Questions and Answers
What does ICCMS stand for?
International Caries Classification and Management System
What is element 1 of ICCMS?
History - patient level CRA
What is element 2 of ICCMS?
Classification: Staging and lesion activity with intraoral CRAs
What is element 3 of ICCMS?
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What is element 4 of ICCMS?
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What are ICCMS sound surfaces in ICDAS codes?
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What are ICCMS initial stage caries in ICDAS codes?
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What are ICCMS moderate stage caries in ICDAS codes?
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What are ICCMS extensive stage caries in ICDAS codes?
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What are signs of an active initial or moderate caries stage?
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What are the signs of an inactive initial or moderate caries stage?
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What are the signs of an active extensive caries lesion stage?
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What are the signs of an inactive extensive caries lesion?
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How should you visualize proximal lesions?
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What stage is RA?
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What stage is RB?
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What stage is RC?
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What does RA1 indicate?
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What does RA2 indicate?
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What does RA3 indicate?
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What does RB4 indicate?
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What does RC5 indicate?
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What does RC6 indicate?
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How do you determine if a lesion is active based on a radiograph?
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How do you manage a low caries risk patient?
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How do you manage moderate caries risk patients?
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How do you manage high caries risk patients?
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What radiographs best depict caries progression?
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Study Notes
ICCMS Overview
- ICCMS stands for International Caries Classification and Management System.
- Aims to maintain oral health and preserve tooth structure with a personalized, risk-adjusted approach.
- Emphasizes preventive care and tooth-preserving management plans.
Components of ICCMS
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Element 1: History - Patient Level CRA
- Involves collecting comprehensive patient history for caries risk assessment (CRA).
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Element 2: Classification
- Staging of caries and assessment of lesion activity using intraoral CRAs.
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Element 3: Decision Making
- Incorporates synthesis of information and accurate diagnosis for effective treatment planning.
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Element 4: Management
- Focuses on personalized strategies for caries prevention, control, and tooth-preserving operative care.
ICDAS Classification Codes
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Code 0: Sound Surfaces
- No visible evidence of caries when viewed clean or after air drying.
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Codes 1 and 2: Initial Stage Caries
- Visual changes in enamel, such as opacity or discoloration without breakdown or dentin shadowing.
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Codes 3 and 4: Moderate Stage Caries
- Lesions with localized enamel breakdown; no visible dentin or underlying dentin shadow.
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Codes 5 and 6: Extensive Stage Caries
- Distinct cavities in discolored enamel with visible dentin involvement.
Signs of Caries Stages
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Active Initial or Moderate Stage:
- Enamel appears white/yellowish, opaque, rough, with loss of luster, and covered by plaque.
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Inactive Initial or Moderate Stage:
- Enamel is hard, smooth, shiny, and not covered by plaque, often located away from the gingival margin.
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Active Extensive Caries:
- Dentin feels soft or leathery on gentle probing.
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Inactive Extensive Caries:
- Dentin feels shiny and hard on gentle probing.
Visualization Techniques
- Proximal lesions visualized through direct visual exams following tooth separation.
Radiolucency Stages
- RA1: Radiolucency in outer 1/2 of enamel.
- RA2: Radiolucency in inner 1/2 of enamel, possibly affecting DEJ.
- RA3: Radiolucency limited to outer 1/3 of dentin.
- RB4: Radiolucency reaching middle 1/3 of dentin (moderate).
- RC5: Radiolucency reaching inner 1/3 of dentin; clinically cavitated.
- RC6: Radiolucency extending into pulp; clinically cavitated.
Determining Lesion Activity
- Active lesions identified by clinical cavitation or radiographic progression.
Management Strategies
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Low Caries Risk Patients:
- Brush twice daily with fluoride toothpaste, engage in motivational activities, and maintain regular dental visits.
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Moderate Caries Risk Patients:
- Includes low-risk interventions plus high fluoride toothpaste, mouthrinse, sealants, varnish, and more frequent recalls.
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High Caries Risk Patients:
- Further increased fluoride applications, topical fluoride treatments, and dietary counseling to minimize sugar intake.
Radiographic Needs
- Multiples series of radiographs are essential for accurate depiction of caries progression.
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Description
This quiz features flashcards that cover key concepts of the International Caries Classification and Management System (ICCMS). Test your knowledge on ICCMS terminology, patient-level caries risk assessment, and lesion classification. It's a great tool for students and professionals in the dental field.