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

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.

Caries Prevalence Evolution and Risk Factors among Schoolchildren and Adolescents from Valencia (Spain): Trends 1998–2018

“…The use of the ICDAS II caries diagnostic criteria [13] in epidemiological surveys usually encounters the difficulty of not having an effective tooth drying scenario and this was solved using an approved epidemiological modification that allows merging codes 1 and 2 [14]. From the exploration with ICDAS-II criteria, the caries index was reconstructed considering all of the stages (ICDAS 2-6/C-G), or only the most advanced lesions (ICDAS 4-6/E-G) that we matched to the caries WHO criteria.…”

“…The caries status was assessed according to the ICDAS II criteria [13] with two digits; the first identifies the presence of any type of restoration or seal and the second registers the caries code for each tooth. All dental surfaces of each of the present and measurable teeth were explored: five surfaces for the premolar and molar teeth and four for the incisors and canines.…”

Dental Caries Diagnosis and Detection Using Neural Networks: A Systematic Review

“…One of the most frequent activities in dental practice is to detect early caries lesions or to provide treatment preventing more invasive therapies [8]. The International Caries Detection and Assessment System (ICDAS) was developed by an international team of caries researchers to integrate several new criteria systems into one standard system for caries detection and assessment [9]. A workshop was organized to discuss and reach consensus about definitions of the most common terms in cariology [10].…”

Prevalence of obesity in elementary school children and its association with dental caries

“…According to ICDAS criteria, there was a higher prevalence of non-cavitated enamel lesions in obese children (10.5%) compared to the non-obese children (1.9%), with significant differences between the groups ( p <0.001) 6. Non-cavitated enamel lesions could be better detected by ICDAS before progression of these lesions to cavitation 5. I presume that if Farsi et al1 employed ICDAS criteria in the methodology, the study results might be altered.…”

“…Evaluation of the ICDAS platform has found that the system is practical; has content validity, correlational validity with histological examination of pits and fissures in extracted teeth; and discriminatory validity 4. Moreover, ICDAS represents a clinical scoring system that could be used in dental education, clinical practice, research, and epidemiology, and it provides a framework to support and enable personalized total DCs management for improved long-term health outcomes 5. Recently published evaluation of DCs using DMFT/dmft index and ICDAS in both obese and non- obese children has shown interesting results 6.…”