An assessment of clinical application of a new tooth notation for primary teeth

Ashfaq Akram, Maher D. Fuad Fuad, Ulfat Bashir, Nagendran Jayavel Pandiyan, Kalyan Chakravathy, Thirupathi Rao Vishnumukkala, Melinda Madlena

Research output: Contribution to journalArticle

1 Citation (Scopus)


A new tooth notation system records primary tooth classes and their types by letters 'dI, dC, dM' termed as ANAASEA letters and numbers (1,2) called as TOT digits respectively. The TOT digits are printed as superscript and subscript at both right and left sides of ANAASEA letters to indicate upper and lower teeth respectively. The new method is called MICAP (M-molar, I-incisor, C-canine, P- premolar) system. To assess the clinical application of new tooth notation by dental health professionals. Study design was cross sectional and tool was mock e dental chart based on MICAP format. The study participants were dental health professionals (N=225) who were divided into group A [dental specialists (n=44), dentists (n=60)] and group B [dental assistants (n=58), dental hygienists (n=38), dental technicians (n=25)]. They were demonstrated by video on MICAP format before they identified five primary teeth; three teeth to be written from word form to MICAP format and two teeth vice versa. Simple logistic regression and Pearson chi-square tests were performed to analyse the data. From group A, specialists performed significantly better (p value = 0.031) as compared to dentists in correct writing of 'deciduous maxillary right canine' into MICAP format [#1dC]. From group B, dental hygienists had significantly higher association in correct translation of [#2dM] as 'deciduous mandibular right 2nd molar' compared to dental assistants (P value =0.043). Furthermore, dental technicians compared to dental assistants significantly performed better (p value =0.047) in writing 'deciduous mandibular left central incisor' into MICAP format [#dI1]. Majority of dental health professionals were able to translate and write MICAP format. Doctors were better than paramedics. However, reliability of the new system requires additional data. Further research is recommended to compare MICAP notation with currently used notations such as FDI & Universal systems.

Original languageEnglish
Pages (from-to)7-14
Number of pages8
JournalJournal of International Dental and Medical Research
Issue number1
Publication statusPublished - Jan 1 2015



  • Canine
  • Dental charting
  • Incisor
  • Molar
  • Primary teeth
  • Tooth notation

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Akram, A., Fuad Fuad, M. D., Bashir, U., Pandiyan, N. J., Chakravathy, K., Rao Vishnumukkala, T., & Madlena, M. (2015). An assessment of clinical application of a new tooth notation for primary teeth. Journal of International Dental and Medical Research, 8(1), 7-14.