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Dentistry · Oral pathology: dentigerous cyst
Sample itemA teenager has a unilocular radiolucency enclosing the crown of an unerupted mandibular third molar, attached at the cementoenamel junction. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Dentigerous cyst
A dentigerous cyst surrounds the crown of an unerupted tooth and attaches at the cementoenamel junction. Mandibular third molars and maxillary canines are the usual teeth involved. Enucleation with removal of the tooth is standard.
Option by option
A. Radicular cyst
A radicular cyst lies at the apex of a non-vital erupted tooth.
B. Lateral periodontal cyst
The lateral periodontal cyst lies beside a vital tooth root.
C. Dentigerous cyst (correct)
Correct. Attachment at the cementoenamel junction around an unerupted crown defines it.
D. Nasopalatine duct cyst
The nasopalatine cyst lies in the anterior midline of the palate.
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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