GUIDELINE CPPC

Clinical Prevention Programme for Caries

Stage 2: Treatment Procedure for PRR, Type 1 (GIC)

A

Clean the tooth / teeth surface with dry toothbrush / dry bristle in slow handpiece
and prepare microcavity within enamel layer.

Cleaned using wet cotton pellet, isolate and dry the tooth
(cotton roll / two finger technique)

Apply conditioner or GIC liquid into the cavity and on the surface of pit
and fissures (Manufacturer’s instructions)

Rinse with wet gauze

Dry the tooth / teeth with dry gauze

Fill with GIC and apply to all fissures and ridges.

Apply petroleum jelly / vaseline / cocoa butter on the tooth surface
using index finger with gloves

Compress the mixed GIC into pits and fissures
using index finger (press-finger) technique.

Remove excess GIC using a carver

Check occlusion (articulation paper)

Advise patient after the procedure

Treatment recorded and
review appointment given

51

Clinical Prevention Programme for Caries

Appendix 10

RESPONSIBILITY STANDARD OPERATING PROCEDURE OF
DO/DT FLOURIDE VARNISH APPLICATION
DO/DT
ACTION
DO/DT
DO/DT 1. Determine tooth/teeth to be treated and code as E13 for FV
DSA/HA
DO/DT 2. Check and verify patients’ detail. Medical history, allergic history and dental
history must be verified and treatment consent must be obtained from
DO/DT patient. FV is contra-indicated for persons with history of allergies or
asthma, persons with ulcerative gingivitis or stomatitis
DO/DT
DO/DT 3. Advise patient regarding benefits and safety of fluoride varnish.
Fluoride varnish application procedure must be addressed to patients.

4. Patient must be advised to eat / drink prior to fluoride varnish application.

5. Prepare all the necessary equipment and materials for FV application.

6. It is not necessary to professionally clean the permanent tooth / teeth
prior to applying fluoride varnish, but the permanent tooth / teeth coded
E13 can be cleaned with a wet gauze. Pt must brush the teeth if there is
large plaque accumulation on the tooth / teeth.

7. Dry the permanent tooth / teeth coded with E13 with compressed air or
with cotton gauze before application. Since varnish sets in the presence of
moisture, excessive drying is not necessary

8. Tooth / Teeth coded with E13 is isolated with cotton rolls to prevent saliva
contamination.

9. When a single-dose system is used, mix the varnish in the well that is
provided / according to instruction manual. Apply the fluoride varnish to the
tooth / teeth coded with E13 according to the amount that is recommended
with a small disposable brush (NHS Scotland)

i. 5-year-old : do not exceed 0.25ml

ii. 6-year-old and above: 0.4 ml to 0.5 ml 1,2

52

Clinical Prevention Programme for Caries

RESPONSIBILITY ACTION
DO/DT
10. A specific setting time is not required since varnish sets in contact with
saliva. Application of FV must not be done on gingivae / soft tissues /
large cavitated tooth and when there is intra oral inflammation.

DO/DT 11. Following advise must be given to patients:
a) Do not rinse, eat or drink for at least 30 minutes after FV application
b) Eat a soft diet for the rest of the day.
c) Patients should avoid brushing teeth the same day.
d) Patient must be informed regarding temporary discoloration of tooth /
teeth after FV application (few hours).

DO/DT/DSA/HA 12. Ensure patient gets down from dental chair safely

DO/DT 13. Patient’s tooth / teeth must be reviewed yearly.

DO/DT 14. Examination, diagnosis and treatment done must be recorded
comprehensively in LP.8-1 Pin 8 /2019 and electronic medical record

Abbreviation:
DO - Dental Officer
DT - Dental Therapist
DSA - Dental Surgery Assistant
HA - Health Assistant

53

Clinical Prevention Programme for Caries

Appendix 10a

FLOW CHART OF SOP FOR FV APPLICATION
Stage 1: Flow Chart on Preparation Before Fluoride Varnish (FV) Application

Determine tooth/teeth to be treated and code as
E13 for FV

Check and verify following Patient’s details
- Medical history (allergy)
- Dental history
- Treatment consent

Provide information to parents / caregivers:
Benefits and safety of fluoride varnish application and

FV application procedure

Prepare the necessary equipment and
materials that is needed

A

* FV is contra-indicated for persons with a history of allergies or asthma,
persons with ulcerative gingivitis or stomatitis

54

Clinical Prevention Programme for Caries

Stage 2: Flow Chart on Fluoride Varnish Application
A

Clean tooth /teeth coded E 13 with wet gauze

Dry the permanent tooth / teeth coded with E 13 with compressed air or
with cotton gauze before application

Tooth / Teeth is isolated with cotton rolls to prevent saliva contamination

Apply the fluoride varnish to the tooth / teeth according to the amount that is
recommended with a small disposable brush.

Advise patient after the procedure as follows:
Do not rinse, eat or drink for at least 30 minutes after FV application.
Eat a soft diet for the rest of the day.
Patients should avoid brushing teeth the same day
Patient must be informed regarding temporary discoloration of tooth / teeth after FV application

(few hours).

Ensure patient gets down from dental chair safely

Provide review appointment

Record the
treatment

# NOTE:

Apply the fluoride varnish to the tooth / teeth coded with E 13 according to

the amount that is recommended with a small disposable brush (NHS Scotland)

5 year old : Do not exceed 0.25ml 55

> 6 year old : 0.4 ml to 0.5 ml

Application of FV must not be done on gingivae / soft tissues / large cavitated tooth

and when there is intra oral inflammation

CPPC Treatment Need and Treatment Rendered by Year of Preschool/ School Chil
Preschool/School/Clinic/District/State: ________________________________

Year of Evaluation __________________

No CPPC Indicators Numerator/Denominator Formula 5

No. of new attendance a

No. of subjects b
c
Fissure Sealant Treatment Need No. of teeth b/a x 100
d
% subjects d/b x 100

1 No. of subjects e
e/c x100
Fissure Sealant Rendered % subjects
No. of teeth f
g
% teeth
f/a x 100
No. of subjects h

PRR (Type 1) Treatment Need No. of teeth h/f x 100
i
% subjects
i/g x 100
2 No. of subjects j
k
PRR (Type 1) Rendered % subjects
No. of teeth j/a x 100
l
% teeth
l/j x 100
No. of subjects m

Fluoride Varnish Treatment Need No. of teeth m/k X 100
n
% subjects
n/a x 100
3 No. of subjects o

Fluoride Varnish Rendered % subjects o/a
No. of teeth

% teeth

Caries- free status No. of caries-free subjects

4 % of caries-free subjects
No. of DMFT
DMFT status
Mean DMFT

ldren Clinical Prevention Programme for Caries

Appendix 11

CPPC 1/20

Pre School Class (Standard/Form) Total

5 yrs-old 6 yrs-old 1 2 3 4 5 6 KKI

56

Trend data of decayed teeth with occlusal caries in Preschoolchildren / Schoolc

Preschool/ School/Clinic/District/State:________________________________
Year of Evaluation: ___________________________

No. of teeth carious No.

experience (D + F) All types (Class
Class (Standard/Form) (Include all teeth) n
2
1

Preschool 5 yrs-old
Preschool 6 yrs-old

1

2

3
4
5
6

Peralihan
KKI

JUMLAH

*PG 307 (for Year 6 school children only) can be modified to yield these results

In this table, decay(D) does not include teeth indicated for extraction (X).
Class I – involving occlusal surface only
Class II – involving occlusal surface + other surfaces

Clinical Prevention Programme for Caries

Appendix 11a

CPPC 2/20

children

of teeth with occlusal caries experience (D + F)

I and II) Class I only
% n%
3 3/1 x 100
2/1 x 100

s

57

PG 307A

Klinik : KEMENTERIAN KESIHATAN
Taska /Tadika / Sekolah : SISTEM PENGURUSAN MAKLUM
Jenis Perkhidmatan Pergigian : PENDAFTARAN, KENYATAAN PERMULAAN DAN AKHIR
Tahun / Tingkatan :
TAHUN:
Tarikh/Tempat Pemeriksaan :
Bil. Hari Perlu Untuk Projek :

PEMERIKSAAN AWAL

Nombor siri Kedatangan Status Gigi Desidus Status Gigi Kekal
Enggan
EnrolmenKebersihan
BaruMulut
Ulangan
NAMA
Karies
Telah
Ditamp
Perlu
Dibuat
Jumlah dfx
Karies Awal ( E )
Karies
Telah Dicabut
Telah Ditampal
Perlu Dicabut
Jumlah DMFX
DMFX<=3
X+M=0
E≥1 (ada karies awal)
Mulut Bebas Karies
(MBK)
Bebas Karies (BK) DMFX
=0
Bebas Karies (BK) tetapi
E≥1
dfx = 0
Mulut Bebas Gingivitis
(MBG)
Tidak Perlu Rawatan
SMKP
Kecederaan Gigi Anterior
ACEd f x DMFX 1

12 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
1 00
2
3 00
4
5 00
6
7 00
8
9 00
10
11 00
12
Jumlah 00

00

00

00

00

00

000000000000000000000000000

Bil. Murid Tidak Hadir

Kedatngan Baru ( Ruangan 5 )
Tandakan ( 1 ) jika pesakit hadir untuk pemeriksaan/ raw atan
Tandakan ( TH ) jika pesakit tidak hadir untuk pemeriksaan/ raw atan

Cleft Lip / Palate ( Ruangan 28 )
i) Tandakan ( 1 ) jika kes ditemui .
ii) Tandakan ( 1 ) & ( R ) jika kes ditemui dan dirujuk .

Clinical Prevention Programme for Caries

Appendix 12

N MALAYSIA PG 307 A
MAT KESIHATAN
R RAWATAN PERGIGIAN INCREMENTAL

Tarikh Mula Raw atan :
Tarikh Selesai Raw atan :
Nama Pegaw ai/Jururaw at :

PENYATA AKHIR

Perlu Dibuat TELAH DIBUAT
Cleft Lip/Cleft
Palate Sapuan Restorasi Tampalan Fisur Sapuan Restorasi Tampalan Cabutan GIS Skor
Varnish Sealan Varnish 0123
Baru/Semula (B/S)Fisur SealanFluoridaPencegaPosterior Fluorida Pencega
Murid
Gigi Perlu FS
Bil. Gigi `failed' FS
Murid
Gigi
Murid
Gigi
Baru/Semula (B/S)
Murid
Gigi
Murid
Gigi
Murid
Gigi
Jumlah Tampalan
Gigi Desidus
Gigi Kekal
Penskaleran
Kes Selesai SMKP
han Anterior han (PRR Anterior Posterior

Sew arna Sew arna Amalgam Sew arna Sew arna Amalgam

1R GD GK GD GK GD GK GD GK GD GK GD GK

28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61
00 00
B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B B0

S S0

B0 0 0 00 0 0 0 0 0 0 0 0B0 0 0 00 0 0 0 0 0 0 0 0 0000 0 0

S0 0 0 0 0 0 0 0 0S0 0 0 0 0 0 0 0 0 0 0

58

PG 201

KEMENTERIAN KESI

SISTEM PENGURUSAN M

KENYATAAN PERMULAAN DAN AKHIR RAWATAN PERGIGIAN INCREMENTAL MU

Bulan : TAHUN

Klinik: STATUS GIGI DESIDUS STATUS GIGI KEKAL Tarikh & T
Sekolah: Bil.Hari Pe
Jenis Perkhidmatan pergigian:
STATUS KES. MULUT
Kedtgan

Tahun/Ting.
Enggan
Tidak hadir
Enrolmen
Baru
Ulangan
Kebersihan Mulut

Karies
Telah di Tampal
Perlu Di cabut
Jumlah dfx
Karies
Telah di cabut
Telah di Tampal
Perlu Di cabut
Jumlah DMFX
DMFX < = 3
X+M=0
Mulut Bebas Karies
(MBK)
Bebas Karies (BK)
DMFX = 0
dfx=0
Mulut Bebas
Gingivitis (MBG)
Tidak Perlu
Rawatan (TPR)
Kecedaraan gigi
df x DMF X

1 2345 67 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

1 A 00
C
2 E 00
A
3 C 00
E
4 A 00
C
5 E 00
A
6 C 00
E
KKI A 00
C
JUM E 00
JUMLAH A
C %%%%%
BARU DAN ULANGAN E ##### ##### ##### ##### #####
A
C
E
A
C
E

* Untuk Cabutan rujuk ruang 8 dan 13
* CL/P : Cleft Clip / Cleft Palate

Disediakan oleh:
Nama & Jawatan

Clinical Prevention Programme for Caries

IHATAN MALAYSIA PG 201
MAKLUMAT KESIHATAN (Pin. 1/13)
URID PRA SEKOLAH/SEKOLAH RENDAH/MENENGAH/KANAK-KANAK ISTIMEWA

Tempat Pemeriksaan: Tarikh Mula Rawatan:
erlu Untuk Projek: Tarikh Selesai Rawatan:
Nama Pegawai/Jururawat Pergigian:

PERLU DI BUAT TELAH DI BUAT
TAMPALAN

Posterior
anterior SEALAN FISUR TAMPALAN SEALAN CABUTAN
Cleft Lip / Cleft palate FISUR
Anterior Posterior Anterior
Baru Semula B/S
Murid
Gigi perlu FS
Bil. Gigi 'failed' FS
Baru Semula B/S
Murid
Gigi
Jumlah tampalan
Gigi Desidus
Gigi Kekal
Penskaleran
Kes selesai
Sewarna Sewarna Amalgam Sewarna Sewarna Amalgam

IR GD GK GD GK GD GK GD GK GD GK GD GK

4 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49

BB

SS

BB

SS
BB

SS

BB

SS

BB

SS

BB

SS

BB

SS

B B Jumlah
0
S S
Jum. Jum
B&S B&S 0 0 0 0 0 0 0 0 0

% Kes selesai:
= Jumlah Kes Selesai(Ruangan 49) x 100%

Jumlah Kedatangan Baru(Ruangan 5) #####

Disahkan oleh:

Nama & Jawatan % Murid Sekolah Diliput
= Jumlah Kes Selesai(Ruangan 49) x 100%

Enrolmen (Ruangan 4)

#####

59

PG 201A

KEMENTERIAN KESIHATA

SISTEM MAKLUMAT PENGURU

KENYATAAN PERMULAAN DAN AKHIR RAWATAN PERGIGIAN INCREMENTAL PRA SEK

Bulan : TAHUN

KLINIK/SEKOLAH COMB MALAYSIA TARIKH/TEMPAT PEMER
JENIS PERKHIDMATAN SEKOLAH 3716 BIL. HARI PERLU UNTUK
PEM ER IKSA 2644

0000000000000

Kedtgan STATUS GIGI DESIDUS STATUS GIGI KEKAL STATUS KES. MULUT

Darjah/Ting. Cleft Lip
Enggan / Cleft
Tidak hadir palate
Enrolmen
Baru
Ulangan
Kebersihan Mulut

Karies
Telah di Tampal
Perlu Di cabut
Jumlah dfx
Karies awal
Karies
Telah di cabut
Telah di Tampal
Perlu Di cabut
Jumlah DMFX
DMFX < = 3
X+M=0
E > 1 (ada karies awal)
Mulut Bebas Karies (MBK)
Bebas Karies (BK) DMFX = 0
Bebas Karies (BK) tetapi E> 1
dfx=0
Mulut Bebas Gingivitis (MBG)
Tidak Perlu Rawatan (TPR)
Kecedaraan gigi anterior
Baru Semula B/S
dfx E DM F X

1 23456 7 8 IR
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 3
A
1C B
S
E B
S
A B
2C S
B
E S
A B
3C S
E B
A S
4C B
S
E
A
5C
E

A
6C

E

KKI A %%%%%% B
C #### #### #### #### #### #### S
JUM E Jum.
A B&S
JUMLAH C
BARU DAN ULANGAN E

463662 0

* Untuk Cabutan rujuk ruang 8 dan 13
* CL/P : Cleft Clip / Cleft Palate

DF
I II LL I II LL

Total D Total F

Clinical Prevention Programme for Caries

AN MALAYSIA PG 201A
USAN KESIHATAN (Pin. 1/13)
KOLAH/MURID SEKOLAH RENDAH/MENENGAH/KANAK-KANAK ISTIMEWA

R IKSAAN TARIKH MULA RAWATAN
K PROJEK TARIKH SELESAI RAWATAN
NAMA PEGAWAI/JURURAWAT

PERLU DI BUAT TELAH DI BUAT

FISUR SAPUAN RESTOR TAMPALAN FISUR SAPUAN RESTOR TAMPALAN CABUTAN GIS SKOR
SEALAN 0 123
VARNIS ASI Anterior Posterior SEALAN VARNIS ASI Anterior Posterior

Sewarna Sewarna Amalgam Sewarna Sewarna Amalgam

Murid
Gigi perlu FS
Bil. Gigi 'failed' FS
Murid
Gigi
Murid
Gigi
GD
GK
GD
GK
GD
GK
Baru Semula B/S
Murid
Gigi
Murid
Gigi
Murid
Gigi
GD
GK
GD
GK
GD
GK
Jumlah tampalan
Gigi Desidus
Gigi Kekal
Penskaleran
Kes Selesai

30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61
B
S
B
S
B
S
B
S
B
S
B
S
B
S

B

S

Jum Jumlah

B&S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

% Kes selesai x 100 ###
= Jumlah Ruangan 60

--------------------- x 100

Jumlah Ruangan 5

% Murid Sekolah Diliput ###
= Jumlah Ruangan 60

---------------------x 100

Jumlah Ruangan 4

60

BORANG ICDAS MMI 1, 2, 3

Laporan Rawatan Penceg
(PERIN

Negeri: mandatori
Jumlah SR seluruh negeri: mandatori
Jumlah enrolmen SR seluruh negeri: mandatori
Jumlah SR yang terlibat MMI: mandatori

Kedatangan baru Bil gigi kekal D Bil murid dengan E Prevalen lesi karies (e/b) Bil murid bebas Perlu dibuat Rest
(PG 201A kol 5) (PG 201A kol 13) ≥1 karies (BK) tetapi E (
Min D Baru (B)/ Fisur selan Sapuan fluorida
(c/b) (PG 201A kol 20) ≥1 Semula (S) Mu
TAHUN (PG 201A kol 23) Murid Gigi perlu FS Murid Gigi

ab awal % murid bebas (PG 201A (PG 201A (PG 201A (PG 201A (PG 2
karies (BK) tetapi E
1 kol 30) kol 31) kol 33) kol 34) kol 3
2 ≥1
3 (g/b)
4
5 cde f g h i j kmno
6
JUMLAH #DIV/0! #DIV/0! #DIV/0! B
S

#DIV/0! #DIV/0! #DIV/0! B
S

#DIV/0! #DIV/0! #DIV/0! B
S

#DIV/0! #DIV/0! #DIV/0! B
S

#DIV/0! #DIV/0! #DIV/0! B
S

#DIV/0! #DIV/0! #DIV/0! B
S

#DIV/0! #DIV/0! #DIV/0! B
S

Disediakan oleh:
Tarikh:

Clinical Prevention Programme for Caries

BORANG MMI/1/2/3

gahan Klinikal Perlaksanaan MMI
NGKAT NEGERI)

torasi Pencegahan Baru (B)/Fisur selanTelah dibuat Restorasi Pencegahan
(PRR Jenis 1) Semula (S)Murid GigiSapuan fluorida (PRR Jenis 1)
urid Gigi % Murid telah buat
rawatan FS (r/j)Murid GigiMurid Gigi
% Murid telah buat
201A (PG 201A rawatan FV (t/m)
% Murid telah buat
rawatan PRR Jenis 1

(v/o)
% Gigi telah buat

rawatan FS
(s/k)

% Gigi telah buat
rawatan FV
(u/n)

% Gigi telah buat
rawatan PRR Jenis 1

(w/p)
(PG 201A (PG 201A (PG 201A (PG 201A (PG 201A (PG 201A

35) kol 36) kol 44) kol 45) kol 46) kol 47) kol 48) kol 49)

o p q r s t u v w x y z aa ab ac

B #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

S

B #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

S

B #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

S

B #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

S

B #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

S

B #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

S

B #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

S

Disemak oleh:
Tarikh:

61

Clinical Prevention Programme for Caries

Appendix 13

CHILD STATUS REPORT OF FISSURE SEALANT APPLICATION

School Enter the name of the school
Name of patient Enter child's name
Clinic Enter the clinic responsible for the management of the school
District/State Enter the district and state responsible for the management of the school and clinic

Year / Class Enter the year and name of the child's class for that year e.g.

Year 2020 2021
Class Std. 2 A Std. 3 C

Initial Application/ Record the date of first application. Tick ( / ) whether resin or GIC used.
Material Used

Columns 1st to Enter the date of subsequent review. Enter the status of the fissure sealant
5th Year Review

Year(s) of review Enter the date of review e.g. if the initial application is in the year 2020 then the 1st Year
Review is in the year 2021, the 2nd Year Review is in the year 2022 and so on. Indicate the
status of the fissure sealant and tooth for each year of review.

Status of Use one of the following
fissure sealant Codes I = Intact Sealant
NI = Not Intact, do not require redo
Failed R = Redo/Replace Sealant (see definition below)
fissure- F = Failed fissure sealed tooth (see definition below)
sealed tooth
Prevention of caries is considered to have failed when the tooth develops caries on
any surface (please indicate the Caries surface). This definition includes the following:

• The sealant has failed leading to caries.
• Prevention of caries has failed when decision to render fissure sealant has

not accounted for possible caries occurrence on other surfaces.

Redo/Replace The sealant is deemed to have been totally lost or there is partial loss of sealant with an

Sealant obvious catch when probed, and requires redo.

62

CHILD STATUS REPORT ON FISSURE SEALANT APPLICATION

School………………………………………………….. Clinic……………

Name of Patient………………………………………. District/State……

Year 20…… 20……. 20…….

Preschool/Class

Upper Sealant Application (Record date of application/review and
teeth
Initial Application Date/Status Y

Date Material ( / )

Resin GIC

Date

Status
Date

Status

Date
Status

Lower teeth Sealant Application (Record date of application/review and

Initial Application Date/Status Y

Date Material ( / )

Resin GIC
Date

Status
Date

Status
Date

Status

Clinical Prevention Programme for Caries

Appendix 13 (continue)

FS 1/2003
(Pin.1/20)

……………………………………… 20……. 20……
…………………………………….. _____________

20…… Year 4 Review

d status of FS Year 3 Review
Year 1 Review Year 2 Review

d status of FS Year 3 Review Year 4 Review
Year 1 Review Year 2 Review

63

Clinical Prevention Programme for Caries

Appendix 14

FLOW CHART FOR DATA COLLECTION: LINK BETWEEN CPPC
AND LONGITUDINAL STUDY

CPPC COHORT STUDY
PROGRAMME

Dental Officer / Dental Nurse DPH / Identified dental officers

Selection of student Randomly select x% children with
sealed teeth
Selection of tooth
(from cards with FS1/ 2003 Pin.1/20)
Record in LP.8-1 Pin.8/2019
Enter into database
Record in FS1/2003 (Pin.1/20) For states
(Presc/Year/Form…..) that do Monitor review of a selected sample
for 5 consecutive years
cohort study

Attach FS1/2003 to LP.8-1 Pin.8/2019 Enter into database each year
Record in PG 307 Generate report

Record in PG 201 Submit report to state co-ordinator

64

Clinical Prevention Programme for Caries

Appendix 15

GLOSSARY OF TERMS11

1. Sound tooth/caries No evidence of treated or untreated caries on any of its

free tooth Surfaces

2. Early Caries Score as early caries lesion/E if fulfilled with AT LEAST ONE of
Lesion (E) the criteria52 below following:

a. There is a clear carious opacity (white spot lesion) and / or
brown carious discoloration at enamel surface.
At buccal and lingual: usually the lesion is located in close
proximity (in touch or within 1 mm) of the gingival margin.

b. Localized enamel breakdown due to caries with no visible
dentine.

At pit or fissure: there is a cavity, BUT the dentine is NOT
visible in the walls or base of the cavity. If in doubt, a blunt
probe can be used gently to confirm the presence of a cavity.
This is achieved by sliding the probe along the suspect pit or
fissure and a limited discontinuity is detected if the tip probe
drops into the surface of the enamel cavity.

At smooth surface: there is distinct loss of enamel integrity,
viewed from the buccal or lingual direction. If in doubt, a
blunt probe can be used gently across the surface to confirm
the loss of surface integrity.

c. Presence of deep and/or complex pattern(s) of pits and
fissures.

52 International Caries Detection and Assessment System (ICDAS) Coordinating Committee. Criteria Manual. International Caries Detection and
Assessment System (ICDAS II). Workshop held in Baltimore, Maryland, March 12th-14th 2005

65

Clinical Prevention Programme for Caries

3. Caries A tooth is deemed to be carious if

• there is a lesion in a pit or fissure, or a smooth tooth surface,
which has a detectable softened floor, softened wall or
undermined enamel; or

• there is a discoloration due to underlying caries (clinical
judgement); or

• it has a temporary filling or a dressing; or
• it has a partially or fully dislodged filling with signs of

secondary caries.

4 Failed fissure A tooth that has developed caries on any surface after

sealed/PRR type 1 placement of sealant. Check for softened areas, discoloration

tooth and undermined enamel.

5.. Intact fissure No discontinuity can be detected with a probe (Probe 9)

sealant/PRR type 1 between the margins of the sealant and the occlusal surface of

the tooth

6. Not intact Sealant not in place but does not require a redo according to
fissure operator’s clinical judgement
sealant/PRR
type 1

7. Redo/replace A tooth with a sealant not intact/partially lost and according to
fissure operator’s clinical judgement is at risk to caries.

sealant/PRR type 1

Any child with a redo sealant will be a new case for the year

8. Wet layer Refers to the remnant unpolymerised layer after sealant
polymerisation.

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