18 months of <1 new lesion/year and no progression,…
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.
A 55-year-old was classified High risk 18 months ago. Since then: zero new lesions, all existing radiolucencies stable (no progression), plaque score improved from 28/36 to 8/36, home care goals achieved (5000 ppm daily, good brushing technique). The dentist reassesses the risk classification and management. Based on 18 months of <1 new lesion/year and no progression, what is the new risk classification AND the corresponding recall change?
- A. Remains High — patients cannot be reclassified until all C4 radiolucencies have fully regressed to C0
- B. Drops to Low — meeting <1 new/year AND no progression satisfies both Low recall criteria simultaneously
- C. Drops to Medium first — then to Low after another period of stability; direct High→Low reclassification is not supported
- D. Drops to Low — with recall extending from 3-monthly High to 12 months initially, then potentially 18-24 months
The only ADC prep platform where every answer is traced to the guideline source.
No invented explanations. No guesswork content. Every question mapped to Therapeutic Guidelines, Odell's, IADT, and more — so you study what the exam actually tests.
Score high, pay less.
Think you already know your stuff? The Remy Challenge: 15 questions, one attempt — 13 timed and marked, plus 2 interactive finishers. Your score sets your discount — top scores take 50% off any plan, strong scores 30%, and every challenger leaves with at least 20%, locked for 72 hours.
Try Reviz on WhatsApp.
Message Remy and get one cited clinical question every morning — free until the day you sit. No card details, no forms, no app to download. Just open WhatsApp and start practising.
Show the answer and cited explanation
Integration: (1) Recall Low criteria (Table 4): <1 new/year AND no progression — BOTH met. (2) No stepwise requirement. (3) Recall change (Table 8): High 3-monthly → Low 12 months then 18-24 months. (4) BW change: 6-monthly → 18-24 monthly. (5) Fluoride: 5000 ppm → 1000 ppm. SOURCE — Evans RW et al. CMS for adults, ADJ 2008;53:83-92, Tables 4, 7, 8
Exam preparation FAQ
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.
Start with 10 free questions