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8. BASED ON CHRONOLOGY
EARLY CHILDHOOD CARIES
ADULT CARIES
ADOLESCENT CARIES
• It has been stated that over a lifetime, caries incidence i.e. the number of new lesions occurring in a year, shows three peaks-at the ages 4-8,11-19 and 55-65 years
EARLY CHILDHOOD CARIES
• Early childhood caries would include, two variants: Nursing caries and rampant caries. • The difference primarily exist in involvement of the teeth[ mandibular incisors ] in the carious process in rampant caries as opposed to nursing caries.
CLASSIFICATION OF EARLY CHILDHOOD CARIES TypeI molars and incisors (MILD ) Seen in 2-5 years Causecariogenic semisolid food +lack of oral hygeine TypeII Unaffected mandibular incisors (MODE Soon after first tooth erupts RATE) Causeinappropriate feeding +lack of oral hygeine TypeIII (SEVE RE)
All Involves
teeth including mandibular incisors Causemultitude of factors
SYNONYMS Nursing caries, Nursing bottle mouth, Nursing bottle syndrome, Bottle-Propping caries, comforter caries, Baby Bottle mouth, Nursing Mouth Decay, Baby bottle tooth decay, tooth cleaning neglect NEW NAME Maternally derived streptococcus mutant disease (MDSMD)
NURSING CARIES
Seen
RAMPANT CARIES
Seen
in infant and toddler Affects primary dentition
in all ages, including adoloscennce Affects primary and permanent dentition Mandibular incisors are Mandibular incisors are not involved also affected ETIOLOGY ETIOLOGY Improper bottle MULTIFACTORIAL feeding
Pacifier
dipped in honey/other sweetner
Frequent snacks Sticky refined CHO Decreased salivary flow
TEENAGE CARIES (ADOLESCENT CARIES)
• This type of caries is a variant of rampant caries where the teeth generally considered immune to decay are involved. • The caries is also described to be of a rapidly burrowing type, with a small enamel opening. • The presence of a large pulp chamber adds to the woes, causing early pulp involvement
ADULT CARIES
• With the recession of the gingiva and sometimes decreased salivary function due to atrophy, at the age of 55-60 years, the third peak of caries is observed. • Root caries and cervical caries are more commonly found in this group. • Sometime they are also associated with a partial denture clasp.
EARLY CHILDHOOD CARIES
ADULT CARIES
ADOLESCENT CARIES
• It has been stated that over a lifetime, caries incidence i.e. the number of new lesions occurring in a year, shows three peaks-at the ages 4-8,11-19 and 55-65 years
EARLY CHILDHOOD CARIES
• Early childhood caries would include, two variants: Nursing caries and rampant caries. • The difference primarily exist in involvement of the teeth[ mandibular incisors ] in the carious process in rampant caries as opposed to nursing caries.
CLASSIFICATION OF EARLY CHILDHOOD CARIES TypeI molars and incisors (MILD ) Seen in 2-5 years Causecariogenic semisolid food +lack of oral hygeine TypeII Unaffected mandibular incisors (MODE Soon after first tooth erupts RATE) Causeinappropriate feeding +lack of oral hygeine TypeIII (SEVE RE)
All Involves
teeth including mandibular incisors Causemultitude of factors
SYNONYMS Nursing caries, Nursing bottle mouth, Nursing bottle syndrome, Bottle-Propping caries, comforter caries, Baby Bottle mouth, Nursing Mouth Decay, Baby bottle tooth decay, tooth cleaning neglect NEW NAME Maternally derived streptococcus mutant disease (MDSMD)
NURSING CARIES
Seen
RAMPANT CARIES
Seen
in infant and toddler Affects primary dentition
in all ages, including adoloscennce Affects primary and permanent dentition Mandibular incisors are Mandibular incisors are not involved also affected ETIOLOGY ETIOLOGY Improper bottle MULTIFACTORIAL feeding
Pacifier
dipped in honey/other sweetner
Frequent snacks Sticky refined CHO Decreased salivary flow
TEENAGE CARIES (ADOLESCENT CARIES)
• This type of caries is a variant of rampant caries where the teeth generally considered immune to decay are involved. • The caries is also described to be of a rapidly burrowing type, with a small enamel opening. • The presence of a large pulp chamber adds to the woes, causing early pulp involvement
ADULT CARIES
• With the recession of the gingiva and sometimes decreased salivary function due to atrophy, at the age of 55-60 years, the third peak of caries is observed. • Root caries and cervical caries are more commonly found in this group. • Sometime they are also associated with a partial denture clasp.
