Pathology · single question

A radiograph shows a tooth root with excessive, bulbous radiopaque enlargement and a thin radiolucent line (representing the periodontal ligament space) around the enlarged root. What is the most likely diagnosis?

  1. Hypercementosis
  2. Dens invaginatus
  3. External root resorption
  4. Ankylosis
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Correct answer: A. Hypercementosis

Hypercementosis is excessive deposition of cementum along the tooth root, producing a bulbous, enlarged radiopaque root outline, typically with a normal-appearing, thin radiolucent periodontal ligament space surrounding the enlarged structure — distinguishing it from ankylosis, where the PDL space is lost/obliterated.

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