Icdas caries ppt

CARIES RISK ASSESMENT

1. Sri Aurobindo college of dentistry Department of pedodontics and preventive dentistry

2. ICDAS GUIDED BY- Dr. B harat Bhushan Sir Dr. Khushboo Barjatya Mam Dr. Binti Rani Chand Mam D r. Preene Juneja Mam Dr. Abhilasha M. Tripathi Mam Dr. Hariom Meena Sir SUBMITTED BY- Parnavi Mishra Batch 2017-18 Roll No. 46

3. ICDAS International caries detection and assessment system Dental caries is one of the most prevalent affecting mankind and despite the implementation of various preventive technique strategies, it continues to affect health, with social and economic adverse impact. In 2002, a consensus workshop was held to review current evidence of clinical caries trials and develop agreement based on the evidence studies. Thus the workshop has developed the ICDAS that relies on the visual inspection of clean, plaque free wet and dried teeth.

4. Uses of ICDAS at various levels- Education Clinical practice Research Epidemiological/public health It presents a paradigm shift in the detection and classification/coding of dental caries, coding the stages of carious process that has comparable histological changes. It is peer-reviewed, evidence-based and as noted has wide range of applications, including oral healthcare delivery, epidemiology and dental research.

5. Benefits of ICDAS It can help to focus upon prevention of dental caries by identifying the carious lesion at an early stage and facilitate discussion with patients about the condition of their teeth and measures to be taken to prevent and arrest carious lesions. This ‘Wardrobe’ of validated tools allows users to select the best criteria and conventions for each specific application of the system. It is a clinical scoring system which can be used in dental education, clinical practice, research and epidemiology. It has consistency in its scoring system that can be used for multicentric trials. It records both enamel and dentine caries and explore the measurement of caries activity.

6. Method of recording ICDAS Following steps are mandatory before recording the scores- Cleaning of the teeth to aid detection as caries forms where there has been plaque stagnation. Use of the compressed air, necessary to reveal the earliest visual signs of caries. To facilitate the work clinician/student must be well versed with the ICDAS scoring criteria and preferably it need to be available with recording charts. ICDAS two digit coding method is suggested to identify caries associated with restorations/sealants. First digit- denotes restoration/sealant Second digit- appropriate caries code

7. Criteria for coding for primary carious lesion-

8. Icdas codes from 0 to 6-

9. Example- A patient comes with a concern of sensitivity on drinking cold on her right lower back tooth. Clinical examination reveals presence of a grey/bluish shadow on the marginal ridge of her tooth 46. What would be the most appropriate coding for this lesion according to ICDAS. Ans- ICDAS code 4

10. Caries associated with restoration and sealant (CARS) detection criteria-

11. Example- If a tooth is restored with composite resin, which also exhibited extensive distinct cavity with visible dentin then tooth would be coded- For composite resin restoration- 3 For distinct cavity- 6 Thus, two digit coding would be 36

12. Codes for the detection and classification of carious lesions on the root surface-

13. ICDAS radiographic coding system-

14. ICDAS radiographic coding system-

15. example A patient comes with a concern of pain on drinking hot on his left upper back teeth. Clinical examination reveals presence of ICDAS code 6 on the occlusal surface of tooth 26. radio graphically the lesion is extending into inner one-third of dentine. The tooth is tender on percussion. What would be the most appropriate coding for this lesion radio graphically according to ICDAS and best treatment of choice. Ans - RC5 and root canal therapy

16. Thank You!