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Table 1 Threshold scores for gold standard histology and corresponding CAMBRA based recommendations relating to specific lesion depth thresholds for occlusal decay

From: Comparing potential early caries assessment methods for teledentistry

Score

0

1

2

Histology (after sectioning)

Sound, No Evidence of Demineralization

Demineralization Extending into Enamel only

Demineralization Extending into Enamel and outer Dentin

CAMBRA based Recommendations

Assess/Address

Assess/Address Risk Factors

Assess/Address Risk Factors

Risk Factors

Arrest/Remin Early Lesion with Therapeutics

Treat with Minimal Intervention (e.g. sealant or small restoration)

MID

Green/No Beep

Red/Low Frequency Beep

Red/High Frequency Beep

CAM

Sound Assessment

Demineralization in Enamel Assessment

Demineralization Extending into Dentin Assessment

CP-OCT

Sound Assessment

‘Incipient Subsurface’

‘Extensive Subsurface’

  

Demineralization Assessment

Demineralization Assessment

  1. Threshold scores for current and potential teledentistry assessment methods: Midwest CariesID™ (MID), and 6x magnification camera images (CAM), and near infrared based CP-OCT.