INBDE (Integrated National Board Dental Examination) Practice Exam

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A 10 yr old has high caries rate and no fluoridated water. What should you do?

  1. Prescribe fluoride tablets immediately

  2. Child is too old for fluoride supplementation to benefit

  3. Arrange for a sample of the pts well water to be sent to a lab to assess the amt of naturally occurring fluoride in the water. Then prescribe the appropriate dose of fluoride

  4. Recommend dietary changes only

The correct answer is: Arrange for a sample of the pts well water to be sent to a lab to assess the amt of naturally occurring fluoride in the water. Then prescribe the appropriate dose of fluoride

It is important to assess the amount of naturally occurring fluoride in the child's well water before prescribing any fluoride supplements. Just because the child does not have access to fluoridated water does not necessarily mean they should be immediately prescribed fluoride tablets. Some well water may already have higher levels of fluoride, and in that case, prescribing additional fluoride could actually be harmful. Additionally, it is never too late for a person to benefit from fluoride supplementation, regardless of their age. Finally, dietary changes alone are not enough to address a high caries rate, so recommending dietary changes only would not be the best course of action. Therefore, the most appropriate option is to first assess the fluoride content in the well water and then determine the appropriate dosage of fluoride supplementation for the child.