Prosthodontics & Occlusion · single question

What is the ideal occlusal scheme typically targeted for a complete denture patient?

  1. Mutually protected (canine-guided) occlusion, as used in natural dentition
  2. Bilateral balanced occlusion — simultaneous, even tooth contacts achieved in centric relation as well as in eccentric (working and balancing side) mandibular positions
  3. Group function on the working side only, with deliberate posterior disclusion on the balancing side
  4. A deliberate anterior open bite
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Correct answer: B. Bilateral balanced occlusion — simultaneous, even tooth contacts achieved in centric relation as well as in eccentric (working and balancing side) mandibular positions

Because dentures lack the proprioceptive feedback and root anchorage of natural teeth, bilateral balanced occlusion is the classic goal — it spreads forces evenly and helps resist denture displacement during function. (Newer schemes like lingualized occlusion are also used clinically and have comparable patient satisfaction outcomes, but 'bilateral balanced occlusion' remains the textbook answer.)

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