The views and experiences of general dental practitioners (GDP’s) in West Yorkshire who used the International Caries Detection and Assessment System (ICDAS) in research

Autoři: Maria Ishaq Khattak aff001;  Julia Csikar aff001;  Karen Vinall aff001;  Gail Douglas aff001
Působiště autorů: School of Dentistry, University of Leeds, Leeds, United Kingdom aff001;  Institute of Public Health & Social Sciences, Khyber Medical University, Khyber Pakhtunkhwa, Peshawar, Pakistan aff002
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article



To explore, through face to face interviews with a selection of General Dental Practitioners (GDPs), their views and experiences of having used the International Caries Detection and Assessment System (ICDAS) within primary care research studies for recording caries.


This qualitative study involved one on one interviews with eight GDP’s who had previously used ICDAS on patients in their dental practices as part of a research study. The participants were selected from among those who had taken part in two clinical studies in the UK using convenient, but purposive sampling. The interviews were tape-recorded and transcribed; the data analysis was conducted by thematic analysis.


GDP’s indicated their beliefs that ICDAS had an important role in caries prevention but reported four main barriers while using the full (6 caries stages) ICDAS coding system in their practices: lack of simplicity of coding, financial implications and time consumption (in both training and use of ICDAS) and inadequate undergraduate training. An overarching theme identified from the GDPS was the willingness to offer potential solutions to their barriers which might improve the utilisation of the system in primary care.


The GDPs experienced common obstacles in using ICDAS in the primary care setting, many of which have relatively straight-forward solutions which they put forward themselves such as: incentivisation, undergraduate-level training in ICDAS for both dentists and nurses and computerized data entry. Further qualitative and quantitative research is needed on how to facilitate the utilisation of the system in dental practice. It is also recommended to explore the influences of wider agencies on influencing primary dental care professionals’ caries management, including appropriate recording of diagnosis and risk assessment.

Klíčová slova:

Caries – Finance – Charts – Nurses – Qualitative studies – Undergraduates – Social influence – Dentin


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2019 Číslo 10
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