Prosthodontics & Occlusion · single question
A patient requires a removable partial denture (RPD), but has a diastema in the anterior teeth. The diastema is closed prior to RPD fabrication. What is the primary reason for closing the diastema first?
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Correct answer: A. Stability of the RPD
- A. CORRECT. Closing a diastema before RPD fabrication primarily improves STABILITY. Guide planes on abutment teeth resist horizontal/lateral forces. If a diastema exists, the major connector cannot properly contact the lingual surfaces of the anterior teeth, reducing the guide plane effect and compromising lateral stability of the prosthesis.
- B. Support (resistance to vertical seating forces) is provided by rests on posterior abutments, not affected by an anterior diastema.
- C. Retention (resistance to dislodgement) is primarily provided by clasps on abutment teeth. Closing an anterior diastema does not directly improve retentive clasp action.
- D. Esthetics may be improved by closing the diastema, but it is not the primary clinical reason for doing so from a prosthodontic perspective.
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