2019
DOI: 10.1007/s00784-019-02818-y
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Radiographic pattern of underlying dentin lesions (ICDAS 4) in permanent teeth

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Cited by 12 publications
(13 citation statements)
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References 17 publications
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“…Some studies have shown the value of bitewing radiographs in detecting initial proximal caries, however in the current study we were unable to establish this correlation, due to the low number of cases exhibiting clinical initial proximal caries. The results of our study, is in conjunction with those by Marquezan et al [19] as well as Bertella et al [20] who suggested that the lack of association between enamel changes associated with initial proximal caries and radiolucency could be attributed to issues related to the sample size and statistical power.…”
Section: Discussionsupporting
confidence: 90%
“…Some studies have shown the value of bitewing radiographs in detecting initial proximal caries, however in the current study we were unable to establish this correlation, due to the low number of cases exhibiting clinical initial proximal caries. The results of our study, is in conjunction with those by Marquezan et al [19] as well as Bertella et al [20] who suggested that the lack of association between enamel changes associated with initial proximal caries and radiolucency could be attributed to issues related to the sample size and statistical power.…”
Section: Discussionsupporting
confidence: 90%
“…Previous studies conducted by our research group showed that most lesions would not demand restorative treatment, because no evident image in dentin was detected. 6,7 However, we recognize that the clinical aspect of some UDS may lead the dentist to opt for restorative treatment, mainly in the absence of a radiographic examination. Considering the lack of previous studies investigating this issue, the comparison of our results with those of other studies is not possible.…”
Section: Discussionmentioning
confidence: 99%
“…More recently, two clinical studies by our research group investigated the radiographic pattern of ICDAS 4 lesions in permanent posterior teeth of adolescents and young adults. 6,7 After 95 6 and 142 7 UDS were assessed, most cases of clinically detectable UDS were found to have either no radiolucent image, or an image restricted to the enamel-dentin junction. Therefore, according to these findings, most cases of UDS would not require restorative treatment.…”
Section: Introductionmentioning
confidence: 99%
“…37 Furthermore, the presence of a caries lesion radiographically does not imply the lesion is active, and thus use of radiographs alone for detection and treatment decision-making could increase the potential for over-treatment. 38,39 As the scope of practice for most dental hygienists does not include surgical or restorative intervention for caries lesions, dental hygienists will refer to a dentist for surgical/restorative intervention of caries lesions. 40 Therefore, it is important for the hygiene student to learn early on when referrals are necessary.…”
Section: Radiographic Detection Strategiesmentioning
confidence: 99%