Medical Emergencies · single question

A diabetic with HbA1c 10%, frequent snacking, poor hygiene, and many caries — the factor MOST contributing to her dental condition is:

  1. Fluoride deficiency
  2. Diet (frequent fermentable-carbohydrate snacking)
  3. Salivary flow rate
  4. Tooth morphology
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Correct answer: B. Diet (frequent fermentable-carbohydrate snacking)

  • A. Fluoride deficiency contributes to caries risk but is not the dominant factor here.
  • B. Correct. Frequent snacking keeps the oral pH acidic, the leading modifiable factor driving her rampant caries (compounded by poor control).
  • C. Reduced salivary flow (diabetic xerostomia) contributes but the explicit "frequent snacks" points to diet.
  • D. Tooth morphology is a minor, non-modifiable contributor.

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