Disease of dental hard tissue

Objective
• By the end of this lecture you should be able to
describe
caries lesion :- definition ,classification, prevention and treatment
effect of saliva on caries process
non oral factors for caries
progression of caries lesions
:- pulpitis
:- per apical lesion
non caries lesions
Dental caries
• Definition
• Dental plaque
Classification of dental caries
• Blacks classification
Other classification
• Rampant caries
• Secondary caries
• Arested caries
• Root caries
What is necessary for Dental caries to occur

Micro-
organisms

Tooth caries Time

Food

6
Prevention and treatment
• Oral health instruction
Treatment
filling
ss crowns
root canal treatments
extractions
Effect of saliva on caries process
• buffering action
• Flushing effect /bathing
• Produce antimicrobial products
• Has remineralization effect
• Carbohydrate break down
 non oral factors associated with increased caries risk 

- Age
- No or less fluoride
- Also Smoking and Alcohol
- General Health like Chronic illness and
debilitating disease
- Medication which decrease salivary flow

9
progression of caries lesions
a. Initial caries
b. Superficial caries
c. Moderate caries
d. Deep caries
e. Deep complicated caries
 Pulpits
1. Reversible pulpits
2. Irreversible pulpits
 Per-apical progression
• Apical periodontitis
acute
chronic
Apical periodontal cyst
• Exacerbated CAP
• Referal to OMFS
Non caries lesions of tooth
ATTRITION
Non caries lesions of tooth
• Abration
Non caries lesions of tooth
EROSION:
perimolysis
Non caries lesions of tooth
ABFARCTION
• The end