The Professional Perception of the International Caries Detection and Assessment System (ICCMS): A Pragmatic Randomized Clinical Trial

Abstract

Abstract Introduction: The International Caries Classification and Management System (ICCMS) was developed to standardize caries diagnosis, risk assessment and treatment decisions based on overall evidence. To evaluate its criteria in practice, a clinical trial assessed the professionals' perceptions of two caries management systems. Methods A perception questionnaire was administered to two groups: one using ICCMS criteria and other using non-ICCMS criteria. An online questionnaire, constructed by using the Google Forms platform, included quantitative scale questions to measure effort and satisfaction and two open-ended questions to collect the positive and negative perceptions of dentists by using either criteria system. The questionnaires were administered six months after the study's implementation. Results Both groups showed high levels of effort and satisfaction. Professionals using ICCMS reported more positive perceptions by citing improved diagnosis (71.4%) and standardized patient care (43%). However, they also noted negative aspects such as increased number of questionnaires and records (58%), longer clinical sessions (43%), and higher rates of patient absenteeism (29%). Conclusion Professionals who used the ICCMS had a positive outlook on the system, with benefits seen in diagnosis and patient monitoring. However, there is room for improvement in terms of automation and simplification to enhance the professional use of the system in the clinical setting.