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Dentistry · Oral pathology: cysts and odontogenic tumours: lateral periodontal cyst histology
Sample itemA 45-year-old has a 7 mm well-circumscribed radiolucency between the roots of vital mandibular canine and first premolar. Histology of the removed cyst shows a thin lining with focal thickened plaques of glycogen-rich clear cells. What is it?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Lateral periodontal cyst
A lateral periodontal cyst is a developmental cyst of the lateral root area of vital teeth, most often mandibular canine and premolar. It has a thin non-keratinised lining with focal epithelial plaques of clear glycogen-rich cells. Enucleation cures it.
Option by option
A. Paradental cyst
A paradental cyst follows pericoronitis around a third molar.
B. Glandular odontogenic cyst
A glandular odontogenic cyst has mucous cells and ciliated cells in the lining.
C. Radicular cyst
A radicular cyst needs a non-vital tooth and shows inflammation.
D. Lateral periodontal cyst (correct)
Correct. A small lateral radiolucency at vital teeth with plaques of clear cells fits this 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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