Prosthodontics & Occlusion · single question

A patient with financial limitations has 90% of teeth non-restorable. Most appropriate treatment plan?

  1. Extract all teeth and fabricate complete dentures
  2. Complete maxillary denture and mandibular partial denture
  3. Implant-supported fixed prosthesis
  4. Crown and bridge restorations
Show answer and explanation

Correct answer: B. Complete maxillary denture and mandibular partial denture

  • A. Extracting EVERYTHING discards the few restorable/strategic teeth that could retain a partial; not the most conservative choice if some teeth remain.
  • B. Correct (keyed). Restore/retain the few sound mandibular teeth as abutments (RPD) and provide a maxillary complete denture — a cost-effective, tooth-preserving plan.
  • C. Implant-supported fixed work is the most expensive option — unsuitable for a financially limited patient.
  • D. Crown-and-bridge on 90% non-restorable teeth is impossible/inappropriate.

Note: The 'best' answer depends on whether any teeth are salvageable; the keyed answer (B) assumes some restorable mandibular teeth remain.

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