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In case of rampant caries, the ideal procedure to perform in the first visit is to:

 # In case of rampant caries, the ideal procedure to perform in the first visit is to:
A. Diet control instructions
B. Topical fluoride application
C. Gross excavation and restoration of teeth
D. Oral hygiene instructions



The correct answer is C. Gross excavation and restoration of teeth

RECOMMENDED TREATMENT PROTOCOL FOR RAMPANT CARIES
First visit:
• Lesions should be excavated and restored with ZOE.
• Drainage of abscess.
• Radiographs
• Diet chart should be given to record diet for 1 week.
• Parent counseling.
• Also topical fluoride administration.

Second visit: (one week after first week)
• Analysis of diet chart.
• Isolate sugar factors from the diet chart and control sugar exposure (diet instructions).
• Caries activity tests.

Third visit:
• Endodontic treatment.
• Extraction of unrestorable teeth followed by space maintenance.
• Crowns.
• Recall every 3 months.

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