Early Childhood Caries (ECC)

Which type of fluoride suits a medically fit 3 years old boy?

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Answer explanation

Fluoride gel and foam are used for older age groups ( 6 years and more).

Regarding the ECC pattern which statement is right?

• A.      Maxillary anterior , first primary molars, mandibular anterior, 2nd primary molars

• B.      Mandibular anterior , first primary molars ,maxillary anterior , 2nd primary molars

• C.       Maxillary anterior, first primary molars , 2nd primary molars , mandibular anterior

Answer explanation

Mandibular anterior teeth are protected by the tongue and saliva, Also the eruption of the first primary molars is before second primary molars.

Which of the statements is accurate regarding dietary changes?

• Encouraging sticky snacks between meals for kids.

• B. Avoiding sugar in the diet of children under the age of two.

• C. Encouraging the consumption of 100% fruit juice before the age of 12 months.

Answer explanation

Avoiding sugar in the diet of children under the age of two is recommended as it reduces the risk of Early Childhood Caries (ECC).

Which statement accurately describes the mechanism of action of fluoride?

• A. Fluoride enhances remineralization.

• B. Fluoride lacks antibacterial effects.

• C. Fluoride only has post-eruptive effects.

Answer explanation

Fluoride's mechanism of action includes effects during tooth formation, such as making enamel crystals larger and more stable. It also inhibits plaque bacteria by blocking the enzyme enolase during glycolysis, inhibits demineralization, enhances remineralization, and affects crown morphology by making pits and fissures shallower.

A dental home should be established

• A. By 12 months of age

• B. By 6 months of age

• C. By 18 months of age

Answer explanation

The dental home should be established as soon as the eruption of the first tooth and no later than 12 months of age to help children and their families institute a lifetime of optimal oral health.

What is the recommended level of fluoride in water fluoridation?

• A.      0.7 ppm

• B.      1.2 ppm

• C.       Less than 0.5 ppm

Answer explanation

In tray application of Fluoride gel, the quantity of gel taken for one application is

• A.      2/3 of the tray

• B.      1/3 of the tray

• C.       Less than 1/3 of the tray

Answer explanation

After professional fluoride application, patients are advised not to eat, drink, or rinse for

• A. 1 hour

• B. 30 minutes

• C. 15 minutes