Caries classification and management in the context of the CariesCare International (CCI™) consensus: a clinical case study

Abstract

The objective of this clinical case study is to illustrate the caries management four-step structured process, leading to personalised interventions specific for each individual patient's risks and needs, according to CariesCare International, derived from the International Caries Classification and Management System (ICCMS) for clinical practice. An 18-year-old female was diagnosed with higher caries risk at the individual level, and with several caries lesions at different severity stages, some likely active and others likely inactive. A care plan was co-created with the patient and delivered to obtain optimal health outcomes. Several issues pertinent to patient-centred care are discussed, including caries management at the individual and the tooth surface level, the preservation of tooth structure, patient's caries risk management, and prevention and control of caries lesions. The patient's perspective is taken into account and the health outcome focus of the system is highlighted.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. 1.

    Martignon S, Pitts N B, Goffin G et al. CariesCare practice guide: consensus on evidence into practice. Br Dent J 2019; 227: 353-362.

  2. 2.

    Pitts N B, Ekstrand K R, ICDAS Foundation. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013; 41: e41-e52.

  3. 3.

    Pitts N B, Ismail A I, Martignon S, Ekstrand K, Douglas G V A, Longbottom C. ICCMS™ Guide for Practitioners and Educators. 2014. Available at: http://doi.org/10.5281/zenodo.853106 (accessed May 2019).

  4. 4.

    Ismail A I, Pitts N B, Tellez M et al. The International Caries Classification and Management System (ICCMS) An Example of a Caries Management Pathway. BMC Oral Health 2015; 15 (Spec Iss): S9.

  5. 5.

    International Caries Classification and Management System (ICCMS™). Available at https://www.iccms-web.com/ (accessed May 2019).

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Stefania Martignon.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Beltrán, E., Guiu, L., Zarta, O. et al. Caries classification and management in the context of the CariesCare International (CCI™) consensus: a clinical case study. Br Dent J 227, 363–366 (2019). https://doi.org/10.1038/s41415-019-0680-1

Download citation

Further reading

Search