INBDE (Integrated National Board Dental Examination) Practice Exam

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Where is the location of caries for ECC primarily found?

  1. Smooth surfaces-- facial of maxillary incisors and lingual/buccal of molars

  2. Pits and fissures of molars

  3. Between the teeth

  4. All of the above

The correct answer is: Smooth surfaces-- facial of maxillary incisors and lingual/buccal of molars

The correct answer is smooth surfaces, specifically the facial surfaces of maxillary incisors and the lingual or buccal surfaces of molars, when it comes to Early Childhood Caries (ECC). ECC is a severe form of tooth decay in young children, typically caused by prolonged exposure to sugary liquids like milk, formula, and fruit juice. These liquids can pool around the teeth, particularly in the areas mentioned in option A, leading to demineralization and eventual cavities in those locations. Options B and C are not the primary locations for ECC. While dental caries can certainly occur in pits and fissures of molars and between the teeth, ECC is mainly associated with smooth surfaces due to the pooling of sugary liquids on these surfaces in young children. Option D is incorrect as it does not accurately reflect the primary location of caries for ECC.