Regarding this patient's requested occlusal adjustment, what is the most appropriate action?

Correct answer: B. Perform the occlusal adjustment (a legitimate, conservative maintenance procedure) while also managing expectations

• A. Sending him back to a previous dentist abdicates your responsibility for a reasonable maintenance request.
• B. Correct. An occlusal adjustment is an appropriate, conservative, in-office maintenance step if a real occlusal discrepancy exists — and it should be paired with an honest discussion of realistic expectations. Deflecting the patient is not patient-centered care.
• C. Dismissing the patient ('nothing can be done') is neither accurate nor appropriate.
• D. Making a fifth set without addressing the underlying expectation problem repeats the failure pattern.

Note: Source gave only two options. The teaching pairs with the previous item: manage EXPECTATIONS first, then perform a reasonable, conservative adjustment rather than remaking dentures again.