Prosthodontics & Occlusion · single question

A patient presents with tuberosity touching the retromolar pad when in centric relation, prior to new denture fabrication. What should you do FIRST?

  1. Remove the retromolar pad
  2. Surgical remodeling of the tuberosity
  3. Adjust the occlusal vertical dimension
  4. Take a new impression
Show answer and explanation

Correct answer: B. Surgical remodeling of the tuberosity

When the tuberosity encroaches on the retromolar pad space, surgical remodeling (osteoplasty) of the tuberosity is needed to create adequate space for denture flange extension and proper occlusion. The retromolar pad is important for denture stability — it should NOT be removed. Impression/OVD changes cannot fix a physical anatomical obstruction.

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