ADC Practice Question — CMS Fluoride Protocols

Which recommendation is correct for Child A (15 months, Low risk)?

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 children: Child A (15 months, Low risk), Child B (3 years, Low risk, fluoridated water), Child C (8 years, At-risk). Which recommendation is correct for Child A (15 months, Low risk)?

A. 400 ppm fluoride toothpaste, smear amount, twice daily with parental supervision
B. 1000 ppm fluoride toothpaste, smear amount, once daily before bed only
C. No fluoride toothpaste — not used before 18 months in Low risk children
D. A soft brush with water only until all primary incisors have fully erupted

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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: C

Low risk: no fluoride toothpaste before 18 months (ingestion risk). After 18 months: 400 ppm. Critically: At-risk children start 400 ppm BEFORE 18 months. SOURCE — Evans RW, Dennison PJ. CMS for children, ADJ 2009;54:381-389, Table 8

Source: Evans RW, Dennison PJ. CMS for children, ADJ 2009;54:381-389, Table 8

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

Exam preparation FAQ

How should I prepare for Preventive Dentistry & Cariology in the ADC exam?

Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.

How do I approach an unfamiliar CMS Fluoride Protocols vignette?

Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

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Which recommendation is correct for Child A (15 months, Low risk)?

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