Dental OSCE (Objective Structured Clinical Examination) Practice Exam

If a traumatic ulcer forms after extraction, what is the proper treatment?

1. Immediate surgical intervention

2. Prescription of topical anesthetics

3. Observation and re-evaluation in 2 weeks

4. Application of antiseptic ointment

The correct answer is: Observation and re-evaluation in 2 weeks

When addressing a traumatic ulcer that forms after an extraction, the appropriate approach is to observe and re-evaluate the healing process after a period, typically around two weeks. This treatment option allows the clinician to monitor for natural healing, as traumatic ulcers often resolve spontaneously without the need for invasive intervention. The majority of these types of ulcers are self-limiting and may heal on their own given time, assuming there are no underlying complicating factors such as infection or systemic issues impacting healing. In cases where the ulcer does not show signs of improvement or if it worsens, further evaluation can guide additional treatment. It is also important to educate patients on maintaining good oral hygiene and possibly using non-irritating products to alleviate discomfort. The other options, such as immediate surgical intervention, topical anesthetics, or antiseptic ointment, may not be necessary in the absence of complicating factors. Surgical intervention is typically reserved for cases where there's significant concern for complications, while topical anesthetics and antiseptics may provide symptomatic relief but do not address the healing process directly.