Pathology · single question

Identifying dilaceration on a radiograph: which radiographic finding is most consistent with dilaceration?

  1. Missing root development
  2. Enlarged pulp chamber
  3. Sharp curvature or bend in the root
  4. Horizontal pulpal remnant (chevron shape)
Show answer and explanation

Correct answer: C. Sharp curvature or bend in the root

DILACERATION is a developmental anomaly characterized by an abrupt bend or curve (angular deformity) in the root or crown of a tooth, resulting from trauma or displacement of the developing tooth germ. On radiograph, dilaceration appears as a sharp BEND or ANGULATION in the root, which can be anywhere along the root length. This distinguishes it from the gradual curve of curved roots (curvature) or root curvature.
  • A. INCORRECT. Missing/short root development is characteristic of dentin dysplasia type I or other developmental anomalies, not specifically dilaceration.
  • B. INCORRECT. Enlarged pulp chamber is characteristic of taurodontism — not dilaceration.
  • C. CORRECT. DILACERATION shows as a sharp BEND or ANGULATION in the root on radiograph — an abrupt directional change rather than a gradual curve. This represents a traumatic deformity of the forming tooth.
  • D. INCORRECT. A horizontal chevron-shaped pulpal remnant is characteristic of DENTIN DYSPLASIA TYPE I (radicular dentin dysplasia).

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