Interfaculty Agreement With ICDAS Coding During Training Workshops Using Selected Patient Tooth Surfaces and...

Area of Science:

• Dental diagnostics
• Caries detection and assessment
• Oral healthcare quality improvement

Background:

• The International Caries Detection and Assessment System (ICDAS) is a standardized method for caries detection.
• Evaluating the reproducibility and accuracy of ICDAS is crucial for its effective clinical application.
• Dental faculty training workshops provide a platform to assess diagnostic tools.

Purpose of the Study:

• To evaluate the reproducibility and accuracy of the International Caries Detection and Assessment System (ICDAS) in detecting caries.
• To assess ICDAS performance in both clinical and radiographic settings among dental faculty.
• To identify areas for improvement in ICDAS training and application.

Main Methods:

• Two evaluation exercises involving dental faculty after ICDAS training.
• Clinical assessment of 75 tooth surfaces and radiographic assessment of 64 proximal surfaces.
• Quadraticly weighted kappa statistics used to assess reproducibility and accuracy against a gold standard.

Main Results:

• Dental faculty demonstrated high reproducibility for clinical ICDAS coding.
• Accuracy for clinical ICDAS coding improved significantly when codes 1 and 2 were combined.
• Lower reproducibility and accuracy were observed for radiographic ICDAS coding.

Conclusions:

• ICDAS is a reliable clinical tool for caries detection, especially when codes 1 and 2 are combined.
• Integration of ICDAS into dental education can enhance diagnostic precision and treatment planning uniformity.
• Improved training methods are necessary for effective ICDAS radiographic code utilization.