Dental Caries Health Article

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Definition

Dental caries, also known as tooth decay, is the destruction of the outer surface (enamel) of a tooth. Decay results from the action of bacteria that live in plaque, which is a sticky, whitish film formed by a protein in saliva (mucin) and sugary substances in the mouth. The plaque bacteria sticking to tooth enamel use the sugar and starch from food particles in the mouth to produce acid. Tooth decay can result in tooth loss.

Description

Thanks to the benefits of fluoride and fluoridated water, dental caries, also called dental cavities, are not as prevalent as in the years before and including the 1980s. While the majority of senior citizens a generation ago lost all their teeth, the vast majority of the elderly today have some or all of their natural teeth.

Although anyone can have a problem with tooth decay, children and senior citizens are the two high-risk groups. While both groups experience a diminishing caries rate, senior citizens are getting more cavities than children. Since older adults are keeping their teeth longer, they have become more prone to root caries, or root decay. Other high-risk groups include people who eat a lot of starchy and sugary foods, people living in areas without a fluoridated water supply, and people who already have numerous dental restorations (fillings and crowns).

Dental caries charting: classification of cavities
Classification and location Method of examination
SOURCE: Alvarez, K.H. Williams & Wilkins' Dental Hygiene Handbook. Baltimore: Williams & Wilkins, 1998.
Class I
Cavities in pits or fissures
Occlusal surfaces of premolars and molars
Facial and lingual surfaces of molars
Lingual surfaces of maxillary incisors
Direct or indirect visual
Exploration
Radiographs are not useful
Class II
Cavities in proximal surfaces of premolars and molars
Early caries: by radiographs only
Moderate caries not broken through from proximal to occlusal:
Visual by color changes in tooth and loss of translucency
Exploration from proximal
Extensive caries involving occlusal: direct visual
Class III
Cavities in proximal surfaces of incisors and canines that do not involve the incisal angle
Early caries: by radiographs or transillumination
Moderate caries not broken through to lingual or facial:
Visual by tooth color change Exploration Radiograph
Extensive caries: direct visual
Class IV
Cavities in proximal surfaces of Transillumination involve the incisal angle
Visual
incisors or canines that
Class V
Cavities in the cervical 1/3 of facial or lingual surfaces (not pit or fissure)
Direct visual: dry surface for vision
Exploration to distinguish demineralization: whether rough or hard and unbroken Areas may be sensitive to touch
Class VI
Cavities on incisal edges of anterior teeth and cusp tips of posterior teeth
Direct visual
May be discolored
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Author Info: Lisette Hilton, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Nursing and Allied Health, 2002
 
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