Radiology · patient case question

A dense radiopaque band is seen running downward and forward from the anterior border of the ramus across the mandibular molar region. Which structure is this?

Patient case: Radiographic anatomy and removable design

Scenario: Three opening items: one radiographic landmark, one RPD component, one shade-selection decision.

Image for the question
  1. Nutrient canal
  2. Mandibular canal
  3. Mylohyoid (internal oblique) groove
  4. External oblique ridge
Show answer and explanation

Correct answer: D. External oblique ridge

  • A. Nutrient canals are fine radiolucent lines, most often seen interdentally in the anterior mandible, and are far thinner than this band.
  • B. The mandibular canal is a radiolucent band with corticated superior and inferior borders running from the mandibular foramen to the mental foramen.
  • C. The mylohyoid groove is lingual and appears as a thin radiolucent line running downward and forward from the lingula — radiolucent, not radiopaque.
  • D. Correct. The external oblique ridge is a buccal cortical thickening that continues from the anterior border of the ramus and sweeps anteroinferiorly over the molars, casting a broad radiopaque band.

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