International Caries Detection and Assessement System

拟议的研讨会将于2005年3月举办，目的是：(1)就龋病过程的各个阶段的定义达成共识，这些阶段可以描述预防阶段的脱矿概念；(2)明确临床研究中应测量的龋病过程阶段和龋病活动指标；(3)制定龋齿临床检测和评估标准操作手册的操作定义和结构；(4)确定新开发的临床检测视觉系统的临床相关验证方法和研究议程。本次研讨会将是由来自美国和欧洲的龋齿研究人员特设小组组织的第五次研讨会。该小组被称为ICDAS委员会，包括NTDCC的一名代表（Robert Selwitz博士）。ICDAS委员会包括以下成员：David Banting（加拿大），Hafstein Eggerston（美国和冰岛），Amid Ismail（美国），Kim Ekstrand（丹麦），Christopher Longbottom（苏格兰），Nigel Pitts（苏格兰），Elmar Reich（德国），David Ricketts（苏格兰），Robert Selwitz（美国，NIDCR）， Woosung Sohn（美国），Gail Topping（苏格兰），Andrea Ferreira Zandona（美国），Domenick Zero（美国）。ICDAS委员会已经制定了临床检测标准，纳入了了解龋齿过程的最新科学水平。该标准体系已在美国和欧洲的研究项目中使用（附录A），被发现具有非常好的到优异的可靠性。提议的研讨会将建立在ICDAS开发的基础上，并从临床龋齿学研究领域的领导者那里就龋齿检测标准寻求更广泛的共识。今后临床研究的进展将取决于开发一种新的测量系统。ICDAS的任务就是实现这一目标。本次研讨会将实现这一目标，并为改变龋齿的测量和管理方式（使用再矿化和外科护理）奠定基础。研讨会的发现将用于由George Stookey博士组织的第二次研讨会，该研讨会将侧重于龋齿临床试验的设计和新的诊断技术。

The proposed workshop will be organized in March 2005 to (1) reach consensus on definitions of the stages of the caries process that can portray the concept of demineralization at the precavitated stage; (2) define the stages of the caries process and indicators of caries activity that should be measured in clinical research; (3) develop operational definitions and structure for a Standard Operating Manual for the clinical detection and assessment of dental caries; and (4) define clinically relevant validation methods and a research agenda for the newly developed clinical detection visual system. This workshop will be the fifth workshop organized by an ad hoc group of caries researchers from the USA and Europe. The group, referred to as the ICDAS committee, includes a representative from NTDCC (Dr. Robert Selwitz). The ICDAS committee includes the following members: David Banting (Canada), Hafstein Eggerston (USA and Iceland), Amid Ismail (USA), Kim Ekstrand (Denmark), Christopher Longbottom (Scotland), Nigel Pitts (Scotland), Elmar Reich (Germany), David Ricketts (Scotland), Robert Selwitz (USA, NIDCR), Woosung Sohn (USA), Gail Topping (Scotland), Andrea Ferreira Zandona (USA), Domenick Zero (USA). The ICDAS committee has developed clinical detection criteria that incorporate the current state of science in understanding the caries process. The criteria system has been used in research projects in the USA and Europe (Appendix A) were found to have very good to excellent reliability. The proposed workshop will build on the foundation developed by ICDAS and seek wider consensus on caries detection criteria from leaders in the field of research in clinical cariology. The future progress of clinical research will depend on developing a new system of measurement. The ICDAS mission is to achieve this goal. This workshop will achieve this goal and build the foundation for changes in the way dental caries is measured and managed (using remineralization as well as surgical care). Finding of the workshop will be used in a second workshop, to be organized by Dr. George Stookey, which will focus on the design of caries clinical trials and new diagnostic technology.