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100+ Free Dental Council Ireland Exam Practice Questions
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Which antibiotic is the recommended first-line alternative for a patient with a true penicillin allergy who has a spreading dental infection requiring antimicrobial therapy?
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Sample Dental Council Ireland Exam Practice Questions
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1A patient requires extraction of a maxillary first molar. Which nerve provides sensory innervation to the buccal gingiva and roots of this tooth, and is the target of a posterior superior alveolar block?
A.Greater palatine nerve
B.Posterior superior alveolar nerve
C.Lingual nerve
D.Inferior alveolar nerve
Explanation: The posterior superior alveolar (PSA) nerve, a branch of the maxillary division (V2), supplies the maxillary molars (except the mesiobuccal root of the first molar) and adjacent buccal gingiva. A PSA block anaesthetises these structures.
2The mesiobuccal root of the maxillary first molar is sometimes not fully anaesthetised by a posterior superior alveolar block. Which nerve frequently provides accessory innervation to this root?
A.Nasopalatine nerve
B.Buccal (long buccal) nerve
C.Middle superior alveolar nerve
D.Mylohyoid nerve
Explanation: When present, the middle superior alveolar (MSA) nerve supplies the maxillary premolars and the mesiobuccal root of the first molar, explaining incomplete anaesthesia of that root after a PSA block alone.
3Which muscle of mastication is primarily responsible for protrusion of the mandible and depression (opening) of the jaw?
A.Masseter
B.Medial pterygoid
C.Temporalis
D.Lateral pterygoid
Explanation: The lateral pterygoid protrudes the mandible and assists opening; its inferior head pulls the condyle and articular disc forward. The other three muscles are primarily elevators.
4During an inferior alveolar nerve block, the needle is positioned to deposit anaesthetic near which anatomical landmark of the mandible?
A.Mandibular foramen on the medial surface of the ramus
B.Mental foramen below the second premolar
C.Coronoid notch of the ramus
D.Genial tubercles on the lingual surface
Explanation: The inferior alveolar nerve enters the mandibular foramen on the medial (lingual) surface of the ramus. Anaesthetic is deposited just superior to this foramen, often using the coronoid notch as a height reference.
5Which of the following correctly describes the histological structure of enamel?
A.A vascular connective tissue with odontoblast processes
B.A cellular tissue containing collagen type I and cementocytes
C.Acellular, avascular tissue composed of hydroxyapatite arranged in rods/prisms
D.A loose connective tissue rich in blood vessels and nerves
Explanation: Enamel is the most highly mineralised tissue (~96% inorganic hydroxyapatite), acellular and avascular, and arranged in enamel rods/prisms. Because it has no cells, it cannot regenerate once formed.
6Which cells are responsible for the formation of dentine throughout the life of the tooth?
A.Ameloblasts
B.Cementoblasts
C.Osteoblasts
D.Odontoblasts
Explanation: Odontoblasts line the pulp-dentine border and produce predentine, which mineralises to dentine. They persist throughout life and can lay down secondary and tertiary (reparative) dentine.
7A 9-year-old presents for assessment of erupting teeth. According to normal eruption sequence, which permanent tooth typically erupts first in the mandible?
A.Central incisor
B.First molar
C.Canine
D.First premolar
Explanation: The mandibular permanent first molar typically erupts around age 6, often the first permanent tooth to appear, sometimes simultaneously with the mandibular central incisor. This is why it is called the '6-year molar'.
8Using the FDI two-digit notation, which tooth is designated '36'?
A.Mandibular left first molar
B.Maxillary left first molar
C.Mandibular right first molar
D.Maxillary right second premolar
Explanation: In FDI notation the first digit indicates the quadrant (3 = lower left) and the second the tooth position from midline (6 = first molar). Thus 36 is the mandibular left first permanent molar.
9Which salivary gland produces predominantly serous secretion and drains via the parotid (Stensen's) duct opposite the maxillary second molar?
A.Submandibular gland
B.Sublingual gland
C.Minor labial glands
D.Parotid gland
Explanation: The parotid gland is purely serous and drains through the parotid (Stensen's) duct, which opens on the buccal mucosa opposite the maxillary second molar. Its secretion is rich in amylase.
10Which enzyme present in saliva begins the digestion of starch in the oral cavity?
A.Lingual lipase
B.Salivary amylase (ptyalin)
C.Pepsin
D.Lysozyme
Explanation: Salivary amylase (ptyalin), secreted mainly by the parotid gland, hydrolyses alpha-1,4 glycosidic bonds in starch, initiating carbohydrate digestion in the mouth before swallowing.
About the Dental Council Ireland Exam Practice Questions
Verified exam format metadata for Dental Council of Ireland Registration Examination is pending. The practice questions above remain available while official exam length, timing, passing score, fee, and administrator details are reviewed.