ICDAS CLINICAL CHART:

Patients name: ____________________________________ID Dr_________ID Pte______________ Training Calibration

ICDAS procedures: 1) Patients mouth cleaned; 2) Look teeths presence (and circle them) and reasons if not (write the code
beside);
3- Detect tooth by tooth, face by face (following the columns order) wet first, and then dry; 4- For tooth and caries, coding of two
digits in needed and for roots, if necessary (then mark yes), on digit is needed.

Roots
Occlusal Buccal Buccal Lingual Lingual
Teeth Mesial Distal
fissure smooth fissure smooth
OM OD Yes __ No __
18
17
16
15 55
14 54
13 53
12 52
11 51
21 61
22 62
23 63
24 64
25 65
26
27
28
38
37
36
35 75
34 74
33 73
32 72
31 71
41 81
42 82
43 83
44 84
45 85
46
47
48

ICDAS criteria codes:

CARS Detection Criteria Coronal Primary Caries Detection Criteria Root Caries Criteria
O = Sound (use with the codes for primary caries) O = Sound tooth surface 0 = Sound
1 = Sealant, partial 1 = First visual change in enamel 1 = Non-cavitated < 0.5 mm
2 = Sealant, full 2 = Distinct visual change in enamel 2 = Cavitated 0.5mm
3 = Tooth colored restoration 3 = Localized enamel l breakdown due to caries with
no visible dentin
4 = Amalgam restoration 4 = Underlying dark shadow from dentin localized
enamel breakdown
5 = Stainless steel crown 5 = Distinct cavity with visible dentin
6 = Porcelain or gold or PFM crown or veneer 6 = Extensive distinct cavity with visible dentin
7 = Lost or broken restoration
8 = Temporary restoration
9 = Used for the following condition
96 = tooth surface cannot be examined surface excluded
97 = tooth missing because of caries
98 = tooth missing for reasons other than caries
99 =unerupted