Prosthodontics

A 72-year-old edentulous man complains that his new complete maxillary denture drops during speech. Border molding was minimal and PPS not carved.

A 68-year-old edentulous woman has angular cheilitis and erythematous palate under an old denture worn at night.

A complete denture patient whistles “s” sounds; anterior teeth are set too far labially with narrow palatal corridor.

A 64-year-old has a flabby anterior maxillary ridge opposing natural mandibular anterior teeth.

A Kennedy Class I mandibular RPD is planned. Which impression method best captures the distal extension support?

A 55-year-old needs a 3-unit FPD replacing mandibular first molar; abutments are second premolar and second molar with long span and pier premolar distal to canine.

A 61-year-old with distal extension RPD has repeated clasp loosening and abutment mobility.

A 59-year-old with deep subgingival caries on a prospective crown abutment has 1.5 mm biologic width encroachment.

A 28-year-old bruxer fractured a lithium disilicate molar crown.

A 70-year-old edentulous man has unstable mandibular denture due to resorbed ridge and strong tongue.

A 62-year-old with well-made complete dentures reports cheek biting.

A patient with a mandibular Kennedy Class IV RPD (anterior edentulous) needs maximum esthetics.

A 47-year-old requires a PFM crown on maxillary canine with heavy occlusion. What minimal ferrule height is recommended?

A 66-year-old complete denture wearer develops midline fracture of the maxillary denture.

A 52-year-old with short, tapered tooth requires a full crown; how to improve resistance/retention?

A 60-year-old with a distal extension RPD shows tissueward rotation and food impaction at the distal of the abutment.

A 45-year-old demands fixed replacement of mandibular first molar with a cantilever premolar abutment only.

A maxillary central incisor needs an all-ceramic crown in high esthetic zone; minimal translucency mismatch desired.

A new complete denture patient reports pain at the mandibular retromylohyoid area on swallowing.

A pontic replacing mandibular first molar must maximize hygiene.

A 71-year-old with xerostomia has poor complete denture retention.

A 58-year-old with a deep palatal vault has poor posterior palatal seal and air leakage.

A 62-year-old needs a mandibular lingual major connector for an RPD with shallow floor of mouth.

A 49-year-old has abutment with short crown height for an FPD; interarch space is limited.

A mandibular complete denture repeatedly lifts during tongue elevation and speech.

A 63-year-old with distal extension RPD complains of food packing under the base.

A maxillary FPD requires connector design between lateral and canine in parafunctional patient.

A 70-year-old complete denture patient has burning mouth symptoms with normal mucosa.

A 57-year-old with a high lip line needs an esthetic pontic for maxillary lateral incisor.

A patient with Class II division 1 occlusion and deep overbite needs a maxillary FPD.

A 65-year-old with maxillary complete denture and mandibular natural anteriors + bilateral distal extension RPD shows combination syndrome.

A 54-year-old needs a veneer for a darkened maxillary central incisor with minimal preparation.

A mandibular RPD requires an indirect retainer location. Where should it be placed for a Kennedy Class I?

A 60-year-old with shallow palatal vault struggles with maxillary denture retention; PPS carved shallow.

A 52-year-old with minimal interocclusal space for crowns on mandibular molars.

A 67-year-old with implant-supported single crown experiences screw loosening.

A cement-retained implant crown shows peri-implant inflammation with no radiographic bone loss.

An immediate complete denture is planned after extraction of remaining maxillary teeth with large tuberosities.

A 49-year-old requires a mandibular fixed partial denture with short abutments. What cement maximizes retention after proper prep?

A complete denture try-in shows excessive freeway space and reduced lower facial height.

A 38-year-old with endodontically treated maxillary premolar has >2 mm ferrule and ample coronal structure. The dentist plans a post “for extra retention.”

A lithium disilicate crown is planned for a maxillary lateral incisor. Which finish line is preferred?

Margins of a provisional crown are open and it repeatedly dislodges on a short taper prep.

Full-arch rehabilitation is planned. Why use a facebow transfer?

For MI (intercuspal) occlusal records on single crowns, what is best?

For multiple posterior crowns with occlusal scheme changes, which articulator is appropriate?

Repeated working interferences on a new FPD despite correct MI contacts.

A complete denture for a Class II patient shows tipping during chewing.

A 67-year-old with severe mandibular ridge resorption asks how to improve denture stability.

Immediate maxillary complete denture is planned. Which counseling is essential?

For a healed mandibular anterior site with normal ridge, which pontic is most hygienic and esthetic?

Minimum connector size for posterior PFM FPD (e.g., premolar–molar)?

Buccal porcelain fractures on a PFM molar crown with metal occlusion.

Implant emergence profile causes blanching and recession on facial.

Planning veneers in esthetic zone; where should margins be when possible?

A new metal framework try-in for a 4-unit PFM FPD shows open proximal contact on one end.

Patient complains of plaque accumulation around a new crown. Contour shows bulky cervical third.

Before replacing a long-missing mandibular first molar with an FPD, the opposing maxillary first molar is supraerupted.

Surveying an RPD case reveals undercuts on canines opposite the desired path.

A patient has palatal tori interfering with maxillary major connector. Best design if surgery is declined?

Kennedy Class II Mod 1 mandibular RPD lacks indirect retention and lifts during function.

Esthetic clasping on a mandibular canine with shallow vestibule is needed.

Intraoral repair of fractured porcelain on a PFM.

Cementing a monolithic zirconia crown on a short molar prep.

Two abutments for a 3-unit FPD show slight divergence preventing draw.

A thin anterior ridge is planned for a highly esthetic pontic.

Reliable CR record for full-arch rehab is needed.

Increasing OVD in worn dentition for multiple crowns—first step?

Limited interocclusal space for mandibular molar restoration with intact cusps.

Pain at maxillary labial frenum after denture delivery.

Endodontically treated maxillary canine with thin root and high esthetic demand.

Ideal post length and apical seal for a custom post-core.

Long-span FPD considered in patient with reduced periodontal support on abutments.

Missing maxillary lateral incisor next to a sound canine; patient refuses implant.

Establishing anterior guidance for complete dentures.

What occlusal scheme best maintains stability in complete dentures?

Old complete dentures are loose; acrylic is intact but intaglio is polished and non-adaptive.

Poor retention due to inadequate capture of hamular notch and PPS.

Establishing CR at wax rim try-in.

Two-implant mandibular overdenture delivered; patient asks about loading protocol.

A 59-year-old’s new maxillary complete denture shows “F” sounds where the lower lip touches the labial surface instead of the incisal edge.

A 63-year-old with a thin knife-edge mandibular ridge needs a complete denture.

A 44-year-old requests an ultra-translucent zirconia anterior crown over a dark stump.

A 70-year-old’s maxillary denture repeatedly drops on wide mouth opening; borders short in hamular notch and PPS minimal.

A 58-year-old Kennedy Class I RPD framework rocks tissue-ward on distal extension during function.

A 61-year-old bruxer fractures two porcelain onlays; wants high strength.

A 52-year-old needs a 3-unit FPD; abutments are short and tapered.

A 36-year-old on delivery of maxillary veneer shows a white cervical line visible on smiling. Gingival tissues are healthy.

A 47-year-old implant single crown is cement-retained; peri-implant mucositis persists despite hygiene.

A 69-year-old has a flabby premaxilla; an immediate denture is planned after extractions.

A 55-year-old’s metal–ceramic FPD shows repeated porcelain fracture at the connector.

A 41-year-old with severe anterior wear requires increasing OVD.

A 60-year-old RPD patient has shallow floor of mouth; dentist prescribed a lingual bar that impinges on gingiva.

A 39-year-old complains the new mandibular denture lifts during speech; teeth set buccal to neutral zone.

A 57-year-old wants a Maryland bridge for a maxillary lateral incisor; enamel is adequate.

A 48-year-old with supraerupted opposing molar lacks space for a crown on the edentulous side FPD.

A 62-year-old has a large palatal torus; refuses surgery.

A 50-year-old with parafunction needs posterior crowns; frequent chipping history.

A mandibular distal extension RPD exhibits food impaction at the distal of the abutment.

A 35-year-old wants minimal-prep veneers; interdental papillae are prone to black triangles.

A 71-year-old complete denture wearer develops midline soreness over an incisive papilla.

A 59-year-old with implant-supported crown has recurrent screw loosening; occlusion shows working interferences.

A 64-year-old’s provisional FPD repeatedly debonds; prep is short.

A 46-year-old presents with a long-span mandibular FPD request replacing first and second molars using premolars as abutments.

A 67-year-old complete denture patient whistles “S” with air escape at palatal rugae.

A 58-year-old with heavily restored canines planned as RPD abutments.

A 42-year-old with high lip line wants maximal esthetics for a single central incisor crown.

A 75-year-old has rocking maxillary denture over midline torus.

A 55-year-old with Kennedy Class III Mod 1 wants clasp-less esthetics anteriorly.

A 45-year-old needs an all-ceramic crown on a mandibular molar with limited interocclusal space.

A 60-year-old reports sore spots at maxillary tuberosities after new dentures; posterior teeth contact early.

A 39-year-old anterior implant crown shows gray shine-through at the gingival margin.

A 72-year-old with unstable mandibular denture asks about best improvement without extensive surgery.

A 53-year-old complains of tongue biting with new dentures.

A 48-year-old with bruxism requests porcelain veneers.

A 66-year-old with thin gingival biotype needs a high-esthetic anterior FPD.

A 51-year-old’s zirconia crown debonds repeatedly from a short prep.

A 58-year-old complains food traps under a hygienic pontic on a mandibular molar FPD.

A 62-year-old’s PFM crown shows a dark metal collar on smiling.

A 47-year-old with combination syndrome lacks posterior support and has epulis fissuratum anteriorly.

A 62-year-old with a distal extension mandibular RPD reports sore spots distal to the last molar; the base ends short of the retromolar pad.

A 54-year-old bruxer’s maxillary complete denture rocks during excursions; anatomic posterior teeth are set with steep cusps.

A 45-year-old with endodontically treated premolar has <1 mm ferrule and minimal coronal dentin.

During delivery of a PFM crown, the proximal contact is open to the adjacent tooth.

A 67-year-old edentulous patient has insufficient PPS and short posteriors; air leaks during speech.

A 33-year-old seeks a resin-bonded FPD (Maryland) for a maxillary lateral incisor; deep overbite contacts the lingual of the canine.

A 58-year-old has porcelain chipping on a veneered zirconia FPD connector. Framework thickness is minimal.

A mandibular lingual bar impinges due to shallow floor of mouth (5–6 mm from gingiva to FOM).

A 72-year-old with implant single crown experiences recurrent screw loosening; one-screw test shows rocking.

A 49-year-old needs a lithium disilicate crown; the lab asks for finish line.

A 64-year-old complains of numb lip and sore coronoid area with maxillary denture.

A 55-year-old has recurrent debonding of a zirconia crown on a short molar prep.

A 70-year-old with mandibular overdenture complains of sore mucosa and instability; attachments are worn.

A 42-year-old’s PFM crown shows a dark line at the cervical margin when smiling; gingiva is healthy.

A 61-year-old distal extension RPD rotates tissue-ward on function; indirect retainer is close to fulcrum line.

A 50-year-old bruxer fractures multiple porcelain veneers incisal edges.

A 47-year-old presents with food impaction under a posterior pontic that lightly presses tissue.

An immediate denture patient returns with generalized soreness; impression was mucostatic and flanges are short.

A 36-year-old requests a night guard for tooth wear but denies parafunction; exam shows posterior interferences and fremitus.

A 59-year-old with a new FPD complains of “thick at the gumline” and bleeding on flossing.