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Dentistry · Orthodontics and paediatric dentistry: retention
Sample itemAfter correction of a rotated upper incisor, relapse is greatest. Which tissue is considered chiefly responsible for rotational relapse?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Supracrestal gingival fibres
Supracrestal gingival fibres remodel slowly and recoil to pull rotated teeth back. Pericision, which severs them, or prolonged retention reduces relapse.
Option by option
A. Transseptal collagen of the dentine
Dentine collagen is not part of the periodontal fibre system.
B. Enamel prisms
Enamel prisms are mineral structures that do not pull teeth.
C. Supracrestal gingival fibres (correct)
Correct. Supracrestal fibres recoil after rotation.
D. Cementum cells
Cementum cells do not generate recoil forces.
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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