Вы находитесь на странице: 1из 24

Dental caries

Most devastating disease of calcified


tissues of oral cavity ( teeth ) in
which demineralization /
decalcification of inorganic portion
of the tooth and disintigration of
organic portion.
Theories of caries
• 1. Acidogenic theory
• 2. Proteolytic theory
• 3. Proteolisis chelation theory
Decay establishment
Decay establishment
• For decay process establishment
three thing are necessary
• 1. Host
• 2. Paracite
• 3. Medium ( carbohydrate)
Decay establishment
•Host
• 1. Tooth
• 2. Salivary factor
• 3. Muscular activity
• 4. Habits
• 5. Age
• 6. Group accessibility
• 7. Envoirnment
Tooth
1. Composition (Fl, ca, sn ) content increases
caries decreases

2. Morphological characteristics
3. Location
Caries Pron surfaces
• 1. pits and fissures
• 2. contact areas
• 3. Area of near approch
• 4. gengival embarasures
• 5. Facial or lingual surfaces apical to the
cervical ridge
Caries resistant areas
• 1. tips of cusps
• 2. crests of marginal and crossing/ ridges
• 3. all inclined planes of cusps and ridges
• 4. occlusal, incisal, facial, lingual embrasures
• 5. Facial or lingual surface of incisal or
occlusal hight of contour with exception pits
and fissure
• Sliva
• 1. composition
• 2. pH
• 3. Viscosity
• 4. Flow
• 5. Antibacterial elements
• 6. Antibodies elements
• 1. Host musculature
Activities of tongue, lips, cheeks
2. Host habits
3. Age
4. Group susceptibility
5. Host envoirnment
parasites
Important Factors
• 1. Micro organisms
• 2. Glycoprotiens
• 3. Inorganic salts
Plaque adhere to the tooth surface with a
sticky polysaccharide carbohydrate called
dextrane
Medium
Modern diets
1. Protective Factors ( phytates in organic
phosphate ) are deleted from food materials
during harvesting processing storage and
preparation
2. Inclusion of refine carbohydrates such as
a. Sucrose ( most detrimental )
b. Fructose
c. Lactose
d. Glucose
Classification of decay
• 1. Initial and primary carious lesion/ recurrent
or secondary carious lesion
• 2. Acute or rampant carries/ chronic carious
lesion
• 3. Pits and fissure carious lesions/ smooth
surface carious lesion
• 4. Forward and backward decay
• 5. Senile carious lesion
• 6. Residual carries
• 7. simple carious lesion/ compound carious
lsion and complex carious lesion
• 8. GV. Black’s classification
• 9. According to the surface involvement
( O – occlusal, M – mesial, D – distel )
Diagnosis of caries
• 1. Explorer
• 2. Radio graph
• 3. Discoloration
• 4. Patient complaint
• 5. Dental floss or tape
• 6. separation of teeth
• 7. Translumination