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RAMPANT CARIES
Definition Dental Caries is irreversible Microbial disease of the Hard tissues of the teeth characterized by demineralization  of the in organic portion followed by destruction of the organic constituents of the teeth.
Classification Based on anatomic site:   Crown Caries  Root Caries Pit & Fissures Smooth Caries
Based on progression  Arrested   Caries  Progressive Caries Rapidly Progressive Slowly Progressive Nursing Caries Radiating Caries
Based on the virginity of the lesion Primary Caries  Secondary Caries  Based on the chronology Early Childhood  Caries Adult Caries  Adolescent Caries
Based on Type of Dentition  Caries in Primary Dentition   Caries in Mixed Dentition Caries in Permanent Dentition Based on severity  Incipient   Occult Caries (Hidden Caries )  Cavitations
RAMPANT CARIES: Rampant Caries is defined as suddenly appearing wide spread, rapidly burrowing type of caries resulting in the early involvement of the pulp.  MATHEWSON:-
Massler defined it as suddenly appearing, vide spread, rapidly burrowing type of caries, resulting in early involvement of pulp and affecting those teeth usually regarded as immune to ordinary decay.  Acute onset involving many or all erupted teeth rapidly destroying coronal tissue often on surface immune to decay and leading to early involvement of pulp. MACDONALD:- WINTER:-
ETIOLOGY: Acidogenic Bacteria, Dental Plaque, Tooth Structure Susceptible to Dissolution.  Salivary Deficiency:   A.  Due to radiation therapy.  B. In Stressed children who have tranquilizers  C. Xerostomia Genetical
Habits   A.  Feeding of Child with sweetened Milk through the night.  B.  Sweetened Pacifiers  C .  Nursing of Child through the night.
Nutrition Nutritional deficiency   Diet: ,[object Object],[object Object],Psychological factors. ,[object Object],[object Object],[object Object]
CLASSIFICATION ACCORDING TO AGE   Those seen in  a) Infants    b) Young Children  c) Teenagers  d) Adults of all age Most Prevalent age group: 4-8 years  11-19 years.
CHARACTERISTIC FEATURES:   ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Type of Lesion or Nature :-
Davies believed that rampant caries should be coined to condition where: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],SEQUELE OF RAMPANT CARIES:-
1 .  Rampant caries in deciduous dentition   TYPES: ,[object Object],[object Object],[object Object],[object Object]
2. Rampant Caries in adults:   Rare in Adults ,[object Object]
Treatment   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
1. Provisional restorations: ,[object Object],[object Object],[object Object],[object Object],Pain, abscess, Sinus or facial swelling  Require immediate treatment  ,[object Object],Form cresol pulpotomy Pulp is nonvital Pulpactomy followed by obturation with zinc – oxide eugenol cement.
2. Diet assessment: ,[object Object],[object Object],[object Object],Gradually decreasing bottle contents with water as well as decreasing amount of added sugar over a 2-3 weeks period. ,[object Object]
3. Oral hygiene instructions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. FLUORIDE TREATMENT ,[object Object],[object Object],[object Object],Water Fluoridation concentration (PPM) Mg F/ day Age (Year) < 0.3 0.3 – 0.7 > 0.7 0-2 0.25 0.00 0.00 2-3 0.50 0.25 0.00 3-16 1.00 0.50 0.00
[object Object],(a) Primary dentition : 0-5 Years Dietary Advice :  Dietary Counseling with parents on good nursing techniques  1. Fluoride Therapy ,[object Object],[object Object],[object Object],2. Plaque Control  ,[object Object],[object Object]
( a) Mixed dentition : 5-12 Years Dietary Advice :  Dietary  Counseling with parents and patients 1. Fluoride Therapy ,[object Object],[object Object],[object Object],2. Plaque Control  ,[object Object],[object Object],[object Object],[object Object]
Fluoride Therapy :  Tooth Paste  Mouth rinse  Professional fluoride application every 6 months.  1. Plaque Control: ,[object Object],[object Object],[object Object],[object Object],[object Object],Permanent Dentition : 12 Years Onward
Comprehensive Restorative Treatment   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
* Posterior Teeth:-  *  Posterior composite resin restorations.  * Glass- Ionomer cement restorations.  * Stainless Steel crowns.  ,[object Object],[object Object],[object Object]
SUMMARY ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]

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rampant caries

  • 2. Definition Dental Caries is irreversible Microbial disease of the Hard tissues of the teeth characterized by demineralization of the in organic portion followed by destruction of the organic constituents of the teeth.
  • 3. Classification Based on anatomic site: Crown Caries Root Caries Pit & Fissures Smooth Caries
  • 4. Based on progression Arrested Caries Progressive Caries Rapidly Progressive Slowly Progressive Nursing Caries Radiating Caries
  • 5. Based on the virginity of the lesion Primary Caries Secondary Caries Based on the chronology Early Childhood Caries Adult Caries Adolescent Caries
  • 6. Based on Type of Dentition Caries in Primary Dentition Caries in Mixed Dentition Caries in Permanent Dentition Based on severity Incipient Occult Caries (Hidden Caries ) Cavitations
  • 7. RAMPANT CARIES: Rampant Caries is defined as suddenly appearing wide spread, rapidly burrowing type of caries resulting in the early involvement of the pulp. MATHEWSON:-
  • 8. Massler defined it as suddenly appearing, vide spread, rapidly burrowing type of caries, resulting in early involvement of pulp and affecting those teeth usually regarded as immune to ordinary decay. Acute onset involving many or all erupted teeth rapidly destroying coronal tissue often on surface immune to decay and leading to early involvement of pulp. MACDONALD:- WINTER:-
  • 9. ETIOLOGY: Acidogenic Bacteria, Dental Plaque, Tooth Structure Susceptible to Dissolution. Salivary Deficiency: A. Due to radiation therapy. B. In Stressed children who have tranquilizers C. Xerostomia Genetical
  • 10. Habits A. Feeding of Child with sweetened Milk through the night. B. Sweetened Pacifiers C . Nursing of Child through the night.
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  • 12. CLASSIFICATION ACCORDING TO AGE Those seen in a) Infants b) Young Children c) Teenagers d) Adults of all age Most Prevalent age group: 4-8 years 11-19 years.
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