Comparison of International Caries Detection and Assessment System and digital radiographs for detecting occlusal dental caries: An In vivo Study

Abstract

Aim: The aim of the present study was to evaluate the accuracy in the diagnosis of occlusal caries lesion using International Caries Detection and Assessment System II (ICDAS II) and digital radiographs in the primary molars. Materials and Methods: A total of 35 children was selected randomly and recruited for visual ICDAS II and digital bitewing radiographic examination by two independent trained examiners. A total of 249 teeth were examined at D1 (enamel caries lesions) and D3 (dentine caries lesions) thresholds. Results: Sensitivity at D1 for ICDAS II were 95%, and 22.97% for digital radiographs While specificity was 1005 for the both tools. At D3, threshold sensitivity of ICDAS II was 94.%, whereas it was 69% for digital radiographs, while specificity was almost the same for both methods and both D1 and D3 thresholds. Excellent inter- and intra-examiner reliabilities were evident. Conclusions: ICDAS II is better than digital radiographs in detecting carious lesions confined to enamel, and both are equally effective in the detection of dentinal carious lesions.

Keywords

Digital radiographs - International Caries Detection and Assessment System II - occlusal caries - sensitivity - specificity

Financial support and sponsorship

Nil.

Publication History

Article published online:
01 November 2021

• References

• 1 Gomez J, Tellez M, Pretty IA, Ellwood RP, Ismail AI. Non-cavitated carious lesions detection methods: A systematic review. Community Dent Oral Epidemiol 2013;41:54-66.
• 2 Bader JD, Shugars DA, Bonito AJ. Systematic reviews of selected dental caries diagnostic and management methods. J Dent Educ 2001;65:960-8.
• 3 Honkala E, Runnel R, Honkala S, Olak J, Vahlberg T, Saag M, et al. Measuring dental caries in the mixed dentition by ICDAS. Int J Dent 2011;2011:150424.
• 4 Shivakumar K, Prasad S, Chandu G. International caries detection and assessment system: A new paradigm in detection of dental caries. J Conserv Dent 2009;12:10-6.
• 5 Jablonski-Momeni A, Stucke J, Steinberg T, Heinzel-Gutenbrunner M. Use of ICDAS-II, fluorescence-based methods, and radiography in detection and treatment decision of occlusal caries lesions: An in vitro study. Int J Dent 2012;2012:371595.
• 6 Dias da Silva PR, Martins Marques M, Steagall W Jr., Medeiros Mendes F, Lascala CA. Accuracy of direct digital radiography for detecting occlusal caries in primary teeth compared with conventional radiography and visual inspection: An in vitro study. Dentomaxillofac Radiol 2010;39:362-7.
• 7 Pretty IA. Caries detection and diagnosis: Novel technologies. J Dent 2006;34:727-39.
• 8 International Caries Detection and Assessment System. Coordinating Committee, Appendix, Criteria Manual. International Caries Detection and Assessment System; 12-14 March, 2005.
• 9 Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The international caries detection and assessment system (ICDAS): An integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007;35:170-8.
• 10 Dunkley S, Ashley P. Use of a ranked scoring system to detect occlusal caries in primary molars. Int J Paediatr Dent 2007;17:267-73.
• 11 Chu CH, Lo EC, You DS. Clinical diagnosis of fissure caries with conventional and laser-induced fluorescence techniques. Lasers Med Sci 2010;25:355-62.
• 12 Heinrich-Weltzien R, Weerheijm KL, Kühnisch J, Oehme T, Stösser L. Clinical evaluation of visual, radiographic, and laser fluorescence methods for detection of occlusal caries. ASDC J Dent Child 2002;69:127-32, 123.
• 13 Wenzel A. A review of dentists’ use of digital radiography and caries diagnosis with digital systems. Dentomaxillofac Radiol 2006;35:307-14.
• 14 Huysmans MC, Longbottom C. The challenges of validating diagnostic methods and selecting appropriate gold standards. J Dent Res 2004;83:C48-52.
• 15 ten Bosch JJ, Angmar-Månsson B. Characterization and validation of diagnostic methods. Monogr Oral Sci 2000;17:174-89.
• 16 Lussi A. Impact of including or excluding cavitated lesions when evaluating methods for the diagnosis of occlusal caries. Caries Res 1996;30:389-93.
• 17 Vaarkamp J, ten Bosch JJ, Verdonschot EH, Bronkhoorst EM. The real performance of bitewing radiography and fiber-optic transillumination in approximal caries diagnosis. J Dent Res 2000;79:1747-51.
• 18 van der Stelt PF. Better imaging: The advantages of digital radiography. J Am Dent Assoc 2008;139:7S-13S.
• 19 Nuvvula S, Bhumireddy JR, Kamatham R, Mallineni SK. Diagnostic accuracy of direct digital radiography and conventional radiography for proximal caries detection in primary teeth: A systematic review. J Indian Soc Pedod Prev Dent 2016;34:300-5.
• 20 Li G, Yoshiura K, Welander U, Shi XQ, McDavid WD. Detection of approximal caries in digital radiographs before and after correction for attenuation and visual response. An in vitro study. Dentomaxillofac Radiol 2002;31:113-6.
• 21 Møystad A, Svanaes DB, van der Stelt PF, Grondahl HG, Wenzel A, van Ginkel FC, et al. Comparison of standard and task-specific enhancement of Digora storage phosphor images for approximal caries diagnosis. Dentomaxillofac Radiol 2003;32:390-6.
• 22 Kositbowornchai S, Basiw M, Promwang Y, Moragorn H, Sooksuntisakoonchai N. Accuracy of diagnosing occlusal caries using enhanced digital images. Dentomaxillofac Radiol 2004;33:236-40.
• 23 Koob A, Sanden E, Hassfeld S, Staehle HJ, Eickholz P. Effect of digital filtering on the measurement of the depth of proximal caries under different exposure conditions. Am J Dent 2004;17:388-93.
• 24 Babu MS, Nirmala SV, Sivakumar N. Oral hygiene status of 7-12-year-old school children in rural and urban population of Nellore district. J Indian Assoc Public Health Dent 2011;18:1075-80.