Factors Affecting the Detection and Treatment of Occlusal Caries Using the International Caries Detection and Assessment System

Al-Khatrash, AA; Badran, YM; Alomari, Qasem

doi:10.2341/10-346-l

Cited by 9 publications

(12 citation statements)

References 27 publications

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“…The findings from this study confirmed the variability found among dentists in the literature regarding the visual diagnosis of caries. While some studies have shown no effect for the examiner's experience on the accuracy of caries diagnosis , others suggested a possible caries diagnostic disparities among examining investigators . Five different investigators in this study from different specialties and with a minimum of 5 years' experience participated in caries diagnosis.…”

Section: Discussionmentioning

confidence: 79%

“…It was interesting to see that when there were no differences in intra-examiner's weighted kappa scores over time, a noteworthy drop in the interexaminer's kappa for some investigators at the 3-month interval was evident. This could be due to the fact that interpretation of ICDAS scoring system is susceptible to investigators subjectivity/bias, clinical experiences and practices, and the individual's decision-making process (3,4,12,13,30,31).…”

Section: Discussionmentioning

confidence: 99%

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Variables affecting the inter‐ and intra‐examiner reliability of ICDAS for occlusal caries diagnosis in permanent molars

Qudeimat

Alomari

Altarakemah

et al. 2015

J Public Health Dent

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Variables affecting the inter‐ and intra‐examiner reliability of ICDAS for occlusal caries diagnosis in permanent molars

Qudeimat

Alomari

Altarakemah

et al. 2015

J Public Health Dent

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“…However, caries diagnostic decisions as well as decisions about when to intervene vary considerably among dental practitioners. A tendency to overestimate the presence and depth of caries lesions as well as to treat enamel lesions invasively has been reported [Gordan et al, 2010;Al-Khatrash et al, 2011], particularly when several diagnostic tools were employed. Along with slight or no improvement in the percentage of correctly diagnosed sites, a drastic effect on the selection of treatment options, most commonly invasive interventions, was observed [Pereira et al, 2009;Baelum et al, 2012].…”

Section: Challenges In Diagnosing and Managing Non-cavitated Occlusalmentioning

confidence: 99%

Occlusal Caries: Biological Approach for Its Diagnosis and Management

et al. 2016

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The management of occlusal caries still remains a major challenge for researchers as well as for general practitioners. The present paper reviews and discusses the most up-to-date knowledge and evidence of the biological principles guiding diagnosis, risk assessment, and management of the caries process on occlusal surfaces. In addition, it considers the whole spectrum of the caries process on occlusal surfaces, ranging from the molecular ecology of occlusal biofilms to the management of deep occlusal caries lesions. Studies using molecular methods with focus on biofilms in relation to occlusal caries should explore the relationship between the function and the structural composition of these biofilms to understand the role of occlusal biofilms in caries development. State-of-the-art measures to evaluate risk for occlusal caries lesion activity, caries incidence, and progression should include the assessment of the occlusal biofilm and the stage of tooth eruption. Careful clinical examination of non-cavitated lesions, including assessment of the lesion activity status, remains the major tool to determine the immediate treatment need and to follow on the non-operative treatment outcome. Even medium occlusal caries lesions in the permanent dentition may be treated by non-invasive fissure sealing. By extending the criteria for non-invasive treatments, traditional restoration of occlusal surfaces can be postponed or even avoided, and the dental health in children and adolescents can be improved. Selective removal (incomplete) to soft dentin in deep carious lesions has greater success rates than stepwise excavation. Selective (complete) removal to firm dentin has a lower success rate due to increased pulp exposure.

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“…Visual description attributed to the scores of the methods used in the study. The scores were recodified in accordance with the presence of caries and without caries = 0 (ICDAS, DR, µ-CT, and Histologic Specimen = 0) and with caries = 1 (ICDAS ≥ 1 and ≤ 6 and DR, µ-CT and Histologic Specimen ≥ 1 and ≤ 4) and in accordance with the localization of the caries and without caries = 0 (ICDAS, DR, µ-CT and Histologic Specimen = 0); with caries in enamel = 1 (ICDAS ≥ 1 and ≤ 3 and DR, µ-CT and Histologic Specimen = 1) and with caries in dentin = 2 (ICDAS ≥ 4 and ≤ 6 and DR, µ-CT and Histologic Specimen ≥ 2 and ≤ 4) (Al-Khatrash et al, 2011). In cases of disagreement among the examiners about the number of the score, the criterion of consensus was adopted to determine the score of the tooth for each method.…”

Section: Scoresmentioning

confidence: 69%

Performance of methods for detecting occlusal caries lesions: ICDAS X radiological image

Simões

Marques

Sá

et al. 2020

RSD

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Objective: We investigated the precision and accuracy of methods to detect caries lesions on the occlusal surface in vitro using ICDAS and radiological image. Methodology: Human third molars (n=14) were placed in an acrylic resin base and maintained wet during the study. The occlusal surfaces were visually inspected by three examiners using the International Caries Detection and Assessment System (ICDAS) method. The condition of each tooth was registered by images obtained with Digital Radiography (DR), Microcomputed Tomography (µ-CT) and Histologic Specimen (HS). For each tooth and method utilized in the study, an image was selected based on the largest extension of caries found, wherein the three examiners attributed a score to the lesion in accordance with the visual description of each method. The Kappa index, Fisher’s exact test and the Spearman´s correlation coefficient were used for evaluating reliability and accuracy, with a significance level of 5%. Results: Considerable interobserver reliability values were found for ICDAS (k = 0.701), almost perfect for µ-CT (k = 0.855) and HS (k = 0.920), and reasonable for DR (k = 0.221). Significant statistical difference was observed for ICDAS (p < 0.05), and for DR and µ-CT methods (p < 0.01). The correlation was moderate for ICDAS (r = 0.597), high for DR (r = 0.764) and perfect for µ-CT (1.000). Conclusions: the most reliability method for detecting caries lesions on occlusal surfaces in vitro was µ-CT, followed by ICDAS and DR. The most accurate method was µ-CT, followed by DR and ICDAS.

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Factors Affecting the Detection and Treatment of Occlusal Caries Using the International Caries Detection and Assessment System

Cited by 9 publications

References 27 publications

Variables affecting the inter‐ and intra‐examiner reliability of ICDAS for occlusal caries diagnosis in permanent molars

Variables affecting the inter‐ and intra‐examiner reliability of ICDAS for occlusal caries diagnosis in permanent molars

Occlusal Caries: Biological Approach for Its Diagnosis and Management

Performance of methods for detecting occlusal caries lesions: ICDAS X radiological image

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