{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:08:07Z","timestamp":1753888087604,"version":"3.41.2"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. Dent. J."],"abstract":"<jats:p>Abstract The combination of different methods has been advocated to increase sensitivity in detecting secondary caries lesions. This cross-sectional study compared the detection of caries lesions around posterior restorations and treatment decisions using bitewing radiographs alone or in combination with clinical information from patient records. The radiographs (n = 212) were randomly distributed into two sequences for assessment across two phases, with a wash-out period of two weeks. In the first phase (X-ray group), the radiographic images were evaluated without clinical information; in the second phase (X-ray\/CARS group), the radiographic images were assessed in conjunction with the CARS score (Caries Associated with Restorations or Sealants) and lesion activity. A radiographic classification system for carious lesions around restorations was adapted to classify the bitewing radiographs included in this study. Evaluations were conducted in consensus by a panel of specialists, focusing on the detection of caries around restorations and subsequent treatment decisions. A chi-squared test was used to compare treatment decisions between the groups, and Cohen\u2019s kappa coefficient was employed to assess the agreement of scores. The results showed a significant difference in the distribution of decisions regarding the need for restorative intervention between the groups (p &lt; 0.001), with the X-ray\/CARS group leading to more decisions favoring restorative intervention. There was a moderate to good agreement of scores (\u03ba = 0.749). The combination of clinical and radiographic information was found to influence the treatment decision-making process by increasing the likelihood of opting for restorative intervention.<\/jats:p>","DOI":"10.1590\/0103-644020246005","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T12:05:29Z","timestamp":1734350729000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of using bitewing radiographs alone or in combination with clinical information on treatment decisions"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7981-1484","authenticated-orcid":false,"given":"Gabriele Soares","family":"Maydana","sequence":"first","affiliation":[{"name":"Federal University of Pelotas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4016-9284","authenticated-orcid":false,"given":"Vitor Henrique Digmayer","family":"Romero","sequence":"additional","affiliation":[{"name":"Federal University of Pelotas,  Brazil; Radboud University Nijmegen Medical Centre,  Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0297-3773","authenticated-orcid":false,"given":"Cacia","family":"Signori","sequence":"additional","affiliation":[{"name":"Uniavan University Center,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6387-7892","authenticated-orcid":false,"given":"Juliana Lays Stolfo","family":"Uehara","sequence":"additional","affiliation":[{"name":"Federal University of Pelotas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8239-9630","authenticated-orcid":false,"given":"Fran\u00e7oise H\u00e9l\u00e8ne van de","family":"Sande","sequence":"additional","affiliation":[{"name":"Federal University of Pelotas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2543-6201","authenticated-orcid":false,"given":"Maximiliano S\u00e9rgio","family":"Cenci","sequence":"additional","affiliation":[{"name":"Radboud University Nijmegen Medical Centre,  Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1586-2335","authenticated-orcid":false,"given":"Anelise Fernandes","family":"Montagner","sequence":"additional","affiliation":[{"name":"Federal University of Pelotas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jdent.2018.03.001","article-title":"An update on the reasons for placement and replacement of direct restorations","volume":"72","author":"Eltahlah D","year":"2018","journal-title":"Journal of Dentistry"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"593","DOI":"10.14219\/jada.archive.2012.0238","article-title":"Repair or replacement of defective restorations by dentists in The Dental Practice-Based Research Network","volume":"143","author":"Gordan V V","year":"2012","journal-title":"J Am Dent Assoc"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1034\/j.1600-0722.2002.21271.x","article-title":"Detection of marginal defects of composite restorations with conventional and digital radiographs","volume":"110","author":"Haak R","year":"2002","journal-title":"Eur J Oral Sci"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1177\/0022034514544217","article-title":"Longevity of posterior composite restorations: a systematic review and meta-analysis","volume":"93","author":"Opdam NJM","year":"2014","journal-title":"J Dent Res"},{"issue":"9","key":"ref5","doi-asserted-by":"crossref","DOI":"10.1007\/s00784-020-03431-0","article-title":"How to intervene in the caries process in adults: proximal and secondary caries? 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