Child Oral Health Clinical Case #1

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Question 1 of 3

1. Question
You are seeing the Smith family children in your office for well child visits: Mary age 5 years, William age 4 years, and Michael age 3 years. You perform an oral examination on each child. This is the appearance of Mary’s teeth:

Joanna Douglass, BDS, DDS

How would you describe and classify Mary’s teeth?
- No signs of ECC are present
- White spots are present representing the earliest stage of ECC No white spots are visible on Mary’s teeth. White spots are areas of demineralized enamel and are typically present at the gingival margins.
- Brown cavitations are present No brown cavitations are visible on Mary’s teeth.
- Advanced ECC is present No signs of ECC are present on Mary’s teeth.
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Question 2 of 3

2. Question
While performing an oral exam on William, age 4, you see the following:

Joanna Douglass, BDS, DDS

How would you classify the ECC present in his teeth?
- No signs of ECC are present William’s teeth are not healthy: Obvious signs of advanced ECC are present.
- White spots are present representing the earliest stage of ECC While white spots may have been present earlier on in the course of William’s disease, his upper incisors now show visible decay.
- Brown cavitations are present William’s upper incisors show significant destruction of the enamel, so while brown cavitations were likely present previously, they have now progressed to advanced ECC.
- Advanced ECC is present
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Question 3 of 3

3. Question
While performing an oral exam on Michael, age 3, you see the following:

How would you classify the ECC present in his teeth?
- No signs of ECC are present Michael’s upper incisors have white spots which represent demineralized enamel, the earliest stage of ECC.
- White spots are present representing the earliest stage of ECC
- Brown cavitations are present Michael’s upper incisors have white spots, but the white spots have not progressed to brown cavitations.
- Advanced ECC is present The white spots on Michael’s upper incisors are the earliest stage of ECC. They have not yet progressed to more advanced disease.
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Child Oral Health

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