PRACTICAL SECTION

NO(1)
Prepared by:
Dr. Ebtesam ALdieb
DENTAL CARIES
DEFINITION OF DENTAL CARIES :

Itis progressive irreversible a bacterial

disease of calcified tissues of the teeth
characterized by demineralization of
the inorganic and destruction of the
organic substance of the tooth
Aetiology :

Unknown
But there are predisposing factors
 THEORIES OF DENTAL CARIES

1-Acidogenic theory (The Miller's

theory).
2-Protolytic theory
3-Protolysis chelating theory
CLASSIFICATION OF DENTAL
:CARIES

Pit & fissure caries.1

Smooth surface caries .2

I.
Classification
by site of
:attack
Cemantal or root caries .3

Recurrent caries -4
Classification by site of attack
CLASSIFICATION OF DENTAL
:CARIES

Acute or rampant caries.1

II.
Chronic caries or .2
Classification
slowly progressive
by rate of caries
:attack

Arrested caries.3
ARRESTED CARIES
HISTOPATHOLOGY OF DENTAL
CARIES
Pathology of Enamel
caries
1-PIT AND FISSURES CARIES
1-PIT AND FISSURES CARIES
1-PIT AND FISSURES CARIES
 ENAMEL CARIES
PIT & FISSURE CARIES
2-SMOOTH SURFACE CARIES
 2-SMOOTH SURFACE CARIES

 Ground Section showing

early carious lesion of
enamel
Enamel caries histopathologically has four zones

 Translucent zone …….large and more porous than normal

( more than ( No )number in normal =1 % by volume ) ,
 It is normally characterized by 0.1 % of enamel volume
 Dark zone……..larger and more than TZ with areas of
remineralization ( 2-4 % by volume )
 Body zone….the pores volume between ( 5-25 % by
volume )
 Surface zone………thickness of the pores in about 40
micron , because there is a highly mineralization from
saliva ( increasing fluoride content )
Pathology Dentine caries
DENTINE CARIES
HISTOPATHOLOGICALLY SDBDR
The dentine is a vital tissue characterized by it has
ability to response to bacterial attack by defence
reaction pulpdentinal complex by ( tertiary
dentine , sealing of dead tract and dentinal
sclerosis )
 DENTINE CARIES

Ground Section showing Ground Section showing cone-

progressive dentine caries shaped dentine caries
 DENTAL CARIES HAS FIVE ZONES
 Sclerosis zone…………obliteration of dentinal tubules
by calcification
 Demineralization…….infected and soft dentine with
sterile dentine …...Beading dentinal tubules
 Bacterial invasive zone …………..colonies of bacterial
invasion with poinor bacteria within DTs , infected
DTs appear in the form of Liquefaction foci ( which
are located parallel to long axis of DTs )
 Destruction zone……. infected LDTs appear in the
form of transverse clefts ( laterally extension)
 Reactionary zone ……………….at surface of pulp
chamber deep to dentine caries ( localized where
irritation of odontoblasts is presented and
characterized by hypermineralization of DTs
DENTINE CARIES
Beaded dentinal tubules with
poineer bacteria
LIQUEFACTION FOCI
LIQUEFACTION FOCI
LIQUEFACTION FOCI
CLEFTS OF DENTINE CARIES
CEMENTUM OR ROOT CARIES