Radiology · single question

A periapical shows a mesiodens between #8 and #9 in an asymptomatic patient. What is the first step in management?

  1. Take additional radiographs from different angles
  2. Extract the mesiodens immediately
  3. Refer for orthodontic evaluation only
  4. Monitor without imaging
Show answer and explanation

Correct answer: A. Take additional radiographs from different angles

  • A. CORRECT. Localizing the mesiodens with additional angled or 3D imaging (tube shift, CBCT) guides safe management before any surgery.
  • B. INCORRECT. Extraction without localization risks damage to adjacent roots.
  • C. INCORRECT. Orthodontic referral alone skips the needed localization.
  • D. INCORRECT. Monitoring without imaging gives no positional information.

Practice Radiology questions Radiology study notes

More Radiology practice questions