ArticleBMC oral health2019
The impact of ICDAS on occlusal caries treatment recommendations for high caries risk patients: an in vitro study.
Article in BMC oral health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Visual or visual-tactile examination to detect and inform the diagnosis of enamel caries.The Cochrane database of systematic reviews · 2021Pooled it
- Impact of Teaching Strategies on Caries Detection and Management.International journal of clinical pediatric dentistry · 2025Article
- Article
- In Vivo Performance of Visual Criteria, Laser-Induced Fluorescence, and Light-Induced Fluorescence for Early Caries Detection.Diagnostics (Basel, Switzerland) · 2023Article
- Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions.International dental journal · 2023Article
- Comparative evaluation of caries prevalence among group of Egyptian adolescents using DMFS and ICDASII methods: a cross-sectional study.BMC oral health · 2023Article
- The ADEPT study: a comparative study of dentists' ability to detect enamel-only proximal caries in bitewing radiographs with and without the use of AssistDent artificial intelligence software.British dental journal · 2021Article
- Diagnostic Drama. Use of ICDAS II and Fluorescence-Based Intraoral Camera in Early Occlusal Caries Detection: A Clinical Study.International journal of environmental research and public health · 2020Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe diagnostic criteria and tools used in caries lesion detection have been shown to affect the decision-making for caries treatment. Compared to other diagnostic criteria/classifications, ICDAS has been shown to provide a more accurate method for the detection of occlusal caries lesions. The influence of using ICDAS on caries treatment recommendations has received increasing attention in recent years. Therefore, the aim of this study was to assess the impact of ICDAS on dentists' occlusal caries lesions' treatment decisions for patients at high risk for caries.
methodsFive dentists examined the occlusal surfaces of 270 extracted premolars and permanent molars. For a predetermined clinical scenario, the examiners were asked to indicate their treatment recommendations for each tooth. Four weeks later, all the examiners were trained and calibrated for the use of ICDAS. Then the investigators examined the same 270 teeth independently and indicated their treatment recommendations using the same clinical scenario. Histological validation was used to determine the caries lesions detection performance of the examiners using ICDAS and to assess the relationship between the presence of dentin caries and treatment recommendations for each examiner before and after ICDAS training. Specificity, sensitivity, area under the receiver operating characteristic curve (AUC), and Spearman's correlation coefficients were calculated. The Wilcoxon two-related sample rank test was used to test for differences between treatment recommendations.
resultsThe strongest correlation for inter-examiner reproducibility was found between the ICDAS D2 cut-off point (ICDAS codes 3-6 as dentin caries) and histologic dentin caries. Treatment recommendations among different examiners before and after ICDAS training demonstrated a statistically significant increase in operative intervention and an increase in the percentage of overtreatment recommendations for two examiners.
conclusionsThe impact of ICDAS on the examiners' caries lesion treatment recommendations varied among the dentists in this study. Treatment decision-making can be influenced by the caries lesion's detection and classification system used.
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