Feasibility of the International Caries Classification and Management System (ICCMS) Protocol in a Hospital-Based
Imam Azam1, Vijay P Mathur, Nitesh Tewari
1Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All Indian Institute of Medical Sciences, New Delhi, Delhi, India.
Insights
The International Caries Classification and Management System (ICCMS) protocol is feasible for managing dental caries in Indian children. This risk-based approach led to significant symptom reduction and improved patient outcomes over one year.
Area of Science:
- Pediatric Dentistry
- Dental Public Health
- Caries Management
Background:
- Dental caries remains a significant public health issue globally, particularly in pediatric populations.
- Effective caries management requires systematic classification and risk-based treatment strategies.
- The International Caries Classification and Management System (ICCMS) offers a structured approach to caries diagnosis and management.
Purpose of the Study:
- To assess the feasibility of implementing the ICCMS protocol in a hospital-based setting in India.
- To evaluate the effectiveness of a modified ICCMS protocol in managing dental caries in children.
- To analyze treatment outcomes, including symptom reduction and patient compliance, over a one-year period.
Main Methods:
- A cohort of 160 children aged 3-6 years with dental caries was recruited.
- A modified ICCMS protocol was applied for risk-based caries management over one year.
- Feasibility was evaluated through symptom reduction, patient compliance, and time for risk assessment, analyzed using paired t-tests and Wilcoxon signed-rank tests.
Main Results:
- One-year follow-up was completed for 139 children; 72.7% had high caries risk and 27.3% had moderate risk.
- Significant improvements were observed in reducing active caries and maintaining tooth integrity (P < 0.05).
- The mean time for risk assessment decreased significantly by 1.99 ± 3.37 minutes at the one-year recall.
Conclusions:
- The ICCMS protocol is a feasible approach for systematic dental caries management in a hospital setting.
- The protocol demonstrates effectiveness in symptom reduction for both moderate and high caries risk pediatric patients.
- Implementation of ICCMS in India shows promise for improving caries control outcomes.
Objective:
To evaluate the feasibility of the International Caries Classification and Management System (ICCMS) protocol in a hospital-based setting in India.
Methods:
A total of 160 children, 3-6 years old children reporting with dental caries to a hospital-based setting were recruited. Risk-based management of dental caries was conducted and followed for one year as per the modified ICCMS protocol. The feasibility of the ICCMS protocol was evaluated based on treatment outcomes including symptom reduction, patient compliance, and time taken in risk assessment. Qualitative outcomes were assessed using a paired t -test, whereas the Wilcoxon signed-rank test assessed the change in quantitative variables from baseline to one year.
Results:
A one-year follow-up assessment was completed for 139 children. Majority of children (101 = 72.7%) had high caries risk, while (38 = 27.3%) had moderate risk. A significant improvement was observed in terms of reduction in patient symptoms such as reducing the number of active caries, maintaining sound teeth, and maintaining restored teeth ( P < 0.05). The time taken for risk assessment was also significantly reduced (mean difference 1.99 ± 3.37 min) at one-year recall.
Conclusion:
The ICCMS protocol for caries management is feasible in terms of systematic symptom reduction in both moderate and high dental caries risk patients.
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