Prosthodontics & Occlusion · single question

A patient presents with multiple missing teeth. A cast model shows supraerption of the posterior left teeth. Which problem would this most likely cause during oral rehabilitation?

  1. Increased retention of the prosthesis
  2. Collapsed bite (altered occlusal plane)
  3. Improved occlusal stability
  4. Enhanced esthetics
Show answer and explanation

Correct answer: B. Collapsed bite (altered occlusal plane)

  • A. INCORRECT. Supraerupted teeth do not increase prosthesis retention. In fact, they complicate prosthetic rehabilitation by reducing the space available for the opposing prosthesis.
  • B. CORRECT. Supraeruption (passive/active eruption of teeth into edentulous spaces) causes an uneven occlusal plane, resulting in a 'collapsed bite.' This significantly complicates prosthetic rehabilitation because the supraerupted teeth occupy space needed for the opposing prosthesis, may create occlusal interferences, and require either tooth reduction/occlusal adjustment, extraction, or intrusion (orthodontics/surgery) before a satisfactory restoration can be fabricated.
  • C. INCORRECT. Supraerupted teeth reduce occlusal stability by creating uneven contacts and potentially causing deflective occlusal contacts and premature contacts.
  • D. INCORRECT. Supraerupted teeth compromise esthetics by disrupting the occlusal plane and creating visible discrepancies in tooth height and alignment.

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