National Dental Examining Board of Canada (NDEB) Practice Exam

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Master your National Dental Examining Board of Canada (NDEB) exams with our comprehensive practice guide. Achieve excellence in your dental certification with expertly crafted questions and detailed explanations.

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What is the primary consideration in the management of a patient with multiple deep abfraction lesions?

Immediate restoration
Occlusal adjustment
Topical fluoride application
Root canal therapy

The correct answer is: Occlusal adjustment

The primary consideration in the management of a patient with multiple deep abfraction lesions is occlusal adjustment. This involves altering the patient's bite to reduce excessive forces on certain teeth, which can contribute to the development of abfraction lesions. Immediate restoration (choice A) may be necessary for severe cases, but it does not address the underlying cause of the lesions. Topical fluoride application (choice C) may help in preventing future lesions, but it is not the primary consideration in managing existing lesions. Root canal therapy (choice D) may be necessary if the lesions have caused irreversible damage to the tooth's nerve, but it is not the first-line treatment for abfraction lesions. Overall, occlusal adjustment is the most important factor in managing a patient with multiple deep abfraction lesions.