D1 Outer half enamel (< half of enamel)
D2 Inner half enamel (>half the enamel up to ED border)
D3 Outer half dentine. Broken ED border but without obvious spread into dentine
D4 Inner half dentine (< halfway through to pulp)
D5 Pulpal involvement (> halfway through to pulp)
RA1 Radiolucency in Outer half enamel
RA2 Radiolucency in Inner half enamel +/- EDJ
RA3 Radiolucency limited to Outer third dentine
RB4 Radiolucency reaching the Middle third dentine
RC5 Radiolucency reaching the Inner third dentine, clinically cavitated
RC6 Pulpal involvement, clinically cavitated
0 No visible caries/radiolucency
ICDAS was developed to provide clinicians, epidemiologists and researchers with an evidence-based system, which would permit standardized caries detection and diagnosis in different environments and situations.
ICDAS is a simple, logical, evidence-based system for detection and classification of caries in dental education, clinical practice, dental research, and dental public health.
It moves the profession away from the simplistic diagnosis of "No obvious decay" or "Obvious decay" to a more detailed level of diagnosis to improve patient care and mre precisely monitor caries development in research.
Scores of ICDAS (A) Code 0 (B) Code 1 (C) Code 2 (D) Code 3 (E) Code 4 (F) Code 5 (G) Code 6
Scores of ICDAS (a) Code 1 (b) Code 2 (c) Code 3 (d) Code 4