ADC Practice Question — CMS Lesion Management Protocols

For the C3 on primary tooth 75 (40% root remaining, no shadow), what comes next?

Q: Should I memorise guidelines word-for-word for CMS Lesion Management Protocols?

Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.

Q: How are CMS Lesion Management Protocols questions structured in the ADC written exam?

ADC CMS Lesion Management Protocols questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Prevention and cariology questions test evidence-based decision-making — fluoride protocols, caries risk assessment, recall scheduling. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

A 10-year-old has primary molar 75 with C3 distal radiolucency and 40% root remaining (no marginal ridge shadow). Permanent molar 36 has an identical C3 mesial radiolucency. For the C3 on primary tooth 75 (40% root remaining, no shadow), what comes next?

A. Do not restore — less than half root remaining means exfoliation is approaching
B. Restore immediately — C3 in a primary tooth with resorption always needs filling
C. Place a stainless steel crown to protect the tooth until natural exfoliation
D. Apply fluoride varnish and monitor 6 months before deciding on operative care

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Sources cited

Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more

Show the answer and cited explanation

Correct answer: A

Primary C3 further consideration: (1) Do not restore within 12 months of exfoliation (clue: <50% root remaining — met here at 40%). (2) Restore if shadow below marginal ridge — no shadow. (3) Otherwise separate to confirm cavitation. Check 1 met → do not restore. SOURCE — Evans RW, Dennison PJ. CMS for children, ADJ 2009;54:381-389, Table 5, C3 further consideration

Source: Evans RW, Dennison PJ. CMS for children, ADJ 2009;54:381-389, Table 5

Remy's study tip — Identify the patient’s risk level first, then match the intervention to the risk.

Exam preparation FAQ

Should I memorise guidelines word-for-word for CMS Lesion Management Protocols?

Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.

How are CMS Lesion Management Protocols questions structured in the ADC written exam?

ADC CMS Lesion Management Protocols questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Every answer, traced to the source.

Remy — the AI tutor inside Reviz — drills you on 7,000+ ADC-style cited questions with spaced repetition, on WhatsApp and the web.

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For the C3 on primary tooth 75 (40% root remaining, no shadow), what comes next?

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