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2010 ; 3
(3
): 225-9
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Occult Caries: The Hidden Truth
#MMPMID27616849
Satish V
; Cm P
; Kv H
Int J Clin Pediatr Dent
2010[Sep]; 3
(3
): 225-9
PMID27616849
show ga
The term "occult caries" and "hidden caries" are used to describe such lesions,
which are not clinically diagnosed but detected only on radiographs. A female
patient aged 14 years reported for routine dental check-up. On Intraoral
examination, sinus was seen in the buccal mucosa of maxillary left second
premolar 25. On clinical examination the occlusal surface remained ostensibly
intact; tooth was asymptomatic with no past history of pain. On radiographic
examination, there was radiolucency in distobuccal aspect of 25 involving enamel,
dentin and nearing pulp with presence of open apex and periapical radiolucency
irt 25. With clinical and radiographic evaluation, the case was diagnosed as
occult caries in relation to 25. Apexification was done with calcium hydroxide.
The tooth is under observation; once radiographic barrier is formed conventional
root canal treatment will be performed. Conclusion : Early diagnosis of occult
lesions is the best management. As radiographs are probably the most effective
method of diagnosing all occult lesions, they should be recommended at
appropriate ages to aid early detection of these lesions.
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