{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:55:49Z","timestamp":1768611349884,"version":"3.49.0"},"reference-count":23,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background\/Objectives: Caries adjacent to restorations remain a leading cause of restoration failure and replacement. Conventional diagnostic methods are limited by subjectivity and restricted visualization. Fluorescence-enhanced three-dimensional (3D) imaging has been proposed to improve detection accuracy, but evidence on its clinical perception and usability remains scarce. The objective of this study was to evaluate the perceived diagnostic value of fluorescence-enhanced 3D imaging in detecting caries adjacent to direct restorations. Methods: A cross-sectional questionnaire-based survey was distributed to undergraduate dental students and licensed dentists (n = 94). Participants assessed images of extracted teeth with direct restorations presented in three formats: conventional photographs, monochromatic 3D models, and 3D models with fluorescence. Responses were analyzed using descriptive statistics, chi-square tests, and Cohen\u2019s kappa to measure inter-rater agreement. Results: Overall, 64.9% of respondents reported that fluorescence-enhanced images improved their diagnostic decision-making, while 29.8% reported partial benefit. Fluorescence was mainly perceived as helpful in defining cavity margins (53.3%) and assessing lesion volume (42.4%). Most participants preferred 3D models with fluorescence over conventional images for diagnostic value. However, inter-rater agreement was generally poor (\u03ba range: \u20130.05 to 0.25; median \u03ba = 0.02; only 4 images showed weak but statistically significant agreement), with only a few images demonstrating weak but statistically significant agreement. Notably, 39.3% of participants reported prior experience with 3D imaging, which was associated with greater confidence in interpreting fluorescence-enhanced images. Participants with prior 3D imaging experience reported greater confidence in fluorescence interpretation. Conclusions: While fluorescence-enhanced 3D imaging is perceived as a useful adjunct for visualizing lesion margins and depth, it does not currently yield consistent diagnostic agreement across clinicians. Training, calibration, and integration of artificial intelligence support may enhance the clinical reliability of this technology.<\/jats:p>","DOI":"10.3390\/dj14010061","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T13:27:53Z","timestamp":1768570073000},"page":"61","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Diagnostic Value of Fluorescence-Enhanced 3D Imaging for Detecting Caries Adjacent to Restorations: A Questionnaire-Based Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Dimitrios","family":"Spagopoulos","sequence":"first","affiliation":[{"name":"Department of Operative Dentistry, Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7408-4650","authenticated-orcid":false,"given":"Grigoria","family":"Gkavela","sequence":"additional","affiliation":[{"name":"Department of Operative Dentistry, Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4117-3501","authenticated-orcid":false,"given":"Christos","family":"Rahiotis","sequence":"additional","affiliation":[{"name":"Department of Operative Dentistry, Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/S0300-5712(01)00022-7","article-title":"Influence of patient factors on age of restorations at failure and reasons for their placement and replacement","volume":"29","author":"Burke","year":"2001","journal-title":"J. Dent."},{"key":"ref_2","unstructured":"Fejerskov, O., Nyvad, B., and Kidd, E.A.M. (2008). Longevity of restorations: The \u201cdeath spiral\u201d. Dental Caries: The Disease and Its Clinical Management, Wiley-Blackwell. [2nd ed.]."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"103260","DOI":"10.1016\/j.jdent.2019.103260","article-title":"Deep learning for caries lesion detection innear-infrared light transillumination images: A pilot study","volume":"92","author":"Schwendicke","year":"2020","journal-title":"J. Dent."},{"key":"ref_4","first-page":"12","article-title":"Accuracy of Two Visual Criteria for the Assessment of Caries Around Restorations: A Delayed-Type Cross-Sectional Study","volume":"56","author":"Stoll","year":"2022","journal-title":"Caries Res."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Elgezawi, M., Haridy, R., Abdalla, M.A., Heck, K., Draenert, M., Kaisarly, D., Splieth, C.H., and Alkilzy, M. (2022). Current Strategies to Control Recurrent and Residual Caries with Resin Composite Restorations: Operator- and Material-Related Factors. J. Clin. Med., 11.","DOI":"10.3390\/jcm11216591"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"20210010","DOI":"10.1259\/dmfr.20210010","article-title":"Radiographic modalities for diagnosis of caries in a historical perspective: From film to machine-intelligence supported systems","volume":"50","author":"Wenzel","year":"2021","journal-title":"Dentomaxillofacial Radiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1016\/j.jdent.2014.07.003","article-title":"CThe influence of different restorative materials on secondary caries development in situ","volume":"42","author":"Opdam","year":"2014","journal-title":"J. Dent."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1038\/s41405-024-00284-7","article-title":"Clinical validity of fluorescence-based devices versus visual-tactile method in detection of secondary caries around resin composite restorations: Diagnostic accuracy study","volume":"11","author":"Adly","year":"2025","journal-title":"BDJ Open."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/s40368-017-0285-9","article-title":"Performance of a recent light fluorescence device for detection of occlusal carious lesions in children and adolescents","volume":"18","author":"Joseph","year":"2017","journal-title":"Eur. Arch. Paediatr. Dent."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1038\/sj.bdj.2017.672","article-title":"T Contemporary operative caries management: Consensus recommendations on minimally invasive caries removal","volume":"223","author":"Banerjee","year":"2017","journal-title":"Br. Dent. J."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Spagopoulos, D., Michou, S., Gizani, S., Pappa, E., and Rahiotis, C. (2023). Fluorescence and Near-Infrared Light for Detection of Secondary Caries: A Systematic Review. Dent. J., 11.","DOI":"10.3390\/dj11120271"},{"key":"ref_12","unstructured":"IBM Corp (IBM SPSS Statistics for Windows, 2015). IBM SPSS Statistics for Windows, Version 23.0."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1038\/sj.bdj.4808389","article-title":"Diagnosis of secondary caries: A laboratory study","volume":"176","author":"Kidd","year":"1994","journal-title":"Br. Dent. J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"4801","DOI":"10.1007\/s00784-021-04024-1","article-title":"Systematic review and meta-analysis of diagnostic methods for occlusal surface caries","volume":"25","author":"Kapor","year":"2021","journal-title":"Clin. Oral Investig."},{"key":"ref_16","first-page":"CD013811","article-title":"Fluorescence devices for the detection of dental caries","volume":"12","author":"Macey","year":"2020","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1159\/000078181","article-title":"Evaluation of Several Techniques for the Detection of Secondary Caries Adjacent to Amalgam Restorations","volume":"38","author":"Ando","year":"2004","journal-title":"Caries Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1080\/00016350510019621","article-title":"Clinical performance of DIAGNOdent in the detection of secondary carious lesions","volume":"63","author":"Bamzahim","year":"2005","journal-title":"Acta Odontol. Scand."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"564","DOI":"10.2341\/09-332-L","article-title":"In vitro detection of secondary caries associated with composite restorations on approximal surfaces using laser fluorescence","volume":"35","author":"Rodrigues","year":"2010","journal-title":"Oper. Dent."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1111\/j.1365-2923.2009.03507.x","article-title":"Diagnostic error and clinical reasoning","volume":"44","author":"Norman","year":"2009","journal-title":"Med Educ."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s10459-009-9182-2","article-title":"Clinical cognition and diagnostic error: Applications of a dual process model of reasoning","volume":"14","author":"Croskerry","year":"2009","journal-title":"Adv. Health Sci. Educ."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1177\/0022034510378011","article-title":"Accuracy of 3D reconstructions based on cone beam computed tomography","volume":"89","author":"Maret","year":"2010","journal-title":"J. Dent. Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1111\/j.1600-0722.2007.00441.x","article-title":"Reproducibilityof DIAGNOdent 2095 and DIAGNOdent Penmeasurements: Results from an in vitro study on occlusalsites","volume":"115","author":"Henschel","year":"2007","journal-title":"Eur. J. Oral. Sci."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/14\/1\/61\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T13:40:43Z","timestamp":1768570843000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/14\/1\/61"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,16]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["dj14010061"],"URL":"https:\/\/doi.org\/10.3390\/dj14010061","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,16]]}}}