ICDAS REPORT

ICDAS FIRST DIGIT

ICDAS DEFINITION

0 Sound

1 Sealant, partial

2 Sealant, full

3 Tooth coloured restoration

4 Amalgam restoration

5 Stainless steel crown

6 Porcelain or gold or PFM crown or veneer

7 Lost or broken restoration

8 Temporary restoration

97 Tooth extracted because of caries

98 Tooth extracted for reasons other than

caries
99 Unerupted tooth
ICDAS SECOND DIGIT
ICDAS DEFINITION
Sound tooth surface.
0 or after prolonged air-drying
First visual changes in
enamel.
1 (5secs).
A Distinct visual changes in
enamel.
2 diet)
Localised enamel
breakdown due to caries
3 with no visible dentin or
underlying shadow.
Underlying dark shadow
from dentin with or
4 without localised enamel
breakdown.
Distinct cavity with visible
dentin (less than half of
5 tooth surface).
Extensive distinct cavity
with visible dentin (half of
6 tooth surface or more).
HOW TO DETECT MANAGEMENT
No visible caries when viewed wet - Risk-based prevention.
(5secs).
White or brown lesion can be seen - Oral Health Education
only after prolonged air-drying (tooth brushing, flossing,
diet)
- Topical fluoride
application.
White or brown lesion can be seen - Oral Health Education
on wet or dry tooth surface. (tooth brushing, flossing,
- Topical fluoride
application.
Air-dry (5secs) and use WHO probe - Preventive resin
to gently run across the tooth restoration
surface to confirm presence of - Tooth preventing
cavity apparently confined to operative care
enamel.
Best viewed with the tooth surface - Tooth preventing
wet and look for grey/blue/brown operative care
shadow.
Cavitation in opaque or - Tooth preventing
discoloured enamel are exposing operative care.
the dentin beneath. Air-dry and
WHO probe can be used to gently
run across the tooth surface to
confirm presence of cavity
apparently in dentin. (The deep
pulpal dentin should not be
probed).
Obvious loss of tooth structure, the - Tooth preventing
cavity is both deep and wide and operative care.
dentin is clearly visible on the walls
and at the base.  An extensive
cavity involves at least half of a
tooth surface or possibly reaching
the pulp.