skip to main content

Paget Disease Maxilla — MFDS Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateHuman DiseasePaget Disease MaxillaMFDS Part 1

A 68-year-old patient has confirmed Paget disease of bone involving the maxilla, with progressive maxillary enlargement. Which dental radiographic finding is most characteristic of this condition?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Generalised bulbous root enlargement from excess cementum deposition

The characteristic dental finding is generalised hypercementosis, which produces bulbous enlargement of tooth roots and may be associated with ankylosis. Paget disease causes excessive, disorganised bone resorption and formation; maxillary involvement may also produce progressive enlargement and altered dental relationships. External root resorption and tapered roots are not characteristic. Punched-out radiolucencies suggest disorders such as multiple myeloma, while a floating-teeth appearance is associated with destructive conditions such as Langerhans cell histiocytosis. Normal roots and supporting bone would be inconsistent with clinically and radiographically established maxillary involvement.

Reference: Amaya N, Itoiz ME, Paparella ML. Paget's disease of the jaws: Histopathological features of a series of 31 cases. Acta Odontol Latinoam. 2021;34(3):257–262. https://pubmed.ncbi.nlm.nih.gov/35088813/