Reproducibility and accuracy of the ICDAS‐II for occlusal caries detection
- 3 September 2009
- journal article
- Published by Wiley in Community Dentistry and Oral Epidemiology
- Vol. 37 (5), 399-404
- https://doi.org/10.1111/j.1600-0528.2009.00487.x
Abstract
OBJECTIVES: The aim of this in vitro study was to assess the inter- and intra-examiner reproducibility and the accuracy of the International Caries Detection and Assessment System-II (ICDAS-II) in detecting occlusal caries. METHODS: One hundred and sixty-three molars were independently assessed twice by two experienced dentists using the 0- to 6-graded ICDAS-II. The teeth were histologically prepared and classified using two different histological systems [Ekstrand et al. (1997) Caries Research vol. 31, pp. 224-231; Lussi et al. (1999) Caries Research vol. 33, pp. 261-266] and assessed for caries extension. Sensitivity, specificity, accuracy and area under the ROC curve (A(z)) were obtained at D(2) and D(3) thresholds. Unweighted kappa coefficient was used to assess inter- and intra-examiner reproducibility. RESULTS: For the Ekstrand et al. histological classification the sensitivity was 0.99 and 1.00, specificity 1.00 and 0.69 and accuracy 0.99 and 0.76 at D(2) and D(3), respectively. For the Lussi et al. histological classification the sensitivity was 0.91 and 0.75, specificity 0.47 and 0.62 and accuracy 0.86 and 0.68 at D(2) and D(3), respectively. The A(z) varied from 0.54 to 0.73. The inter- and intra-examiner kappa values were 0.51 and 0.58, respectively. CONCLUSIONS: ICDAS-II presented good reproducibility and accuracy in detecting occlusal caries, especially caries lesions in the outer half of the enamelKeywords
This publication has 23 references indexed in Scilit:
- Performance of Fluorescence Methods, Radiographic Examination and ICDAS II on Occlusal Surfaces in vitroCaries Research, 2008
- In vitro comparison of laser fluorescence performance with visual examination for detection of occlusal caries in permanent and primary molarsLasers in Medical Science, 2008
- Reproducibility and Accuracy of the ICDAS-II for Detection of Occlusal Caries in vitroCaries Research, 2008
- Risk indicators for dental caries using the International Caries Detection and Assessment System (ICDAS)Community Dentistry and Oral Epidemiology, 2007
- Detection and Activity Assessment of Primary Coronal Caries Lesions: A Methodologic StudyOperative Dentistry, 2007
- Validity and Reproducibility of Different Combinations of Methods for Occlusal Caries Detection: An in vitro ComparisonCaries Research, 2006
- The influence of toothpastes and prophylaxis pastes on fluorescence measurements for caries detection in vitroEuropean Journal of Oral Sciences, 2005
- Diagnostic comparison of three groups of examiners using visual and laser fluorescence methods to detect occlusal caries in vitroAustralian Dental Journal, 2004
- Performance and Reproducibility of a Laser Fluorescence System for Detection of Occlusal Caries in vitroCaries Research, 1999
- Reproducibility and Accuracy of Three Methods for Assessment of Demineralization Depth on the Occlusal Surface: An in vitro ExaminationCaries Research, 1997