Radiology · single question

On an occlusal radiograph of the anterior maxilla, you identify a shadow at the incisal edge of the anterior teeth. What is this MOST likely representing?

  1. Pathological lesion (periapical abscess)
  2. Normal anatomy (tip of the nose / nasal soft tissue)
  3. Retained root fragment
  4. Foreign body artifact
Show answer and explanation

Correct answer: B. Normal anatomy (tip of the nose / nasal soft tissue)

On maxillary anterior occlusal radiographs, the tip of the nose is a common normal anatomical landmark that appears as a radiopaque shadow at or near the incisal edge of the anterior teeth. Recognizing normal anatomical structures (nasal tip, nasal septum, nasal bones, vomer, anterior nasal spine) on occlusal films prevents misdiagnosis. No pathological workup is needed for this normal finding.

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