solutions graded A+ 2025-2026
What is the caries risk of this patient, what are recall periods? - correct answer
✔✔According to: NICE Recall + FGDP Selection of dental radiograph px is a....
high risk -- 3-month recall/ 6 months BW
mod risk - 6-12 months / 12 month
low risk - 12-24 months / 12-18 month
UNTIL NO NEW LESIONS OR PX HAS ENTERED A NEW RISK CATEGORY
Additional recall:
- 1 year post of post RCT
- 6-8 weeks post RSD
- Trauma recall
- 6 months post direct pulp cap
Justify your caries risk classification of px - correct answer ✔✔Accordance to: NICE
recall + FGDP + ADA Caries
High risk:
,- presence of caries (high -- adult 3 or more caries in last 36 months vs paeds - any
caries/rest in past 24 month)
- plaque / poor oH
- lack of fluoride exposure
- high sugar diet (esp at times other than meal times)
- xerostomia
- dentures, appliances
- smoking and alcohol
Justification for radiographs - correct answer ✔✔FGDP - dental selection for
radiography
PA - bone levels, PAP, caries, root morphology
Panoramic - dental development, symptomatic 8s relation to ID nerve, mandibular
pathology, orthodontic assessment, grossly neglected dentition where multiple XL
likely
Alternative Paeds radiograph selection guidance - correct answer ✔✔EAPD
Guidelines -- alternative caries radiographic interval
· Recommends less frequent bitewings intervals than FGDP
· Only has a 'high' and 'low' risk category of px assessment
Radiographs for developing dentition: - correct answer ✔✔grossly rotated tooth/
large diastema/ missing beyond normal eruption date --> INTRA ORAL
, Lateral:
- peg shaped, w/o eruption of canine --> INTRA ORAL
- unerupted --> INTRAORAL --> missing -- DPT
Canine
- ONLY after age of 11, unerupted--> INTRA ORAL
- or if erupted and incorrect position
XLA of 6:
- early mixed mention --> panoramic
- late mixed dentition --> 1 tooth = PA // >1 = DPT
Submerging:
·>10 years (1Q = Intraoral // 2> Q = panoramic).
< 10 wait and watch, intra oral radiography is condition iF deteriorating
· Delayed loss of Es
(1/2 Q = intraoral vs 3/4 Q = panoramic)
Rad examination of heavily restored teeth + justification - correct answer
✔✔FGDP - selection of dental radiography
recommends PA assessment of heavily restored + RCT teeth on examination --
good practise