Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the typical treatment for geographic tongue?

1. Topical steroids

2. Systemic medication

3. None

4. Antifungal treatment

The correct answer is: None

Geographic tongue, also known as benign migratory glossitis, is a condition characterized by smooth, red patches on the tongue surrounded by white borders. Despite its appearance, geographic tongue usually does not require treatment unless discomfort or pain is experienced. Most cases are asymptomatic and self-resolving, making the approach of doing nothing the most common course of action in otherwise healthy individuals. In cases where patients do experience discomfort, topical medications might be suggested to alleviate symptoms, yet these are not routinely necessary. This understanding aligns with the principle of conservative management in cases where the condition poses no significant health risk or discomfort. Treatment options that are often discussed, such as topical steroids or antifungal treatments, are not standard due to the benign nature and self-limiting aspect of geographic tongue. Thus, the correct choice reflects the typical management approach of monitoring and reassurance without active treatment.