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?

  1. Lingual cusps of upper posterior teeth and buccal cusps of lower posterior teeth (inner inclines)
  2. Mesial cusps of all posterior teeth
  3. Lingual cusps of lower posterior teeth
  4. Buccal cusps of upper posterior teeth
Show answer and explanation

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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