Caries Classification

 

• Anatomical site

  • Pit Fissured caries
  • Smooth surface caries
  • Root caries

• New lesion or recurrent?

  • primary
  • secondary/secondary
  • residual

• Activity of Carious Lession

  • arrested: incipient lesions that never develop into frank caries
  • remineralized: stronger and more resistant to demineralization

  

• Speed of Caries Progression

  • rampant
  • acute

• Number of Surface Involved

  • Simple
  • Compound
  • Complex

• Pathway of Spread

  • Forward
  • Backward

• Severity

  • Incipient

    sedikit daerah enamel

  • Moderate

    lebih dari separuh enamel tanpa mengenai dentin

  • Advanced

    Kena DEJ, kurang dari separuh jarak ke pulpa

  • Severe

    Kena DEJ dekar pulpa

• WHO

  • D1
  • D2
  • D3
  • D4

• Radiographic Caries Classification

  • E1
  • E2
  • E3
  • D1
  • D2
  • D3

GV Black

• Class 1

  affecting pits and fissures on occlusal molars and premolars, occlusal 2/3 of molars and premolars Buccal & Lingual surfaces, and Lingual surfaces of anterior teeth.

  

• Class 2

  affecting proximal surfaces of molars and premolars.

  

• Class 3

  affecting proximal surfaces of central incisors, lateral incisors, and cuspids without involving the incisal angles.

  

• Class 4

  Caries affecting proximal including incisal angles of anterior teeth

  

• Class 5

  affecting gingival 1/3 of facial or lingual surfaces of anterior or posterior teeth.

  

• Class 6

  Caries affecting cusp tips of molars, premolars, and cuspids.

  

Mount Hume

→ minimal intervention

• stage 0

  superfisialis

  initial.earliest lesion that be identified as initial stages of demineralization

• stage 1 superfisialis

  enamel

  miinmal.minimal involvement just beyond treatment by remineralization alone

• stage 2 media

  dentin

  moderate.moderate involvement of dentin, caries not extended to cusps

• stage 3 profunda

  enlarged cavity with at least one cusp undermined and need protection from occlusal load.

  karies sudah mengenai

  lesi meluas sampai cusp/incisal edge (1 cusp hilang) jaringan gigi yang tersisa lemah dalam menahan beban kunyah, tidak beroklusi normal

• stage 4 extensive

  extensive caries with bulk loss of tooth structure has already occurred.

  kehilangan >1 cusp

• site 1

  all lesions originating in pits, fissures and other defects on otherwise smooth surfaces.

  Black's class I

• site 2

  lesions associated with contact areas

  Black's class II,III,IV

• site 3

  The cervical one-third of the crown or, following gingival recession, the exposed root.

  Black's class V

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ICDAS

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