Question 282 · LDEK · Periapical diseases

A 35-year-old patient reports with a single lesion of about 3 mm in diameter, located on the alveolar mucosa, which appeared about a week ago on the buccal side in the region of the root apex of tooth 23. The tooth 23 was painless, not tender on percussion. The X-ray picture revealed translucency by the apex of tooth 23. The above changes are most likely to be:

  1. A. minor aphthous ulceration.
  2. B. acute apical abscess.
  3. C. sinus tract.
  4. D. periodontal cyst.
  5. E. apical granuloma.
Hint

A small, painless mucosal lesion over the apex of a tooth with a periapical radiolucency suggests a drainage pathway.

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