Journal of Contemporary Dentistry

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VOLUME 7 , ISSUE 2 ( May-August, 2017 ) > List of Articles


Comparison of Visual Examination, Bite-wing Radiography, and Fiberoptic Transillumination on Caries Detection

Beste Inceoglu, Sebahat Gorgun, Halil T Yuksel, Emine S Kursun, Hakan Eren

Citation Information : Inceoglu B, Gorgun S, Yuksel HT, Kursun ES, Eren H. Comparison of Visual Examination, Bite-wing Radiography, and Fiberoptic Transillumination on Caries Detection. J Contemp Dent 2017; 7 (2):77-81.

DOI: 10.5005/jp-journals-10031-1189

License: CC BY 3.0

Published Online: 01-12-2013

Copyright Statement:  Copyright © 2017; The Author(s).



The detection of carious lesions in the initial stages of development is very important to prevent the occurrence of cavitation. Visual examination and the use of a dental probe, bite-wing radiography, and fiberoptic transillumination (FOTI) have long been recommended for this purpose. Visual examination and probing of suspected lesions are useful for detecting occlusal caries, but achieve no gain of sensitivity and might cause irreversible tooth damage. Bite-wing radiography helps to detect approximal lesions better than clinical examination and probing the lesion. But the diagnostic performance of bite-wing radiography at approximal and occlusal sites is different. The FOTI is a quick and inexpensive method that can enhance visual examination of all tooth surfaces.

The aim of this in vivo study is to compare FOTI with bite-wing radiography and visual examination in the detection of approximal and occlusal caries.

Materials and methods

A total of 46 patients without missing teeth and dentures in the posterior region of jaws were examined for the evaluation of all premolar and molar teeth contacts. Three blinded practitioners examined the patients. First one evaluated radiologically, second one visually, and the last one evaluated with FOTI.


According to statistical results, bite-wing radiograph had the highest sensitivity. However, evaluation with FOTI had acceptable results to detect approximal caries.


Study of the results has shown that clinically FOTI is an adjunct method for detection of approximal caries.

How to cite this article

Eren H, Yuksel HT, Inceoglu B, Kursun ES, Gorgun S. Comparison of Visual Examination, Bite-wing Radiography, and Fiberoptic Transillumination on Caries Detection. J Contemp Dent 2017;7(2):77-81.

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