Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the approach to treat vascular issues resulting from periodontal therapy?

1. Immediate suturing

2. Apply pressure and re-evaluate

3. Use topical antibiotics

4. Delay treatment for observation

The correct answer is: Apply pressure and re-evaluate

The approach of applying pressure and re-evaluating is appropriate for managing vascular issues that may arise from periodontal therapy. When a patient experiences bleeding or other vascular complications as a result of the procedure, applying localized pressure can help to control the hemorrhage and minimize blood loss. After applying pressure for a suitable duration, re-evaluating the situation allows the clinician to assess whether the bleeding has stopped and if further intervention is necessary. This method provides a balanced approach, ensuring that immediate concerns are addressed while also allowing the clinician to gather more information about the patient's condition. Other approaches, such as immediate suturing, may not be necessary in all cases and could potentially complicate the situation if applied prematurely. Topical antibiotics are not directly related to the management of vascular complications; they focus on infection control rather than bleeding issues. Lastly, delaying treatment for observation may not be advisable in cases of active bleeding, as timely intervention is crucial for ensuring patient safety and comfort. Thus, applying pressure and re-evaluating is the most effective first step in managing vascular issues following periodontal therapy.