Prosthodontics & Occlusion · single question

In normal Class I occlusion, which mandibular tooth does tooth #5 (maxillary right first premolar) primarily occlude with?

  1. Mesial half of tooth #28 (mandibular right first premolar)
  2. Distal half of tooth #29 (mandibular right second premolar)
  3. Mesial half of tooth #29 (mandibular right second premolar)
  4. Distal half of tooth #28 (mandibular right first premolar)
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Correct answer: D. Distal half of tooth #28 (mandibular right first premolar)

In normal Class I occlusion, each maxillary tooth occludes with two mandibular teeth (shifted mesially by half a cusp width). The maxillary first premolar (#5) occludes primarily with the distal half of the mandibular first premolar (#28) and the mesial half of the mandibular second premolar (#29). The primary occlusal contact of #5 is with the distal of #28. This relationship follows the normal Angle Class I intercuspation where maxillary teeth are positioned one half-tooth width distal relative to the mandibular arch.

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