MFDS Part 1 - Membership of Faculty of Dental Surgery Paediatric Dentistry Principles Questions and Answers

Question 1

A 5-year-old child attends for their first dental examination and is visibly anxious.
According to standard UK practice, which of the following non-pharmacological behaviour management techniques should be employed first to introduce the child to the clinical environment and instruments?

Accepted Answer

Tell-Show-Do

Answer

Negative reinforcement

Answer

Hand-over-mouth exercise (HOME)

Answer

Voice control

Question 2

A dentist is planning to restore a carious primary molar in a 6-year-old child using the Hall Technique. Radiographic and clinical examination are essential to determine suitability. Which of the following findings is a definitive contraindication for this technique?

Accepted Answer

Clinical signs of a dental abscess related to the tooth.

Answer

The child has moderate dental anxiety.

Answer

The carious lesion involves two surfaces of the tooth.

Answer

A clear band of dentine is visible between the caries and the pulp on the radiograph.

Question 3

A 3-year-old child presents after a fall, having intruded their maxillary primary central incisor (51). Clinically, the tooth is barely visible. A radiograph confirms the apex has been displaced buccally, away from the developing permanent tooth germ. According to the International Association of Dental Traumatology (IADT) guidelines followed in the UK, what is the most appropriate management?

Accepted Answer

Advise the parent to monitor for spontaneous re-eruption.

Answer

Surgical repositioning and splinting of the tooth.

Answer

Immediate extraction to prevent damage to the permanent tooth.

Answer

Prescription of systemic antibiotics and active surveillance.

Question 4

According to the 'Delivering Better Oral Health' toolkit, a key evidence-based guide for prevention in the UK, which material is recommended as the first choice for fissure sealing permanent molars in children?

Accepted Answer

Resin-based sealant

Answer

Glass-ionomer based sealant

Answer

Compomer-based sealant

Answer

Polyacid-modified composite resin sealant

Question 5

In the UK, the care of children with a cleft lip and/or palate is managed by centralised NHS cleft services following a specific treatment timeline. At approximately what age is the primary surgical repair of a cleft lip typically performed?

Accepted Answer

3 months

Answer

12 months

Answer

Within the first week of life

Answer

18 months

Question 6

A 7-year-old child, assessed as having a high risk of developing caries, attends for an examination. Her primary molars are in contact, preventing visual inspection of the interproximal surfaces. In line with the Faculty of General Dental Practice (UK) 'Selection Criteria for Dental Radiography', what is the recommended maximum interval for taking posterior bitewing radiographs for this child?

Accepted Answer

Every 6 months.

Answer

Every 24 months.

Answer

Every 12 months.

Answer

Only when symptoms arise.