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The American Dental Association Caries Classification System (ADA CCS)

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Detection and Assessment of Dental Caries

Abstract

The American Dental Association Caries Classification (ADA CCS) is a visual criterion developed to assist clinicians in categorizing all stages of the caries lesions. The criteria consist of 4 scores. The criteria can be used on coronal, root caries and caries around restorations. It categorizes lesions according to severity and activity. It is useful in caries detection and management.

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References

  1. Young DA, Novy BB, Zeller GG, et al. The American Dental Association Caries Classification System for clinical practice: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2015;146(2):79–86.

    Article  Google Scholar 

  2. Pitts N. “ICDAS”—an International System for Caries Detection and Assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health. 2004;21(3):193–8.

    PubMed  Google Scholar 

  3. Pitts N, Ekstrand KR. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS)—methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol. 2013;41:e41–52.

    Article  Google Scholar 

  4. Ismail AI, Sohn W, Tellez M, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35(3):170–78.

    Article  Google Scholar 

  5. Young DA, Featherstone JD. Caries management by risk assessment. Community Dent Oral Epidemiol. 2013;41:e1–e12.

    Article  Google Scholar 

  6. Takahashi N, Nyvad B. Caries ecology revisited: microbial dynamics and the caries process. Caries Res. 2008;42(6):409–18.

    Article  Google Scholar 

  7. Takahashi N, Nyvad B. The role of bacteria in the caries process: ecological perspectives. J Dent Res. 2011;90(3):294–303.

    Article  Google Scholar 

  8. Marsh PD, Percival RS. The oral microflora—friend or foe? Can we decide? Int Dent J. 2006;56(4 Suppl 1):233–9.

    Article  Google Scholar 

  9. Ismail AI, Tellez M, Pitts NB, et al. Caries management pathways to preserve dental tissues and promote oral health. Community Dent Oral Epidemiol. 2013;41(1):e12–40.

    Article  Google Scholar 

  10. Longbottom CL, Huysmans MC, Pitts NB, Fontana M. Glossary of key terms. Monogr Oral Sci. 2009;21:209–16.

    Article  Google Scholar 

  11. Gonzalez-Cabezas C. The chemistry of caries: remineralization and demineralization events with direct clinical relevance. Dent Clin North Am. 2010;54(3):469–78.

    Article  Google Scholar 

  12. Featherstone JD. The science and practice of caries prevention. J Am Dent Assoc. 2000;131(7):887–99.

    Article  Google Scholar 

  13. Pitts NB, Rimmer PA. An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res. 1992;26(2):146–52.

    Article  Google Scholar 

  14. Stookey G. Should a dental explorer be used to probe suspected carious lesions? No—use of an explorer can lead to misdiagnosis and disrupt remineralization. J Am Dent Assoc. 2005;136(11):1527, 1529, 1531.

    Google Scholar 

  15. Anusavice KJ. Present and future approaches for the control of caries. J Dent Educ. 2005;69(5):538–54.

    PubMed  Google Scholar 

  16. Ekstrand KR, Zero DT, Martignon S, Pitts NB. Lesion activity assessment. Monogr Oral Sci. 2009;21:63–90.

    Article  Google Scholar 

  17. Kidd EA, Ricketts DN, Beighton D. Criteria for caries removal at the enamel-dentine junction: a clinical and microbiological study [see comments]. Br Dent J. 1996;180(8):287–91.

    Article  Google Scholar 

  18. Fontana M, Zero DT. Assessing patients’ caries risk. J Am Dent Assoc. 2006;137(9):1231–9.

    Article  Google Scholar 

  19. Twetman S, Fontana M. Patient caries risk assessment. Monogr Oral Sci. 2009;21:91–101.

    Article  Google Scholar 

  20. Twetman S, Fontana M, Featherstone J. Risk assessment—can we achieve consensus? Community Dent Oral Epidemiol. 2013;41:e64–70.

    Article  Google Scholar 

  21. Domejean S, White JM, Featherstone JD. Validation of the CDA CAMBRA caries risk assessment—a six-year retrospective study. J Calif Dent Assoc. 2011;39(10):709–15.

    PubMed  Google Scholar 

  22. Domejean S, Leger S, Rechmann P, White JM, Featherstone JD. How do dental students determine patients’ caries risk level using the caries management by risk assessment (CAMBRA) system? J Dent Educ. 2015;79(3):278–85.

    PubMed  Google Scholar 

  23. Domejean-Orliaguet S, Gansky SA, Featherstone JD. Caries risk assessment in an educational environment. J Dent Educ. 2006;70(12):1346–54.

    PubMed  Google Scholar 

  24. Thompson V, Schenkel A, Penugonda B, et al. A pilot study of dentists’ assessment of caries detection and staging systems applied to early caries: PEARL Network findings. Gen Dent. 2016;4(3):20–27.

    Google Scholar 

  25. Davis FD. Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly. 1989;13(3):319–340.

    Article  Google Scholar 

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Zeller, G., Young, D.A., Novy, B. (2019). The American Dental Association Caries Classification System (ADA CCS). In: Ferreira Zandona, A., Longbottom, C. (eds) Detection and Assessment of Dental Caries. Springer, Cham. https://doi.org/10.1007/978-3-030-16967-1_7

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  • DOI: https://doi.org/10.1007/978-3-030-16967-1_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16965-7

  • Online ISBN: 978-3-030-16967-1

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