ArticleBMC oral health2018
The effect of bitewing radiography on estimates of dental caries experience among children differs according to their disease experience.
Article in BMC oral health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Enhancing diagnostic quality in dental bitewings using transformer and GAN-Based image restoration.Oral radiology · 2026Article
- Turkish dentist practice and opinions on diagnosing and treating deep caries lesions: a web-based survey.BMC oral health · 2025Article
- Advanced AI-driven detection of interproximal caries in bitewing radiographs using YOLOv8.Scientific reports · 2025Article
- Automatic deep learning detection of overhanging restorations in bitewing radiographs.Dento maxillo facial radiology · 2024Article
- Eligibility of a novel BW + technology and comparison of sensitivity and specificity of different imaging methods for radiological caries detection.Oral radiology · 2024Article
- Radiation Exposure and Frequency of Dental, Bitewing and Occlusal Radiographs in Children and Adolescents.Journal of personalized medicine · 2023Article
- Reproducibility and diagnostic value of a new wedge-guided bitewing image receptor-holding device.Dento maxillo facial radiology · 2022Article
- The value of bitewing radiographs in the management of carious primary molars.British dental journal · 2021Article
- Frequency of caries in triangular-shaped radiolucencies on periapical radiographs of maxillary deciduous second molars.Dental research journal · 2021Article
- Response of Salivary Microbiota to Caries Preventive Treatment in Aboriginal and Torres Strait Islander Children.Journal of oral microbiology · 2020Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRadiography is a regularly used and accepted adjunct to visual examination in the diagnosis of dental caries. It is assumed that not using radiographs can lead to underestimation of dental caries experience with most reports having involved studies of young adults or adolescents, and been focused on the permanent dentition. The aim of this study was to determine the relative contributions of bitewing radiography and clinical examination in the detection of dental caries in primary molars and to determine whether those contributions differ according to caries experience.
methodsA cross-sectional study was conducted, involving examinations undertaken in dental clinics. Bitewing radiographs taken at the time of the clinical examination were developed and read later, with the data from those used at the analysis stage to adjust the caries diagnosis for the mesial, occlusal and distal surfaces of the primary molar teeth. Children's clinically determined dmfs score was used to allocate them to one of three caries experience groups (0 dmfs, 1-8 dmfs, or 9+ dmfs).
resultsOf the 501 three-to-eight-year-old children examined, nearly three-quarters were younger than six. Caries prevalence and mean dmfs after clinical examination alone and following radiographs were 63.1% and 4.6 (sd, 6.2), and 74.7% and 5.8 (sd, 6.5) respectively. Among children with a dmfs of 1-8, the number of lesions missed during the clinical examination was greater than the number of 106 (25.6%) in children with a dmfs of 9+. In the 185 children with no apparent caries at clinical examination, 124 lesions were detected radiographically, among 58 (46.8%) of those.
conclusionsTaking bitewing radiographs in young children is not without challenges or risks, and it must be undertaken with these in mind. Diagnostic yields from bitewing radiographs are greater for children with greater caries experience. The findings of this study further support the need to consider using bitewing radiographs in young children to enhance the management of lesions not detected by a simple visual examination alone.
trial registrationACTRN12614000844640 .
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