Manual de Endodoncia Basica V6
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Home » Operative Dentistry • Oral medicine and radiology • Oral Pathology » Arrested Caries –
Causes, Color, Stages of Development and Treatment
Arrested Caries – Causes, Color, Stages of Development and
Treatment
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Arrested Caries is a type of Dental Caries affecting Teeth which are basically Caries which has become
stationary or nonprogressive or static without any signs of further progression or extending into the
Enamel or dentist structure. Arrested Carious Lesion is usually Selfcleansing and is usually seen on the
lingual or labial surfaces of the tooth. Due to the Selfcleaning property, there is a lack of any Food
impaction or retention in the Arrested Carious lesion.
GV Black Classification of Dental Caries
Arrested Caries is usually hard and glossy, it is due to the fact that the top layer of soft and decalcified
Enamel (affected by caries) is lost due to the masticatory movements and forces and this leads to a
brownish/black and polished/shiny surface which is hard in consistency. If arrested caries involves
Dentin, it is called as – Eburnated Dentin . Sclerosis of Dentinal Tubules is seen and secondary dentin
formation commonly occurs in arrested caries.
Common Features of Arrested Caries:
Toothlike Consistency (hard)
Brown / Black color
Glossy or Polished surface
No progression of the carious lesion
Mostly seen on the Buccal or Lingual surface – Interproximal areas below the contact point and
besides the extracted tooth
Resistant to future caries infection
No food accumulation or stagnation seen
Location of Arrested Caries:
Most commonly seen on Labial or Lingual Surfaces of the tooth
Less Common in Interproximal surfaces of the tooth
In the Interproximal surface, the Arrested caries is located below the contact point of adjacent teeth and
it appears brown in color. (usually seen after extraction of the adjacent tooth). This is because the
Caries process has stopped after the removal of the tooth and it becomes selfcleaning.
Why is Color of Arrested Caries Black or Brown:
A Carious lesion which is halted in progression and starts to Remineralize is called as Arrested Caries,
so the Enamel or Dentin structure which is present in the Carious lesion is discolored and hence it is
seen as Black or Brown color in Arrested Caries.
Black colored Arrested Caries – Enamel Caries
Brown Colored Arrested Caries – Dentinal Caries
The Change in color is also due to the “Entrapment of organic debris and metallic ions within the
Remineralized Enamel“ giving the Black color to it. The brown color is also seen in the Early form of the
carious lesion which has turned into arrested caries.
Stages of Development of Arrested Caries:
Development of Arrested Caries is divided into three Stages based on the stage of Dissolution and
Crystallization of the Carious lesion.
Stage 1 or First Stage: Minerals in the intertubular dentin has started to dissolve due to Acids
produced by Bacteria. The accumulation of fluid in the tubules becomes saturated with calcium and
magnesium ions.
Stage 2 or Second Stage: The Saturated Crystals start precipitation and lead to the formation of large
crystals of tricalcium phosphate.
Stage 3 or Third Stage: Collagen in secreted into the dentin tubules due to Odontoblast process, this
leads to blockage of the tubules with Hydroxyapatite crystals. The Growth of crystals takes place in the
intertubular dentin.
According to Muhler, caries arrest has been seen after application of Stannous fluoride solution on
tooth surfaces having carious lesions. Application of Stannous Fluoride on surfaces with incipient
carious lesions, demineralized areas, etching or frank carious lesions. These surfaces started to show
signs of Arrested Carious lesions.
References:
1 Nisha Garg – Textbook of Operative Dentistry
2. Shafer’s Textbook of Oral Pathology
About Author
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I am Varun, a Dentist from Hyderabad, India trying my bit to help everyone understand
Dental problems and treatments and to make Dental Education simplified for Dental
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