Validity and reproducibility of ICDAS II in primary teeth

Shoaib, L. and Deery, C. and Ricketts, D.N.J. and Nugent, Z.J. (2009) Validity and reproducibility of ICDAS II in primary teeth. Caries Research, 43 (6). pp. 442-448. ISSN 0008-6568

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Abstract

The aim of this in vitro study was to assess the validity and reproducibility of the ICDAS II (International Caries Detection and Assessment System) criteria in primary teeth. Three trained examiners independently examined 112 extracted primary molars, ranging from clinically sound to cavitated, set up in groups of 4 to mimic their anatomical positions. The most advanced caries on the occlusal and approximal surfaces was recorded. Subsequently the teeth were serially sectioned and histological validation was undertaken using the Downer and Ekstrand-Ricketts-Kidd (ERK) scoring systems. For occlusal surfaces at the D(1)/ERK(1) threshold, the mean specificity was 90.0, with a sensitivity of 75.4. For approximal surfaces, the specificity and sensitivity were 85.4 and 66.4, respectively. For occlusal surfaces at ICDAS code >= 3 (ERK(3) threshold), the mean specificity and sensitivity were 87.0 and 78.1, respectively. For approximal surfaces, the equivalent values were 90.6 and 75.3. At the D(3) threshold for occlusal surfaces, the mean specificity and sensitivity were 92.8 and 63.1, and for approximal surfaces 94.2 and 58.3, respectively. Mean intraexaminer reproducibility (Cohen's kappa) ranged from 0.78 to 0.81 at the ICDAS code >= 1 cut-off and at the ICDAS code >= 3 cut-off from 0.74 to 0.76. Interexaminer reproducibility was lower, ranging from 0.68 to 0.70 at the ICDAS code >= 1 cut-off and from 0.66 to 0.73 at the ICDAS code >= 3 cut-off. In conclusion, the validity and reproducibility of the ICDAS II criteria were acceptable when applied to primary molar teeth. Copyright (C) 2009 S. Karger AG, Basel

Item Type: Article
Additional Information: ISI Document Delivery No.: 530QR Times Cited: 10 Cited Reference Count: 25 Cited References: Ashley P, 2000, Int J Paediatr Dent, V10, P166 Attrill DC, 2001, BRIT DENT J, V190, P440, DOI 10.1038/sj.bdj.4800998a BACKER DIRKS O., 1951, JOUR DENTAL RES, V30, P346, DOI 10.1177/00220345510300030701 Bader JD, 2002, J PUBLIC HEALTH DENT, V62, P201, DOI 10.1111/j.1752-7325.2002.tb03446.x Bengtson AL, 2005, PEDIATR DENT, V27, P238 Chesters RK, 2002, J DENT RES, V81, P637 Deery C, 2000, CARIES RES, V34, P2, DOI 10.1159/000016563 Downer M C, 1989, Int Dent J, V39, P241 DOWNER MC, 1975, CARIES RES, V9, P231 Dunkley S, 2007, INT J PAEDIATR DENT, V17, P267, DOI 10.1111/j.1365-263X.2006.00807.x Ekstrand KR, 1997, CARIES RES, V31, P224 Ekstrand KR, 1998, CARIES RES, V32, P247, DOI 10.1159/000016460 Fyffe HE, 2000, COMMUNITY DENT ORAL, V28, P52, DOI 10.1034/j.1600-0528.2000.280107.x Ismail A I, 2004, J Dent Res, V83 Spec No C, pC56 Ismail AI, 2007, COMMUNITY DENT ORAL, V35, P170, DOI 10.1111/j.1600-0528.2007.00347x Jablonski-Momeni A, 2008, CARIES RES, V42, P79, DOI 10.1159/000113160 KETLEY CE, 1993, BRIT DENT J, V174, P364, DOI 10.1038/sj.bdj.4808172 Lussi A, 2003, CARIES RES, V37, P2, DOI 10.1159/000068286 MARTHALER T M, 1965, Br Dent J, V119, P153 Mendes FM, 2006, AM J DENT, V19, P19 Novaes TF, 2009, CARIES RES, V43, P36, DOI 10.1159/000189705 Pitts Nigel, 2004, Community Dent Health, V21, P193 PITTS NB, 1988, J DENT RES, V67, P592, DOI 10.1177/00220345880670031401 Ricketts DNJ, 2002, OPER DENT, V27, P231 Rocha RO, 2003, CARIES RES, V37, P437, DOI 10.1159/000073396 Shoaib, L. Deery, C. Ricketts, D. N. J. Nugent, Z. J. Karger Basel
Uncontrolled Keywords: Caries, occlusal and approximal surfaces International Caries Detection and Assessment System Primary teeth occlusal caries detection in-vitro conventional methods primary molars dental-caries performance lesions system vivo prevalence
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry > Dept of Children’s Dentistry And Orthodontics
Depositing User: Ms Nursyafiqah Abd Malek
Date Deposited: 16 Jan 2013 00:50
Last Modified: 16 Jan 2013 00:50
URI: http://eprints.um.edu.my/id/eprint/4484

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