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Initial enamel caries — NDEB AFK MCQ

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ModerateRestorativeInitial enamel cariesNDEB AFK

A 24-year-old with high plaque scores has bitewing evidence of a proximal radiolucency confined to the outer half of enamel on tooth 2.5. The surface is intact clinically and there is no sensitivity. What is the most appropriate treatment?

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Correct answer: D — Fluoride varnish with caries-risk control

A non-cavitated proximal lesion limited to enamel is best managed non-operatively with fluoride, plaque control, diet counselling, and monitoring. A Class II restoration sacrifices sound tooth tissue and is not first-line for an intact enamel lesion. The clinical pearl is that radiographic depth, surface integrity, and caries risk should drive the operative threshold.

Reference: CDA caries prevention resources; NDEB released item style