ADC Practice Question — CMS Recall & Monitoring

What are the specific intervals for EACH?

Prevention and cariology questions test evidence-based decision-making — fluoride protocols, caries risk assessment, recall scheduling. This high-difficulty vignette tests your ability to work through clinical details and arrive at the correct management.

An 11-year-old at-risk-high recall patient (>1 new lesion/year) currently uses 1000 ppm toothpaste twice daily. He does not use fluoride rinse or CHX. He drinks non-fluoridated water. The dentist must prescribe the COMPLETE updated protocol across all domains. This child's recall schedule involves both monitoring visits and bitewing surveys. What are the specific intervals for EACH?

A. Both 3-monthly — monitoring visits and bitewing surveys occur at the same frequency
B. Monitoring 3-monthly for varnish and oral hygiene; bitewing surveys every 6 months until classified as Low risk
C. Monthly monitoring for the first 3 months, then quarterly; bitewing surveys annually
D. Monitoring 6-monthly; bitewing surveys only when clinical examination suggests new cavitation

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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

Integration: Table 9 has TWO columns — monitoring frequency and BW survey frequency. At-risk (BW > C2 primary / > C3 permanent): Monitoring = '3-monthly for varnish and oral hygiene.' BW = 'every 6 months until classified as Low risk.' These are DIFFERENT schedules. 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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