Why are corticosteroids not a standard treatment for herpetic gingivostomatitis?

• A. Corticosteroids do not address the viral nature of the condition.
• B. Corticosteroids worsen bacterial infections.
• C. Corticosteroids are ineffective in reducing pain.
• D. Corticosteroids are too expensive.

Answer: (A)

Herpetic gingivostomatitis is caused by the herpes simplex virus, so treatment aims to control symptoms and, when appropriate, reduce viral replication with antiviral therapy. Corticosteroids don’t target the virus; they mainly suppress inflammation. This immunosuppressive effect can blunt the body’s ability to clear the infection and may increase the risk of secondary infections or delay healing. For this reason, corticosteroids are not a standard treatment. Supportive care with hydration and pain control, and antiviral therapy when indicated, are the primary approaches.