Abstract
ICDAS (the International Caries Detection and Assessment System) is a new approach to the detection and classification of dental caries, starting with the stage showing the earliest visual changes. Methodology: This article describes the implementation of the ICDAS at the School of Dentistry, International Medical University, and Kuala Lumpur, Malaysia in a step-by-step systematically planned process. Beginning with the setting up of a Task Force in 2011 for the evaluation and preparation of the training resources and the running of exploratory training exercises, it finally culminated in carrying out training workshops for the entire staff and students. After the internal processes had been completed, an international expert (KE) was invited to evaluate the process and conduct another workshop using the resources developed within the University, including a reference set of carious teeth. The overall time taken was one and a half years. Conclusions: The implementation of the ICDAS has been comprehensively set into motion within the context of our local curriculum and oral healthcare delivery arrangements. However, this will be an ongoing process with further quality assurance measures being required clinically together with the continuing training of new staff. Sharing this ‘framework’ of the ICDAS implementation process should considerably ease the path and reduce the time period of future implementations by other dental teaching institutions.
Highlights
This article describes the implementation of the ICDAS system at a Malaysian dental teaching institution in a step-by-step systematically planned process
There is a universal need in dental schools to embrace the concept of the early detection of caries resulting in more prevention and minimal intervention, and thereby improving the ability of dental students to cope with the complexity of the caries lesion and apply the constantly changing evidence regarding the management of such lesions in dentistry [1,2,3]
A particular emphasis is given to Maximum Interception and Minimum Invasion (MIMI) and it has been found that the comprehensive introduction of ICDAS has given impetus to that concept [4]
Summary
This article describes the implementation of the ICDAS system at a Malaysian dental teaching institution in a step-by-step systematically planned process. There is a universal need in dental schools to embrace the concept of the early detection of caries resulting in more prevention and minimal intervention, and thereby improving the ability of dental students to cope with the complexity of the caries lesion and apply the constantly changing evidence regarding the management of such lesions in dentistry [1,2,3]. To support this approach it is pointed out that the traditional classifications of dental caries, Black), which identify sites of the teeth that are decayed through the presence of cavitation are inadequate as they do not chart the stage of the early development of caries [4]
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