Characteristics of the Deep Carious Lesions of Primary and Permanent Molars Using IOPA Radiographs

##plugins.themes.bootstrap3.article.main##

  •   C. Nagarathna

  •   C. Rahul

  •   T. Umapathy

Abstract

Aim: To determine the site and pattern of deep carious lesion & its consequences on coronal and radicular structures radiographically in primary molars & first permanent molars using IOPA radiographs.


Materials and methods: It consisted of 200 IOPA of Deep carious of Maxillary & mandibular of primary (n=100) and permanent molars(n=100) X-rays are collected. IOPA radiographs of Deep carious lesion involving only dentin with radiolucency reaching the inner 1/3 of dentin, clinically cavitated that is RC5 Of the ICMMS criteria were taken. Blinded Radiographic evaluation was done by two persons to rule out inter examiner variability.


Results: In primary molars IOPA there was statistically significant difference in Carious adjacent tooth whereas in permanent molars IOPA there was statistical difference in Diffused pattern and lost tooth structures. When compared primary and permanent molars diffused pattern and lost tooth structure showed statistically significant difference.


Conclusion: The deep carious lesions definitely lead to loss of crown structure over a period of time and also capable of spread of caries to adjacent teeth due to food impaction & inadequate oral hygiene. Hence leading to loss of function and arch length. 


Keywords: Dental Caries, IOPA radiographs, Permanent Molars, Primary Molars

References

Pitts, N., Zero, D., Marsh, P. et al., Dental caries, Nat Rev Dis Primers 3, 17030, 2017.

Fitzgerald M, Heys RJ., A clinical and histological evaluation of conservative pulpal therapy in human teeth, Operative dentistry, 1991;16(3):101-12.

Innes NP, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Doméjean S, Fontana M., Managing carious lesions: consensus recommendations on terminology, Advances in dental research, 2016; 28(2):49-57.

Srilatha A, Doshi D, Kulkarni S, Reddy M. Conventional diagnostic aids in dental caries, Journal of Global Oral Health, vol. 2019 Jan; 2(1):53.

Dove SB., Radiographic diagnosis of dental caries, Journal of dental education, 2001;65(10):985-90.

Rajendran R. Shafer's textbook of oral pathology. Elsevier India; 2009. Page(447-450)

Fabregas R, Rubinstein J., On the initial propagation of dental caries, J. R. Soc. Interface, 2014, 11: 20140809.

http://dx.doi.org/10.1098/rsif.2014.0809.

Greenwell AL, Johnsen D, DiSantis TA, Gerstenmaier J, Limbert N., Longitudinal evaluation of caries patterns from the primary to the mixed dentition, Pediatr Dent, 1990, Sep-Oct;12(5):278–82.

Carvalho JC., Caries process on occlusal surfaces: evolving evidence and understanding, Caries Res, 2014;48(4):339-46.

Kitchens D.H., The economics of pit and fissure sealants in preentive dentistry: A review, J. Contemp. Dent. Pract, 2005;6:95–103.

##plugins.themes.bootstrap3.article.details##

How to Cite
Nagarathna, C., Rahul, C., & Umapathy, T. (2021). Characteristics of the Deep Carious Lesions of Primary and Permanent Molars Using IOPA Radiographs. European Journal of Dental and Oral Health, 2(5), 1-3. https://doi.org/10.24018/ejdent.2021.2.5.84