Endodontics · single question

A periapical radiograph shows a combined lateral-and-apical radiolucency (rarefaction) along a tooth's root. What is the most likely cause?

  1. Vertical root fracture
  2. Simple chronic apical periodontitis only
  3. Normal anatomic variation
  4. External root resorption only, unrelated to any fracture
Show answer and explanation

Correct answer: A. Vertical root fracture

A combined apical-and-lateral pattern of bony rarefaction along a root is a classic (though not universally present) radiographic sign of a vertical root fracture, sometimes described as a 'J-shaped' or halo-type radiolucency — though the fracture line itself is often not directly visible due to its orientation relative to the X-ray beam.

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