A 3-year-old uncooperative child has extensive caries in three of four quadrants and cannot cooperate for routine care. What is the most appropriate approach for comprehensive care?

Correct answer: A. General anesthesia

• A. CORRECT. Extensive multi-quadrant treatment in a very young, uncooperative child is best completed safely in one setting under general anesthesia.
• B. INCORRECT. Positive reinforcement alone will not enable comprehensive care in a child who cannot cooperate.
• C. INCORRECT. Palliative care does not address the comprehensive treatment need.
• D. INCORRECT. Protective stabilization with nitrous oxide is insufficient for the full scope of treatment required and is reserved for limited situations.