An in vitro study of the correlation between clinical and radiographic examinations of proximal carious lesions in primary molars

The present in vitro study assessed the correlation between clinical and interproximal radiographic examinations in diagnosing proximal caries of primary molars. A total of 223 mesial and distal surfaces, from 125 primary teeth, were evaluated clinically and radiographically.The results demonstrated a strong correlation between the increase of depth of radiolucency in radiographic examination and the clinical stage of lesions. The interproximal radiographic examination presented an excellent capability for discriminating surfaces with and without cavities in primary molars.

1. Akapta ES, Farid MR, Al-Saif K, Roberts EAU. Cavitation at radiolucent areas on proximal surfaces of posterior teeth. Caries Res 30: 313-316, 1996.

2. Araújo FB, Rosito DB, Toigo E, Santos CK. Diagnosis of approx-imal caries: radiographic versus clinical examination using tooth separation. Am J Dent 5: 245-248, 1992.

3. Bille J, Thylstrup A. Radiographic diagnosis and clinical tissue change in relation to treatment of approximal carious lesions. Caries Res 16: 1-6, 1982.

4. Edward S, Fjellström A, Henrikson CO, Nord CE. A comparative study of clinical and roentgenological recording of proximal caries in primary molars of preschool children. Odont Revy 24: 317-324, 1973.

5. Espelid I, Tveit AB. Clinical and radiographic assessment of approximal carious lesions. Acta Odont Scand 44: 31-37, 1986.

6. Gwinnet AJ. A comparison of proximal carious lesions lesions as seen by clinical radiography, contact microradiography, and light microscopy. JADA 83: 1078-1079, 1971.

7. Hintze H, Wenzel A, Danielsen B. Reliability of visual exami-nation, fibre-optic transillumination, and bite-wing radiogra-phy and reproducibility of direct visual examination follow-ing tooth separation for the identification of cavitated cari-ous lesions in contacting approximal surfaces. Caries Res 32: 204-209, 1998.

8. Hintze H, Wenzel A, Danielsen B. Behaviour of approximal cari-ous lesions assessed by clinical examination after tooth separa-tion and radiography. A 2.5-year longitudinal study in young adults. Caries Res 33: 415-422, 1999.

9. Koch G, Moodeér T, Pousen S, Rasmussen, P. Pedodontics: a clinical approach. Munksgaard, Copenhagen, 1997.

10. Leijon G, Markén KE. Roentgenological diagnosis of proximal caries: Deviations between observers and comparison between the recordings from periapical and bite-wing roentgenograms. Acta Odont Scand 26: 35-61, 1968.

11. Lervik T, Haugejorden O, Aas C. Progression of posterior approx-imal carious lesions in Norwegian teenagers from 1982 to 1986. Acta Odontol Scand 48: 223-227, 1990.

12. Maltz M, Weber G. Comparação entre exame radiográfico e clínico de lesões de cárie em superfícies proximais de molares decíduos. SBPqO, Resumo 324: 165, 1994.

13. Machiulskiene V, Nyvad B, Baelum V.A comparison of clinical and radiographic caries diagnoses in posterior teeth of 12-year-old Lithuanian children. Caries Res 33: 340-348, 1999.

14. Marthaler TM, Germann, M. Radiographic and visual appearance of small smooth. Surface caries lesions studied on extracted teeth. Caries Res 4: 224-242, 1970.

15. Martins LHPM, Dos Santos LA, Cornacchia TPM. Estudo com-parativo entre os exames clínico e radiográfico na detecção de lesões cariosas proximais em dentes decíduos posteriores. Arq Cent Estud Curso Odontol 25/26: 43-45, 1989.

16. Maupomé G, Sheiham A. Radiographic criteria employed to diag-nose and treat approximal caries by final – year dental students in México City. Community Dent Oral Epidemiol 25: 242–246, 1997.

17. Mejàre I, Gröndahl HG, Carlstedt K, Grevér AC, Ottosson E. Accuracy at radiography and probing for the diagnosis of proxi-mal caries. Scand J Dent Res 93: 178-184, 1985.

18. Mejàre I, Malmgren B. Clinical and radiographic appearance of proximal carious lesions at the time of operative treatment in young permanent teeth. Scand J Dent Res 94: 19-26, 1985.

19. Mejàre I, Kallestal C, Stenlund H. Incidence and progression of approximal caries from 11 to 22 years of age in Sweden: a prospective radiographic study. Caries Res 33: 93–100, 1999.

20. Mjör IA, Horsted–Blindslev P. Dentística operatória moderna. Ed. Santos, 1990.

21. Murray JJ, Majid ZA. The prevalence and progression of approx-imal caries in the deciduous dentition in British children. Brit Dent J 19: 161-164, 1978.

22. Nielsen LL, Hoernoe M, Wenzel A. Radiographic detection of cavitation in approximal surfaces of primary teeth using a digital storage phosphor system and conventional film, and the relationship between cavitation and radiographic lesion depth: an in vitro study. Int J Paediatr Dent 6: 167-172, 1996.

23. Noronha JC, Massara MLA, Souki BQ, Nogueira APA, Billar VMS. Diagnóstico de cáries proximais. Importância da radiografia no diagnóstico de lesões cariosas proximais em escolares. RGO 39: 383-387, 1991.

24. Pitts NB. Monitoring of caries progression in permanent and pri-mary posterior approximal enamel by bitewing radiography: A review. Community Dent Oral Epidemiol 11: 228-235, 1983.

25. Pitts NB, Rimmer PA. An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res 26: 146-152, 1992.

26. Pitts NB. Review article. The use of bitewing radiographs in the management of dental caries: scientific and practical considera-tions. Dentomaxillofac Radiol 25: 5-16, 1996.

27. Rugg-Gunn AJ. Approximal carious lesions. A comparison of the radiological and clinical appearances. Brit Dent J 133: 481-484, 1972.

28. Stecksèn-Blicks C, WahlinYB. Diagnosis of approximal caries in pre-school children. Swed Dent J 7: 179-184, 1983.

29. Thylstrup A, Fejerskov O. Textbook of clinical cariology. 2nd ed. Munksgaard, Copenhagen, 1994.

30. Thylstrup A, Bille J, Qvist BV. Radiographic and observed tissue changes in approximal carious lesions at the time of operative treatment. Caries Res 20: 75-84, 1986.

31. Tovo MF, Vono BG, Tavano O. Comparação entre filmes radiográficos e o sistema digital Digora, no diagnóstico de lesões de cárie dentinária em superfície proximal de molares decíduos. Pesqui Odontol Bras 14: 399-405, 2000.

32. Waggoner WF, Crall JJ. A study of the carious lesions utilizing radiography, polarized light microscopy, and scanning electron microscopy. Quintessence International 11: 1163-1174, 1984.

33. Waly NG. Evaluation of three diagnostic methods for initial proximal caries detection in primary molars. Egyptian Dent J 41: 1441-1449, 1995.