Advertisement

European Archives of Paediatric Dentistry

, Volume 13, Issue 6, pp 319–322 | Cite as

Dental students consistency in applying the ICDAS system within paediatric dentistry

  • J. I. FoleyEmail author
Short Communication

Abstract

AIM: To examine dental students’ consistency in utilising the International Caries Detection and Assessment System (ICDAS) one and three months after training. STUDY DESIGN: A prospective study. METHODS: All clinical dental students (Year Two: BDS2; Year Three: BDS3; Year Four: BDS4) as part of their education in Paediatric Dentistry at Aberdeen Dental School (n = 56) received baseline training by two “gold-standard” examiners and were advised to complete the 90-minute ICDAS e-learning program. Study One: One month later, the occlusal surface of 40 extracted primary and permanent molar teeth were examined and assigned both a caries (0–6 scale) and restorative code (0–9 scale). Study Two: The same teeth were examined three months later. STATISTICS: Kappa statistics were used to determine inter- and intra-examiner reliability at baseline and after three months. RESULTS: In total, 31 students (BDS2: n = 9; BDS3: n = 8; BDS4: n = 14) completed both examinations. The inter-examiner reliability kappa scores for restoration codes for Study One and Study Two were: BDS2: 0.47 and 0.38; BDS3: 0.61 and 0.52 and BDS4: 0.56 and 0.52. The caries scores for the two studies were: BDS2: 0.31 and 0.20; BDS3: 0.45 and 0.32 and BDS4: 0.35 and 0.34. The intra-examiner reliability range for restoration codes were: BDS2: 0.20 to 0.55; BDS3: 0.34 to 0.72 and BDS4: 0.28 to 0.80. The intra-examiner reliability range for caries codes were: BDS2: 0.35 to 0.62; BDS3: 0.22 to 0.53 and BDS4: 0.22 to 0.65. CONCLUSION: The consistency of ICDAS codes varied between students and also, between year groups. In general, consistency was greater for restoration codes.

Key words

Paediatric dentistry caries diagnosis graduate 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Allen WR. Dental education in the European Union. Br Dent J 2005: Suppl; 33–34.Google Scholar
  2. Bakhshandeh A, Ekstrand KR, Qvist V. Measurement of Histological and Radiographic Depth and Width of Occlusal Caries Lesions: A Methodological Study. Caries Res 2011; 45:547–555.PubMedCrossRefGoogle Scholar
  3. Bourgeois DM, Llodra JC, Nordblad A, Pitts NB. Report of the EGOHID I Project. Selecting a coherent set of indicators for monitoring and evaluating oral health in Europe: criteria, methods and results from the EGOHID I project. Community Dent Health 2008; 25:4–10.PubMedGoogle Scholar
  4. Diniz MB, Rodrigues JA, Hug I, Cordeiro Rde C, Lussi A. Reproducibility and accuracy of the ICDAS-II for occlusal caries detection. Community Dent Oral Epidemiol 2009; 37:399–404.PubMedCrossRefGoogle Scholar
  5. General Dental Council (UK). “The First Five Years.” Third Edition (interim) London 2008.Google Scholar
  6. Jablonski-Momeni A, Stachniss V, Ricketts DN, Heinzel-Gutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res 2008; 42:79–87.PubMedCrossRefGoogle Scholar
  7. Jablonski-Momeni A, Ricketts DN, Weber K et al. Effect of different time intervals between examinations on the reproducibility of ICDAS-II for occlusal caries. Caries Res 2011; 44:267–271.Google Scholar
  8. Nelson S, Eggertsson H, Powell B et al. Dental examiners consistency in applying the ICDAS criteria for a caries prevention community trial. Community Dent Health 2011; 28:238–242.PubMedGoogle Scholar
  9. Scottish Dental Clinical Effectiveness Programme. Oral Health Assessment and Review 2011.Google Scholar
  10. Shoaib L, Deery C, Ricketts DN, Nugent ZJ. Validity and reproducibility of ICDAS II in primary teeth. Caries Res 2009; 43:442–448.PubMedCrossRefGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2012

Authors and Affiliations

  1. 1.Department of Pediatric DentistryThe University of Aberdeen Dental School and HospitalAberdeenUK

Personalised recommendations