Prosthodontics & Occlusion · single question

A patient with a new complete denture cannot properly pronounce fricative ('f'/'v', 's') sounds; the anterior teeth appear positioned too far forward. What should you do?

  1. Reposition the anterior teeth more posteriorly
  2. Increase the occlusal vertical dimension
  3. Add more teeth
  4. Reduce the posterior palatal seal
Show answer and explanation

Correct answer: A. Reposition the anterior teeth more posteriorly

  • A. Correct. Fricative/sibilant sounds depend on anterior tooth position; if the teeth are set too far labially, repositioning them lingually (back) corrects the speech problem.
  • B. Increasing OVD addresses 'clicking' from too-tall teeth, not anterior-posterior fricative errors.
  • C. Adding teeth does not fix the malposition causing the speech error.
  • D. Altering the posterior palatal seal affects retention, not anterior fricative sounds.

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