International Caries Detection and Assessment System (ICDAS): A New Concept

Neeraj Gugnani, I K Pandit, Nikhil Srivastava, Monika Gupta, Megha Sharma, Neeraj Gugnani, I K Pandit, Nikhil Srivastava, Monika Gupta, Megha Sharma

Abstract

Dental caries is a complex multifactorial disease of the calcified tissues of the teeth, caused by interaction of various factors including the host, agent, substrate and time as demonstrated by the Keyes circle. Detecting carious lesion at the earliest possible stage of its development is definitely helpful in appropriate treatment planning for the same. The lack of consistency among the contemporary criteria systems for detecting carious lesions limits the comparability of outcomes measured in epidemiological and clinical studies. Therefore, the ICDAS criteria was developed by an international team of caries researchers to integrate several new criteria systems into one standard system for caries detection and assessment. It is a clinical scoring system for use in dental education, clinical practice, research, and epidemiology, and provides a framework to support and enable personalized total caries management for improved long-term health outcomes.

Keywords: DMFT.; ICDAS; Noncavitated caries.

Figures

Figs 1A to G
Figs 1A to G
Scores of ICDAS (A) Code 0 (B) Code 1 (C) Code 2 (D) Code 3 (E) Code 4 (F) Code 5 (G) Code 6
Flow Chart 1
Flow Chart 1
Decision tree for primary coronal caries detection

References

    1. Holt RD. Advances in dental public health. Prim Dent Care. 2001 Jul;8(3):99–102.
    1. Pretty IA. Caries detection and diagnosis: Noval Technologies. J Dent. 2006 Nov;34(10):727–739.
    1. Al-Khateeb S, Oliveby A, de Josselin de Jong E, Angmar-Mansson B. Laser fluorescence quantification of remineralisation in situ of incipient enamel lesions: Influence of fluoride supplements. Caries Res. 1997;31(2):132–140.
    1. WHO. Oral Health Surveys: Basic Methods. 4th ed. WHO: Geneva, Switzerland; 1997.
    1. Kuhnisch J, Berger S, Goddon I, Senkel H, Pitts N, Heinrich-Weltzien R. Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements. Community Dent Oral Epidemiol. 2008 Dec;36(6):475–484.
    1. Ekstrand KR, Ricketts DN, Kidd EA. Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: An in vitro examination. Caries Res. 1997;31(3):224–231.
    1. Lussi A, Imwinkelried S, Pitts N, Longbottom C, Reich E. Performance and reproducibility of a laser fluorescence system for detection of occlusal caries in vitro. Caries Res. 1999 Jul-Aug;33(4):261–266.
    1. Nyvad B, Machiulskiene V, Baelum V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res. 1999 Jul-Aug;33(4):252–260.
    1. Pitts NB. Discovering dental public health: From Fisher to the future. Community Dent Health. 1994 Sep;11(3):172–178.
    1. Shivakumar K, Prasad S, Chandu G. International caries detection and assessment system: A new paradigm in detection of dental caries. J Conserv Dent. 2009 Jan;12(1):10–16.
    1. Ekstrand KR, Kuzmina I, Bjorndal L, Thyrlstrup A. Relationship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res. 1995;29(4):243–250.
    1. Ismail AI. Visual and visuo-tactile detection of dental caries. J Dent Res. 2004;83(Spec No. C):C56–C66.
    1. Pitts NB, Stamm JW. International Consensus Workshop on Caries Clinical Trials (ICW-CCT) final consensus statements: Agreeing where the evidence leads. J Dent Res. 2004;83(Spec No. C):C125–C128.
    1. Chesters RK, Pitts NB, Matuliene G, Kvedariene A, Huntington E, Bendinskaite R, Balciuniene I, Matheson JR, Nicholson JA, Gendvilyte A. et al. An abbreviated caries clinical trial design validated over 24 months. J Dent Res. 2002 Sep;81(9):637–640.
    1. Fyffe HE, Deery C, Nugent ZJ, Nuttall NM, Pitts NB. In vitro validity of the Dundee Selectable Threshold Method for caries diagnosis (DSTM). Community Dent Oral Epidemiol. 2000 Feb;28(1):52–58.
    1. Ismail AI. Rationale and Evidence for the International Caries Detection and Assessment System (ICDAS II). ICDAS Coordination Committee. 2005 Sep;:1–67.
    1. Ekstrand K, Qvist V, Thylstrup A. Light microscope study of the effect of probing in occlusal surfaces. Caries Res. 1987;21(4):363–374.
    1. Criteria Manual: International Caries Detection and Assessment System (ICDAS II). International Caries Detection and Assessment System (ICDAS) Coordinating Committee. Workshop held in Baltimore, Maryland: 12th-14th March 2005
    1. Bader JD, Shugars DA, Bonito AJ. Systematic review of selected dental caries diagnostic and management methods. J Dent Educ. 2001 Oct;65(10):960–968.
    1. Hellyer PH, Beighton D, Heath MR, Lynch EJ. Root caries in older people attending a general practice in East Sussex. Br Dent J. 1990 Oct;169(7):201–206.
    1. Braga MM, Oliveira LB, Bonini GAVC, Bonecker M, Mendes FM. Feasibility of the International Caries Detection and Assessment System (ICDAS II) in epidemiological surveys and comparability with standard world health organization criteria. Caries Res. 2009;43(4):245–249.
    1. Diniz MB, Rodrigues JA, Hug I, Cordeiro Rde C, Lussi A. Re-producibility and accuracy of the ICDAS-II for occlusal caries detection. Community Dent Oral Epidemiol. 2009 Oct;37(5):399–404.
    1. Jablonski-Momeni A, Ricketts DNJ, Weber K, Ziomek O, Heinzel-Gutenbrunner M, Schipper HM, Stoll R, Pieper K. Effect of different time intervals between examinations on the reproducibility of ICDAS II for occlusal caries. Caries Res. 2010;44(3):267–271.
    1. Shoaib L, Deery C, Ricketts DN, Nugent ZJ. Validity and reproducibility of ICDAS II in primary teeth. Caries Res. 2009;43(6):442–448.
    1. Rodrigues JA, Hug I, Diniz MB, Lussi A. Performance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitro. Caries Res. 2008;42(4):297–304.

Source: PubMed

Sponzoři a spolupracovníci

Zdravotní podmínky

Drogové intervence

3
Předplatit