Traditional Methods for Caries Identification 낱말 카드

Caries lesion detection

Implies an objective method of determining whether or not caries disease is present

Caries stage assessment

Aims to assess the severity of caries as either initial, moderate, or advanced

Caries activity assessment

Aims to characterize or monitor a lesion once it has been detected

Visual and tactile inspection, radiographs, advanced devices

What are tools for caries detection and assessment?

Visual and tactile inspection

Clinical examination with mirror and explorer

Detect

To detect caries lesion at early stage

Examination conditions

What describes utilizing sharp eyes/dental loups, well illuminated and mirrors used in some areas, clean surface, dried surface?

Examination protocol

What describes the steps of cleaning the teeth, placing cotton in buccal vestibules, removing excess/frothy saliva, visual examination of wet surface and dry?

True

True or false: sharp explorers are effective in caries detection, especially in early lesions.

Visual and tactile approach (clinical feature)

These questions are asked for what approach?

With or without plaque cover, lack of luster or shiny, different color, rough or smooth, hard or soft, cavitated or non-cavitated

ICDAS

A key focus of this organization is caries detection and assessment

ICCMS

A key focus of this organization is clinical managment

ICDAS

What system detects the presence and stage of the caries lesion?

0

Using the ICDAS decision tree for coronal caries, what code would a tooth be if there is no visible signs of caries when the tooth is wet and cleaned and then when dry no opacity/discoloration at the entrance of the fissure?

1

Using the ICDAS decision tree for coronal caries, what code would a tooth be if there is no visible signs of caries when the tooth is wet and when dry there is an opacity/discoloration at the entrance of the fissure?

4

Using the ICDAS decision tree for coronal caries, what code would a tooth be if there is visible signs of caries when the tooth is cleaned and wet and there is undermining discoloration of the dentine?

2

Using the ICDAS decision tree for coronal caries, what code would a tooth be if there is visible signs of caries when the tooth is cleaned and wet, there is no micro cavity or obvious cavity, and there is a distinct opacity at the entrance to the fissure or slightly beyond?

3

Using the ICDAS decision tree for coronal caries, what code would a tooth be if there is visible signs of caries when the tooth is cleaned and wet, there is a micro cavity or obvious cavity, and dentine is not visible at the base of the cavity?

5

Using the ICDAS decision tree for coronal caries, what code would a tooth be if there is visible signs of caries when the tooth is cleaned and wet, there is a micro cavity or obvious cavity, dentine is visible at the base of the cavity, and more than half of the crown is not involved in caries?

6

Using the ICDAS decision tree for coronal caries, what code would a tooth be if there is visible signs of caries when the tooth is cleaned and wet, there is a micro cavity or obvious cavity, dentine is visible at the base of the cavity, and more than half of the crown is involved in caries?

0

What ICDAS score would this tooth have?

0

What ICDAS score would this tooth have?

Staining and developmental defects

What can still be present without signs of caries and coded as a 0?

1

What ICDAS score would be given to a tooth with lesions restricted only to the pit and fissure area (wet or dry)?

1

What ICDAS score would be given to this tooth?

1

What ICDAS score would be given to a tooth whose smooth surface has initial lesions seen after air drying for 5 seconds?

2

What ICDAS score would be given to a tooth with lesions that go beyond the pit and fissure (seen wet or dry) and no loss of surface integrity?

2

What ICDAS score would be given to this tooth?

2

What ICDAS score would be given to a tooth that has caries opacity on the smooth surface that can be seen when wet?

3

What ICDAS score would be given to a tooth where when wet, opaque, or discolored lesions are apparent and when dry there is carious loss of the tooth structure but no visible dentin?

3

What ICDAS score would be given to this tooth?

3

What ICDAS score would be given to this tooth?

4

What ICDAS score would be given to a tooth that has a shadow of discolored dentine visible through intact enamel which is more noticeable when the surface is wet?

4

What ICDAS score would be given to this tooth?

4

What ICDAS score would be given to this tooth?

5

What ICDAS score would be given to a tooth with dentine exposure and extends over less than half of the tooth surface?

5

What ICDAS score would be given to this tooth?

5

What ICDAS score would be given to this tooth?

6

What ICDAS score would be given to a tooth that has extensive distinct cavitation with visible dentine exposure and involves at least half of the tooth surface or the pulp?

6

What ICDAS score would be given to this tooth?

6

What ICDAS score would be given to this tooth?

No caries

What is the ICDAS for these root caries?

Non-cavitated root caries

What is the ICDAS for these root caries?

Cavitated root caries

What is the ICDAS for these root caries?

0

What is the ICDAS score of a radiograph with no radiolucency?

4

What ICDAS score would be given to this tooth?

1

What ICDAS score would be given to this tooth?

2

What ICDAS score would be given to this tooth?

0

What ICDAS score would be given to this tooth?

3

What ICDAS score would be given to this tooth?

5

What ICDAS score would be given to this tooth?

6

What ICDAS score would be given to this tooth?

0

What ICDAS score would be given to this tooth?

0

What ICDAS score would be given to this tooth?

4

What ICDAS score would be given to this tooth (where it is circled)?

0

What ICDAS score would be given to this tooth (where the arrow is pointing)?

RA1

What is the ICDAS score of a radiograph with radiolucency in the outer 1/2 of the enamel?

RA2

What is the ICDAS score of a radiograph with radiolucency in the inner 1/2 of the enamel?

RA3

What is the ICDAS score of a radiograph with radiolucency limited to the outer 1/3 of dentin?

RB4

What is the ICDAS score of a radiograph with radiolucency reaching the middle 1/3 of dentin?

RC5

What is the ICDAS score of a radiograph with radiolucency reaching the inner 1/3 of dentin and clinically cavitated?

RC6

What is the ICDAS score of a radiograph with radiolucency into the pulp and clinically cavitated?

Active

Are active or inactive lesions considered to have a greater likelihood of transition (progress or arrest/regress)?

Dull

Are active lesions dull or shiny?

Chalky white, light to mid-brown

What color are active lesions?

Soft

Are active lesions soft or hard?

Plaque

Active lesions are covered in what?

Inactive

Are active or inactive lesions darker in color?

Shiny

Are inactive caries shiny or dull?

Hard

Are inactive lesions hard or soft?

Inactive

Do inactive or active lesions have less movement of mineral and the lesion stays the same in severity?

True

True or false: There is no reliable and accurate gold standard for caries activity assessment.