Impact of Scoring Single or Multiple Occlusal Lesions on Estimates of Diagnostic Accuracy of the Visual ICDAS-II System

Carious lesions can occur at different sites on the occlusal surfaces of teeth and may differ in appearance and severity. This study aimed to evaluate how estimates of reproducibility and accuracy of ICDAS-II were affected when all lesions on occlusal surfaces, or only a representative lesion, were...

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Bibliographic Details
Published in:International Journal of Dentistry 2009-01, Vol.2009 (2009), p.144-150
Main Authors: Jablonski-Momeni, Anahita, Ricketts, David N J, Heinzel-Gutenbrunner, Monika, Stoll, Richard, Stachniss, Vitus, Pieper, Klaus
Format: Article
Language:English
Subjects:
Accuracy
Methods
Studies
Teeth
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Summary:Carious lesions can occur at different sites on the occlusal surfaces of teeth and may differ in appearance and severity. This study aimed to evaluate how estimates of reproducibility and accuracy of ICDAS-II were affected when all lesions on occlusal surfaces, or only a representative lesion, were scored. 100 permanent teeth with 1–4 investigation sites on the occlusal surface were examined visually by four examiners. Serial sections of the teeth were assessed for lesion depth. Intra- and interexaminer reproducibility (weighted kappa values), sensitivity, and specificity were calculated for all investigation sites and for a randomly selected site per tooth. Comparing the kappa values for the whole sample and the independent sites, no effect or only a small effect was found. Comparing the areas under the ROC-curves no effect could be shown. Examining multiple sites on teeth leads to results comparable to when a single independent site is chosen per tooth.
ISSN:1687-8728
1687-8736
DOI:10.1155/2009/798283