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Dentistry · Oral histology and anatomy: pulp blood supply
Sample itemA tooth is struck and the pulp becomes necrotic although the crown looks intact. Through which opening do the main vessels and nerves enter the pulp, making it vulnerable to this injury?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Apical foramen
The main neurovascular bundle enters through the apical foramen, with small contributions via accessory canals. A blow that severs this supply can cause ischaemic pulp necrosis without visible crown damage.
Option by option
A. Cemento-enamel junction
The cemento-enamel junction is a surface landmark and has no vascular opening.
B. Dentinal tubules
Tubules carry odontoblast processes and fluid, not the main vessels.
C. Apical foramen (correct)
Correct. The apical foramen is the principal portal for pulp vessels and nerves.
D. Gingival sulcus
The sulcus is a gingival space and not a route into the pulp.
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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