Black’s Classification: Isn’t It a Time to Switch over to a Comprehensive Caries Classification?
Journal Title: Saudi Journal of Oral and Dental Research - Year 2018, Vol 3, Issue 5
Abstract
Abstract:GV Black proposed a classification for recording caries which served the purpose efficiently for almost 100 years. Owing to its inbuilt shortcomings and current knowledge on cariology and induction of modern technology and restorative materials, Black’s philosophy has been rendered despondently ineffective. Though various more comprehensive classifications and caries management systems have been evolved but Black’s classification remains popular tool for recording of caries worldwide. The similar situation is found among dental professionals in Pakistan. This study was planned with the objective to know the reason for not using other classification systems and awareness about the existence of newer systems among Operative Dentistry / cariology specialists or teachers. A content validated close-ended questionnaire was used as a tool for this survey based study. The questionnaire based on two-point Likert scale with options of “Yes “and ‘No” comprising of ten simple queries regarding Black’s caries classification was sent personally to all those who showed willingness to participate in the study and was recollected within 15 days. 85% of the participant agreed that Black’s classification focuses on treating dental cavities and not the carious process itself and 95% were aware of existence of more conservative modes of caries classification. Majority confirmed that Black’s classification isn’t compatible with minimal interventional approach to dental treatment. Even then, this is the chief classification that is followed in dental schools in Pakistan. Black’s classification isn’t well-suited for existing philosophy for caries management and dental profession should switch over to already existing more compatible classification. Keywords: Black’s caries classification, Global caries initiative, Global oral health.
Authors and Affiliations
Asaad Javaid Mirza, Mohsin Nazir, Maaz Asad Javaid, Shama Asghar, Asghar Shigri
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