CDT CAD/CAM Digital Dentistry 2 — Questions and Answers
Question 1: Which file format is the industry standard for sharing digital impression data between scanners and milling software?
- STL (Standard Tessellation Language) (Correct answer)
- DXF (Drawing Exchange Format)
- SVG (Scalable Vector Graphics)
- PDF (Portable Document Format)
Correct answer: STL (Standard Tessellation Language)
STL is the most widely accepted open format for sharing 3D scan data across CAD/CAM systems.
Question 2: When milling zirconia, which milling stage requires the material to be in its pre-sintered (soft) state?
- Green-state milling before sintering (Correct answer)
- Post-sintering milling only
- Hot isostatic pressing stage
- Glazing and staining stage
Correct answer: Green-state milling before sintering
Pre-sintered (green-state) zirconia is milled before the final sintering cycle that shrinks and densifies the material.
Question 3: What does the term 'emergence profile' refer to in CAD design of a crown?
- The contour of the restoration as it exits the gingival margin (Correct answer)
- The occlusal surface contact points
- The internal fit accuracy at the margin
- The shade gradient from cervical to incisal
Correct answer: The contour of the restoration as it exits the gingival margin
Emergence profile describes how the restoration transitions from the subgingival finish line through the gingival tissue.
Question 4: Which milling parameter most directly affects the surface roughness of a milled ceramic restoration?
- Stepover distance between toolpaths (Correct answer)
- Spindle cooling water temperature
- CAD file polygon count only
- Color of the milling blank
Correct answer: Stepover distance between toolpaths
A smaller stepover distance between adjacent toolpaths produces a smoother surface by reducing the scallop height.
Question 5: In a chairside CAD/CAM workflow, which component captures the optical impression directly in the patient's mouth?
- Intraoral scanner (Correct answer)
- Cone beam CT unit
- Desktop laboratory scanner
- Photopolymer printer
Correct answer: Intraoral scanner
An intraoral scanner uses structured light or laser to capture a digital impression without impression material.
Question 6: What is the primary reason zirconia restorations must be sintered at high temperatures after milling?
- To convert the crystalline phase and achieve final strength and density (Correct answer)
- To add translucency through glass fusing
- To remove internal porosity via steam autoclaving
- To bond the porcelain veneer layer chemically
Correct answer: To convert the crystalline phase and achieve final strength and density
Sintering transforms porous pre-sintered zirconia into dense, high-strength tetragonal-phase ceramic.
Question 7: Which occlusal design concept in CAD software distributes occlusal forces through the long axis of posterior teeth?
- Centric stops with axially directed contacts (Correct answer)
- Protrusive guidance on the second molar
- Lateral group function on premolars only
- Deep vertical overlap with steep incisal guidance
Correct answer: Centric stops with axially directed contacts
Axially directed centric stops minimize lateral forces and protect both the restoration and the periodontal structures.
Which file format is the industry standard for sharing digital impression data between scanners and milling software?