E-mail: moc. This article has been cited by other articles in PMC. Abstract A new emphasis on caries measurement and management is required for the dental community. The dental professionals need new approaches in caries detection, its assessment, and management. The future of research, practice, and education in Cariology requires the development of an integrated definition of dental caries, and uniform systems for measuring the caries process. Keeping this in view, the International Caries Detection and Assessment System ICDAS has presented a new paradigm for the measurement of dental caries, which was developed from the systematic reviews of literature on the clinical caries detection system and other sources.
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This work is licensed under a Creative Commons Attribution 3. 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. INTRODUCTION The understanding of the caries process has continued to advance with the vast majority of evidence supporting caries as a dynamic process, which is affected by numerous modifiers tending to push the mineral equilibrium in one direction or another, i.
But the impending need of an evidence-based system which would permit standardized caries detection and diagnosis in differing environments and situations led to the development of International caries detection and assessment system ICDAS. Hence, the ICDAS was developed to bring forward the current understanding of the process of initiation and progression of dental caries to the field of epidemiological and clinical research.
The ICDAS I and II criteria incorporate concepts from the research conducted by Ekstrand et al , 11 , 6 and other caries detection systems described in the systematic review conducted by Ismail et al 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 detection of early white spot lesions. A ball-ended explorer is used to remove any remaining plaque and debris, and to check for surface contour, minor cavitation or sealants.
The teeth should be cleaned with a toothbrush or a prophylaxis cup before the clinical examination. The use of a sharp explorer is not necessary because no additional accuracy is provided and it may damage the enamel surface covering the early carious lesions. There are minor variations between the visual signs associated with each code depending on a number of factors, including the surface characteristics pits and fissures versus free smooth surfaces , whether there are adjacent teeth present mesial and distal surfaces and whether or not the caries is associated with a restoration or sealant.
Therefore, a detailed description of each of the codes is given under the following headings to assist in the training of examiners in the use of ICDAS: Pits and fissures; smooth surface mesial or distal ; free smooth surfaces and caries associated with restorations and sealants CARS.
International Caries Detection and Assessment System (ICDAS): A New Concept
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International Caries Detection and Assessment System: A new paradigm in detection of dental caries