Dental OSCE (Objective Structured Clinical Examination) Practice Exam

How should you approach treating a patient with signs of both vitality and non-vitality in adjacent teeth?

1. Perform extraction of both teeth

2. Consider endodontic therapy for the non-vital tooth

3. Refer for periodontal evaluation only

4. Prioritize restoration of the vital tooth only

The correct answer is: Consider endodontic therapy for the non-vital tooth

Considering the scenario where a patient exhibits signs of both vitality and non-vitality in adjacent teeth, the most appropriate approach is to consider endodontic therapy for the non-vital tooth. This option addresses the critical need to manage the non-vital tooth, which suggests potential necrosis or irreversible pulpitis. If left untreated, a non-vital tooth may lead to further complications such as infection or abscess formation, which could jeopardize the health of the adjacent vital tooth as well. Endodontic therapy aims to remove the infected or damaged pulp from the non-vital tooth and seal the root canal system to prevent future infections. In doing so, this treatment contributes to the overall health and stability of the dentition, preserving both teeth's integrity and function. In contrast, performing an extraction on both teeth could result in unnecessary loss of healthy tissue and function, while referring solely for periodontal evaluation would not address the urgent need for intervention in the non-vital tooth. Prioritizing restoration of only the vital tooth also does not consider the underlying issues in the non-vital tooth, which requires proper management to ensure long-term dental health. Thus, considering endodontic therapy for the non-vital tooth is the most rational and effective course of action