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ADC Part 1 Paediatric Dentistry: High-Yield Topics, Example Questions & Study Tips

Paediatric Dentistry carries roughly 7% of the ADC Part 1 written exam - ≈20 of 280 questions. Below: the high-yield topics to master, the classic traps that cost candidates marks, an ADC-style example question, and how to study this subject efficiently.

High-yield topics for Paediatric Dentistry

TopicWhat to focus on
Primary tooth traumawhy avulsed primary teeth are not replanted, intrusion management, permanent successor risk
Early childhood cariesdefinition, feeding-related aetiology, management from prevention to GA
Fluoridetoothpaste concentrations by age, varnish intervals, fluorosis risk windows, toxic dose awareness
Behaviour managementtell-show-do, positive reinforcement, when pharmacological support is indicated
Pulp therapy in primary teethindirect pulp cap vs pulpotomy vs pulpectomy decision tree
Eruption & anomaliesnatal teeth, eruption cysts, teething facts vs myths
Safeguardinginjury patterns raising non-accidental injury concern and the duty to act

Common areas candidates struggle with

  • Age-banded fluoride toothpaste concentrations and amounts
  • Primary tooth trauma decisions - especially intrusion, avulsion and root fracture management
  • Pulp therapy decision tree in primary molars (IPC vs pulpotomy vs pulpectomy vs extraction)
  • Recognising non-accidental injury flags and the duty to act
  • Behaviour management technique escalation and when pharmacological sedation is appropriate

Classic exam traps

  • Replanting an avulsed primary incisor - never; it risks the permanent successor
  • Adult-strength fluoride advice for toddlers - know the age-banded toothpaste guidance
  • Choosing pulpectomy where extraction is pragmatic (unrestorable, near exfoliation, cooperation limits)
  • Missing NAI flags: injuries inconsistent with history, torn labial frenum in a non-walking infant

Example ADC-style question

Question

A 2-year-old presents 30 minutes after a fall, with the upper primary right central incisor avulsed. The parent has brought the tooth in a tissue. What is the most appropriate management?

  1. Rinse the tooth and replant, splint for 2 weeks
  2. Store in milk and refer urgently for replantation
  3. Do not replant - reassure parents and monitor the permanent successor
  4. Prescribe antibiotics and replant under GA

Answer: C

Avulsed primary teeth are never replanted because of the risk of damaging the developing permanent successor. Manage with reassurance, analgesia if needed, and long-term monitoring of the permanent successor's eruption and development. This is a very high-yield exam point - replantation of a primary tooth is always the wrong answer.

This is one worked example. There are hundreds more scenario-based paediatric dentistry MCQs inside the PassADC question bank - with per-option explanations on the ones that matter most.

Key concepts to revise

  • Primary tooth avulsion - never replant, always monitor
  • Fluoride toothpaste concentrations and amount by age
  • Pulp therapy decision tree (primary molars)
  • NAI red flags and reporting obligations
  • Behaviour management technique escalation
  • Early childhood caries - prevention and staged management
  • Eruption dates for primary and permanent dentition

How to study Paediatric Dentistry for the ADC Part 1

  • Contrast primary vs permanent trauma management side-by-side - the differences are what get tested
  • Fluoride numbers (ppm by age) are quick wins - put them on one flashcard

How to test your readiness in Paediatric Dentistry

The exam tests this subject through clinical vignettes, so practise it the same way - scenario-based MCQs with explanations, not isolated fact recall. The fastest way to know whether paediatric dentistry is a strength or a gap is to take a diagnostic across all 10 subjects and compare your accuracy in this subject against the exam weighting.

Once you know where you stand, target the weak areas above with daily practice, review every wrong answer's explanation the same day, and sit at least two full-length timed mocks before booking the real exam.

Want to see whether paediatric dentistry is actually one of your weak areas?

6 ADC-style questions across the top subjects. Free, instant, no credit card.

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Related ADC Part 1 resources

Start with the ADC Part 1 preparation hub, plan the next 8 weeks with the study guide, or drill more paediatric dentistry MCQs in the question bank. Also see the full ADC Part 1 exam format guide and how to pass ADC Part 1.

Frequently asked questions

Should you replant an avulsed primary tooth?

Never. Replantation risks damaging the developing permanent successor. Manage with reassurance, analgesia if needed, and monitoring of the permanent successor's eruption. This is a very high-yield ADC exam point.

What fluoride toothpaste should a 2-year-old use?

In Australia, children under 18 months typically use a smear of low-fluoride (400-500 ppm) toothpaste or none, and children 18 months to 6 years use a pea-sized amount of low-fluoride paste (400-500 ppm). From age 6, standard adult toothpaste (1000-1500 ppm) is used. High-risk children may use higher concentrations under professional supervision.

When is pulpectomy indicated in a primary molar?

When the pulp is irreversibly inflamed or necrotic, the tooth is strategically important (space maintenance), the patient can cooperate and the tooth is restorable. Extraction is often the pragmatic alternative if the tooth is close to exfoliation, unrestorable or cooperation is limited.

What is the ADC Part 1 weighting for paediatric dentistry?

Approximately 7% - about 20 of 280 questions.

Where do you actually stand?

30 questions weighted to the official ADC blueprint. Free, instant, no credit card.

PassADC is an independent study platform and is not affiliated with, endorsed by, or sponsored by the Australian Dental Council. Exam details change - always confirm current format and fees at adc.org.au.