Radiology · single question

A white chalky area is noted on the mid-facial surface of the canine. What is this lesion?

  1. Enamel hypocalcification (white-spot lesion)
  2. Hypercalcification
  3. Amelogenesis imperfecta
  4. Fluorosis-related staining
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Correct answer: A. Enamel hypocalcification (white-spot lesion)

A focal chalky-white area on a single tooth is a hypocalcified (demineralized) white-spot lesion — the earliest sign of caries or plaque-induced demineralization. Amelogenesis imperfecta is generalized and affects all teeth. Hypercalcification is not a standard clinical term for this appearance.

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