ICCMS

Which patient is always high risk for caries?

head and neck radiation

risk factors

directly affect development of caries

put in right order

3, 5, 7, 1, 2, 4, 6

ICCMS codes: restorations and sealants

0-8

0. not restored or sealed

1. sealant partial

2. sealant full

3. tooth colored restoration

4. amalgam restoration

5. stainless steel crown

6. porcelain or gold, or PFM crown or veneer

7. Lost or broken restoration

8. Temporary restoration

ICDAS codes for coronal caries: full coronal caries code

0: no evidence of caries after drying for 5 seconds

ICDAS codes for coronal caries: full coronal caries code

1: radiolucency in outer ½ of enamel, seen only after drying for 5 seconds or restricted to pit and fissure (dry or wet)

2: initial caries (seen dry or wet), distinct change in enamel, radiolucency in inner ½ of enamel

ICDAS codes for coronal caries: full coronal caries code

3: localized enamel breakdown no visible dentin (can be cavitation when dry), radiolucency limited to outer 1/3 of dentin

ICDAS codes for coronal caries: full coronal caries code

4: underlying dark shadow from dentin, (no exposed or visible dentin), radiolucency middle 1/3 dentin

ICDAS codes for coronal caries: full coronal caries code

5: distinct cavity with visible dentin: radiolucency in inner 1/3 of dentin

ICDAS codes for coronal caries: full coronal caries code

extensive distinct cavity with visible dentin, radiolucency into pulp

0

5

5

1

1

3

2

2

4

6

0

6

5

1

2

2

4

3

1

3

4

Merged Coronal Codes

0, A, B, C

A: initial caries, 1,2: carious opacity, discoloration, restricted to pit and fissure

B: Moderate: 3,4: localized breakdown, or dentinal shadowing

C: Extensive: 5,6: cavitation or cavity with visible dentin

A

B

A

moderate

moderate

Modified coronal caries codes

Same as full except 1,2 are “initial caries”: A

Whitish, brownish, or black

inactive lesion

shiny: enamel hard and smooth

inactive

hard dentin, not covered by thick biofilm

inactive

whitish/yellowish

active

loss of luster

active

rough (1,2,3,4,) soft 5,6

active

code 97

tooth missing due to caries

98

tooth missing for other reasons (like trauma)

99

unerupted

P

implant

Root caries codes

0: sound

1: inital lesion (non-cavitated)

2: cavitated

E: excluded

low risk: active caries, initial stage, moderate or extensive

low liklihood, moderate, moderate

moderate risk: no active caries, intial, moderate or extensice

low, moderate, high

high risk: no caries, inital, moderate or extensive

moderate, high, high