Pediatric Dentistry · single question

Panoramic and clinical photos show posterior open bite with primary molar below the occlusal plane. Most likely cause?

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  1. Supernumerary tooth
  2. Tongue thrusting
  3. Ankylosis of the primary molar
  4. Fibrous dysplasia
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Correct answer: C. Ankylosis of the primary molar

ANKYLOSIS: tooth fuses to alveolar bone, preventing normal eruption. Surrounding bone grows past it (infraocclusion). Adjacent permanent teeth continue erupting normally → POSTERIOR OPEN BITE. Classic submerged/infraoccluded primary molar.

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