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Dental caries

WHO definition: A localized, post-eruptive, pathological process of external


origin involving softening of the hard t/s & proceeding to the formation of a cavity

process (l,p,p)origin: external------hard t/s softening ------ cavity formn

Classification

a) WHO classification: based on depth of carious lesion


- D1 : enamel lesions with intact surface
- D2 : cavities in enamel
- D3 : cavities in dentin
- D4 : lesions extending into pulp

1 white enamel lesions with intact surface

2, 3 cavities in enamel , dentin respectively

4 lesions extending into pulp

WHO CLASSIFICATION OF DENTAL CARIES BASED ON DEPTH

b) Dr. G.V. Black Classification of dental caries

Cla Features
ss
I Pits & fissures of occlusal surfaces of posteriors
Facial or lingual pits of molars (oclusal 2/3rd)
Lingual pits of maxillary incisors
II Proximal surfaces of posteriors
III Proximal surfaces of anteriors w/o involving incisal angle
IV Proximal surfaces of anteriors with involving incisal angle
V Ginigival 1/3 (cervical third) of facial or lingual surfaces of a tooth
VI Incisal edges of anteriors
Cuspal tips of posteriors
Aetiology of dental caries
- multifactorial d/s
- principal 4 factors involved are:
a) host
b) substrate
c) microflora
d) time

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