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ICDAS allows detection of caries process at every stage and characterization of the caries activity status of lesion. Later, the criteria were modified and ICDAS II. Objective: To investigate the clinical performance of International Caries Detection and Assessment System II (ICDAS II) (a ranked visual scale). One hundred and sixty-three molars were independently assessed twice by two experienced dentists using the 0- to 6-graded ICDAS-II.

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The results show that the visual method and the fluorescence camera exhibited the highest correlation to the gold standard Table 2. The darkened area is an intrinsic shadow which may appear as grey, blue or brown in color.

Icdas II criteria (international caries detection and assessment system)

Performance of fluorescence methods, radiographic examination and icdas ii on occlusal surfaces in vitro. Indexed in Web of Science. The ICDAS system was developed to bring forward the current understanding of the process of initiation and progression of dental caries to the fields of epidemiological and clinical research.

A common gold standard used for occlusal caries lesions is the histological evaluation of hard tissue sections, with large variations in the methodology. Drying of the tooth surface is the key for detecting noncavitated lesions because water usually clogs the pores in the carious teeth and the similar refractive index of tooth and water obscures the icas of early white spot lesions.

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The cidas of the new caries that occurs in restored teeth is so different in the literature secondary caries, residual caries, recurrent caries. However, the good performance of the apparatus-based procedure must be seen in a somewhat differentiated way: Two categories could be recorded according to whether or not a ball-ended probe can be admitted into gap between tooth and restoration.


In an study, approximal surfaces of 20 teeth were examined by two researcher to compare ICDAS II criteria with radiography in detecting caries.

Initial breakdown in enamel due to caries icsas no visible dentin: However; there were some differences between two systems when lesion activity was assessed. ICDAS allows detection of caries process at every stage and characterization of the caries activity status of lesion.

To date, only a few studies exist which look at the impact of using visual inspection, radiographic examination, or laser fluorescence devices in treatment decision [ 1213 ].

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Laser fluorescence quantification of remineralisationin situ of incipient enamel lesions: Eighty-four permanent posterior teeth without occlusal restorations were available for the study. Localized enamel breakdown due to caries with no visible dentin The tooth must be viewed wet.

Users must give appropriate credit, provide a link to the license, and kcdas if changes were made. Therefore, it was decided that there is a need to develop an uniform system for measuring the caries process. If marginal discrepancies and caries are seen together, caries should be coded firstly 19 The chosen sites were recorded as: Using tip A, the laser fluorescence device was moved along the surface of the investigation site and the peak value was recorded possible reading values 0— There should be no evidence of caries First visual change in enamel Lynch E, Beighton D.

In the present study, treatment decisions were determined using the cut-off points according to the manufacturer and according to the literature [ 5 ], respectively. An in vitro study.

The reliability and accuracy of two methods for detection of caries were good. Validity and reproducibility of icdas ii in primary teeth.


Decision tree for primary coronal caries detection. Visual and tactile assessment iii arrested initial enamel carious lesions: Clinical applications and outcomes of using indicators of risk in caries management.

This method might show some shortcomings, and in order to validate whether the caries was removed in total sectioning of the excavated teeth could probably have been an additional option.

Influence of number of surfaces and observers on statistical power in a multiobserver ROC radiographic caries detection study.

Appearance While icdqs lesions are thought to be active, shiny lesions are thought to be passive. Other authors had reported higher values of sensitivity but similar specificity values when BW radiographs were evaluated for occlusal caries detection [ 2627 ].

Material and Methods 2. Distinct visual change in enamel when viewed wet: If the restoration margin is placed on dentin, discoloration can be seen that is not consistent with the clinical appearance of sound dentin.

Icdas II criteria (international caries detection and assessment system)

Cavitation in opaque or discolored enamel are exposing the dentin beneath. In vivo sensitivity and specificity of International Caries Detection and Assessment System, radiovisiography, and CarieScan PRO for the detection of occlusal caries in primary molars Click here to view. All sites were visually examined by two investigators doctoral student calibrated by an experienced investigator using the International Caries Detection and Assessment System ICDAS-II [ 14 ] and a consensus score for each site was achieved.