Endodontics · single question

True or false: a radiolucent lesion of NON-endodontic origin will remain superimposed over the apex of the suspected tooth regardless of the horizontal cone angulation used.

  1. True, but only for lesions larger than 5 mm
  2. False — but only when a parallel technique is used
  3. False — a non-endodontic lesion typically shifts away from the apex when the angulation changes
  4. True — non-endodontic lesions are fixed at the apex
Show answer and explanation

Correct answer: C. False — a non-endodontic lesion typically shifts away from the apex when the angulation changes

  • A. Lesion size does not change the parallax principle; the behaviour depends on the anatomical relationship, not the dimensions.
  • B. The parallax effect operates with both paralleling and bisecting-angle techniques.
  • C. CORRECT. This is the diagnostic value of the SLOB rule applied to periapical pathology. A lesion of ENDODONTIC origin arises from the apical foramen and therefore stays centred on the apex no matter how the tube head is angled. A lesion of NON-endodontic origin — an incisive canal, a lateral periodontal cyst, a mental foramen, an odontogenic tumour — is a separate anatomical structure, so shifting the horizontal angulation makes it move relative to the root.
  • D. This reverses the rule. It is the endodontic lesion that stays anchored to the apex.

Note: SLOB: Same Lingual, Opposite Buccal. Take a second film at a different horizontal angle whenever an apical radiolucency might not be endodontic — and always confirm with pulp testing.

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