Abstract
Abstract Aim: The aim of the present study was to evaluate the accuracy in the diagnosis of occlusal caries lesion using International Caries Detection and Assessment System II (ICDAS II) and digital radiographs in the primary molars. Materials and Methods: A total of 35 children was selected randomly and recruited for visual ICDAS II and digital bitewing radiographic examination by two independent trained examiners. A total of 249 teeth were examined at D1 (enamel caries lesions) and D3 (dentine caries lesions) thresholds. Results: Sensitivity at D1 for ICDAS II were 95%, and 22.97% for digital radiographs While specificity was 1005 for the both tools. At D3, threshold sensitivity of ICDAS II was 94.%, whereas it was 69% for digital radiographs, while specificity was almost the same for both methods and both D1 and D3 thresholds. Excellent inter- and intra-examiner reliabilities were evident. Conclusions: ICDAS II is better than digital radiographs in detecting carious lesions confined to enamel, and both are equally effective in the detection of dentinal carious lesions.
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