Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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What is the primary treatment for a median palatal cyst?

Observation
Surgical removal or excision
Antibiotic therapy
Root canal treatment

The correct answer is: Surgical removal or excision

The primary treatment for a median palatal cyst is surgical removal or excision. Median palatal cysts are generally asymptomatic but require intervention due to their potential for growth and the possibility of complications if left untreated. Surgical excision not only provides definitive diagnosis by allowing histopathological examination of the cystic tissue but also resolves any aesthetic or functional concerns associated with the cyst. Observation may be appropriate for asymptomatic cases in certain situations, but surgical intervention is more definitive, effectively preventing recurrence and addressing any concerns the patient might have. Antibiotic therapy is typically used for managing infections rather than curing cysts and would not address the underlying cystic structure. Similarly, root canal treatment is designed for managing diseases related to dental pulp and is not applicable to cysts that are not related to the tooth structure. Thus, surgical removal remains the most effective and widely accepted treatment choice for a median palatal cyst.