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Dentistry · Oral pathology: cysts and odontogenic tumours: residual cyst
Sample itemA 55-year-old has a round, well-defined radiolucency in an edentulous area of the mandible where a non-vital molar was extracted 3 years ago, without curettage of the socket. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Residual cyst
A residual cyst is a radicular cyst that was left behind when the causative tooth was extracted. It occurs in an edentulous area and has the same histology as the original radicular cyst. Complete enucleation is the treatment.
Option by option
A. Dentigerous cyst
A dentigerous cyst surrounds the crown of an unerupted tooth.
B. Nasopalatine duct cyst
A nasopalatine duct cyst lies in the anterior midline of the maxilla.
C. Stafne bone cavity
A Stafne cavity lies below the mandibular canal and holds salivary gland tissue.
D. Residual cyst (correct)
Correct. A radicular cyst left after extraction persists as a residual cyst.
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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