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Answer :
Final answer:
The most important finding of a chronic apical abscess is radiolucent at the apex.
Explanation:
The most important finding of a chronic apical abscess is radiolucent at the apex. In dental radiography, a radiolucent area refers to a dark shadow on the X-ray image, indicating bone loss. In the case of a chronic apical abscess, the infection has caused bone destruction at the apex of the tooth, leading to a radiolucent area on the X-ray.
The other options mentioned in the question are not necessarily exclusive to a chronic apical abscess. Swelling may be present, but it can occur in various dental conditions. A draining sinus tract may also be found, but it is not always present in every case.
Therefore, the most reliable finding to diagnose a chronic apical abscess is a radiolucent area at the apex of the tooth on a dental X-ray image.
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