Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the recommended treatment for a child with Fibrous Dysplasia?

1. Immediate surgical removal of all affected areas

2. Prolong surgical intervention as long as possible

3. Radiation therapy

4. Medication management only

The correct answer is: Prolong surgical intervention as long as possible

The recommended treatment for a child with Fibrous Dysplasia is to prolong surgical intervention as long as possible. This approach is guided by several factors associated with the condition. Fibrous Dysplasia is a developmental disorder where normal bone is replaced with fibrous tissue, often leading to deformities and fractures. In children, the lesions may stabilize or even regress as they grow, which is why delaying surgical intervention makes sense. Surgical options are typically reserved for cases where there are significant functional impairments, pain, or cosmetic concerns that require correction. By postponing surgery, clinicians can monitor the progression of the disease, allowing for a more informed decision about the necessity and timing of any interventions. This approach minimizes unnecessary surgical risks and recognizes that many patients will not need curative surgery as their condition may improve with time. Other treatment options, like immediate surgical removal or radiation therapy, are not standard recommendations due to the risks and the nature of the condition, which does not typically respond to those modalities in a constructive manner. Medication management alone may not address the structural and functional issues that arise from Fibrous Dysplasia, making it inadequate as a standalone treatment.