Salud Dental Para Todos
 

International Caries Detection and Assessment System (ICDAS II)

D.D.S. Marcelo Alberto Iruretagoyena

Protocol for the visual inspection of dental surfaces.
In order to use the ICDAS criteria, in clinical practice the following conditions are essential to allow examiners to assess each of the caries codes accurately:

  • Ask the patient to remove the removable prostheses from their mouth, if they were prosthetic carriers
  • Illumination of the operative field with light of 5000º Kelvin.
  • Remove the bacterial plaque from the smooth and occlusal surfaces by means of a toothbrush and wash the area with triple syringe
  • Remove superficial stains and dental calculus from dental surfaces

 

  • To control humidity:
    • Locate cotton rolls in the cheeks. Apply air to remove excess saliva

  • Make visual inspection of the wet surface:

    • Start from the patient's upper right quadrant

    • Continue with the orientation of the hands of the clock

    • Initially the visual examination is performed with wet surfaces.

  • Dry with triple syringe for 5 seconds to perform the dry visual examination
  • Use a probe to gently inspect the loss of structural integrity of enamel and dentin

Probe

Limits of the dental surface to perform the inspection
The limits of the tooth surface must be known so that the registration of tooth decay is standardized. The surface of the teeth is limited by the dihedral angle between two dental surfaces when viewed in a perpendicular direction

 Mesial surface

 

 Occlusal surface

 

 Distal surface

 

 Buccal surface

 

Lingual or palatal surface

Salud Dental Para Todos

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E-mail: D.D.S. Marcelo Alberto Iruretagoyena

Wilde.  Provincia de Buenos Aires. Argentina

Revised: September 2018