Topographic Distribution of Proximal Cavitated Lesions on Primary Mandibular Molars
Introduction: Increased prevalence of proximal caries in primary teeth and its difficult diagnosis makes it necessary to develop newer diagnostic tools for accurate detection of these lesions. International Caries Detection and Assessment System (ICDAS) and its associated International Caries Cl...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14480/46703_CE[Ra]_F(Sh)_PF1(AkA_OM)_PFA(AKA_KM)_PN(KM).pdf |
| Summary: | Introduction: Increased prevalence of proximal caries in
primary teeth and its difficult diagnosis makes it necessary to
develop newer diagnostic tools for accurate detection of these
lesions. International Caries Detection and Assessment System
(ICDAS) and its associated International Caries Classification
and Management System (ICCMS) is a newer system that uses
ICDAS for clinical staging of caries and ICDAS Radiographic
score for radiographic staging of carious lesion.
Aim: To the topographical distribution of proximal cavitated
lesions on the mandibular arch and on primary mandibular molar
tooth surface and to determine the extent of the agreement
between clinical and radiographic examination in identifying
proximal cavitated lesions involving primary mandibular molars.
Materials and Methods: An observational study between
July 2018-August 2019 in a total of 100 (60 first and 40 second
primary molars) primary mandibular molars (D or E) was
conducted. Proximal cavitation involving primary mandibular
molars were examined both clinically (ICCMS caries merged
category scores) and radiographically (ICDAS Radiographic
scoring system) and the correlation between both scores were
also analysed.
Results: First primary molar was observed to have statistically
significant prevalence of proximal cavitation (p-value ≤0.001)
both clinically and radiographically as compared to second
primary molar. Distal surface was observed to have more carious
lesions as compared to mesial surface (p-value=0.003). Also, a
statistically significant correlation was observed between the
clinical and radiographic scores (p-value ≤0.001).
Conclusion: Mandibular first primary molar is more prone
to proximal cavitation along with chances of distal surface
cavitations being higher. |
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| ISSN: | 2249-782X 0973-709X |