Question 279 · LDEK · Periapical diseases

A 25-year-old female came to the dental office complaining on a painless elevation of vestibular oral mucosa in the apical region of the tooth 14. On examination, when the lesion was pressed exudate appeared from the sinus tract that initially was purulent and then stained with blood. The most probable diagnosis is:

  1. A. apical cyst.
  2. B. acute apical abscess.
  3. C. chronic apical abscess.
  4. D. condensing osteitis.
  5. E. hyperplastic pulpitis.
Hint

A painless swelling that discharges pus on pressure is the opening of a drainage pathway from a long-standing periapical infection.

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