Endodontics · single question

A patient has a dental fistula (sinus tract) that has been present on and off for one year. What are the PRIMARY cells seen in the purulent exudate?

  1. Lymphocytes
  2. Monocytes
  3. Neutrophils
Show answer and explanation

Correct answer: C. Neutrophils

✓ C) Neutrophils is correct.
Pus/purulent exudate is primarily composed of neutrophils (PMNs — polymorphonuclear leukocytes). Neutrophils are the first responders in acute bacterial infection. Even in a chronic fistula, the exudate itself contains predominantly neutrophils. Lymphocytes predominate in chronic granulomatous inflammation of the surrounding tissue. Monocytes differentiate into macrophages in chronic inflammation.

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