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Dentistry · Oral pathology: cementoblastoma
Sample itemA teenager has pain and swelling near a mandibular first molar. A radiograph shows a dense radiopaque mass fused to the root, surrounded by a thin radiolucent rim. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Cementoblastoma
Cementoblastoma is a true neoplasm of cementum that is fused to the tooth root and rimmed by a radiolucent halo. Extraction of the tooth with the mass is the usual treatment.
Option by option
A. Periapical cemental dysplasia
Periapical cemental dysplasia involves several lower incisors and teeth remain vital without root fusion.
B. Cementoblastoma (correct)
Correct. A root-fused radiopaque mass with a halo is typical.
C. Condensing osteitis
Condensing osteitis shows sclerotic bone without a radiolucent rim or root fusion.
D. Complex odontoma
A complex odontoma is a mass separate from root surfaces, usually in an unerupted position.
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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