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#MCQ 13: Which of the following is the best treatment plan to control rampant caries?

#MCQ 13:  Which of the following is the best treatment plan to control rampant caries (many proximal caries that undermine enamel) ?

A. Restore all teeth with amalgam as soon as possible
B. Prescribe high fluoride tooth paste, give oral hygiene instruction, and wait until effectiveness has been appraised
C. Restore all teeth with crowns
D. Remove caries and place glass ionomer restorations then complete the treatment plan after the vitality of the teeth has been established

Answer: D. Remove caries and place glass ionomer restorations then complete the treatment plan after the vitality of the teeth has been established

Rampant caries control protocols suggest that caries should be removed and glass ionomer cement restorations should be placed until the true pulp status can be assessed.

Removing the caries allows the clinician to see if caries have extended to the pulp cavity.
Placing glass ionomer restorations allows for the affected dentin to be remineralized.

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#Mnemonics - Steps in Planning and Evaluation - Public Health Dentistry

The steps involved in the Planning Process are:
1. Identifying the Problem
2. Determining Priorities
3. Development of Program goals, objectives, and activities
4. Resources Identification
5. Constraints Identification
6. Alternative Strategies
7. Developing Implementation Strategies
8. Implementation
9. Monitoring
10. Evaluation

These steps can be memorized with the help of an expression mnemonics - @  Identifying Determined Girl/Guy Requires Conscious Strategies Implementing IME ( Ingenuity, Morality and Emotions)

Identifying - 1. Identifying the Problem
Determined - 2. Determining Priorities
Girl /Guy - 3. Development of Program goals, objectives, and activities
Requires - 4. Resources Identification
Conscious - 5. Constraints Identification
Strategies - 6. Alternative Strategies
Implementing - 7. Developing Implementation Strategies
I - 8. Implementation
M - 9. Monitoring
E -10. Evaluation

#MCQ 12 - Which of the following tooth has the highest endodontic failure rate?

#MCQ 12 - Which of the following tooth has the highest endodontic failure rate?
A. Maxillary First Molar
B. Maxillary First Premolar
C. Mandibular First Molar
D. Mandibular Second Premolar

Answer: A. Maxillary First Molar

The pulp chamber of the maxillary first molar is the largest in the dental arch.

The maxillary first molars are three rooted, two buccal and one palatal. The tooth usually has four root canals, the additional canal being located in the mesiobuccal root. The pulp chamber floor has a quadrilateral shape, although it is sometimes described as triangular.  All the canal orifices lie mesial to the oblique ridge which makes it possible to preserve it (oblique ridge) during access preparation.

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