Prosthodontics & Occlusion · single question

At the first try-in of a single crown you find the margins are open. What is the MOST appropriate next step BEFORE anything else?

  1. Cement the crown and monitor
  2. Send the crown back for a metal addition
  3. Check the occlusion first
  4. Check and adjust the proximal contacts
Show answer and explanation

Correct answer: D. Check and adjust the proximal contacts

  • A. Cementing a crown with genuinely open margins guarantees recurrent caries and periodontal inflammation.
  • B. Remaking or adding metal is premature until you have excluded the far more common cause — a heavy contact preventing seating.
  • C. Occlusion is checked only AFTER the restoration is confirmed fully seated — otherwise you are adjusting to a false vertical position.
  • D. Correct. An overly tight PROXIMAL CONTACT is the single most common reason a crown will not fully seat, and an unseated crown mimics an open margin. The correct sequence at try-in is: proximal contacts first, then complete seating verified, then margins assessed, and only then occlusion. Adjusting occlusion on an unseated crown wastes the appointment and destroys the restoration's anatomy.

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