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The feasible rationale of this caries advancement would be that as children grow older; their diet pattern alters from home-made nutritious food to unhealthy snacks and junk food easily available at school canteens, their parent's involvement in tooth-brushing practices diminish, and also the duration of teeth being exposed to the oral environment prolongs.
Severe dental caries was defined as having at least 2 teeth with pulpal involvement at enrolment.
Their caries prevalence was 89% and 49% of the children had carious tooth with pulp involvement.
Fistula (f) was diagnosed when pus-releasing sinus tract was related to the tooth with pulpal involvement.
For the mature tooth, the fibroblast involvement in the pulp and dentin repair is a fact unanimously accepted [ 21– 25].
There were 275 children (38%) who had at least one carious tooth with pulp involvement (pa > 0), and their mean (SD) pa was 1.2 (2.3).
These injuries can lead to the dislocation of a tooth and pulp involvement, which is a cause of concern for parents/caregivers [ 18].
The clinical features and extent of defects can vary from a limited area on one tooth surface to widespread involvement, affecting multiple surfaces and teeth.
The results showed that 49.7%% of the teeth had no root involvement.
The "p" denotes an untreated carious tooth with visible pulp involvement, and "a" denotes an untreated carious tooth with visible apical infection that can be in the form of a fistula or abscess.
The "p" stands for an untreated carious tooth with visible pulp involvement, and the "a" denotes an untreated carious tooth with visible apical infection that can be in the form of abscess or fistula.
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