{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:45:02Z","timestamp":1787071502112,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"\n Background:<\/jats:title>\n Although dental caries is largely preventable, it remains a primary global health concern due to its high prevalence and incidence, as noted by the World Health Organization. Early detection is crucial for prevention, minimization of intervention, and oral health promotion.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n This study aims to evaluate the most effective diagnostic method for detecting existing caries lesions in patients attending our clinic through a randomized clinical trial.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Fifty-four patients underwent both panoramic radiography and near-infrared reflectance imaging (NIRI) for caries detection. A maxillofacial radiologist and a prosthodontist independently assessed the images, each conducting two evaluations. Normality was assessed using the Shapiro-Wilk test and skewness and kurtosis values. Statistical tests were used to compare detection rates and interobserver agreement.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Panoramic radiography revealed a mean of 3.26 (radiologist) and 3.30 (prosthodontist) carious lesions, with no significant difference (\n P<\/jats:italic>\n = 0.914) and moderate agreement (\n P<\/jats:italic>\n < 0.001). NIRI detected significantly more lesions: 6.59 (radiologist) and 6.00 (prosthodontist), showing excellent agreement (\n P<\/jats:italic>\n < 0.001) with a small but significant difference (\n P<\/jats:italic>\n = 0.023). Both clinicians identified nearly twice as many lesions with NIRI compared to radiography (\n P<\/jats:italic>\n < 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n NIRI showed superior performance in early caries detection. Compared to panoramic radiography, NIRI is more sensitive and avoids ionizing radiation, making it safer and more comfortable. Its reliability and patient-friendly nature support its use as a promising tool in routine preventive dental care.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/njcp.njcp_679_24","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T13:00:28Z","timestamp":1764248428000},"page":"1139-1144","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Randomized Clinical Trial Comparing Near-Infrared Imaging and Panoramic Radiography for Caries Detection"],"prefix":"10.4103","volume":"28","author":[{"given":"M","family":"Misirli-G\u00fclbes","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, International Final University, Nicosia, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Ongun","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Faculty of Dentistry, International Final University, Nicosia, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Atabek","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Faculty of Dentistry, International Final University, Nicosia, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"3170","DOI":"10.3390\/diagnostics13203170","article-title":"In vivo performance of visual criteria, laser-induced fluorescence, and light-induced fluorescence for early caries detection","volume":"13","author":"Perdiou","year":"2023","journal-title":"Diagnostics (Basel)"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1111\/jopr.13770","article-title":"Performance of the caries diagnosis feature of intraoral scanners and near-infrared imaging technology \u2013 A narrative review","volume":"32","author":"Lin","year":"2023","journal-title":"J Prosthodont"},{"issue":"Suppl 1","key":"R3-20260420","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1186\/1472-6831-15-S1-S3","article-title":"Detection and diagnosis of the early caries lesion","volume":"15 Suppl 1","author":"Gomez","year":"2015","journal-title":"BMC Oral Health"},{"key":"R5-20260420","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1007\/s00784-021-04032-1","article-title":"Diagnostic validity of early proximal caries detection using near-infrared imaging technology on 3D range data of posterior teeth","volume":"26","author":"Litzenburger","year":"2022","journal-title":"Clin Oral Investig"},{"key":"R6-20260420","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1111\/eos.12663","article-title":"In-vitro validation of near-infrared reflection for proximal caries detection","volume":"127","author":"Lederer","year":"2019","journal-title":"Eur J Oral Sci"},{"key":"R7-20260420","doi-asserted-by":"crossref","first-page":"103861","DOI":"10.1016\/j.jdent.2021.103861","article-title":"Reflected near-infrared light versus bite-wing radiography for the detection of proximal caries: A multicenter prospective clinical study conducted in private practices","volume":"116","author":"Metzger","year":"2022","journal-title":"J Dent"},{"key":"R8-20260420","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1007\/s00784-015-1559-4","article-title":"In vivo validation of near-infrared light transillumination for interproximal dentin caries detection","volume":"20","author":"K\u00fchnisch","year":"2016","journal-title":"Clin Oral Investig"},{"key":"R9-20260420","first-page":"74","article-title":"Evaluation of detecting proximal caries in posterior teeth via visual inspection, digital bitewing radiography and near-infrared light transillumination","volume":"32","author":"K\u00fcnisch","year":"2019","journal-title":"Am J Dent"},{"key":"R10-20260420","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1177\/154405910408301s16","article-title":"DIAGNOdent: An Optical Method for Caries Detection","volume":"83","author":"Lussi","year":"2004","journal-title":"J Dent Res"},{"key":"R11-20260420","first-page":"89290D","article-title":"Transillumination and reflectance probes for in vivo near-IR imaging of dental caries","volume":"8929","author":"Simon","year":"2014","journal-title":"Proc SPIE Int Soc Opt Eng"},{"key":"R12-20260420","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/j.cden.2005.05.008","article-title":"Early caries imaging and monitoring with near-infrared light","volume":"49","author":"Fried","year":"2005","journal-title":"Dent Clin North Am"},{"key":"R13-20260420","first-page":"9692","article-title":"A system for simultaneous near-infrared reflectance and transillumination imaging of occlusal carious lesions","author":"Simon","year":"2016","journal-title":"Proc SPIE Int Soc Opt Eng"},{"key":"R14-20260420","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1002\/lsm.22549","article-title":"Near-IR transillumination and reflectance imaging at 1,300 nm and 1,500\u20131,700 nm for in vivo caries detection","volume":"48","author":"Simon","year":"2016","journal-title":"Lasers Surg Med"},{"key":"R15-20260420","doi-asserted-by":"crossref","first-page":"20170292","DOI":"10.1259\/dmfr.20170292","article-title":"Inter- and intraexaminer reliability of bitewing radiography and near-infrared light transillumination for proximal caries detection and assessment","volume":"47","author":"Litzenburger","year":"2018","journal-title":"Dentomaxillofac Radiol"},{"key":"R16-20260420","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1186\/s12903-017-0421-2","article-title":"Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: An in vivo study","volume":"17","author":"Baltacioglu","year":"2017","journal-title":"BMC Oral Health"},{"key":"R17-20260420","first-page":"1","article-title":"Radiographic caries diagnosis. A study of caries progression and observer performance","volume":"3","author":"Gr\u00f6ndahl","year":"1979","journal-title":"Swed Dent J Suppl"},{"key":"R18-20260420","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.jdent.2015.02.009","article-title":"Radiographic caries detection: A systematic review and meta-analysis","volume":"43","author":"Schwendicke","year":"2015","journal-title":"J Dent"},{"key":"R19-20260420","first-page":"1","article-title":"Clinical evaluation of near-infrared light transillumination (NIRT) as an interproximal caries detection tool in a large sample of patients in a private practice","volume":"1","author":"Russotto","year":"2016","journal-title":"J Radiol Imaging"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_679_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:47:04Z","timestamp":1787068024000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_679_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_679_24","relation":{},"ISSN":["1119-3077","2229-7731"],"issn-type":[{"value":"1119-3077","type":"print"},{"value":"2229-7731","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2024-10-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}