ICDAS II (International Caries Detection and
Assessment System) is an international caries detection and
diagnosis system, agreed in Baltimore, Maryland. USA in
2005, for clinical practice, research and development of
public health programs. The objective was to develop a
visual method for the detection of caries, as early as
possible, and also detect the severity and level of activity
of the same.
The system has 70 to 85% sensitivity and a
specificity of 80 to 90%; in detecting caries, in temporary
and permanent dentition; depending on this difference by the
degree of training and calibration of the examining staff.
Kappa concordance index => 0.65. (Pubmed-Medline 19681984 -
18204251 - 19907175)
ICDAS Complete presents 7 categories, the
first for healthy teeth (code 0, in green) and the next two
for caries limited to enamel, white / brown spot (codes 1
and 2, marked in yellow). The following two categories (code
3 and 4, in red) are considered caries that extend to the
enamel without exposed dentine. And the other two remaining
categories (codes 5 and 6), considered caries with exposed
dentin. See bottom image