A four-year-old has white spots, plaque, and frequent sweet drinks. How do you plan care?
White-spot lesions are disease indicators, and plaque and frequent sweet drinks increase risk.
- Complete the risk assessment, including protective factors and caregiver ability to follow the plan.
- Prevention: address diet and home fluoride/hygiene; use active prevention and surveillance.
- Follow-up: the source's high-risk pathway includes three-month recall/topical fluoride and a six-month radiograph example, individualized to findings.
- Cavitated or enlarging lesions may require restorative treatment as well as continuing disease control.