title: Interpretation of bitewing radiographs. Part 1. Evaluation of the presence of approximal lesions.
abstract: OBJECTIVE
  Bitewing radiographs are the main tool for approximal caries detection. However, interpretation of findings is affected by numerous factors, such as beam angulation, exposure conditions, morphologic variations, etc. The objective of the present study was to compare the ability to detect virtually identical, artificial lesions in different tooth surfaces.
  
  
  METHODS
  The in vitro model included preparation and radiologic evaluation of approximal artificial lesions in premolars and molars in depths ranging from 0.00 mm to 1.50 mm.
  
  
  RESULTS
  Significant differences were found in the prospect of a lesion detection between the different lesion depths (p < 0.0000) and between the different surfaces examined (p < 0.05). The interaction between lesion depth and tooth surface was significant at the 0.0001 level (ANOVA with repeated measures).
  
  
  CONCLUSIONS
  The results indicate that initial approximal lesions of uniform size are more readily detected in premolars than in molars and that the chance of an incipient lesion to remain undetected is twice as high in molars than in premolars.
authors.affiliation: Section of Operative Dentistry, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
authors.forename: I
authors.initials: I
authors.lastname: Eli
authors.forename: E I
authors.initials: EI
authors.lastname: Weiss
authors.forename: A
authors.initials: A
authors.lastname: Tzohar
authors.forename: M M
authors.initials: MM
authors.lastname: Littner
authors.forename: I
authors.initials: I
authors.lastname: Gelernter
authors.forename: I
authors.initials: I
authors.lastname: Kaffe
mesh_terms: D000704:Analysis of Variance; D001641:Bicuspid / Q000000981:diagnostic imaging / Q000473:pathology; D003731:Dental Caries / Q000000981:diagnostic imaging* / Q000473:pathology; D003743:Dental Enamel / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D004311:Double-Blind Method; D005069:Evaluation Studies as Topic; D005188:False Negative Reactions; D005189:False Positive Reactions; D006801:Humans; D008963:Molar / Q000000981:diagnostic imaging / Q000473:pathology; D015588:Observer Variation; D011829:Radiation Dosage; D016300:Radiography, Bitewing / Q000379:methods