Pathology · single question

A patient's maxillary first molars have no antagonist (the upper arch only has teeth from 1st molar to 1st molar; the lower arch only from premolar/canine to premolar/canine), with cupping seen on all the upper and lower anterior teeth. What is the most likely cause of the cupping?

  1. Bruxism
  2. Attrition
  3. Abfraction
  4. Erosion
Show answer and explanation

Correct answer: D. Erosion

Cupping (cratered, scooped-out areas, often on incisal/occlusal surfaces) without a matching antagonist tooth to create wear-on-wear contact strongly suggests a chemical process — erosion — rather than mechanical attrition (which requires opposing tooth contact) or bruxism (also requires opposing contact/grinding). Abfraction specifically produces cervical wedge-shaped notches, not generalized cupping.

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