Ethics & Law · patient case question

All of the following can be seen on an occlusal view of the maxillary canine EXCEPT:

Patient case: Behaviour, communication and quitting

demo: Adult patient in a health-promotion consultation

chief: Attends for a check-up and mentions he would like to stop smoking.

history: Smokes 15 cigarettes a day and has done so for twenty years. He has tried to quit twice before without support.

meds: None.

findings: Generalised staining and halitosis. No mucosal lesions on careful examination.

  1. The cingulum
  2. The cervical line
  3. The distal developmental groove
  4. The lingual fossae
Show answer and explanation

Correct answer: B. The cervical line

  • A. The cingulum is a prominent bulge on the cervical third of the lingual surface and is clearly visible from the occlusal aspect.
  • B. Correct, and this is the exception. The cervical line, the cementoenamel junction, encircles the tooth in a plane perpendicular to the line of sight from the occlusal aspect, so it is not visible from directly above. It is seen from the facial, lingual and proximal views.
  • C. Developmental grooves on the lingual surface are visible from the occlusal view.
  • D. The mesiolingual and distolingual fossae flank the lingual ridge and are visible from above.

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