-
localized destruction of teeth by microorganisms
dental caries, tooth decay
-
normal mineralixed tooth structure
-
what is destroyed by caries?
normal mineralixed tooth structure
-
latin for cariosus means?
rottenness "rotting of the teeth"
-
a carous lesion or an area of tooth decay is often refered to as a
cavity
-
in dentistry cavity refers to?
cavitation, or hole, in a tooth that is the result of the caries process
-
To detect dental cares what exams are needed?
Cincal and radiographic
-
carious lesions appear radio... on a radiograph
radiolucent (dark or black)
-
the choice radiograph for caries detection
bitewings
-
Caries are classified according to?
- location:
- interproximal
- occlusal
- buccal
- lingual
-
between two adjacent surfaces
interproximal
-
caries found between two teeth
interproximal caries
-
on a dental radiograph, these caries are seen at or just apical to the contact point.
interproximal caries
-
interproximal caries can be classified according to
the depth of penetration of the lesion through the enamel and dentin
-
interproximal carious lesions can be classified as (4)
- incipient
- moderate
- advanced
- severe
-
extends less than halfway through the thickness of enamel
incipient interproximal caries
-
means beginning to exist or appear
- incipient, class I
- seen on enamel ONLY
-
extends more than halfway though the thickness of enamel but does not involve the DEJ
- Moderate, class II, lesion
- seen in enamel ONLY
-
extends to or through the DEJ and into dentin but does not extend through the dentin more than half the distance toward the pulp
- advanced, class III
- lesion affects both enamel and dentin
-
extends through enamel, through dentin, adn mroe than half the distance toward the pulp
- severe, class IV
- involves both enamel and dentin and may appear clinically as a cavitation in the tooth
-
refers to the chewing surfaces fo the teeth
occlusal
-
careis that involves the chewing surface of the posteriro teeth is termed
occlusal caries
-
Why are occlusal caries difficult to see on a dental radiograph?
because the superimposition of the dense buccal and lingual enamel cusps
-
occlusal caries is not seen on the radiograph until there is involvement of the
DEJ
-
Occlusal carious lesions can be calssified as (3)
-
cannot be seen on hte dental radiograph and must be detected clincally with an explorer
incipient occlusal caries
-
extends into dentin and appears as a very thin radiolucent line. The radiolucency is located under the enamel of the occlusal surface of the tooth. Little if any radiographic change is noted in the enamel
moderate occlusal caries
-
extends into dentin and appears as a large radiolucency. The radiolucency extends under teh enamel of the occlusal surface of the tooth. Apparent clincally and appears as a cavitation in a tooth
Severe occlusal caries
-
difficult to detect on a dental radiograph and are best detected clincally
Buccal and lingual caries
-
caries that appear as small, circular radiolucent area
buccal and lingual caries
-
involves only the roots of teeth
root surface caries
-
the cementum and dentin located just below the cerviacl region or the tooth are involved. No involvemnet of enamel occurs. Bone loss and corresponding gingival recession precede the caries process and result in exposed root surfaces.
Root surface caries
-
occures adjacent to a preexisting restoration
recurrent caries
-
what causes recurrent caries (3)
- inadequate cavity preparation
- defective margins
- incomplete removal of caries before placement of the restorartion
-
occurs most often beneath the interproximal margins of a restoration on a radiograph
recurrent caries
-
growing or spreading unchecked
rampant
-
advanced and severe caries that affects numerous teeth
rampant caries
-
typically seen in children with poor dietary habits or in adults with decreased salivary flow
rampant caries
|
|