Radiographic Diagnosis and Clinical Tissue Changes in Relation to Treatment of Approximal Carious Lesions

Abstract

Of 158 carious lesions to be treated with restorations, 66% were found to be without macroscopical cavitation. Observed clinical tissue changes were poorly correlated to accepted standardized radiographic criteria. Thus only 20% of radiolucencies into the amelodentinal junction and 50% of radiolucencies into dentine showed cavities which were confined to the enamel only. Assuming a macroscopical cavity to be indicative of restorative treatment, the present results indicate that a more individualized treatment decision strategy than hitherto is warranted in populations attending comprehensive dental health care.