Dental OSCE (Objective Structured Clinical Examination) Practice Exam

If a patient presents with tenderness anterior to the earlobe and inflamed Stenson's duct, what should the dentist do?

1. Prescribe antibiotics

2. Stimulate the parotid gland

3. Perform a deep cleaning

4. Refer to an oral surgeon

The correct answer is: Stimulate the parotid gland

When a patient presents with tenderness anterior to the earlobe and inflammation of Stenson's duct, stimulating the parotid gland is often the most appropriate course of action. This approach can help to promote salivary flow, which may flush out any blockages within the duct and alleviate the discomfort associated with sialadenitis, or inflammation of the salivary gland. By applying gentle massage or encouraging the patient to chew food or utilize sour candies, you can stimulate saliva production and potentially relieve the obstruction that is causing the inflammation and tenderness. In cases of acute inflammation, simply prescribing antibiotics may not be adequate if the issue is related to a duct obstruction rather than an infection. A deep cleaning is not relevant in this situation, as it pertains to periodontal issues rather than acute salivary gland problems. Referral to an oral surgeon may be necessary if there are complications, such as an abscess or if conservative measures fail, but initial management should focus on stimulating the gland to address the primary issue of duct obstruction.