Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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What is the primary treatment for chelitis in dental management?

Prescribing antibiotics
Increasing vertical dimension of occlusion (VDO)
Applying topical antifungals
Reducing interocclusal space

The correct answer is: Increasing vertical dimension of occlusion (VDO)

The primary treatment for cheilitis within dental management is generally focused on addressing the underlying causes of the condition rather than modifying the occlusion, as altering the vertical dimension of occlusion is not a standard treatment for cheilitis. Chelitis, often characterized by inflammation and cracking of the lips, can stem from various factors, such as fungal infections or vitamin deficiencies. Applying topical antifungals is typically a more relevant and direct approach because many cases of cheilitis, especially angular cheilitis, are linked to fungal infections due to Candida species. By treating with antifungals, dental professionals can effectively target the infection that may be causing the inflammation and discomfort, leading to resolution of symptoms. While reducing interocclusal space and increasing vertical dimension might be relevant in other contexts of dental management or specific conditions, they are not standard treatments for cheilitis and do not address the primary causes of the condition. Thus, focusing on appropriate topical therapies, like antifungals, is considered the primary treatment strategy for managing cheilitis in dental practice.