Abstract
The International Caries Classification and Management System (ICCMS™) is a comprehensive set of clinical protocols that address all diagnostic, preventive and restorative decisions necessary “to preserve tooth structure and restore only when indicated,” which is the mission adopted at the Temple University Caries Management Pathways workshop, in 2012 [1]. The foundation for ICCMS™ is based on extensive critical analyses, research, and clinical feedback on the best approaches to move away from the mechanical or restorative care that has been followed around the world, towards a system where prevention is emphasized, initial caries lesions are prevented from progressing (controlled), and moderate or extensive caries lesions are restored with the goal of preserving, as much as possible, natural tooth structure [2]. This chapter will describe the scientific, and clinical management protocols that have been developed over the last several years by over 70 cariologists, epidemiologists, and clinicians. While ICCMS™ is recommended as the most comprehensive pathway for caries management to achieve the desired aforementioned mission, it is important to emphasize that ICCMS™ is not the only system available today that promotes staging of the caries process and risk assessment and management [1]. The ICCMS™, in contrast to other systems, has well-developed and documented protocols for the implementation of a new model of caries management. It is based on the well-established and widely used International Caries Detection and Assessment System (ICDAS™).
Highlights
The International Caries Classification and Management System (ICCMSTM) is a comprehensive set of clinical protocols that address all diagnostic, preventive and restorative decisions necessary “to preserve tooth structure and restore only when indicated,” which is the mission adopted at the Temple University Caries Management Pathways workshop, in 2012 [1]
The foundation for ICCMSTM is based on extensive critical analyses, research, and clinical feedback on the best approaches to move away from the mechanical or restorative care that has been followed around the world, towards a system where prevention is emphasized, initial caries lesions are prevented from progressing, and moderate or extensive caries lesions are restored with the goal of preserving, as much as possible, natural tooth structure [2]
While ICCMSTM is recommended as the most comprehensive pathway for caries management to achieve the desired aforementioned mission, it is important to emphasize that ICCMSTM is not the only system available today that promotes staging of the caries process and risk assessment and management [1]
Summary
These management modalities are determined by the diagnostic stage of the caries lesions (Table 3) and activity status These two decisions matrices (Tables 2 and 3) represent major advancement in how caries should be managed because they assist dentists to develop comprehensive patient care plans to manage dental caries. Review, monitoring for caries prevention and management: ICCMSTM differentiates between monitoring of initial lesions to check their progression status and providing preventive interventions, and reviews of behavioral and oral hygiene change plans as well as consultation with other health care providers. These two recall decisions may be scheduled at the same time but they could only be reviewed separately. Authors’ contributions Dr AII has written the ICCMS manual and this paper with Dr MT, Dr NBP co-Chair the International Caries Detection and Assessment System (ICDAS) and he helped to organize and contribute to the workshop that defined the system described in this
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