Reproducibility and Accuracy of the ICDAS-II for Detection of Occlusal Caries in vitro

Jablonski-Momeni, Anahita; Stachniss, Vitus; Ricketts, David; Heinzel‐Gutenbrunner, Monika; Pieper, Klaus

doi:10.1159/000113160

Cited by 247 publications

(289 citation statements)

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“…The International Caries Detection & Assessment System (ICDAS) 17 is an accessible set of criteria for dentists, researchers and professors and presents acceptable sensitivity and specificity to the detection of occlusal caries 4,5,10,18,19 . According to this system, caries detection on coronal teeth surfaces is a process that comprises two stages.…”

Section: Introductionmentioning

confidence: 99%

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

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Trevisan

Andrade

et al. 2017

Rev. odontol. UNESP

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ResumoIntrodução: A detecção de pequenas lesões de cárie ainda é um desafio para profissionais da Odontologia, que em sua prática clínica dispõem de uma grande variedade de métodos para detectar cáries nas superfícies oclusais. Objetivo: Avaliar clinicamente a efetividade da câmera de fluorescência Vista Proof, da microcâmera intraoral digital Vista Cam e do critério visual ICDAS (International Caries Detection and Assessment System) para detecção de lesões de cárie nas superfícies oclusais. Material e método: Cento e sete dentes posteriores de pacientes adultos foram examinados visualmente e por meio de radiografias digitais por um examinador que os classificou de acordo com a presença ou ausência de cárie. Os dentes foram então avaliados por outro examinador que utilizou o ICDAS, fluorescência e imagens digitais ampliadas. A efetividade dos métodos foi mensurada por meio da sensibilidade, especificidade, razão de verossimilhança positiva e negativa. Para cada método, a curva ROC (Receiver Operating Characteristic) e a área sob a mesma -AUROC (Area Under the ROC curve) foram estimadas. Resultado: Houve excepcional capacidade discriminante para as imagens intraorais (AUROC=0,93) e para o ICDAS (AUROC=0,91), com diferença estatística não significativa entre eles (z=0,35, p=0,73). A fluorescência apresentou capacidade discriminante aceitável (AUROC=0,78), embora tenha sido menor que os outros. A razão de verossimilhança positiva para a fluorescência foi 2,32, comparado a 20,58 para a imagem intraoral e 58,11 para o ICDAS. Conclusão: Ambos os métodos e o ICDAS exibiram um adequado desempenho clínico, sendo que o ICDAS e a imagem intraoral foram mais efetivos que a fluorescência.Descritores: Cárie dentária; efetividade; diagnóstico; fluorescência. AbstractIntroduction: The detection of small caries lesions is still a challenge for dental professionals who in their clinical practice have a wide variety of methods to detect caries on occlusal surfaces. Objective: To clinically assess the effectiveness of the Vista Proof fluorescence camera, the Vista Cam digital intraoral micro camera and the International Caries Detection and Assessment System (ICDAS) visual criterion for detecting caries lesions on occlusal surfaces of permanent teeth. Material and method: One hundred and seven posterior teeth from adult patients were examined visually and by means of digital radiographs by an examiner who rated them according to the presence or absence of occlusal caries. The teeth were then assessed by the other examiner using ICDAS, fluorescence and magnified digital images. The effectiveness of the methods was measured based on sensitivity, specificity, positive and negative likelihood ratio. For each method, the Receiver Operating Characteristic (ROC) curve and the Area Under the ROC curve (AUROC) were estimated. Result: There was exceptional discrimination capacity for the intraoral images (AUROC=.93) and the ICDAS (AUROC=.91), with no significant statistical difference between them (z=.35, p=.73). The fluorescence exhibited a...

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Section: Introductionmentioning

confidence: 99%

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Presoto

Trevisan

Andrade

et al. 2017

Rev. odontol. UNESP

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“…17 Así mismo, Jablonski-Momeni y colaboradores encontraron una reproducibilidad intraexaminador de 0.73 a 0.83. 15 Estos dos estudios fueron realizados in vitro.…”

Section: Discussionunclassified

“…[12][13][14] Adicionalmente, se han realizado varios estudios para evaluar su reproducibilidad inter e intraexaminador. [15][16][17][18] Jablonsski-Momeni y colaboradores (2008) demostraron reproducibilidad y precisión diagnóstica al usar ICDAS II en 100 molares extraídos, en las diferentes etapas del proceso carioso. Los valores Kappa estuvieron entre 0.62 y 0.83 para los examinadores evaluados.…”

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“…Los valores Kappa estuvieron entre 0.62 y 0.83 para los examinadores evaluados. 15 En Colombia, se han realizado varios estudios de calibración por un examinador entrenado (Examinador Estándar). Se realizan conferencias sobre los conceptos actuales de caries dental, explicaciones sobre los códigos ICDAS, discusiones de casos clí-nicos, exámenes preclínicos en dientes naturales y exámenes clínicos en pacientes.…”

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Reproducibilidad Intraexaminador en La Aplicación Del Sistema Internacional De Detección Y Valoración De Caries Dental (Icdas Ii)

et al. 2009

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RESUMENObjetivo: Evaluar la reproducibilidad intraexaminador en la aplicación del Sistema Internacional de Valoración y Detección de Caries Dental (ICDAS II). Materiales y métodos:Se realizó un estudio de evaluación diagnóstica: reproducibilidad -concordancia intraobservador. Un examinador evaluó 228 superficies dentales en 19 estudiantes de primer semestre de la Facultad de Odontología, de la Universidad Santo Tomás, a los que se les había realizado una profilaxis previa. Se evaluaron los siete criterios del ICDAS II (0 al 6). Los registros se realizaron en dos sesiones en el mismo horario, con un lapso de ocho días. Se calcularon las medidas de resumen según la naturaleza de la variable y se analizó la reproducibilidad (valor Kappa) a nivel global y de acuerdo con cada uno de los códigos establecidos.Resultados: Se obtuvo un Kappa globlal de 0.7398. En relación con cada uno de los códigos se observó mayor consistencia en el diagnóstico de lesiones con decoloración café (2B) con un K = 0.8455, y menor consistencia en el diagnóstico de la opacidad blanca al secar (1W) con un K = 0.0066. Conclusión:La reproducibilidad global intraexaminador de los criterios ICDAS fue considerada como buena. Sin embargo, lo mismo no ocurrió al valorar las lesiones de mancha blanca (códigos 1 y 2); se requiere más entrenamiento para lograr una buena reproducibilidad en cada uno de los estadíos de la lesión. INTRA-EXAMINER REPRODUCIBILITY IN THE INTERNATIONAL CARIES DETECTION AND ASSESSMENT SYSTEM (ICDAS II) ABSTRACTObjective: To assess intra-examiner reproducibility in the International Caries Detection and Assessment System (ICDAS II). Material and methods:A study of diagnostic reproducibility -agreement intra-examiner was done. An examiner evaluated 228 dental surfaces in 19 first semester students at the Dental School in the Santo Tomas University. The subjects' teeth were cleaned by brushing and then examined. Scoring for lesion was done using a seven-category scale (0-6) according to the ICDAS criteria. The exams were done in two sessions at the same schedule. Weighted kappa values for intra-examiner reproducibility were calculated, both global and for all the individual ICDAS-II-codes. Results:The weighted Kappa values for the intra-examiner reproducibility were 0.7398. There was a Kappa value of 0.8455 in the 2B code (brown discoloration) and no agreement in the 1W code (first white change in enamel visible after 5 seconds air-drying) with a Kappa value of 0.0066. Conclusion:The intra-examiner reproducibility was considered good for the ICDAS criteria. Besides, there was a poor and a moderate agreement in the 1W and 2W scores, white opacity after air-drying and white opacity without air-drying, respectively. Further training is required to achieve a good reproducibility in every score.

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“…7 Studies have demonstrated good sensitivity, specificity, reproducibility and diagnostic accuracy for this system. [8][9][10] Though the occlusal pit and fissure areas are approachable and accessible for cleansing and examination, the incidence of carious lesion is more in these sites. This can be attributed to the complex invaginated anatomy of the pits and the fissures.…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of ICDAS II coding for occlusal caries using magnification: an in-vitro study

Sathyanarayanan¹,

Usha²,

Sudhagar³

2017

Int J Sci Rep

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INTRODUCTIONDental caries is a disease that is characterized by the localized destruction of susceptible dental hard tissue by acidic by-products from bacterial fermentation of dietary carbohydrates. The process is a dynamic interaction at the biofilm-tooth interface characterised by alternating cycles of demineralisation and remineralization. A caries/carious lesion are a detectable change in the tooth structure that results from this interaction. The changes may range from initial outer surface demineralization, at the molecular level, through subsurface demineralization producing enamel white-spot lesion formation, through macroscopic lesion cavitation, to dentine and pulpal infection, to ABSTRACT Background: Pit and fissure caries presents diagnostic challenges due to its anatomical complexity and fluoride exposure. ICDAS II is a coding system for caries detection using clinical visual inspection. It identifies carious lesions by the change in colour, texture and surface integrity. Magnification might facilitate better detection of the lesions by enhancing the visual acuity. Thus, the objective of this study is to compare the reliability and validity of ICDAS II in detection of occlusal caries, with and without magnification, by using histological standard. Methods: This single blinded, randomized study included 334 unrestored extracted human premolars and molars. Two examiners independently scored pit and fissure caries status using ICDAS II criteria without magnification and later under 6 x magnification using surgical microscope. The samples were sectioned and lesions were scored using the ERK histological criteria, under Stereo microscope. The scores of the examiners were correlated with the histological scoring. Kappa statistics and Spearman correlation coefficients were performed. Optimal sensitivity, specificity of visual and enhanced visual examination was calculated by Receiver Operating Characteristic Curve (ROC). Likelihood ratios (LR) were also calculated. Results:The kappa values for Inter examiner reproducibility of visual and enhanced visual examination under microscope were 0.638-0.694 and for histological examination it was 0.979. Intra examiner reproducibility for visual and enhanced visual examination was 0.665 -0.594. There was a strong relationship between visual, enhanced visual and histological examinations. Spearman's correlation coefficient of ICDAS-II visual and enhanced visual examination for each examiner, to ERK histological scores was 0.869-0.848. The sensitivity and LR+ for visual and enhanced visual examination was decreased as the ICDAS score was increased and specificity and LR-increased with increased ICDAS score. Conclusions: Reliability and validity of ICDAS scoring in detecting occlusal caries under magnification did not differ from clinical visual inspection.

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Reproducibility and Accuracy of the ICDAS-II for Detection of Occlusal Caries in vitro

Cited by 247 publications

References 35 publications

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Reproducibilidad Intraexaminador en La Aplicación Del Sistema Internacional De Detección Y Valoración De Caries Dental (Icdas Ii)

Reliability and validity of ICDAS II coding for occlusal caries using magnification: an in-vitro study

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