Uncooperative Four-Year-Old Child: Charting and Diet Counselling: ADC OSCE practice station
An ADC-style practice station on OSCE Coach. Practice, not real, past or recalled exam content.
What the candidate is told
Mrs McConnell is visiting your clinic today for her 4year old Paula complaining about pain in 1 tooth on lower left side
Bitewing radiographs (attached, left and right — taken despite initially uncooperative behaviour):
- Right bitewing: proximal caries into dentine, mesial surface of 84; occlusal caries into dentine, 85.
- Left bitewing: proximal caries into dentine, distal surface of 64; early enamel-only proximal caries, mesial of 75.
- No periapical pathology or pulpal involvement evident on either film.
Diet chart (attached, one typical day as recorded by Mrs Chen):
- 7:00am: cereal with milk
- 10:00am (daycare): dried fruit and a muesli bar
- 12:00pm (daycare): sandwich, apple juice box (#2)
- 3:00pm (daycare): cereals with honey
- 6:00pm: dinner baked beans
- 7:00pm: apple juice box (#4)
- 7:30pm: brushing (once daily, fluoride-free "natural" toothpaste)
- 8:00pm: Sultana after dinner
- Water intake: occasional tap water only
Give your diagnosis and manage mothers concerns. Consedering Shes uncooperative discuss about behaviour management
give treatment plan as the patient lives 200km away and cant visit frequently.
How to approach paediatric dentistry stations
Paediatric stations involve both a child and a parent. Practise age-appropriate language for the child, clear information for the parent, and behaviour guidance that keeps everyone comfortable.
Whatever the topic, the same habits earn marks: signpost what you will cover, listen, explain in plain words, offer real options, and check understanding. Our guide to the communication criteria shows how: ADC communication marking criteria, explained.
Practise this station out loud
Talk to an AI patient, then get a marked report with quotes from your own words.