ADC Practice Question — CMS Recall & Monitoring

Child O (at-risk based solely on PI = 3, zero caries)…

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 O (at-risk based solely on PI = 3, zero caries) follows which recall pathway?

A. One week after first visit for brushing review, then one month later for the same
B. 3-monthly with fluoride varnish until plaque scores improve across all sites
C. 6-monthly standard recall with oral hygiene coaching at each appointment
D. 12-monthly with annual bitewing surveys — same schedule as Low since there is no actual caries

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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

Third recall pathway: at-risk based SOLELY on PI = 3 sites (no caries) → 'One week following first visit to review brushing competence, then one month later for same.' Most compressed follow-up. 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

Should I memorise guidelines word-for-word for CMS Recall & Monitoring?

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

How are CMS Recall & Monitoring questions structured in the ADC written exam?

ADC CMS Recall & Monitoring questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

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Child O (at-risk based solely on PI = 3, zero caries)…

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