International Caries Detection and Assessment System: A new paradigm in detection of dental caries

Shivakumar, K. M.; Prasad, Sumanth; Chandu, GN

doi:10.4103/0972-0707.53335

Cited by 94 publications

(73 citation statements)

References 9 publications

(7 reference statements)

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“…This is an important observation given that the principles applied to the criteria for primary caries are also applied to CARS. 11 However, it should be noted that the scientific basis for that has not been established and the literature in the area is limited. It should be also stressed that there is difficulty directly inspecting the approximal surfaces once the adjacent tooth and gingival tissue hamper visual access, especially when a restoration is involved, complicating the differentiation between noncarious changes and secondary caries.…”

Section: Discussionmentioning

confidence: 98%

“…10 Given that outer lesions from secondary caries are considered similar to primary caries, the broad principles applied to the criteria for primary caries can also be applied to caries around restorations and sealants (CARS). 11 Research has shown that the ICDAS presents good reproducibility and accuracy for in vitro and in vivo detection of primary caries lesions at different stages of the disease. 10,[12][13][14][15] To our knowledge, no studies have been published that evaluate the performance of the ICDAS visual criteria in the detection of caries around restorations on approximal surfaces.…”

Section: Discussionmentioning

confidence: 99%

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Detection of Caries Around Amalgam Restorations on Approximal Surfaces

Diniz

Cordeiro

Ferreira-Zandoná

2016

Operative Dentistry

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To evaluate the in vitro performance of the International Caries Detection and Assessment System (ICDAS) visual examination, bitewing radiography (BW), and the DIAGNOdent 2190, a pen-type laser fluorescence device (LFpen), in detecting caries around amalgam restorations on approximal surfaces. Approximal surfaces (N=136) of permanent posterior teeth (N=110) with Class II amalgam restorations were assessed twice by two experienced examiners using ICDAS, BW, and LFpen. The occurrence of proximal overhangs was also evaluated. The teeth were histologically prepared and assessed for caries extension. Different cutoff limits for the LFpen were used. Intraexaminer and interexaminer reproducibility showed moderate to good agreement for all the methods (weighted κ/intraclass correlation coefficient=0.40 to 0.87). The specificities at D1 (all visible lesions affecting enamel) and D3 (lesions extended into dentin) were, respectively, 0.41 and 0.82 for ICDAS, 0.70 and 0.82 for BW, and 0.77-0.89 and 0.88-0.94 for LFpen. The sensitivities were 0.80 and 0.52 for ICDAS, 0.56 and 0.51 for BW, and 0.04-0.23 and 0.01-0.02 for LFpen at D1 and D3, respectively. At the D1/D3 thresholds, the accuracy and the area under the receiver operating characteristic curve (Az) values were similar and statistically higher for ICDAS (0.65/0.68 and 0.633/0.688) and BW (0.64/0.68 and 0.655/0.719), respectively; whereas, LFpen presented lower accuracy (0.37-0.44/0.49-0.52) and Az (0.390-0.454/0.345-0.395) values. The occurrence of overhangs (26.8%) was shown to be irrelevant in determining the presence of secondary caries. The ICDAS and BW methods presented the best performance in detecting caries lesions affecting enamel and dentin on approximal surfaces of amalgam restorations.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Detection of Caries Around Amalgam Restorations on Approximal Surfaces

Diniz

Cordeiro

Ferreira-Zandoná

2016

Operative Dentistry

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“…The most common intraoral risk factor for root caries in adults is increased gingival recession leading to exposed roots. 17 From clinical findings it can be assumed that an individual with a high risk of coronal caries has a higher chance of developing root caries, indicating that risk factors for both type of caries are more or less the same.…”

Section: Risk Factors For Root Cariesmentioning

confidence: 99%

“…17 Most studies have shown that the majority of root caries are primary lesions. This indicates that controlling/modifying risk factors can prevent caries.…”

Section: Risk Factors For Root Cariesmentioning

confidence: 99%

Root caries: A geriatric challenge

Dinakaran¹,

Gopinathan²

2017

Dent. Med. Probl.

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Root caries is an important problem of concern for the elderly population in many countries. Due to its rapidly progressing nature and occurrence in areas of limited visibility, these lesions often go unnoticed unless they become symptomatic. Multiple systemic diseases, poor oral hygiene coupled with reduced manual dexterity of this age group add to the severity of the challenge. Limitations of available biomaterials along with reduced accessibility and isolation make the restoration of such dental lesions a clinical challenge also for dentists. Routine dental checkups and regular monitoring of risk factors can significantly reduce the occurrence of such caries to a major extent.This article reviews the contemporary literature concerning the clinical features, etiology, risk factors and prevention of root caries. The main topic of the work is the electronic search of literature related to root caries; it was carried out in MEDLINE PubMed database using MeSH terms "root caries", "etiology", "prevention".

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“…1 a, b Radiographic appearance of typical carious lesions accepted into the study and informed consent was obtained (from a guardian, with pediatric patients). To be included in the study, patients had to have been diagnosed with clinically and radiographically significant carious lesions according to ICDAS (code 4-5) [19], which extended 0.5-1.5 mm into dentin (Figs. 1 and 2).…”

Section: Patient Selectionmentioning

confidence: 99%

Review of possible predictors for pain perception with class 1–5 cavity preparations using Er,Cr:YSGG laser: a retrospective clinical in vivo study

Polonsky¹,

Gutknecht²,

Franzen

2017

Laser Dent Sci

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Aim The study recorded 400 responses from 301 patients, aged 6-93, who all had carious lesions prepared with the erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG) 2780-nm laser system. Different parameters, including gender, delivery method, power settings, tooth position, class type of cavity preparation, and patients' age, were compared and analyzed for possible predictive values in anticipating the patients' pain experience. Methods Class 1-5 cavity preparations were made using the Er,Cr:YSGG laser. All carious lesions fit ICDAS code 4-5 classifications. Power setting of 3.75 W was used for posterior teeth class 1-4 preparations and 2.5 W for all primary teeth, permanent anterior teeth, and all class 5 preparations. Nonanxious patients, who agreed to start cavity preparation without a local anesthetic, were instructed to stop the procedure and ask for an anesthetic injection, should they perceive a level of pain greater than their tolerance level. Anxious patients were not included in this study. Pain perception using the visual analog scale (VAS) along with the percentage of patients who needed a local anesthesia injection were recorded. The data was then analyzed using one-way ANOVA test, at significance level of α = 0.05, and Tukey pair-wise comparison, at 95% confidence interval. Results Eighty-five percent of cavity preparations were pain free; 15% of the preparations were found to have a degree of pain associated with them. However, only 6% requested a local anesthetic injection. There was no significant difference found between the two methods of delivery: gold handpiece (HP) vs. turbo HP. No significant differences were observed between males and females, regarding pain perception (13% vs. 18%, respectively). Posterior teeth were significantly more sensitive to laser cavity preparation, compared to anterior teeth, as indicated by the VAS pain scores (P value = 0.0001). Regarding anterior teeth, class 5 was significantly more sensitive to laser cavity preparations, when compared to class 1. In posterior teeth, there were no statistically significant differences between class 1 and 5, although pain perception was the most prevalent in class 2 preparations. Using higher-power settings (3.75 W vs. 2.5 W) for cavity preparation, the resulting pain response was significantly higher, as indicated by the VAS pain scores (P value = 0.0001). As the patients' age increases, the frequency of those experiencing pain decreases, with the exception of a sudden spike for the cohort aged 26-35, who proved to be the most sensitive to laser cavity preparation; this group was significantly different from all other age groups (P value = 0.0001). Conclusions The Er,Cr:YSGG laser system is an effective method for pain-free cavity preparations for 85% of the general patient population, who do not suffer from dental anxiety. Certain patient selection criteria, including age, power settings, and class type of cavity preparation, are important in achieving an overall positive and pain-free expedience.

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International Caries Detection and Assessment System: A new paradigm in detection of dental caries

Cited by 94 publications

References 9 publications

Detection of Caries Around Amalgam Restorations on Approximal Surfaces

Detection of Caries Around Amalgam Restorations on Approximal Surfaces

Root caries: A geriatric challenge

Review of possible predictors for pain perception with class 1–5 cavity preparations using Er,Cr:YSGG laser: a retrospective clinical in vivo study

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