Prosthodontics & Occlusion · single question

A patient presents with incisal wear specifically on the maxillary canine tooth. Which occlusal scheme is most likely responsible for this isolated wear pattern?

  1. Canine-guided occlusion (canine guidance)
  2. Group function occlusion
  3. Bilateral balanced occlusion
  4. Traumatic occlusion from a high restoration
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Correct answer: A. Canine-guided occlusion (canine guidance)

In CANINE-GUIDED OCCLUSION, the canine teeth bear all lateral excursive forces during lateral mandibular movements, while the posterior teeth disclude. Over time, this produces characteristic INCISAL (cusp tip) wear on the maxillary canine — specifically the incisal edge and lingual fossa. This wear pattern is a normal and expected consequence of canine function in a canine-guided occlusion. In GROUP FUNCTION occlusion, lateral forces are distributed among multiple working-side teeth, so wear is more distributed. BILATERAL BALANCED occlusion (used in complete dentures) provides simultaneous contacts on both sides and does not produce isolated canine wear. A HIGH RESTORATION causes localized traumatic wear on the specific restoration site, not specifically the canine incisal edge.

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