Restorative & Materials · single question

A radiolucency is visible between teeth #3 and #4 on periapical radiograph. The MOST likely diagnosis is:

  1. Lateral periodontal cyst
  2. Ameloblastoma
  3. Periapical granuloma
  4. Normal maxillary sinus anatomy
Show answer and explanation

Correct answer: D. Normal maxillary sinus anatomy

  • A. A lateral periodontal cyst occurs along the lateral root surface of vital teeth; less likely in this specific location.
  • B. Ameloblastoma is a locally aggressive odontogenic tumor typically seen as a multilocular lesion in the posterior mandible — not in the maxillary posterior region near #3 and #4.
  • C. Periapical granuloma would be at the APEX of a non-vital tooth, not interproximally between two teeth.
  • D. Correct. The maxillary sinus floor commonly appears as a radiolucency in the region adjacent to and between the maxillary posterior teeth (#3 and #4 region). This is normal anatomy and must not be mistaken for pathology.

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