Title: Validity and reproducibility of visual inspection ICDAS II for the detection of caries lesions: A systematic review
Abstract:
Objective: The study aims to evaluate the relevance of the literature on validity and reproducibility of International Caries Detection and Assessment System (ICDAS II) for detection of carious lesions.
Methods: An electronic and manual search were conducted based on the question focus of interest, using PubMed and Mesh. Abstract titles and filtered according to criteria that included in vitro studies caries lesions analysed ICDAS II against a histologic gold standard. Aspects related to reproducibility, validity, predictive values and probability calculus, wereanalysed.
Results: 23 of 535 articles identified initially included. Highlights of selected studies were recorded and evaluated in structured tables showing positive values and negative predictive value intra-examiner agreement, inter-examiner, correlation ICDAS II versus histological criteria, sensitivity, specificity, accuracy, area under the curve, with its prevalence and calculation of positive and negative likelihood were recorded and calculated.
Conclusion: The evaluation of results of validity and reproducibility also prediction and probability calculation, it is possible to suggest that ICDAS II can be used as detection system, especially for detection of carious lesions in enamel and dentin surfaces occlusal, both deciduous and permanent. The limited number of studies in proximal sites is inconclusive results on ICDAS II.
