ADC Practice Question — CMS Lesion Management Protocols

Primary C3 further consideration: exfoliation is not…

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 7-year-old At-risk child has primary molar 84 with C3 distal radiolucency. The tooth has 70% root remaining (not near exfoliation). Bitewing shows a shadow visible below the marginal ridge. Primary C3 further consideration: exfoliation is not imminent (70% root). A shadow IS visible below the marginal ridge. What is the next step?

A. Do not restore — C3 in primary teeth is always managed non-invasively with fluoride only
B. Restore — shadow below the marginal ridge satisfies the second criterion for restoration
C. Separate the teeth first — shadow alone is insufficient to justify operative intervention
D. Place GIC sealant and review in 6 months — the same protocol as ICDAS 3 without shadow

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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: B

Primary C3 further consideration (sequential): (1) <12 months to exfoliation? No (70% root). (2) Shadow below marginal ridge? YES → restore. Step 3 (separation) is only reached if steps 1 and 2 are negative. 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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Primary C3 further consideration: exfoliation is not…

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