ICCMS EXAM QUESTIONS AND
ANSWERS
What is the difference between ICDAS 1 and 2? - Answer- ICDAS 1--lesion observed
with dry surface
ICDAS 2 -lesion observed with we surface
Is there surface breakdown or underlying dentin shadow in ICDAS 1 and/or 2? -
Answer- no
Moderate stage caries - Answer- ICDAS 3-localized enamel break down (white or brown
spot lesion) w/o dentin exposure
ICDAS 4-underlying dentin shadow, no local enamel breakdown
What type of instrument should you use to confirm enamel breakdown? - Answer- ball
end probe
Extensive stage caries - Answer- ICDAS 5 and 6, distinct cavity in opaque or discolored
enamel with visible dentin
Where are initial lesions generally located? - Answer- plaque stagnation areas, i.e.
entrance of pits and fissures, near gingival margin
What are the signs of active lesions? - Answer- enamel whitish/yellowish
opaque with loss of luster
feels rough
What are signs in inactive lesion - Answer- enamel shiny, feels hard and smooth
What is ICCMS? - Answer- health system to maintain oral health and preserve tooth
structure
t/f: ICCMS is a personalized model, preventively based, risk adjusted and tooth
preserving management plan - Answer- true
What is involved in element 1 - Answer- history - pt level caries risk assessment
element 3 - Answer- decision making: sythesis and diagnosis
ANSWERS
What is the difference between ICDAS 1 and 2? - Answer- ICDAS 1--lesion observed
with dry surface
ICDAS 2 -lesion observed with we surface
Is there surface breakdown or underlying dentin shadow in ICDAS 1 and/or 2? -
Answer- no
Moderate stage caries - Answer- ICDAS 3-localized enamel break down (white or brown
spot lesion) w/o dentin exposure
ICDAS 4-underlying dentin shadow, no local enamel breakdown
What type of instrument should you use to confirm enamel breakdown? - Answer- ball
end probe
Extensive stage caries - Answer- ICDAS 5 and 6, distinct cavity in opaque or discolored
enamel with visible dentin
Where are initial lesions generally located? - Answer- plaque stagnation areas, i.e.
entrance of pits and fissures, near gingival margin
What are the signs of active lesions? - Answer- enamel whitish/yellowish
opaque with loss of luster
feels rough
What are signs in inactive lesion - Answer- enamel shiny, feels hard and smooth
What is ICCMS? - Answer- health system to maintain oral health and preserve tooth
structure
t/f: ICCMS is a personalized model, preventively based, risk adjusted and tooth
preserving management plan - Answer- true
What is involved in element 1 - Answer- history - pt level caries risk assessment
element 3 - Answer- decision making: sythesis and diagnosis
