Prosthodontics & Occlusion · single question

A complete denture patient whistles when pronouncing the 'S' sound. What is the most likely cause?

  1. Denture arch is too narrow (narrow posterior arch form)
  2. Denture teeth are too long
  3. Increased vertical dimension of occlusion
  4. Posterior teeth are set too far buccally
Show answer and explanation

Correct answer: A. Denture arch is too narrow (narrow posterior arch form)

✓ A) Too narrow arch form is correct.
Whistling on 'S' sounds (sibilant sounds) is caused by too little space for the tongue during phonation. A narrow maxillary arch form or teeth set too far lingually leaves insufficient room for tongue movement during sibilant sounds, causing turbulent airflow and whistling. If the arch is too wide → clicking or slurred S. Too narrow → whistle. This is a classic complete denture phonetic problem. The 'S' sound test is used to assess vertical dimension: if VDO is too high → teeth click; if too low → slurred sounds.

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