ADC Practice Question — CMS Recall & Monitoring

Child M (ICDAS > 1) should be monitored until what…

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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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: D

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

Source: Evans RW, Dennison PJ. CMS for children, ADJ 2009;54:381-389, Table 9

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 Recall & Monitoring 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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Child M (ICDAS > 1) should be monitored until what…

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