How to diagnose

Question 1

What is D1 and D3

Answer 1

D1- all visually detectable lesions​

D3- lesions extending into dentine

Question 2

How can we classify caries by cavitation

Answer 2

Use BPE proper gently run over areas
Cavitated
Non-cavitated

Question 3

What is caries activity

Answer 3

Caries can be active (demineralising) and inactive (remineralising)

Question 4

What are the sites of caries

Answer 4

Smooth surface
Occlusal
Root surface
Approximal

Question 5

What does primary and secondary indicate

Answer 5

Primary - no restorations
Secondary - adjacent to a restoration

Question 6

What are the factors of classification

Answer 6

Extent​

Cavitation​

Activity​

Site​

Location

Question 7

How can we measuer accuracy

Answer 7

Sensitivity​
% of disease found correctly​

Specificity​
% of health found correctly

Question 8

What should you have in order to correctly diagnose caries in clinic

Answer 8

Good light​

Dry the tooth​

Take your time​

Don’t use a sharp probe

Question 9

How can caries diagnosis accuracy be improved

Answer 9

ICCMS (formerly ICDAS)​

Radiographs​

Magnification​

FOTI

Question 10

What does ICCMS stand for

Answer 10

International caries classification and management system

Question 11

ADV and DISADV or radiographs

Answer 11

ADV
-permanent record
-see between and under teeth
-greater levels of dentinal decay discovery

DISADV
-radiation
-no greater discovery of enamel decay