Try it
Dentistry · Caries, pulp and periodontal disease: pericoronitis
Sample itemA 20-year-old has trismus, bad taste, and swollen painful gum over a partially erupted lower third molar. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Acute pericoronitis
Pericoronitis is inflammation of the soft tissue flap (operculum) covering a partly erupted tooth, most often the lower third molar. Irrigation, antibiotics when needed and later operculectomy or extraction are used.
Option by option
A. Dentigerous cyst
A dentigerous cyst is usually painless unless infected.
B. Acute pericoronitis (correct)
Correct. A partially erupted lower third molar with flap infection defines pericoronitis.
C. Dry socket
Dry socket follows a recent extraction.
D. Ludwig angina
Ludwig angina is a bilateral submandibular space cellulitis with airway risk.
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.
More Dentistry questions
- Tooth development: Hertwig's root sheathDuring tooth development, which structure induces odontoblast differentiation in the roo…
- Tooth eruption: first permanent toothA 6-year-old child has a new tooth behind the last deciduous molar, with no deciduous to…
- Tooth development: neonatal lineGround sections of deciduous teeth show an accentuated incremental line in enamel and de…
- Tooth development: cell rests of MalassezEpithelial cell rests of Malassez persist in the periodontal ligament. Which cyst most o…