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Which of the following structures is not of ectodermal origin?

 # Which of the following structures is not of ectodermal origin?
A. Hunter Schreger bands
B. Enamel spindles
C. Enamel tufts
D. Enamel lamellae


The correct answer is B. Enamel spindles.

Enamel spindles are odontoblastic processes, which extend into enamel. Enamel spindles are mesenchymal in origin.


Malocclusion representing a transverse deficiency is often referred to as:

 # Malocclusion representing a transverse deficiency is often referred to as:
A. Open bite
B. Closed bite
C. Cross bite
D. Deep bite


The correct answer is C. Cross bite.

Patients with maxillary transverse deficiency usually have a narrow palate and a posterior crossbite. If the maxilla is narrow relative to the rest of the face, a diagnosis of transverse maxillary deficiency is justified. Occlusal relationships must be considered in all three planes of space. Lingual posterior crossbite (i.e., upper teeth lingual to lower teeth) is the major deviation from the normal transverse dental relationship and reflects deviations from ideal occlusion in the transverse plane of space.

Ref: Contemporary Orthodontics, William R. Proffit, 6th Edition.

Y shaped occlusal pattern is found in which teeth?

 # Y shaped occlusal pattern is found in which teeth?
A. Mandibular first premolar
B. Mandibular second premolar
C. Maxillary first premolar
D. Maxillary second premolar


The correct answer is B. Mandibular second premolar. 

The three cusp type mandibular second premolar manifests as a Y shaped occlusal pattern. The three-cusp type appears square lingual to the buccal cusp ridges when highly developed. Each cusp has well-formed triangular ridges separated by deep developmental grooves. These grooves converge in a central pit and form a Y shape on the occlusal surface. 

Y axis is used to analyze:

 # Y axis is used to analyze:
A. Maxillary growth
B. Mandibular growth
C. Both maxillary and mandibular growth
D. To design appliance


The correct answer is B. Mandibular growth.

Y-axis is obtained by joining the sella - gnathion line with the F.H. plane. The mean value is 59 degree with a range of 53 to 66 degree. The angle is larger in Class II Facial patterns than in patient exhibiting Class III pattern. In addition, Y axis indicates the growth pattern of the individual. If the angle is greater than normal, it indicates greater vertical growth of mandible. If the angle is smaller than normal, it indicates greater horizontal growth of mandible. 

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