Abstract
Background and aims. Radiography is used to diagnose the demineralization process and carious lesions;
however, conventional radiography and direct digital images do not show these lesions when the amount of demineralization
is less than 40%. Digital subtraction radiography has recently been used to improve the diagnostic
quality of these lesions. The purpose of this study was to compare the caries depth estimated by digital subtraction
radiography in combination with barium sulfate in diagnosing proximal dental caries with histopathologic
evaluation.
Materials and methods. In this study 30 molars and premolars (24 demineralized lesions with cavity, 8
without cavity) were studied. Direct digital images were taken (kVp: 68, mA: 8; t: 0.12 for premolars and t: 0.16
for molars) whereas the position of X-ray tube and CCD receptor and teeth was fixed. To prepare the second
images 135 gr/L barium sulfate was used. The images obtained with the same exposure and geometry and then
subtracted. The depth of the lesions in direct digital and subtracted images were assessed and compared with the
depth measured in histopathologic assessments.
Results. The mean depths (± SD) of the lesions were 1.80 ± 0.77 mm in direct digital radiography, 2.32 ± 0.76
mm in subtracted images after barium sulfate treatment, and 2.51 ± 0.43 mm in histopathologic sections. The
statistical difference between direct digital radiography and the other methods was significant (P < 0.05). However,
the differences were not statistically significant between subtracted images and histopathologic sections.
The average intra-class correlation coefficient was 0.7241 (CI: 95%).
Conclusion. The present study has demonstrated that digital subtraction radiography images have the potential
to measure the depth of proximal caries with no significant difference with histopathologic evaluation.