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

Caries Research
Anahita Jablonski-MomeniKlaus Pieper

Abstract

The aim of this study was to assess inter- and intra-examiner reproducibility and accuracy in the detection and assessment of occlusal caries in extracted human teeth using a newly developed visual method for caries diagnosis (International Caries Detection and Assessment System, ICDAS-II). Serial sectioning and microscopy were used as the 'gold standard'. The occlusal surfaces of 100 teeth were examined by 4 dentists using the ICDAS-II graded scores 0-6. Thereafter the teeth were serially sectioned and assessed for depth of the lesion with two histological classification systems. The weighted kappa values for inter- and intra-examiner reproducibility for the ICDAS-II examination were 0.62-0.83. There was a moderate relationship between the visual and both histological examinations (r(s) = 0.43-0.72). At the D1 diagnostic threshold (enamel and dentine lesions) specificity was 0.74-0.91 and sensitivity was 0.59-0.73. At the D3 diagnostic threshold (dentine lesions) specificity was 0.82-0.94 and sensitivity was 0.48-0.83 for the 4 examiners. The ICDAS-II system has demonstrated reproducibility and diagnostic accuracy for the detection of occlusal caries at varying stages of the disease process which are comparable to previously r...Continue Reading

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Citations

Dec 14, 2012·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·J I Foley
Mar 12, 2010·Clinical Oral Investigations·Jan KühnischRoswitha Heinrich-Weltzien
Dec 18, 2012·Clinical Oral Investigations·Klaus PieperAnahita Jablonski-Momeni
Mar 12, 2010·Lasers in Medical Science·Anahita Jablonski-MomeniKlaus Pieper
Mar 22, 2012·Lasers in Medical Science·Anahita Jablonski-MomeniKlaus Pieper
May 12, 2012·Lasers in Medical Science·Eva-Eleni AchilleosGeorge Vougiouklakis
Jul 7, 2012·Lasers in Medical Science·J F SouzaR C L Cordeiro
Jan 29, 2011·Odontology·Anahita Jablonski-MomeniKlaus Pieper
Dec 1, 2010·Journal of Digital Imaging·Kivanç KamburoğluHakan Hamdi Çelik
Jan 1, 2009·International Journal of Dentistry·Anahita Jablonski-MomeniKlaus Pieper
Sep 14, 2012·International Journal of Dentistry·Anahita Jablonski-MomeniMonika Heinzel-Gutenbrunner
Jul 24, 2012·Journal of Dental Research·A Ferreira ZandonáD T Zero
Mar 30, 2013·BMC Oral Health·Zachary Van Hilsen, Robert S Jones
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