{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T01:06:12Z","timestamp":1785546372345,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the accuracy of remote caries lesion assessment using the CariesCare International (CCI) system applied to images captured with smartphones and professional cameras.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted with 30 children aged 5\u201310\u2009years, who underwent clinical dental examinations and intraoral photography using both a digital single\u2010lens reflex (DSLR) camera and a smartphone. Trained examiners, blinded to the imaging devices, assessed the photographs and in\u2010person examinations, with the latter serving as the gold standard. Statistical analyses included weighted kappa () to evaluate inter\u2010examiner reproducibility, along with sensitivity (Se), specificity (Sp), and area under the receiver operating characteristic curve (AUC) to determine detection accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Inter\u2010examiner reproducibility was excellent across all methods ( &gt;\u20090.94). The professional camera demonstrated superior accuracy (Se\u2009=\u20090.87, Sp\u2009=\u20090.98; AUC\u2009=\u20090.92), with strong performance even for initial lesions (AUC\u2009=\u20090.88). Smartphone images showed good overall accuracy (Se\u2009=\u20090.73, Sp\u2009=\u20090.92, AUC\u2009=\u20090.83), performing particularly well for moderate and extensive lesions (AUC\u2009\u2265\u20090.87) and acceptably for initial lesions (AUC\u2009=\u20090.77). Both imaging methods achieved high specificity, reflecting accurate identification of sound surfaces.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings support the use of both professional and smartphone photography as effective tools for remote caries lesion assessment using the CariesCare International (CCI) system. Smartphone\u2010based assessments represent a cost\u2010effective and accessible alternative, especially in settings with limited resources. Integrating standardised systems like CCI into remote diagnostic workflows enhances diagnostic accuracy and can broaden access to dental care, helping reduce global oral health disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70017","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T05:09:11Z","timestamp":1754543351000},"page":"705-712","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Remote Caries Assessment With\n                    <scp>CariesCare<\/scp>\n                    International: Accuracy of Smartphone and Professional Camera Images"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1742-8102","authenticated-orcid":false,"given":"N.","family":"Abreu\u2010Placeres","sequence":"first","affiliation":[{"name":"Biomaterials and Dentistry Research Center (CIBO\u2010Unibe) Research and Innovation Department Universidad Iberoamericana  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6155-3595","authenticated-orcid":false,"given":"P.","family":"Yunes Fragoso","sequence":"additional","affiliation":[{"name":"Biomaterials and Dentistry Research Center (CIBO\u2010Unibe) Research and Innovation Department Universidad Iberoamericana  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3667-8936","authenticated-orcid":false,"given":"A.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Pediatric Dentistry Department, School of Dentistry Universidad Iberoamericana  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6505-8356","authenticated-orcid":false,"given":"S.","family":"Martignon","sequence":"additional","affiliation":[{"name":"UNICA \u2010 Caries Research Unit, Research Department Universidad El Bosque  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2356-4349","authenticated-orcid":false,"given":"K. R.","family":"Ekstrand","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences, Section of Cariology and Endodontics University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9044-2309","authenticated-orcid":false,"given":"E. O.","family":"Beltr\u00e1n","sequence":"additional","affiliation":[{"name":"UNICA \u2010 Caries Research Unit, Research Department Universidad El Bosque  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6472-8330","authenticated-orcid":false,"given":"A.","family":"Cortes","sequence":"additional","affiliation":[{"name":"UNICA \u2010 Caries Research Unit, Research Department Universidad El Bosque  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0531-3909","authenticated-orcid":false,"given":"G. V. 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