A greater understanding of dental caries has led to a paradigm shift in its management traditionally surgical intervention was viewed as the initial course of treatment but evidence now indicates that prevention is a better first step 1 because caries is most effectively treated when caught early accurate diagnosis of initial lesions is essential. Abstract the purpose of this manuscript is to discuss the current available methods to detect early lesions amenable to prevention the current evidence based caries understanding based on biological concepts involves new approaches in caries detection assessment and management that should include non cavitated lesions. Reported that the specificity of radiography and visual methods for the diagnosis of enamel caries was greater than that of diagnodent as the visual method has a lower cost is faster and has acceptable sensitivity therefore it can still be used as an appropriate method for clinical caries detection furthermore reis et al. In an attempt to propose an internationally accepted caries detection system a new index for caries diagnosis the international and caries detection assessment system was created in 2002 by a group of cariologists and epidemiologists based on visual examination aided by a who probe the short name of this system is icdas this system is a . Detection and diagnosis of the early caries lesion article pdf available in bmc oral health 15suppl 1s3 september 2015 with 1340 reads how we measure reads
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