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Dentistry · Tooth development and dental anatomy: gingival cysts of the newborn
Sample itemA newborn has several tiny white nodules along the alveolar ridges. They are keratin-filled epithelial cysts that disappear within weeks. From which epithelial remnants do they usually arise?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Dental lamina remnants (rests of Serres)
Gingival cysts of the newborn, also called dental lamina cysts, arise from remnants of the dental lamina in the alveolar mucosa. They rupture spontaneously and need no treatment. Midline palatal cysts instead come from entrapped palatal fusion epithelium.
Option by option
A. Epithelial rests of Malassez
Rests of Malassez lie in the periodontal ligament and are not present in the newborn alveolar mucosa.
B. Fused palatal shelf epithelium
Fused palatal shelf epithelium gives the midpalatal raphe cysts, not alveolar ridge cysts.
C. Dental lamina remnants (rests of Serres) (correct)
Correct. Dental lamina remnants lie in the gingiva and form these small cysts.
D. Reduced enamel epithelium
The reduced enamel epithelium covers the crown of a formed tooth and is not the source here.
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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