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

A. Jablonski-Momeni (Lead / Corresponding author), V. Stachniss, D. N. Ricketts, M. Heinzel-Gutenbrunner, K. Pieper

    Research output: Contribution to journalArticle

    151 Citations (Scopus)

    Abstract

    Aim: The aim of this study was to assess inter- and intraexaminer 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 (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. 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. Copyright (C) 2008 S. Karger AG, Basel.

    Original languageEnglish
    Pages (from-to)79-87
    Number of pages9
    JournalCaries Research
    Volume42
    Issue number2
    DOIs
    Publication statusPublished - 2008

    Keywords

    • Histology
    • International caries detection and assessment system
    • Microscopy
    • Occlusal caries
    • Visual inspection
    • Selectable threshold
    • Diagnosis DSTM
    • Validity
    • System

    Cite this

    Jablonski-Momeni, A., Stachniss, V., Ricketts, D. N., Heinzel-Gutenbrunner, M., & Pieper, K. (2008). Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Research, 42(2), 79-87. https://doi.org/10.1159/000113160
    Jablonski-Momeni, A. ; Stachniss, V. ; Ricketts, D. N. ; Heinzel-Gutenbrunner, M. ; Pieper, K. / Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. In: Caries Research. 2008 ; Vol. 42, No. 2. pp. 79-87.
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    abstract = "Aim: The aim of this study was to assess inter- and intraexaminer 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 (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. 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. Copyright (C) 2008 S. Karger AG, Basel.",
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    Jablonski-Momeni, A, Stachniss, V, Ricketts, DN, Heinzel-Gutenbrunner, M & Pieper, K 2008, 'Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro', Caries Research, vol. 42, no. 2, pp. 79-87. https://doi.org/10.1159/000113160

    Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. / Jablonski-Momeni, A. (Lead / Corresponding author); Stachniss, V.; Ricketts, D. N.; Heinzel-Gutenbrunner, M.; Pieper, K.

    In: Caries Research, Vol. 42, No. 2, 2008, p. 79-87.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro

    AU - Jablonski-Momeni, A.

    AU - Stachniss, V.

    AU - Ricketts, D. N.

    AU - Heinzel-Gutenbrunner, M.

    AU - Pieper, K.

    PY - 2008

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    N2 - Aim: The aim of this study was to assess inter- and intraexaminer 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 (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. 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. Copyright (C) 2008 S. Karger AG, Basel.

    AB - Aim: The aim of this study was to assess inter- and intraexaminer 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 (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. 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. Copyright (C) 2008 S. Karger AG, Basel.

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    KW - Visual inspection

    KW - Selectable threshold

    KW - Diagnosis DSTM

    KW - Validity

    KW - System

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