Reproducibility and accuracy of the ICDAS-II for occlusal caries detection

2009 ◽  
Vol 37 (5) ◽  
pp. 399-404 ◽  
Author(s):  
Michele Baffi Diniz ◽  
Jonas Almeida Rodrigues ◽  
Isabel Hug ◽  
Rita de Cássia Loiola Cordeiro ◽  
Adrian Lussi
2014 ◽  
Vol 08 (04) ◽  
pp. 493-497 ◽  
Author(s):  
Hatem M. El-Damanhoury ◽  
Kausar Sadia Fakhruddin ◽  
Manal A. Awad

ABSTRACTObjective: To assess the feasibility of teaching International Caries Detection and Assessment System (ICDAS) II and its e-learning program as tools for occlusal caries detection to freshmen dental students in comparison to dental graduates with 2 years of experience. Materials and Methods: Eighty-four freshmen and 32 dental graduates examined occlusal surfaces of molars/premolars (n = 72) after a lecture and a hands-on workshop. The same procedure was repeated after 1 month following the training with ICDAS II e-learning program. Validation of ICDAS II codes was done histologically. Intra- and inter-examiner reproducibility of ICDAS II severity scores were assessed before and after e-learning using (Fleiss's kappa). Results: The kappa values showed inter-examiner reproducibility ranged from 0.53 (ICDAS II code cut off ≥ 1) to 0.70 (ICDAS II code cut off ≥ 3) by undergraduates and 0.69 (ICDAS II code cut off ≥ 1) to 0.95 (ICDAS II code cut off ≥ 3) by graduates. The inter-examiner reproducibility ranged from 0.64 (ICDAS II code cut off ≥ 1) to 0.89 (ICDAS II code cut off ≥ 3). No statistically significant difference was found between both groups in intra-examiner agreements for assessing ICDAS II codes. A high statistically significant difference (P ≤ 0.01) in correct identification of codes 1, 2, and 4 from before to after e-learning were observed in both groups. The bias indices for the undergraduate group were higher than those of the graduate group. Conclusions: Early exposure of students to ICDAS II is a valuable method of teaching caries detection and its e-learning program significantly improves their caries diagnostic skills.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Timucin Ari ◽  
Nilgun Ari

Early detection of occlusal caries in children is challenging for the dentists, because of the morphology of pit and fissures. The aim of this study was to compare in vitro the diagnostic performance of low-powered magnification with light-emitting diode headlight (LPMLED) using ICDAS-II criteria and AC Impedance Spectroscopy (ACIS) device, on occlusal surfaces of primary molars. The occlusal surfaces of 18 extracted primary molars were examined blindly by two examiners. The teeth were sectioned and examined under light microscopy using Downer’s histological criteria as gold standard. Good to excellent inter- and intraexaminer reproducibility, higher sensitivity, specificity, and AUC values were achieved by LPMLED at D1 threshold. Also the relationship between histology and LPMLED was statistically significant. In conclusion visual aids have the potential to improve the performance of early caries detection and clinical diagnostics in children. Despite its potential, ACIS device should be considered as an adjunct method in detecting caries on primary teeth.


2012 ◽  
Vol 22 (6) ◽  
pp. 459-466 ◽  
Author(s):  
TATIANE F. NOVAES ◽  
RONILZA MATOS ◽  
THAIS GIMENEZ ◽  
MARIANA M. BRAGA ◽  
MONIQUE S. DE BENEDETTO ◽  
...  

Author(s):  
Christos G. Bampis ◽  
Georgia D. Koutsouri ◽  
Elias Berdouses ◽  
Evanthia E. Tripoliti ◽  
Dimitra Iliopoulou ◽  
...  

2008 ◽  
Vol 24 (3) ◽  
pp. 295-300 ◽  
Author(s):  
Michele Baffi Diniz ◽  
Jonas de Almeida Rodrigues ◽  
Andréia Bolzan de Paula ◽  
Rita de Cássia Loiola Cordeiro

2011 ◽  
Vol 75 (5) ◽  
pp. 605-608 ◽  
Author(s):  
Jonas A. Rodrigues ◽  
Klaus W. Neuhaus ◽  
Michele. B. Diniz ◽  
Isabel Hug ◽  
Herman Stich ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Mona Zeitouny ◽  
Mireille Feghali ◽  
Assaad Nasr ◽  
Philippe Abou-Samra ◽  
Nadine Saleh ◽  
...  

Objectives.The aim of this study was to evaluate a light-emitting diode fluorescence tool, the SOPROLIFE light-induced fluorescence evaluator, and compare it to the international caries detection and assessment system-II (ICDAS-II) in the detection of occlusal caries. Methods. A total of 219 permanent posterior teeth in 21 subjects, with age ranging from 15 to 65 years, were examined. An intraclass correlation coefficient (ICC) was computed to assess the reliability between the two diagnostic methods.Results.The results showed a high reliability between the two methods (ICC = 0.92; IC = 0.901–0.940;P<0.001). The SOPROLIFE blue fluorescence mode had a high sensitivity (87%) and a high specificity (99%) when compared to ICDAS-II.Conclusion.Compared to the most used visual method in the diagnosis of occlusal caries lesions, the finding from this study suggests that SOPROLIFE can be used as a reproducible and reliable assessment tool. At a cut-off point, categorizing noncarious lesions and visual change in enamel, SOPROLIFE shows a high sensitivity and specificity. We can conclude that financially ICDAS is better than SOPROLIFE. However SOPROLIFE is easier for clinicians since it is a simple evaluation of images. Finally in terms of efficiency SOPROLIFE is not superior to ICDAS but tends to be equivalent with the same advantages.


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