Australian Dental Council (ADC) Test 2026 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 1390

In a patient with Class II Division II type with deep bite, which treatment is contraindicated after losing the lateral incisor?

Fixed bridge with canine and central incisor as abutment

In the context of a patient with Class II Division II malocclusion and a deep bite, the concern with losing a lateral incisor primarily revolves around occlusal relationships and maintaining proper dental alignment.

When considering treatment options, a fixed bridge that utilizes the canine and central incisor as abutments may not be advisable. In patients with deep bites and Class II Division II, the occlusal forces and the positioning of the remaining teeth can lead to further complications. These situations can exacerbate the already present crowding or misalignment issues. Moreover, the fixed bridge may not address the functional requirements of the occlusion effectively due to altered contact relationships, especially regarding the anterior teeth’s vertical dimension and overall incisal guidance.

On the other hand, non-rigid connectors or removable partial dentures could potentially provide better flexibility in accommodating the functional occlusion without negatively affecting the surrounding structures. Immediate implant placement may also be an option, depending on the patient’s bone health and available space, although it should be evaluated on a case-by-case basis. Each of those alternatives can adapt to the functional and aesthetic needs presented by the loss of a lateral incisor in this specific type of malocclusion.

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Non-rigid connector with central incisor as abutment

Removable partial denture using molars as abutments

Immediate implant placement for the missing incisor

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