Prosthodontics & Occlusion · single question

For the partial denture shown, where would the fulcrum line go?

  1. Distal rest of 5 to 12
  2. Mesial rest of 5 and 12
  3. Mesial rest of 4 and 13
  4. Mesial rest of 4 and CINGULUM of #13
Show answer and explanation

Correct answer: C. Mesial rest of 4 and 13

Mesial rest of 4 and 13 (C) is correct for the fulcrum line placement. The fulcrum line connects the most anterior abutment rests on each side — which in this Kennedy Class I configuration would be the mesial rests of teeth 4 (first premolar) and 13 (first premolar on the other side).

• The fulcrum line is critical in RPD design — it determines how the prosthesis will rotate when loaded. Indirect retainers must be placed anterior to the fulcrum line to resist rotation.
• Distal rests (A) would be placed on molars — posterior to the edentulous area — and are NOT used as the primary fulcrum for a Class I RPD.
• Mesial rests (B) of 5 and 12 are second premolars, not ideal for fulcrum reference in this case.

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