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Dentistry · Orthodontics and paediatric dentistry: lip bumper
Sample itemA 13-year-old has mild lower arch crowding and a strong lower lip that presses on the lower incisors and molars. Which appliance gains arch length by removing this pressure?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Lip bumper
A lip bumper holds the lip away from the lower incisors and passes the lip force to the molar bands, which tips the molars distally, while removal of lip pressure lets the incisors procline and the arch widen. It gains a few millimetres of arch length. A quad helix expands the upper arch, and a chin cup restrains the mandible.
Option by option
A. Quad helix
A quad helix expands the maxillary arch and acts on the upper molars.
B. Lip bumper (correct)
Correct. A lip bumper removes lip pressure and lets the lower arch gain space.
C. Transpalatal arch
A transpalatal arch stabilises the upper molars across the palate.
D. Chin cup
A chin cup directs force to the mandible and does not create lower arch space.
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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