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Dentistry · Oral histology and anatomy: false pulp stones
Sample itemRadiographs of an older patient show round calcified masses in the pulp chamber. Sections show concentric lamination around a nidus of degenerating cells, with no dentinal tubules. What are they?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. False pulp stones
False pulp stones form by calcification around degenerating cells, thrombi or collagen bundles and have no tubular structure. True stones have dentinal tubules and are lined by odontoblast-like cells. Diffuse calcifications follow collagen fibres or vessels as streaks.
Option by option
A. True pulp stones
True stones contain tubules and are surrounded by odontoblast-like cells.
B. False pulp stones (correct)
Correct. Laminated masses around degenerating cells without tubules are false stones.
C. Reparative dentine bridges
Dentine bridges form at the site of an exposure and lie across the pulp surface.
D. Diffuse linear calcifications
Diffuse calcifications are irregular streaks along vessels and collagen, not discrete masses.
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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