ArticleCaries research2014
Characteristics, detection methods and treatment of questionable occlusal carious lesions: findings from the national dental practice-based research network.
Article in Caries research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The trial behind it
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Who cites it
17 citing papers in PubMed, 30 citations in OpenAlex.
- Assessment of two methods for detecting carious dentin: an in vitro study.BMC oral health · 2025Trial
- Efficacy of PScientific reports · 2020Trial
- Influence of 2 caries-detecting devices on clinical decision making and lesion depth for suspicious occlusal lesions: A randomized trial from The National Dental Practice-Based Research Network.Journal of the American Dental Association (1939) · 2018Trial
- Short-Wavelength Infrared Imaging of Infected and Affected Dentin.Diagnostics (Basel, Switzerland) · 2024Article
- Characteristics of dentists in the National Dental Practice-Based Research Network.Journal of dentistry · 2023Article
- Diagnostic Performance of Multispectral SWIR Transillumination and Reflectance Imaging for Caries Detection.Diagnostics (Basel, Switzerland) · 2023Article
- Near-Infrared Transillumination for Occlusal Carious Lesion Detection: A Retrospective Reliability Study.Diagnostics (Basel, Switzerland) · 2022Article
- Dual short wavelength infrared transillumination/reflectance mode imaging for caries detection.Journal of biomedical optics · 2021Article
- Comparison of Resin Infiltration Technique with Conventional Preventive Applications on Occlusal Fissures in Terms of Chemical Analysis and SEM.Acta stomatologica Croatica · 2020Article
- A dual handheld SWIR transillumination/reflectance probe for imaging lesions on tooth occlusal and proximal surfaces.Proceedings of SPIE--the International Society for Optical Engineering · 2020Article
- Dentists' decision strategies for suspicious occlusal caries lesions in a National Dental PBRN study.Journal of dentistry · 2018Article
- Surface characteristics and lesion depth and activity of suspicious occlusal carious lesions: Findings from The National Dental Practice-Based Research Network.Journal of the American Dental Association (1939) · 2017Article
- Near-IR and CP-OCT imaging of suspected occlusal caries lesions.Lasers in surgery and medicine · 2017Article
- Use of an optical clearing agent to enhance the visibility of subsurface structures and lesions from tooth occlusal surfaces.Journal of biomedical optics · 2016Article
- A system for simultaneous near-infrared reflectance and transillumination imaging of occlusal carious lesions.Proceedings of SPIE--the International Society for Optical Engineering · 2016Article
- Twenty-month follow-up of occlusal caries lesions deemed questionable at baseline: findings from the National Dental Practice-Based Research Network.Journal of the American Dental Association (1939) · 2014Article
- Multispectral near-infrared reflectance and transillumination imaging of occlusal carious lesions: Variation in lesion contrast with lesion depth.Proceedings of SPIE--the International Society for Optical EngineeringArticle
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 3 countries.
Funding
Abstract
Questionable occlusal carious lesions (QOC) can be defined as an occlusal tooth surface with no cavitation and no radiographic radiolucencies, but caries is suspected due to roughness, surface opacities or staining. An earlier analysis of data from this study indicates 1/3 of patients have a QOC. The objective of this report has been to quantify the characteristics of these common lesions, the diagnostic aids used and the treatment of QOC. A total of 82 dentist and hygienist practitioner-investigators from the USA and Denmark in the National Dental Practice-Based Research Network participated. When consenting patients presented with a QOC, information was recorded about the patient, tooth, lesion and treatments. A total of 2,603 QOC from 1,732 patients were analyzed. The lesions were usually associated with a fissure, on molars, and varied from yellow to black in color. Half presented with a chalky luster and had a rough surface when examined with an explorer. There was an association between color and luster: 10% were chalky-light, 47% were shiny-dark and 42% were mixtures. A higher proportion of chalky than of shiny lesions were light (22 vs. 9%; p < 0.001). Lesions light in color were less common in adults than in pediatric patients (9 vs. 32%; p < 0.001). Lesions that were chalky and light were more common among pediatric than among adult patients (22 vs. 6%; p < 0.001). This is the first study to investigate characteristics of QOC in routine clinical practice. Clinicians commonly face this diagnostic uncertainty. Determining the characteristics of these lesions is relevant when making diagnostic and treatment decisions.
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