Professional Documents
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NIM : 31102000040
Audience : Classmates
Topic : Classification of Karies disease
Objective : To let classmates know about the different types of periodontal disease
Assalamualaikum wr wb
Dear miss Destary Praptawati, S.S., M.Hum and classmates. My name Izhar Diansyah with
NIM 31102000040.
History
Signs and symptoms of dental caries are very diverse and depend on the severity and
location of dental caries. Generally, patients with dental caries have no symptoms. However,
if there has been further damage, especially to the root of the tooth, the patient will
experience the following symptoms:
If symptoms such as fever, headache, unilateral swelling around the eyes are found,
pain or tenderness in the floor of the mouth, and difficulty swallowing, it is possible that a
dental caries patient has complications and requires immediate action. [1.5]
• Physical examination
• Dental abnormalities on physical examination of patients with dental caries depend on
their severity. The following signs can be found in patients with dental caries:
• Dark brown and shiny teeth: indicates a history of previous dental caries but the
demineralization process has stopped
• Plaque between the teeth: the initial form before dental caries occurs with a sticky
nature, generally colorless and odorless. Approximately 70% of the composition of
dental plaque is bacteria which then causes the formation of dental caries
• White spot lesion: white, chalky patches are an early sign of a carious tooth lesion
indicating demineralization of the enamel. Lesions can turn brown and black if left
untreated
• Cavities in the teeth: advanced signs of dental caries, where the erosion has passed
through the enamel and dentin. If there is a hole in the tooth, the patient generally
already has symptoms of tooth pain. [1,4,5]
If dental caries has been complicated, the physical examination that may be found is:
• Fever: in dental caries patients with fever, it is necessary to consider the presence of
complications such as dental abscess, Ludwig's angina, and sepsis.
• Red and swollen gums: a sign of gingivitis or periodontitis
• Pus in the oral cavity: Tooth abscess
• Submandibular edema and double-tongue features: Ludwig's angina (submandibular
necrotizing fasciitis)
• Periorbital edema and signs of increased intraocular pressure: consider complications
of cavernous sinus thrombosis [1,4-6,14]
Diagnosis of the severity of dental caries can be determined through the classification
of carious lesions from G.V. Black. This classification of dental caries is the classification
used by the American Dental Association. Classification of G.V. Black divided dental caries
based on disease progression, hard tissue involved, and location. The following is a
classification of dental caries according to G.V. Black:
Class I: dental caries involving pits and fissures (anterior or posterior teeth)
Class III: Dental caries involving the proximal surfaces of anterior teeth but not involving the
incisal edges
Class IV: Caries involving the proximal part including the incisal edges of the anterior teeth
Class V: Caries involving 1/3 of the gingiva from the facial or lingual surfaces of anterior or
posterior teeth
- Do you know that eating too much sugar can make the hole in your teeth?
- Do you know that if you eating too much sugar, there will be a monster in your teeth?
Conclusion
Twice-a-year dental checkups are the best way to catch cavities early when your dentist can
save much of the tooth. Your dentist will use various instruments to examine your teeth. A
tooth with a cavity will feel softer when your dentist probes it. You may also get dental X-
rays. X-rays show cavities before the decay is visible.