Eidgenössisches Examen Zahnmedizin Practice Questions - Eidgenössisches Examen Zahnmedizin Examen Fédéral De Médecine Dentaire Esame Federale Di Medicina Dentaria Exam

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A 22-year-old patient presents for a routine dental examination. Visual inspection of the occlusal surface of tooth 46 reveals a distinct whitish opacity in the pit and fissure area when wet, which becomes more pronounced and chalky upon air drying for 5 seconds. The enamel surface remains smooth and tactilely intact without surface micro-cavitation or underlying dark dentinal shadowing. According to the International Caries Detection and Assessment System (ICDAS), which code is assigned, and what is the primary management strategy?

ICDAS Code 1 (active initial lesion); non-operative management including biofilm removal, dietary counseling, and topical fluoride application ICDAS Code 3 (micro-cavitation); minimal invasive preventive resin restoration (PRR) with flowable composite ICDAS Code 2 (distinct visual change in enamel); operative excavation and placement of a single-surface composite restoration ICDAS Code 4 (underlying dentin shadow); direct access cavity preparation and restoration with glass ionomer cement

Correct Answer:

ICDAS Code 1 (active initial lesion); non-operative management including biofilm removal, dietary counseling, and topical fluoride application

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