International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: Editor-in-chief: Marcos Roberto Tovani Palone
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International Journal of Dental Sciences and Research. 2015, 3(4), 92-95
DOI: 10.12691/ijdsr-3-4-3
Open AccessArticle

Learning of Format of New Tooth Notation System – a Pilot Study

Ashfaq Akram1, 2, , Maher Fuad2, Ulfat Bashir3, Thirupathi Vishnumukkala4 and Melinda Madlena1

1Faculty of Dentistry, Semmelweis University, Budapest

2International Medical School, Management & Science University – Shah Alarm

3Islamic International Dental College, Islamabad

4Perdana University, Serdang, Selangor

Pub. Date: July 02, 2015

Cite this paper:
Ashfaq Akram, Maher Fuad, Ulfat Bashir, Thirupathi Vishnumukkala and Melinda Madlena. Learning of Format of New Tooth Notation System – a Pilot Study. International Journal of Dental Sciences and Research. 2015; 3(4):92-95. doi: 10.12691/ijdsr-3-4-3


Background: Universal system, Palmer notation and FDI system are used to record dental problems which give different numbers to same tooth. For example, central incisor is #8 (Universal system) and #11 (FDI system).Thus they create confusion in transferring dental information. A new tooth notation uses letters I- incisor, C-canine, P-premolar, M-molar (MICAP) and digits 1, 2, 3. The digits are printed as superscript and subscript on the relevant letters (I, C, P, M) to indicate the maxillary and mandibular teeth. Aim: to assess the learning of format of MICAP system by students of undergraduate dental degree and dental allied health programmes using a mock MICAP dental chart. Materials and Methods: A mock MICAP dental chart was prepared. Students of undergraduate dental degree [group A (n=39)] and dental allied health programme [group B (n=39)] who were further subdivided base on age such as [group 1=15-25 yrs, group 2=26-35 yrs, group 3=36-45 yrs], translated four MICAP symbols and vice versa in a cross sectional study after an hour lecture and video demonstration about the MICAP format. One way ANOVA and independent t test were performed to analyse the data. Results: Group A was better in translation of #1C (maxillary right canine) than group B [mean difference 95% CI: -0.128 (-0.285, 0.028) p=0.001]. In terms of age, group 1 was better in translation of MICAP format (p<0.001) as compared to other groups. Participants >50% agreed that MICAP notation system was easy to understand. Conclusion: Format of new notation is easy to learn. Teeth can be identified by new method. However, additional data is required before the reliability of the system is suggested as alternate dental charting system.

permanent dentition canine dental charting incisor mock molar premolar

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[1]  FDI Two Digit Notation. http//
[2]  Huszar G. “The role of the life and works of Adolf Zsigmondy and Otto’ Zsigmondy in the history of dentistry”. Fogor Sz., 82,357-63, 1989.
[3]  American Dental Association. Council on Dental Practice. Resources / dental practice
[4]  Huntington B, Kuhn N, Communication gaffes: a root cause of malpractice claims. BUMC Proceedings. 16,157-61,2003.
[5]  Ozdemir MH, Saracoglu A, Ozdemir AU, Ergonen AT, “Dental malpractice cases in Turkey during 1991-2000”. J Clin Forensic Med., 12, 137-42, 2005.
[6]  Woelfel J B, Schied RC, Dental Anatomy. Its relevance to Dentistry, 6th ed, Maryland, Lippincott Williams & Wilkins, 2002, 2-3.
[7]  Akram A, Abdel Hamid ZAH, Razak J, Hock TT, “MICAP- a novel system for identification and communication of dental problems”. Int Dent J., 61, 31-6, 2011.
[8]  Ricketts DNJ, Scott BJJ, Ali A, et al. “Peer review amongst restorative specialists on the quality of their communication with referring dental practitioners”. Br Dent J., 195,389-93, 2003.
[9]  Blinkhorn AS, Choi CL, Paget HE, “An investigation into the use of the FDI tooth notation system by dental schools in the UK”. Eur J Den Edu., 2, 39-41, 1998.
[10]  Sandham JA, “The FDI two digit system of designating teeth”. Int Dent J., 33,390-92, 1983.
[11]  Peck S, Peck L, “A time for change of tooth numbering system”. J Dent Edu., 57,643-47, 1993.
[12]  Pogral MA, “Tooth notation”. Br Dent J., 195, 360, 2003.
[13]  Grace M, “Dental notation”. Br Dent J., 188, 229, 2000.
[14]  Stefan A, “Young people learn faster, older people use the information better”. Nov 2006. 12.00 GMT.
[15]  “Why learning is harder as we get older”.
[16]  Yurdukoru B, “Standardization of the tooth numbering systems”. Ankara Uni Hekim Fak Derg., 16, 527-31,1989.