How should this patient's risk be reclassified at…
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 60-year-old woman classified as Medium risk 18 months ago has attended 6-monthly recalls. New bitewings show no progression of existing radiolucencies and no new lesions in 12 months. How should this patient's risk be reclassified at today's recall?
- A. Remains Medium — original findings still radiographically present
- B. Remains Medium — reclassification requires 24 months without activity
- C. High — because she has been Medium risk for more than 12 months
- D. Low — fewer than 1 new lesion per year with no progression of lesions
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Show the answer and cited explanation
Recall risk: Low = <1 new lesion/year AND no progression. Both met. Arrested lesions remain visible — stability, not regression to C0, defines arrest. SOURCE — Evans RW et al. CMS for adults, ADJ 2008;53:83-92, Table 4
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