Dental OSCE (Objective Structured Clinical Examination) Practice Exam

If a lateral incisor is negative to vitality testing and asymptomatic, what is the recommended treatment?

1. Root canal therapy

2. Extraction of the tooth

3. No treatment required

4. Observation with follow-up

The correct answer is: No treatment required

In the case of a lateral incisor that is negative to vitality testing but asymptomatic, the recommended treatment is often no treatment required. This is based on the understanding that a tooth can lose vitality for various reasons, including trauma or previous treatment, and it may not necessarily require immediate intervention if it is not causing any symptoms or issues. Asymptomatic teeth that are non-vital can remain in the arch without treatment, especially if there are no signs of infection, such as swelling or abscess formation. In some cases, these teeth may remain stable for many years without any adverse effects. The decision to avoid intervention helps in preventing unnecessary treatments such as root canal therapy, which could lead to additional complications or the need for further procedures. Moreover, monitoring the tooth and its condition over time can be a prudent approach, allowing for intervention if symptoms arise later or if status changes. This approach aligns with the principles of minimally invasive dentistry, emphasizing the importance of preserving tooth structure and functionality whenever possible. Regular follow-up allows the practitioner to reassess the condition of the tooth and take action if any changes occur.