ECC Prevention Strategy — NDEB AFK MCQ

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ModerateCommunity Dentistry & EpidemiologyECC Prevention StrategyNDEB AFK

Which of the following interventions has the strongest evidence for reducing early childhood caries (ECC) in high-risk populations?

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Correct answer: C — Professional fluoride varnish application every 3-6 months combined with parental education

Professional fluoride varnish application (22,600 ppm NaF, 5%) every 3-6 months, combined with parental education on dietary habits, oral hygiene, and elimination of bottle-feeding at bedtime, has the strongest evidence base for preventing and arresting ECC in high-risk populations. Systematic reviews (Cochrane) show a 37% caries reduction with fluoride varnish. This combination approach addresses both the biological (remineralisation) and behavioural (dietary modification, oral hygiene) aspects of caries prevention.

Reference: CDA – Fluoride Varnish Position Statement; Cochrane Reviews on Fluoride Varnish