Abstract
This paper charts the 20-year collaborative journey made by international teams of dental researchers, educators and practitioners. Following the initial development of the International Caries Detection and Assessment System (ICDAS) in 2002, the International Caries Classification and Management System (ICCMS) was collaboratively developed between 2010-2017 with several dental research and practice organisations, and influenced by best evidence judged via SIGN methodology, the UNEP Minamata Treaty (and linked phasing down of dental amalgam), three Dental Policy Labs and an international movement in operative dentistry to move towards minimally invasive dentistry. The FDI World Dental Federation publicised and advocated the ICCMS in 2019, when the 'CariesCare International' Consensus Guide and 4D caries management system was published to aid the delivery of ICCMS into practice. This system, which is designed to help practitioners deliver optimal caries care for patients, is now being adapted internationally for post-pandemic use in the 'Caries OUT' study. It is also being used as a vehicle for implementing the updated Delivering better oral health guidance on caries, as part of the minimum intervention oral healthcare delivery framework in the UK.
Highlights
There has been an evidence base around the dental ‘caries continuum’, a process starting with the initial lesion confined to dental enamel and gradually increasing in severity to more advanced stages of clinical cavitation, since the late 1800s, through the research and teachings of G
In 2012, a further workshop followed at Temple University at which the International Caries Classification and Management System (ICCMS) was presented[16] and international consensus was sought on caries management pathways to preserve dental tissues and promote oral health.[17]
Refinement and iterative implementation of the International Caries Detection and Assessment System (ICDAS), ICCMS and CariesCare International methods and systems for dentists and their oral healthcare teams delivering clinical caries care, greater consistency and adoption of standards can be seen both by individuals and organisations
Summary
The International Caries Detection and Assessment System (ICDAS) has synthesised and harmonised international evidence on caries detection and assessment in order to enable better integration/communication of knowledge across caries research, education, public health and clinical practice. The International Caries Classification and Management System (ICCMS) has built on the ICDAS to provide an international consensus on comprehensive, risk-based, minimally invasive and preventively orientated caries management. CariesCare International 4D Caries Management has again been built through international consensus on how best to deliver ICCMS in dental practice and is being adapted internationally for post-pandemic use and for implementing the updated Delivering better oral health guidance on caries, as part of the minimum intervention oral healthcare delivery framework, in the UK
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
