Prosthodontics & Occlusion · single question

A 32-year-old female has a crown on the upper central that keeps falling off. The patient has a deep bite. What is the cause?

  1. Problem with occlusion (deep bite creates dislodging forces)
  2. Inadequate tooth preparation taper
  3. Poor crown margins
  4. Insufficient cement
Show answer and explanation

Correct answer: A. Problem with occlusion (deep bite creates dislodging forces)

  • A. Correct. A deep vertical overbite creates excessive occlusal forces on the crown that overcome cement retention. The crown experiences shear and tensile forces each time the mandible closes, repeatedly dislodging it.
  • B. Incorrect. While overtaper reduces retention, the clinical history specifying 'deep bite' points to occlusion as the primary cause.
  • C. Incorrect. Insufficient cement is possible but the deep bite is the contextual clinically specific cause.
  • D. Incorrect. Poor margins cause microleakage and secondary caries, not repeated dislodgement.

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