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Dentistry · Orthodontics: ideal orthodontic force
Sample itemA bracket is bonded to a canine and a very heavy archwire force is applied. What is the likely biological result?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Hyalinisation and undermining resorption with delayed movement
Heavy forces occlude the periodontal ligament blood supply, causing a hyalinised sterile necrotic zone and delaying movement until undermining resorption clears it. Light continuous force gives efficient movement.
Option by option
A. Increased bone deposition on the pressure side
Bone is resorbed, not deposited, on the pressure side.
B. Hyalinisation and undermining resorption with delayed movement (correct)
Correct. Excess force causes hyalinisation and slows movement.
C. Faster tooth movement
Heavy force slows rather than speeds movement.
D. No effect on the periodontal ligament
The ligament is clearly affected by force.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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