A pilot study of dentists' assessment of caries detection and staging systems applied to early caries: PEARL Network findings

Van P. Thompson, Andrew B. Schenkel, Bapanaiah Penugonda, Mark Wolff, Gregory G. Zeller, Hongyu Wu, Don Vena, Ashley C. Grill, Frederick A. Curro

Research output: Contribution to journalArticle

Abstract

The International Caries Detection and Assessment System (ICDAS II) and the Caries Classification System (CCS) are caries stage description systems proposed for adoption into clinical practice. This pilot study investigated clinicians' training in and use of these systems for detection of early caries and recommendations for individual tooth treatment. Patient participants (N = 8) with a range of noncavitated lesions (CCS ranks 2 and 4 and ICDAS II ranks 2-4) identified by a team of calibrated examiners were recruited from the New York University College of Dentistry clinic. Eighteen dentists-8 from the Practitioners Engaged in Applied Research and Learning (PEARL) Network and 10 recruited from the Academy of General Dentistry-were randomly assigned to 1 of 3 groups: 5 dentists used only visual- Tactile (VT) examination, 7 were trained in the ICDAS II, and 6 were trained in the CCS. Lesion stage for each tooth was determined by the ICDAS II and CCS groups, and recommended treatment was decided by all groups. Teeth were assessed both with and without radiographs. Caries was detected in 92.7% (95% CI, 88%-96%) of the teeth by dentists with CCS training, 88.8% (95% CI, 84%-92%) of the teeth by those with ICDAS II training, and 62.3% (95% CI, 55%-69%) of teeth by the VT group. Web-based training was acceptable to all dentists in the CCS group (6 of 6) but fewer of the dentists in the ICDAS II group (5 of 7). The modified CCS translated clinically to more accurate caries detection, particularly compared to detection by untrained dentists (VT group). Moreover, the CCS was more accepted than was the ICDAS II, but dentists in both groups were open to the application of these systems. Agreement on caries staging requires additional training prior to a larger validation study.

Original languageEnglish (US)
Pages (from-to)20-27
Number of pages8
JournalGeneral Dentistry
Volume64
Issue number3
StatePublished - May 1 2016

Fingerprint

Dentists
Learning
Tooth
Research
Touch
Dentistry
Validation Studies
Therapeutics

Keywords

  • Caries
  • CCS
  • Diagnosis
  • ICDAS-II
  • PEARL network

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

A pilot study of dentists' assessment of caries detection and staging systems applied to early caries : PEARL Network findings. / Thompson, Van P.; Schenkel, Andrew B.; Penugonda, Bapanaiah; Wolff, Mark; Zeller, Gregory G.; Wu, Hongyu; Vena, Don; Grill, Ashley C.; Curro, Frederick A.

In: General Dentistry, Vol. 64, No. 3, 01.05.2016, p. 20-27.

Research output: Contribution to journalArticle

Thompson, VP, Schenkel, AB, Penugonda, B, Wolff, M, Zeller, GG, Wu, H, Vena, D, Grill, AC & Curro, FA 2016, 'A pilot study of dentists' assessment of caries detection and staging systems applied to early caries: PEARL Network findings', General Dentistry, vol. 64, no. 3, pp. 20-27.
Thompson, Van P. ; Schenkel, Andrew B. ; Penugonda, Bapanaiah ; Wolff, Mark ; Zeller, Gregory G. ; Wu, Hongyu ; Vena, Don ; Grill, Ashley C. ; Curro, Frederick A. / A pilot study of dentists' assessment of caries detection and staging systems applied to early caries : PEARL Network findings. In: General Dentistry. 2016 ; Vol. 64, No. 3. pp. 20-27.
@article{e277daaeb9e14dad971e408211591f6e,
title = "A pilot study of dentists' assessment of caries detection and staging systems applied to early caries: PEARL Network findings",
abstract = "The International Caries Detection and Assessment System (ICDAS II) and the Caries Classification System (CCS) are caries stage description systems proposed for adoption into clinical practice. This pilot study investigated clinicians' training in and use of these systems for detection of early caries and recommendations for individual tooth treatment. Patient participants (N = 8) with a range of noncavitated lesions (CCS ranks 2 and 4 and ICDAS II ranks 2-4) identified by a team of calibrated examiners were recruited from the New York University College of Dentistry clinic. Eighteen dentists-8 from the Practitioners Engaged in Applied Research and Learning (PEARL) Network and 10 recruited from the Academy of General Dentistry-were randomly assigned to 1 of 3 groups: 5 dentists used only visual- Tactile (VT) examination, 7 were trained in the ICDAS II, and 6 were trained in the CCS. Lesion stage for each tooth was determined by the ICDAS II and CCS groups, and recommended treatment was decided by all groups. Teeth were assessed both with and without radiographs. Caries was detected in 92.7{\%} (95{\%} CI, 88{\%}-96{\%}) of the teeth by dentists with CCS training, 88.8{\%} (95{\%} CI, 84{\%}-92{\%}) of the teeth by those with ICDAS II training, and 62.3{\%} (95{\%} CI, 55{\%}-69{\%}) of teeth by the VT group. Web-based training was acceptable to all dentists in the CCS group (6 of 6) but fewer of the dentists in the ICDAS II group (5 of 7). The modified CCS translated clinically to more accurate caries detection, particularly compared to detection by untrained dentists (VT group). Moreover, the CCS was more accepted than was the ICDAS II, but dentists in both groups were open to the application of these systems. Agreement on caries staging requires additional training prior to a larger validation study.",
keywords = "Caries, CCS, Diagnosis, ICDAS-II, PEARL network",
author = "Thompson, {Van P.} and Schenkel, {Andrew B.} and Bapanaiah Penugonda and Mark Wolff and Zeller, {Gregory G.} and Hongyu Wu and Don Vena and Grill, {Ashley C.} and Curro, {Frederick A.}",
year = "2016",
month = "5",
day = "1",
language = "English (US)",
volume = "64",
pages = "20--27",
journal = "General Dentistry",
issn = "0363-6771",
publisher = "Academy of General Dentistry",
number = "3",

}

TY - JOUR

T1 - A pilot study of dentists' assessment of caries detection and staging systems applied to early caries

T2 - PEARL Network findings

AU - Thompson, Van P.

AU - Schenkel, Andrew B.

AU - Penugonda, Bapanaiah

AU - Wolff, Mark

AU - Zeller, Gregory G.

AU - Wu, Hongyu

AU - Vena, Don

AU - Grill, Ashley C.

AU - Curro, Frederick A.

PY - 2016/5/1

Y1 - 2016/5/1

N2 - The International Caries Detection and Assessment System (ICDAS II) and the Caries Classification System (CCS) are caries stage description systems proposed for adoption into clinical practice. This pilot study investigated clinicians' training in and use of these systems for detection of early caries and recommendations for individual tooth treatment. Patient participants (N = 8) with a range of noncavitated lesions (CCS ranks 2 and 4 and ICDAS II ranks 2-4) identified by a team of calibrated examiners were recruited from the New York University College of Dentistry clinic. Eighteen dentists-8 from the Practitioners Engaged in Applied Research and Learning (PEARL) Network and 10 recruited from the Academy of General Dentistry-were randomly assigned to 1 of 3 groups: 5 dentists used only visual- Tactile (VT) examination, 7 were trained in the ICDAS II, and 6 were trained in the CCS. Lesion stage for each tooth was determined by the ICDAS II and CCS groups, and recommended treatment was decided by all groups. Teeth were assessed both with and without radiographs. Caries was detected in 92.7% (95% CI, 88%-96%) of the teeth by dentists with CCS training, 88.8% (95% CI, 84%-92%) of the teeth by those with ICDAS II training, and 62.3% (95% CI, 55%-69%) of teeth by the VT group. Web-based training was acceptable to all dentists in the CCS group (6 of 6) but fewer of the dentists in the ICDAS II group (5 of 7). The modified CCS translated clinically to more accurate caries detection, particularly compared to detection by untrained dentists (VT group). Moreover, the CCS was more accepted than was the ICDAS II, but dentists in both groups were open to the application of these systems. Agreement on caries staging requires additional training prior to a larger validation study.

AB - The International Caries Detection and Assessment System (ICDAS II) and the Caries Classification System (CCS) are caries stage description systems proposed for adoption into clinical practice. This pilot study investigated clinicians' training in and use of these systems for detection of early caries and recommendations for individual tooth treatment. Patient participants (N = 8) with a range of noncavitated lesions (CCS ranks 2 and 4 and ICDAS II ranks 2-4) identified by a team of calibrated examiners were recruited from the New York University College of Dentistry clinic. Eighteen dentists-8 from the Practitioners Engaged in Applied Research and Learning (PEARL) Network and 10 recruited from the Academy of General Dentistry-were randomly assigned to 1 of 3 groups: 5 dentists used only visual- Tactile (VT) examination, 7 were trained in the ICDAS II, and 6 were trained in the CCS. Lesion stage for each tooth was determined by the ICDAS II and CCS groups, and recommended treatment was decided by all groups. Teeth were assessed both with and without radiographs. Caries was detected in 92.7% (95% CI, 88%-96%) of the teeth by dentists with CCS training, 88.8% (95% CI, 84%-92%) of the teeth by those with ICDAS II training, and 62.3% (95% CI, 55%-69%) of teeth by the VT group. Web-based training was acceptable to all dentists in the CCS group (6 of 6) but fewer of the dentists in the ICDAS II group (5 of 7). The modified CCS translated clinically to more accurate caries detection, particularly compared to detection by untrained dentists (VT group). Moreover, the CCS was more accepted than was the ICDAS II, but dentists in both groups were open to the application of these systems. Agreement on caries staging requires additional training prior to a larger validation study.

KW - Caries

KW - CCS

KW - Diagnosis

KW - ICDAS-II

KW - PEARL network

UR - http://www.scopus.com/inward/record.url?scp=84978727279&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84978727279&partnerID=8YFLogxK

M3 - Article

C2 - 27148652

AN - SCOPUS:84978727279

VL - 64

SP - 20

EP - 27

JO - General Dentistry

JF - General Dentistry

SN - 0363-6771

IS - 3

ER -