Radiology · single question

On a bitewing radiograph, which radiopaque structure may be superimposed when the projection captures the maxillary region, appearing as a triangular projection near the maxillary tuberosity?

  1. Coronoid process of the mandible
  2. Hyoid bone
  3. Hamulus only
  4. Zygomatic arch only
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Correct answer: A. Coronoid process of the mandible

The coronoid process of the mandible can be projected onto the maxillary molar region (especially on periapical/bitewing images taken with the mouth open), appearing as a triangular radiopacity near the tuberosity.Other options: The hyoid sits low below the mandible; the hamulus and zygomatic process have different positions/appearances.Key exam takeaway: Coronoid process = triangular radiopacity superimposed near the maxillary tuberosity on maxillary projections.

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