Restorative & Materials · single question

A patient with multiple proximal caries caused by frequent energy drink consumption urgently wants to improve their smile. What is the most appropriate management?

  1. Full crowns on all decayed teeth
  2. Composite restorations on decayed teeth with nutrition/diet counseling
  3. Nutrition counseling only; monitor and watch
  4. Immediate whitening treatments
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Correct answer: B. Composite restorations on decayed teeth with nutrition/diet counseling

The optimal management includes both treating the active disease (restoring cavitated lesions with composite resin during the disease control phase) and addressing the etiology (nutrition counseling to eliminate energy drink consumption). Composite resin is the esthetic material of choice for anterior and posterior caries restorations. Full crowns are excessive and not indicated for simple caries without additional loss of tooth structure. Watching and monitoring without treating active cavitated caries is inappropriate. Addressing diet is essential — without eliminating the etiology, restorations will fail and new caries will develop.

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