Radiology · single question

Sialolithiasis of the PAROTID gland. Which radiograph best aids in diagnosis?

  1. Periapical
  2. Lateral cephalometric / lateral oblique
  3. Occlusal
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Correct answer: B. Lateral cephalometric / lateral oblique

  • A. Incorrect. A periapical film is too small and intended for individual teeth; it cannot capture the parotid gland/Stensen's duct region.
  • B. Correct. A lateral (cephalometric/oblique) projection best demonstrates a parotid calculus because the gland lies lateral-posterior over the ramus, outside the reach of an intraoral occlusal film.
  • C. Incorrect. The occlusal (cross-sectional) film is the classic choice for SUBMANDIBULAR (Wharton's duct, floor of mouth) stones, not parotid stones.

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