Prosthodontics & Occlusion · single question
With a complete denture in place, a patient is asked to say 'San Francisco.' This phrase is used to evaluate which specific parameter of denture fit?
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Correct answer: B. The 1 mm freeway space / closest speaking space
Phrases containing the sibilant 'S' sound (such as 'San Francisco,' 'Mississippi,' 'sixty-six') are used to evaluate the CLOSEST SPEAKING SPACE — the minimal interocclusal distance during speech (~1 mm). When the patient produces 'S' sounds, the anterior teeth approximate to approximately 1 mm. If teeth click or contact during 'S,' the vertical dimension of occlusion (VDO) is too high. If the gap is >2 mm, the VDO may be too low. This test supplements the freeway space assessment (rest VD minus OVD = 2-4 mm). Note: The 'M' sound evaluates the rest position of the mandible. The 'F' and 'V' sounds evaluate the position and length of the maxillary incisal edges.
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