ORE Part 2 Paediatric Dentistry

Question 1

According to NICE guidelines, what is the recommended frequency of bitewing radiographs for a high-caries-risk child aged 6–12 years?

Accepted Answer

6-monthly

Answer

Annually

Answer

Every 2 years

Answer

Only when symptomatic

Question 2

What is the recommended management of early enamel caries (d1–d2) in primary molars according to the Caries in Teeth (CiT) traffic light system?

Accepted Answer

Non-operative management with fluoride varnish and dietary advice

Answer

Immediate restoration

Answer

Pulpotomy

Answer

Extraction

Question 3

What is the Hall Technique for managing carious primary molars?

Accepted Answer

Sealing caries under a preformed metal crown without caries removal

Answer

Complete caries removal before crown placement

Answer

Using glass ionomer to seal caries only

Answer

Extracting the tooth and placing a space maintainer

Question 4

What is the most appropriate local anaesthetic for a child undergoing extraction of a lower primary molar?

Accepted Answer

2% lidocaine with 1:80,000 adrenaline (IANB)

Answer

Topical benzocaine only

Answer

Prilocaine without vasoconstrictor

Answer

Articaine 4% alone

Question 5

What is the recommended treatment for a primary tooth with irreversible pulpitis in a cooperative 6-year-old?

Accepted Answer

Extraction or pulpectomy if strategic, to prevent damage to underlying permanent tooth

Answer

Pulpotomy

Answer

Direct pulp cap

Answer

Monitoring without treatment

Question 6

Which fluoride varnish concentration is recommended for application in children at high caries risk in the UK?

Accepted Answer

22,600 ppm fluoride (Duraphat 5% varnish)

Answer

1,000 ppm

Answer

2,800 ppm

Answer

500 ppm