Caries Classification

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Caries Classification


  • Anatomical site

    • Pit Fissured caries
    • Smooth surface caries
    • Root caries
  • New lesion or recurrent?

    • primary
    • secondary/secondary
    • residual
  • Activity of Carious Lession

    • arrested: incipient lesions that never develop into frank caries
    • remineralized: stronger and more resistant to demineralization

  • Speed of Caries Progression

    • rampant
    • acute
  • Number of Surface Involved

    • Simple
    • Compound
    • Complex
  • Pathway of Spread

    • Forward
    • Backward
  • Severity

    • Incipient

      sedikit daerah enamel

    • Moderate

      lebih dari separuh enamel tanpa mengenai dentin

    • Advanced

      Kena DEJ, kurang dari separuh jarak ke pulpa

    • Severe

      Kena DEJ dekar pulpa

  • WHO

    • D1
    • D2
    • D3
    • D4
  • Radiographic Caries Classification

    • E1
    • E2
    • E3
    • D1
    • D2
    • D3

GV Black

  • Class 1

    affecting pits and fissures on occlusal molars and premolars, occlusal 2/3 of molars and premolars Buccal & Lingual surfaces, and Lingual surfaces of anterior teeth.

  • Class 2

    affecting proximal surfaces of molars and premolars.

  • Class 3

    affecting proximal surfaces of central incisors, lateral incisors, and cuspids without involving the incisal angles.

  • Class 4

    Caries affecting proximal including incisal angles of anterior teeth

  • Class 5

    affecting gingival 1/3 of facial or lingual surfaces of anterior or posterior teeth.

  • Class 6

    Caries affecting cusp tips of molars, premolars, and cuspids.

Mount Hume

→ minimal intervention

  • stage 0


    initial.earliest lesion that be identified as initial stages of demineralization

  • stage 1 superfisialis


    miinmal.minimal involvement just beyond treatment by remineralization alone

  • stage 2 media


    moderate.moderate involvement of dentin, caries not extended to cusps

  • stage 3 profunda

    enlarged cavity with at least one cusp undermined and need protection from occlusal load.

    karies sudah mengenai

    lesi meluas sampai cusp/incisal edge (1 cusp hilang) jaringan gigi yang tersisa lemah dalam menahan beban kunyah, tidak beroklusi normal

  • stage 4 extensive

    extensive caries with bulk loss of tooth structure has already occurred.

    kehilangan >1 cusp

  • site 1

    all lesions originating in pits, fissures and other defects on otherwise smooth surfaces.

    Black's class I

  • site 2

    lesions associated with contact areas

    Black's class II,III,IV

  • site 3

    The cervical one-third of the crown or, following gingival recession, the exposed root.

    Black's class V

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