Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the primary treatment approach for Primary herpetic gingivostomatitis?

1. Antibiotics

2. Palliative care

3. Antiviral medications

4. Topical steroids

The correct answer is: Palliative care

The primary treatment approach for Primary herpetic gingivostomatitis is palliative care. This condition, usually caused by the herpes simplex virus, often presents with symptoms such as painful gingival swelling, ulcers in the mouth, and systemic symptoms like fever. Given that the infection is viral, antibiotics are ineffective and won't address the root cause of the condition. Antiviral medications can be used in certain cases, particularly in more severe or recurrent infections, but they are not typically the first line of management for uncomplicated cases of primary infection. Palliative care involves managing symptoms to improve comfort. This can include hydration, pain relief through oral analgesics, and possibly topical anesthetics to alleviate the discomfort. Since the lesions are self-limiting, supportive care allows for recovery while addressing the pain and discomfort the patient is experiencing. Topical steroids are not indicated as they do not specifically target viral infections and could potentially worsen the condition by immunosuppression at the site of infection.