**Core Concept**
A chronic alveolar abscess is a type of dental infection characterized by a localized collection of pus within the alveolar bone surrounding a tooth. This occurs due to a failure of the body's immune response to resolve the infection, leading to a persistent inflammatory process.
**Why the Correct Answer is Right**
A chronic alveolar abscess is typically associated with a **loosening of the tooth**, **swelling and redness of the surrounding gum tissue**, **pulsation of the abscess**, and **delayed healing**. The loosening of the tooth occurs due to the destruction of the alveolar bone, while the swelling and redness are signs of inflammation. The pulsation of the abscess is due to the pressure of the pus against the periodontal ligament. The delayed healing is a result of the persistent infection and inflammation.
**Why Each Wrong Option is Incorrect**
**Option A:** A tooth with a chronic alveolar abscess may not necessarily have an increased mobility of the tooth. While some degree of loosening may occur, the primary feature is the localized collection of pus within the alveolar bone.
**Option B:** Swelling and redness of the surrounding gum tissue is a characteristic feature of a chronic alveolar abscess, making this statement true.
**Option C:** Pulsation of the abscess is a classic sign of a chronic alveolar abscess, making this statement true.
**Option D:** Delayed healing is a hallmark of a chronic alveolar abscess, making this statement true.
**Clinical Pearl / High-Yield Fact**
It is essential to note that a chronic alveolar abscess can be a sign of underlying systemic conditions such as diabetes mellitus, which may compromise the body's immune response and lead to persistent infections.
**Correct Answer:** A
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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