Restorative & Materials · single question

A bruxist patient has a crown on tooth #6 with marginal discoloration. The most likely cause is:

  1. Parafunctional wear exposing the underlying metal/amalgam core or dentin
  2. Intrinsic tetracycline staining within the crown material
  3. Dental fluorosis of the crown
  4. Normal porcelain translucency
Show answer and explanation

Correct answer: A. Parafunctional wear exposing the underlying metal/amalgam core or dentin

  • A. Correct. Heavy bruxism can wear through the crown's facing/margin, exposing the metal or amalgam core and the underlying dentin, which shows as discoloration.
  • B. Incorrect. Tetracycline stains developing natural dentin, not a fabricated crown.
  • C. Incorrect. Fluorosis affects developing enamel, not a restoration.
  • D. Incorrect. Translucency is an esthetic property, not focal marginal discoloration from wear.

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