Xenograft
Homograft
Alloplastic graft

Ans:- A . Autograft
Ref.:- Bhalaji
Que:- 92.guided tissue regeneration is a which type of graft.
A.
B.
C.
D.

Allograft
Xenograft
Autograft
None of above

Ans:- D . None of above

Ref. :- S. Bhalaji.
Que:- 93. Source of intraoral autograft.
40

A.
B.
C.
D.

Bone from edentulous ridges

Ribs
Ant clavicle
All of above

Ans:- A . Bone from edentulous ridges

Ref.:- Bhalaji
Que:- 94. Disadvantages of osseous coagulum graft technique are:
A.
B.
C.
D.

Low predictability
Inability to procure
Technically difficult
A & B.

Ans:- D. A & B .
Ref.:- Neelima Malik
Que:- 95. Which technique is no longer used.
A.
B.
C.
D.

Iliac autograft
Extraoral hip marrow
A & B.
None of above

Ans:- C . Extraoral hip marrow

Ref.:- Neelima Malik
Que:-96. Disadvantage of Iliac autografts.
A.
B.
C.
D.

Additional surgical trauma

Posterior morbidity infection
Exfoliation
All of above

Ans:- D . All of above

Ref.:- Neelima Malik .
Que:-97. Tissue transfer between individuals of same species but of non41

identick genetic composition?

A.
B.
C.
D.

Xenograft
Allograft
Alloplasty
Skingraft

Ans:- B . Allograft
Exp.:Autograft/ - Graft taken from one place & replaced in another position.
Autogenous in the same person.
Graft
Eg. Osseous coagulan, bone blend
- Intra oral cancellous bone marrow.
- Iliac graft.
Allograft/ - graft taken from different or genetically not related individual, within
Homograft
the same species .
Eg. Undecalcified / Decalcified free dried bone grafts.
Xenograft/ - Graft taken & transferred from one species to another species.
Heterograft
Eg. Calf bone, kiel bone, anorganic bone.
Isograft - Graft transferred from genetically similar individual (twins ).
Alloplastic - Inert synthetic material introduced into body.
Grafts
Eg. HTR . Polymer
Calcium phosphate
Biomaterials.
Coral derived materials.
Bioactive glam atc.
Autogeneous cancellous bone graft have.
Maximum osteogenic potential.
Most of the bone grafts are osteo conductive only.
Ref.:- Vinod Kapoor.
Que:-98.bone grafts are commercially available.
42

A.
B.
C.
D.

Tissue Bank
Blood Bank
A&B
None of above

Ans:- A . Tissue Bank

Ref.:- Neelima Malik
Que:-99. Bone graft are available as:
A.
B.
C.
D.

Dried Bone
Freeze dried bone allograft
Deminavalible dried bone graft
B&C

Ans:- D. B & C
Ref.:- Neelima Malik
Que:-100. What is Dembone TM:
A.
B.
C.
D.

Skin graft
Blood Material
Bone graft
All of above

Ans:- C . Bone graft

Ref.:- Neelima Malik.

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43