A 7-year-old child reported to clinic with mother. The child complains of severe pain and swelling in the tooth. On examination, the child had a grossly decayed molar with abscess. What will be the next step?
**Core Concept**
The child's presentation of severe pain, swelling, and abscess formation suggests a dental infection, specifically a periapical abscess. The next step involves managing the infection and relieving the pain, which is crucial in pediatric dentistry.
**Why the Correct Answer is Right**
The correct answer involves drainage of the abscess, which is essential in relieving the pain and preventing further complications. This is typically done by incising and draining the abscess, often accompanied by antibiotics to control the infection. The child's age and the presence of an abscess necessitate prompt intervention to alleviate pain and prevent potential complications.
**Why Each Wrong Option is Incorrect**
**Option A:** Administering analgesics alone would not address the underlying cause of the pain, which is the abscess. This approach might provide temporary relief but is not sufficient to manage the infection.
**Option B:** Prescribing antibiotics without drainage would not effectively treat the abscess, as the infection would persist.
**Option C:** Extracting the tooth without addressing the abscess would not relieve the pain and might lead to further complications.
**Clinical Pearl / High-Yield Fact**
In pediatric dentistry, it is essential to prioritize pain management and infection control, as children are more susceptible to complications from dental infections.
**Correct Answer: C. Extraction of the tooth is not the immediate next step.**