Endodontics · single question

What is the characteristic feature of a cyst capsule formed by Malassez epithelial rests?

  1. It is well-defined and fibrous
  2. It is impermeable to fluids
  3. It is lined with enamel
  4. It contains ameloblasts
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Correct answer: A. It is well-defined and fibrous

Rests of Malassez are epithelial remnants of Hertwig's Epithelial Root Sheath that persist in the PDL. When stimulated (by periapical inflammation), they proliferate to form a RADICULAR (periapical) CYST. The cyst capsule is well-defined and FIBROUS (connective tissue wall) lined with non-keratinizing stratified squamous epithelium. It is NOT lined with enamel (C wrong), NOT impermeable — cysts can accumulate fluid (B wrong), and does NOT contain ameloblasts — those are in enamel-forming organs (D wrong). A is correct.

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