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...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2021-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/14480/46703_CE[Ra]_F(Sh)_PF1(AkA_OM)_PFA(AKA_KM)_PN(KM).pdf |
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| author | Khyati Bagga Sakshi Joshi Anil Gupta Shalini Garg Shalu Bhardwaj |
| author_facet | Khyati Bagga Sakshi Joshi Anil Gupta Shalini Garg Shalu Bhardwaj |
| author_sort | Khyati Bagga |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T10:49:22Z |
| format | Article |
| id | doaj.art-547d1e0977154725a84677dd6f07d5bd |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-19T10:49:22Z |
| publishDate | 2021-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-547d1e0977154725a84677dd6f07d5bd2022-12-21T20:25:04ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-02-01152ZC06ZC0910.7860/JCDR/2021/46703.14480Topographic Distribution of Proximal Cavitated Lesions on Primary Mandibular MolarsKhyati Bagga0Sakshi Joshi1Anil Gupta2Shalini Garg3Shalu Bhardwaj4Postgraduate Student, Department of Paediatric and Preventive Dentistry, SGT University, Gurugram, Haryana, India.Senior Lecturer, Department of Paediatric and Preventive Dentistry, SGT University, Gurugram, Haryana, India.Head, Department of Paediatric and Preventive Dentistry, SGT University, Gurugram, Haryana, India.Professor, Department of Paediatric and Preventive Dentistry, SGT University, Gurugram, Haryana, India.Reader, Department of Paediatric and Preventive Dentistry, SGT University, Gurugram, Haryana, India.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.https://www.jcdr.net/articles/PDF/14480/46703_CE[Ra]_F(Sh)_PF1(AkA_OM)_PFA(AKA_KM)_PN(KM).pdfinternational caries detection and assessment systeminternational caries classification and management systemmandibular teethproximal cariesradiographic score |
| spellingShingle | Khyati Bagga Sakshi Joshi Anil Gupta Shalini Garg Shalu Bhardwaj Topographic Distribution of Proximal Cavitated Lesions on Primary Mandibular Molars Journal of Clinical and Diagnostic Research international caries detection and assessment system international caries classification and management system mandibular teeth proximal caries radiographic score |
| title | Topographic Distribution of Proximal Cavitated Lesions on Primary Mandibular Molars |
| title_full | Topographic Distribution of Proximal Cavitated Lesions on Primary Mandibular Molars |
| title_fullStr | Topographic Distribution of Proximal Cavitated Lesions on Primary Mandibular Molars |
| title_full_unstemmed | Topographic Distribution of Proximal Cavitated Lesions on Primary Mandibular Molars |
| title_short | Topographic Distribution of Proximal Cavitated Lesions on Primary Mandibular Molars |
| title_sort | topographic distribution of proximal cavitated lesions on primary mandibular molars |
| topic | international caries detection and assessment system international caries classification and management system mandibular teeth proximal caries radiographic score |
| url | https://www.jcdr.net/articles/PDF/14480/46703_CE[Ra]_F(Sh)_PF1(AkA_OM)_PFA(AKA_KM)_PN(KM).pdf |
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