Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the recommended treatment for a primordial cyst?

1. Watchful waiting

2. Monitor with annual radiographs

3. Refer to oral and maxillofacial surgery

4. Perform endodontic treatment

The correct answer is: Refer to oral and maxillofacial surgery

Primordial cysts are a type of odontogenic cyst that arise from remnants of the dental lamina. They are often asymptomatic and can be discovered incidentally on radiographs. The most appropriate management approach for a primordial cyst is surgical intervention. Referring the patient to an oral and maxillofacial surgeon for excision is recommended because these cysts can potentially lead to complications if left untreated and have a risk of being associated with neoplastic changes. Surgical management allows for definitive diagnosis through histopathological evaluation, as well as complete removal of the cyst, which can help prevent recurrence. Simply monitoring with radiographs or opting for a watchful waiting approach may neglect the potential risks associated with these cysts, such as expansion of the cystic lesion or subsequent infection. Endodontic treatment would be inappropriate as it pertains to pulp problems of teeth and would not address the cyst itself. Therefore, the correct course of action is to refer the patient for surgical evaluation and management. This ensures that potential complications are avoided and that the patient receives comprehensive care for the diagnosis.