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

NICE guidelines recommend 6-monthly bitewing radiographs for children at high caries risk to detect interproximal caries early when the primary dentition is fully in contact.

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

Early enamel lesions (d1–d2) in primary teeth should be managed non-operatively with topical fluoride (fluoride varnish 22,600 ppm twice yearly for high risk), dietary counselling, and monitoring.

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

The Hall Technique involves placing a preformed stainless steel crown (SSC) over a carious primary molar without caries removal or tooth preparation, sealing bacteria under the crown.

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

Inferior alveolar nerve block with 2% lidocaine and 1:80,000 adrenaline is the standard anaesthetic for lower primary molar extractions, ensuring complete anaesthesia for the procedure.

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

Irreversible pulpitis in a primary tooth warrants extraction (or pulpectomy if the tooth is strategic for space maintenance), as untreated irreversible pulpitis risks abscess and damage to the permanent successor.

ORE Part 2 Practice Test

ORE Part 2 Practice Test

ORE Part 2 Paediatric Dentistry