{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T01:57:28Z","timestamp":1772848648288,"version":"3.50.1"},"reference-count":53,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T00:00:00Z","timestamp":1614729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>The aim of this study was to present an optimal diagnostic protocol by comparing and analyzing a conventional examination and the quantitative light-induced fluorescence (QLF) technique. Selected were 297 teeth of 153 patients to take QLF images and bitewing radiographs. Occlusal dental caries, proximal dental caries and cracks were evaluated and scored using QLF, X-ray and\/or visual criteria. The sensitivity, specificity, and area under the curve (AUC) of a receiver operating characteristic analysis were calculated. Two fluorescence parameters (|\u0394Fmax| and \u0394Rmax) were utilized to evaluate the fluorescence pattern according to the severity of lesions based on QLF or X-ray criteria. QLF showed higher scores for detecting occlusal dental caries and cracks than the conventional method. \u0394Rmax increased more clearly than \u0394Fmax did with occlusal dental caries. The |\u0394Fmax| values of occlusal dental caries, proximal dental caries and cracks showed good AUC levels (0.84, 0.81 and 0.83, respectively). The \u0394Rmax of occlusal dental caries showed the highest AUC (0.91) and the \u0394Rmax of proximal dental caries showed a fail level (0.59) compared to bitewing radiographs. The QLF image could visualize and estimate the degree of occlusal dental caries or cracks. Consequently, the QLF technique may be an adjunct tool to conventional methods for the detection of occlusal caries and peripheral cracks.<\/jats:p>","DOI":"10.3390\/s21051741","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T20:33:57Z","timestamp":1614803637000},"page":"1741","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Detection of Dental Caries and Cracks with Quantitative Light-Induced Fluorescence in Comparison to Radiographic and Visual Examination: A Retrospective Case Study"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5508-289X","authenticated-orcid":false,"given":"Song Hee","family":"Oh","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University, Seoul 02447, Korea"}]},{"given":"Sae Rom","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University, Seoul 02447, Korea"}]},{"given":"Jin Young","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Graduate School, Kyung Hee University, Seoul 02447, Korea"}]},{"given":"Yong Suk","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Radiology, Graduate School, Kyung Hee University, Seoul 02447, Korea"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5030-1894","authenticated-orcid":false,"given":"Seong Hun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Graduate School, Kyung Hee University, Seoul 02447, Korea"}]},{"given":"Hong Cheol","family":"Yoon","sequence":"additional","affiliation":[{"name":"Private Practice, Bestden Dental Clinic, Seoul 06232, Korea"}]},{"given":"Gerald","family":"Nelson","sequence":"additional","affiliation":[{"name":"Division of Orthodontics, Department of Orofacial Science, University of California, San Francisco, CA 94143, USA"}]}],"member":"1968","published-online":{"date-parts":[[2021,3,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"385","DOI":"10.3109\/00016357.2016.1163733","article-title":"Prevalence of dental caries and influencing factors, time trends over a 30-year period in an adult population. 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