Saudi Journal of Oral and Dental Research (SJODR)
Volume-3 | Issue-05 | 178-183
Original Research Article
Black’s Classification: Isn’t It a Time to Switch over to a Comprehensive Caries Classification?
Asaad Javaid Mirza, Mohsin Nazir, Maaz Asad Javaid, Shama Asghar, Asghar Shigri
Published : May 30, 2018
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.