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Dentistry · Dental materials and radiology: fibrous dysplasia
Sample itemA 14-year-old has a slowly growing painless expansion of the maxilla. A radiograph shows a uniform ground glass appearance without clear borders. What is the likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Fibrous dysplasia
Fibrous dysplasia replaces normal bone with fibrous tissue and woven bone, giving a ground glass look with blended margins. The maxilla is commonly affected, and the lesion usually stabilises after puberty.
Option by option
A. Osteosarcoma
Osteosarcoma is painful, destructive and shows periosteal reaction.
B. Fibrous dysplasia (correct)
Correct. Ground glass with ill-defined edges is typical.
C. Odontoma
An odontoma is a well-defined radiopaque mass.
D. Periapical abscess
An abscess is painful and localised around a tooth.
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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