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Dentistry · Tooth development and dental anatomy: eruption disorders
Sample itemA 14-month-old has a bluish, soft, dome-shaped swelling over the gum where a lower primary molar is about to erupt. The child feeds well and is afebrile. What is the best management?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Observe, as the tooth usually erupts through it
An eruption cyst forms from fluid or blood in the follicular space over an erupting tooth. It almost always ruptures as the tooth breaks through, so observation is enough.
Option by option
A. Biopsy to exclude a vascular tumour
The typical appearance and site make a biopsy unnecessary.
B. Observe, as the tooth usually erupts through it (correct)
Correct. An eruption cyst resolves with eruption of the tooth beneath it.
C. Marsupialise under general anaesthesia
Surgery is rarely needed and is reserved for persistent or infected lesions.
D. Start oral antibiotics
There is no infection, so antibiotics have no role.
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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