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DANB's Certified Restorative Functions Dental Assistant - Blogs Sample Questions

Distoclusion has a mesiobuccal cusp located in the:





Correct Answer:
maxillary first molar
to understand the context of the question and its correct answer, it's essential to delve into some key dental terms and anatomical references.

the term "distoclusion" refers to a class ii malocclusion as categorized by edward angle, who is considered the father of modern orthodontics. in this type of malocclusion, the lower jaw (mandible) is positioned backward relative to the upper jaw (maxilla), leading to misalignment of the teeth.

the term "mesiobuccal cusp" refers to a specific point on a tooth. molars, which are large teeth at the back of the mouth used primarily for grinding food, have several cusps (pointed or rounded projections on the crown of the tooth). the mesiobuccal cusp is located on the mesial (towards the midline of the face) and buccal (cheek side) aspect of the tooth.

in the context of the question, when it refers to the "mesiobuccal cusp located in the maxillary right molar," it is specifically talking about the positioning of this cusp in relation to other teeth in cases of distoclusion. for individuals with distoclusion, when observing the dental arches, the maxillary first molar's mesiobuccal cusp is notably located anterior (more towards the front of the mouth) to the buccal groove of the mandibular first molar. this is due to the retruded position of the mandible, causing the lower teeth to align more posteriorly (towards the back of the mouth) relative to the upper teeth.

the maxillary first molar is critical in dental occlusion because it typically interacts with the mandibular first molar, helping to determine the overall bite and alignment of the jaws. in the case of distoclusion, the altered position of the maxillary first molar's mesiobuccal cusp exemplifies the malocclusion and helps in diagnosing and planning orthodontic treatment.

therefore, when the question asks where the mesiobuccal cusp located in the context of distoclusion, the accurate answer is "maxillary first molar." this reflects the altered occlusal relationship in class ii malocclusion, where the maxillary teeth are more anterior compared to their normal positioning relative to the mandibular teeth. this understanding is crucial for dental professionals when assessing, diagnosing, and treating malocclusions to achieve proper alignment and function of the jaws and teeth.