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Oral Surgery · single question

A large radiolucent tumor is incidentally found in the mandibular ramus on panoramic X-ray. What is the MOST appropriate next step?

  1. Perform an in-office biopsy
  2. Prescribe antibiotics and recall in 2 weeks
  3. Take periapical radiographs
  4. Refer to an oral surgeon
Show answer and explanation

Correct answer: D. Refer to an oral surgeon

An unexpected large radiolucent ramus lesion requires referral to an oral and maxillofacial surgeon for evaluation and possible biopsy.
  • A. ❌ In-office biopsy of a large ramus lesion is inappropriate for a general dentist.
  • B. ❌ Antibiotics without diagnosis are inappropriate.
  • C. ❌ Periapical radiographs provide limited information about a ramus lesion.
  • D. ✅ CORRECT – Refer to an oral surgeon for evaluation of an unexpected mandibular ramus tumor.

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