A

Question 1

RAMPANT CARIES

Answer 1

■Seen in all ages,

including adoloscennce

■Affects primary and permanent dentition

Mandibular incisors are also affected

ETIOLOGY

■MULTIFACTORIAL

Frequent snacks

Sticky refined CHO

Decreased salivary

flow

Genetic background

Question 2

Arrested caries(static)

Arrested white spotted lesion: (mainly on labial or lingual)

Answer 2

That no more progressive

1. has shiny hard surface.
   2-may be brown in color.
   3–is more resistant to attack by acid than sound enamel.
   4–regarded as scar tissue  thus should not be attacked with a dental drill

Question 3

Management of arrested white spots

Answer 3

1.Topical Remineralization Products: Products like fluoride varnishes, can help reduce the visibility of white spots by promoting deeper remineralization and blending the lesion with the surrounding enamel.

2.Resin Infiltration (Icon): This minimally invasive procedure involves applying a clear resin material that infiltrates and fill the porous enamel of the white spot lesion without drilling

3. . gently removes a very thin layer of enamel, helping to reduce the visibility of the white spots. This is combined with polishing and sometimes followed by fluoride treatment.
4. Bleaching (Whitening): However, this approach may temporarily make the white spots more visible until the bleaching effect equalizes across the tooth surface.
5. Veneers or Bonding: when other approaches failed to manage.