Dental caries can be scored based on both the clinical and radiographic appearance.
(1) clinical tissue changes (see table below)
(2) discoloration of dentine: present or absent
(3) hardness: soft or hard
change limited to surface
change into inner half of the enamel
change full thickness
change in outer half
change into inner half
surface of enamel
change close to pulp
inner half of enamel
change extends to pulp
Radiographic Appearance (after Moller)
enamel with no radiographic changes
radiographic change (shadow) in the outer enamel
radiographic change (shadow) in the inner enamel and approaches the amelodental junction
radiographic change into outer half of dentin
radiographic change in the inner half of the dentin
• Amelo- = "enamel"
• I would imagine that clinical cavitation into the pulp could be scored as 7 and radiographic involvement of the pulp could be scored as 5.
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Specialty: Otolaryngology, Nutrition