Pathology · single question

The bluish discoloration on this patient's gingiva (with adjacent amalgam restorations) is caused by:

  1. Foreign material (amalgam particles)
  2. A varix (venous dilation)
  3. Melanin deposition
  4. Subepithelial hemorrhage
Show answer and explanation

Correct answer: A. Foreign material (amalgam particles)

  • A. Correct. The pigment is embedded foreign metallic material (amalgam) — a foreign-body pigmentation.
  • B. A varix is a dilated vein (often ventral tongue/lip) that blanches; not related to amalgam.
  • C. Melanin pigmentation is endogenous, not from a metallic foreign body.
  • D. Hemorrhage would resolve over days and would not be persistent/radiopaque.

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