Endodontics · single question

A periapical radiograph shows a 'J-shaped' radiolucency tracking along a root, and the patient reports pain on biting. The most likely diagnosis is:

  1. Periapical abscess
  2. Vertical root fracture
  3. Lateral periodontal cyst
  4. Condensing osteitis
Show answer and explanation

Correct answer: B. Vertical root fracture

  • A. A periapical abscess produces an apical radiolucency, not a J-shaped vertical lesion plus a fracture pattern.
  • B. Correct. A 'J-shaped' (halo) radiolucency and pain on biting are classic for a vertical root fracture.
  • C. A lateral periodontal cyst is an asymptomatic well-defined lateral radiolucency.
  • D. Condensing osteitis is radiopaque, not radiolucent.

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