A 16-year-old female methamphetamine addict presents for the first time with rampant caries. What radiographic series is MOST appropriate?

Correct answer: B. Full mouth series (FMX)

• A. Incorrect. A panoramic alone is a good survey but lacks the detail of individual periapical radiographs needed to assess the extent of rampant caries and periapical status of each tooth.
• B. Correct. A FULL MOUTH SERIES (FMX) — periapical radiographs of all teeth plus bitewings — is indicated for a new patient with a history of rampant caries, especially with drug-induced ('meth mouth') rampant decay. FMX provides the most comprehensive periapical and interproximal information for treatment planning.
• C. Incorrect. Bitewings only show posterior interproximal regions and provide insufficient information for a comprehensive new patient examination with rampant caries.
• D. Incorrect. CBCT is indicated for specific 3D assessment needs (implants, complex surgical cases) — not routine caries evaluation.