9/24/2012 World map on dental caries (DMFT, 12-year-olds) Dental caries indexes Iran = 1.9 (2004) Dr. Z. Saied-Moallemi (Petersen 2003) Dr. Z. Saied-Moallemi Mean Number of Decayed, Missing and Filled Teeth for those with decay experience Dr. Z. Saied-Moallemi Dr. Z. Saied-Moallemi 1
9/24/2012 Figure 1. The “iceberg of dental caries”—diagnostic thresholds in clinical trials and practice. Pitts N J DENT RES 2004;83:C43-C47 Dr. Z. Saied-Moallemi Dr. Z. Saied-Moallemi Figure 2. The “iceberg of dental caries” and contemporary treatment need/advice. Penevaet al., 2007 Pitts N J DENT RES 2004;83:C43-C47 Dr. Z. Saied-Moallemi Dr. Z. Saied-Moallemi 2
9/24/2012 Figure 3. Three aspects of modern caries measurement. Pitts N J DENT RES 2004;83:C43-C47 Dr. Z. Saied-Moallemi Dr. Z. Saied-Moallemi ICDAS- ICDAS -II II Decision Table, Baltimore 2005 Decision Table, Baltimore 2005 Epidemiology Practice Research Education Clinical Visual Assessment Lesion Detection Aids Care Planning Aids Lay Terms Dental Terms Letter Number ICDAS Bw FOTI Tech Tech Risk Colour Care Status code code activity 1 2 Range severe decay E x tensive h/m/l PCA X 6 p/a/r - - - - cavity with OCA visible dentin severe decay Distinct c avity C 5 p/a/r - - - - h/m/l PCA with visible OCA dentin established N on-cavitated p/a/r h/m/l PCA N 4 - - - - decay surface with OCA dentin shadow established L ocalized L 3 p/a/r - - - - h/m/l PCA ? enamel decay OCA breakdown early stage Distinct visual E 2 p/a/r - - - - h/m/l PCA decay change in reversible/arrestible e namel early stage First v isual V 1 p/a/r - - - - h/m/l PCA decay change in enamel reversible/arrestible Sound S ound p/a/r h/m/l App Care S 0 - - - - Key: p = progressing, a = arresting, r = remineralizing; h = high risk, m = medium risk, l= low risk; PCA = Preventive Care Advised; OCA = Operative Care Advised. Dr. Z. Saied-Moallemi Dr. Z. Saied-Moallemi 3
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