**Question:** In the construction of immediate denture, anterior teeth that are extracted

A. Incisors
B. Canines
C. Premolars
D. Molars

**Core Concept:** Immediate dentures are dentures placed immediately after the extraction of teeth, aiming to provide functional and esthetic results. In such cases, the extraction sites need to be considered while designing the denture.

**Why the Correct Answer is Right:** In immediate denture cases, the primary concern is to preserve the oral function and esthetics. The anterior teeth that are crucial for mastication, speech, and esthetics are the incisors and canines. Extracting only these teeth allows for better adaptation of the denture to the oral tissues, reducing the risk of alveolar atrophy and maintaining the oral function.

**Why Each Wrong Option is Incorrect:**

A. Incisors are essential for mastication, speech, and esthetics, making them inappropriate for extraction in immediate denture construction.
B. Canines are also crucial for mastication, speech, and esthetics, making their extraction in immediate denture construction ill-advised.
C. Premolars contribute to mastication and esthetics but are less critical than incisors and canines, making their extraction less detrimental in immediate denture construction compared to posterior teeth.
D. Molars are primarily involved in mastication and have limited influence on speech and esthetics, making their extraction less crucial compared to incisors, canines, and premolars in immediate denture construction.

**Clinical Pearl:** In immediate denture construction, it is crucial to prioritize the extraction of incisors and canines, while considering the extraction of premolars judiciously, to ensure optimal oral function and esthetics. In contrast, molars are less critical for these purposes and can be extracted less carefully.

**Correct Answer:** D. Molars