An in vitro comparison of diagnostic abilities of conventional radiography, storage phosphor, and cone beam computed tomography to determine occlusal and approximal caries

Eur J Radiol. 2011 Nov;80(2):478-82. doi: 10.1016/j.ejrad.2010.09.011. Epub 2010 Oct 8.


Aim: The aim of this study was to compare conventional radiography, storage phosphor plate, and cone beam computed tomography for in vitro determination of occlusal and approximal caries.

Methods: A total of 72 extracted human premolar and molar teeth were selected. Teeth were radiographed with conventional intraoral radiography, a storage phosphor plate system, and cone beam computed tomography and evaluated by two observers. The teeth were then separated and examined with a stereomicroscope and a scanner at approximately 8×magnification.

Results: CBCT was statistically superior to conventional radiography and phosphor plate for determining occlusal caries. No significant difference from CBCT, conventional radiography and the phosphor plate system for determining approximal caries was found.

Conclusion: The CBCT system may be used as an auxiliary method for the detection of caries.

Publication types

  • Comparative Study

MeSH terms

  • Bicuspid / diagnostic imaging
  • Cone-Beam Computed Tomography / methods*
  • Dental Caries / diagnostic imaging*
  • Humans
  • In Vitro Techniques
  • Molar / diagnostic imaging
  • ROC Curve
  • Radiography, Dental, Digital / methods*
  • Sensitivity and Specificity