A 4-year-old with cavities who cannot sit for fillings
Practice cases written from published sources. Not an exam or admissions result; your program and examiners decide.
A 4-year-old is brought in by a parent for a first visit. The child snacks through the day, has never had fluoride varnish, and cries when the mirror goes in. The parent wants the decay stopped without a long visit.
- Cavitated lesion into the dentin on an upper primary molar
- No pain that comes on by itself or lingers
- Lesion well away from the pulp on the radiograph
- The other molars are sound
Unlock the questions
The questions open with the $99 season (90 days), the $149/yr student seat, or a class code that assigns M28. The first case is free.
Unlock the full library Open the free casePractice cases written from published sources. Not an exam or admissions result; your program and examiners decide.
A 4-year-old is brought in by a parent for a first visit. The child snacks through the day, has never had fluoride varnish, and cries when the mirror goes in. The parent wants the decay stopped without a long visit.
- Cavitated lesion into the dentin on an upper primary molar
- No pain that comes on by itself or lingers
- Lesion well away from the pulp on the radiograph
- The other molars are sound
M28 step 1: Read the caries risk and pick the teeth. Open this step in the lesson.Unlock the questions
The questions open with the $99 season (90 days), the $149/yr student seat, or a class code that assigns M28. The first case is free.
Unlock the full library Open the free caseM28: Caries management in a child: read the risk, arrest a cavity with silver diammine fluoride, seal a sound molar, recall. Open the lesson step