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Dentistry · Orthodontics and paediatric dentistry: oral habits
Sample itemA 9-year-old pushes the tongue forward between the teeth when swallowing. Which malocclusion is most likely to result?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Anterior open bite
A persistent tongue thrust applies forward force between the incisors, keeping them apart and causing an anterior open bite, often with a lisp. A deep overbite is the opposite of this.
Option by option
A. Class III with prognathic mandible
Skeletal Class III is genetic and is not caused by a swallow pattern.
B. Posterior lingual crossbite from a short palate
A tongue thrust does not narrow the palate; low tongue posture and mouth breathing do.
C. Anterior open bite (correct)
Correct. Forward tongue pressure prevents incisor eruption into contact.
D. Deep overbite
Deep overbite results from excessive incisor eruption, not from a tongue thrust.
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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