AAPD Oral Board Exam Questions
With Complete Solutions
Course
AAPD
1. Caries Risk Assessment in a High-Risk Child
Question:
A 6-year-old presents with multiple interproximal caries and poor oral hygiene. How do you
assess and manage?
Answer:
Start with caries risk assessment (CRA):
Disease indicators: existing caries → already high risk
Risk factors: diet (frequent sugars), poor hygiene, low fluoride exposure
Protective factors: fluoride use, dental visits
Management:
Short recall (3 months)
Fluoride varnish application
Dietary counseling (eliminate frequent sugar exposure)
Sealants on permanent molars
Restore active lesions minimally invasively (e.g., GIC for interim)
If you miss risk-based planning, you fail this case. Treatment alone isn’t enough.
2. Behavior Management – Uncooperative Child
Question:
A 4-year-old refuses treatment and is crying uncontrollably. What is your approach?
Answer:
Stepwise escalation:
1. Tell-Show-Do (basic)
2. Positive reinforcement
3. Voice control (controlled, not aggressive)
With Complete Solutions
Course
AAPD
1. Caries Risk Assessment in a High-Risk Child
Question:
A 6-year-old presents with multiple interproximal caries and poor oral hygiene. How do you
assess and manage?
Answer:
Start with caries risk assessment (CRA):
Disease indicators: existing caries → already high risk
Risk factors: diet (frequent sugars), poor hygiene, low fluoride exposure
Protective factors: fluoride use, dental visits
Management:
Short recall (3 months)
Fluoride varnish application
Dietary counseling (eliminate frequent sugar exposure)
Sealants on permanent molars
Restore active lesions minimally invasively (e.g., GIC for interim)
If you miss risk-based planning, you fail this case. Treatment alone isn’t enough.
2. Behavior Management – Uncooperative Child
Question:
A 4-year-old refuses treatment and is crying uncontrollably. What is your approach?
Answer:
Stepwise escalation:
1. Tell-Show-Do (basic)
2. Positive reinforcement
3. Voice control (controlled, not aggressive)
