Child M (ICDAS > 1) should be monitored until what specific endpoint?
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.
Three at-risk children: Child M (ICDAS > 1, no BW findings), Child N (BW > C3 on permanent premolars), Child O (dmfs + DMFS = 0, at-risk solely because of PI = 3 sites). Child M (ICDAS > 1) should be monitored until what specific endpoint?
- A. Until all ICDAS codes return to Code 0 with absolutely zero visible demineralization remaining
- B. Until 12 months pass without new lesions detected anywhere in the mouth
- C. Until Plaque Index drops below 12, indicating adequate hygiene compliance
- D. Until no extension of demineralization is evident or GIC sealant remains intact
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At-risk (ICDAS > 1): 3-monthly until arrested — defined as: (1) no extension of demineralization, or (2) GIC sealant intact. Bitewings 6-monthly until Low. SOURCE — Evans RW, Dennison PJ. CMS for children, ADJ 2009;54:381-389, Table 9
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