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Vol. 42, No. 2, 2008
Issue release date: April 2008
Section title: Original Paper
Caries Res 2008;42:79–87
(DOI:10.1159/000113160)

Reproducibility and Accuracy of the ICDAS-II for Detection of Occlusal Caries in vitro

Jablonski-Momeni A. · Stachniss V. · Ricketts D.N. · Heinzel-Gutenbrunner M. · Pieper K.
Departments of aPaediatric and Community Dentistry and bOperative Dentistry, Philipps University of Marburg, Marburg, Germany; cSection of Operative Dentistry, Fixed Prosthodontics and Endodontology, Dundee Dental School, University of Dundee, Dundee, UK

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 6/4/2007
Accepted: 10/29/2007
Published online: 1/15/2008

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 6

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: http://www.karger.com/CRE

Abstract

Aim: 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’. Methods: 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. Results: 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 (rs = 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. Conclusion: 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 reported data using similar visual classification systems.


  

Author Contacts

Dr. Anahita Jablonski-Momeni
Department of Paediatric and Community Dentistry
Philipps University of Marburg, Georg-Voigt-Strasse 3
DE–35033 Marburg (Germany)
Tel. +49 6421 286 3215, Fax +49 6421 286 6691, E-Mail momeni@staff.uni-marburg.de

  

Article Information

Received: June 4, 2007
Accepted: October 29, 2007
Published online: January 15, 2008
Number of Print Pages : 9
Number of Figures : 1, Number of Tables : 6, Number of References : 24

  

Publication Details

Caries Research

Vol. 42, No. 2, Year 2008 (Cover Date: April 2008)

Journal Editor: Shellis, R.P.(Bristol)
ISSN: 0008–6568 (Print), eISSN: 1421–976X (Online)

For additional information: http://www.karger.com/CRE


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 6/4/2007
Accepted: 10/29/2007
Published online: 1/15/2008

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 6

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: http://www.karger.com/CRE


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