Prosthodontics & Occlusion · single question
Which cusps are considered the 'damaging cusps' because they can cause the most harm during lateral excursions by creating non-working side interferences?
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Correct answer: A. Lingual cusps of upper posterior teeth and buccal cusps of lower posterior teeth (inner inclines)
- A. CORRECT. The lingual (palatal) cusps of UPPER posterior teeth and the buccal cusps of LOWER posterior teeth are the 'centric holding cusps' — they maintain vertical dimension and food-crushing function. However, it is their INNER INCLINES that can contact during non-working excursion, producing damaging interferences. The BULL rule identifies these as the contacts to avoid on the non-working side.
- B. Mesial/distal cusp positions do not define the damaging vs. functional cusp classification — it is the buccal vs. lingual position relative to the jaw arch.
- C. Lingual cusps of lower posterior teeth are non-functional on most sides and create less harmful contacts.
- D. Buccal cusps of upper posterior teeth are the 'stamp cusps' on the working side — they participate in working side contacts and are the basis of the BULL rule's upper buccal preference.
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