Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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What is the typical treatment for a Peripheral Giant Cell Granuloma (PGCG)?

Antibiotics
Radiation therapy
Surgical removal
Topical steroids

The correct answer is: Surgical removal

The typical treatment for a Peripheral Giant Cell Granuloma (PGCG) primarily involves surgical removal. This is because PGCG is a benign lesion often associated with underlying irritation or trauma to the gingiva or alveolar mucosa. Surgical excision allows for complete removal of the granuloma and any associated irritants, such as calculus or defective dental restorations, which can contribute to its recurrence. It is important to ensure that the excision is thorough, as incomplete removal can lead to recurrence of the lesion. Other treatment modalities like antibiotics or radiation therapy are not indicated in the management of PGCG, as the nature of this lesion does not warrant such treatments. Furthermore, topical steroids are generally used for inflammatory conditions but are not effective in the direct treatment of PGCG, which requires the removal of the lesion itself to ensure resolution.