Prosthodontics & Occlusion · single question

A patient is wearing a lingual plate RPD and complains of pain ONLY on the lingual surface of the anterior teeth. What is the appropriate management?

  1. Adjust only the lingual aspect of the affected area
  2. Completely remake the denture
  3. Replace the lingual plate with a lingual bar
  4. Refer to a prosthodontist
Show answer and explanation

Correct answer: A. Adjust only the lingual aspect of the affected area

  • A. When pain is localized to a specific area of an RPD (in this case, the lingual surface of the anterior teeth), the adjustment should be targeted to ONLY that specific area. Adjusting only the lingual side of the connector in the anterior region will relieve the pressure point without compromising the rest of the appliance. ✓
  • B. Remaking the entire denture is not indicated for a localized pressure complaint.
  • C. Replacing the lingual plate with a lingual bar is a design change that would require remaking the framework — not the first-line management for localized pain.
  • D. Referral is not necessary for a routine pressure adjustment of an RPD.

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