Radiology · single question

What is the first clinical sign of dental caries?

  1. A white (chalky) opaque spot on enamel indicating early demineralization
  2. A frank cavitated lesion
  3. Pulpal exposure
  4. Tooth mobility
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Correct answer: A. A white (chalky) opaque spot on enamel indicating early demineralization

The earliest visible caries lesion is the white spot lesion, a chalky, opaque area of subsurface enamel demineralization that is still reversible with remineralization therapy.Other options: Cavitation, pulp exposure, and mobility are later, more advanced stages.Key exam takeaway: First sign of caries = white spot (early demineralization), which can be remineralized.

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