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

Table 1

The ICDAS-II criteria.

ICDAS-II code	Criteria [9]
0	Sound tooth surface: no evidence of caries after prolonged air drying (5 seconds)
1	First visual change in enamel: opacity or discoloration (white or brown) is visible at the entrance to the pit or fissure after prolonged air drying, which is not or hardly seen on a wet surface
2	Distinct visual change in enamel: opacity or discoloration distinctly visible at the entrance to the pit and fissure when wet, lesion must still be visible when dry
3	Localized enamel breakdown due to caries with no visible dentine or underlying shadow: opacity or discoloration wider than the natural fissure/fossa when wet and after prolonged air drying
4	Underlying dark shadow from dentine +/− localised enamel breakdown
5	Distinct cavity with visible dentine: visual evidence of demineralisation and dentine exposed
6	Extensive distinct cavity with visible dentine and more than half of the surface involved