Prosthodontics & Occlusion · single question

A patient received a new RPD and complains of pain directly on top of the alveolar crest. What is the most likely reason?

  1. Allergy to RPD material
  2. Overextension of the borders
  3. Poorly polished internal surface
  4. High occlusal contact point
Show answer and explanation

Correct answer: D. High occlusal contact point

  • A. Allergy causes diffuse redness and burning, not localized crest pain.
  • B. Overextension causes peripheral/vestibular pain, not crest pain.
  • C. Unpolished internal surface causes generalized tissue irritation, not localized crest pain.
  • D. Pain directly ON TOP of the alveolar crest is most commonly caused by a high occlusal contact creating excessive pressure transmitted through the denture base to the crest.

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