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ICDAS Decision Tree
Yes
More than half
tooth involved?
Yes
Code 6
No
Code 5
Yes
Code 4
Cavity with
exposed dentin?
No
Yes
Undermining
shadow?
No
Caries visible
when wet?
Yes
Dry and reexamine
No
Is there microcavitation?
Code 3
No
Dry and reexamine
Any opacity or
discoloration?
Yes
No
© JK Mitchell, DDS, MEd. Information from ICDAS website.
Code 1
Code 0
Lesion confined to
base of fissure?
Yes
Code 1
No
Code 2
© JK Mitchell, DDS, MEd. From ICDAS website
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