Solmaz Valizadeh
Sepideh Rahimian
Mojgan Balali
Zeynab Azizi

Background: Different enhancements have been used to improve the diagnostic accuracy of radiographic images in digital systems. However, the diagnostic accuracy of the effects of these enhancement options on dental caries has not been determined. Objectives: This study evaluated the effects of software enhancements of zooming, colorization, and contrast conversion on the accuracy of proximal caries detection. Materials and Methods: In this diagnostic in vitro trial study, ۴۲ non-cavitated and restoration-free extracted permanent molars and premolars were selected and mounted onto ۱۴ blocks in contact with each other. Radiographic images were obtained from the teeth in similar standardized condition using the paralleling technique. The images were shown without any enhancement or with using the options of zooming, colorization, and contrast conversion. Depth of proximal caries was determined by a radiologist using four-scaled criteria. The diagnostic accuracy of digital images that had undergone different enhancements was calculated by the chi-square test. Results: The diagnostic odds of the original digital images were lower than ۲۰ (۵.۷). By using the enhancement options of zooming, colorization, and contrast conversion, the diagnostic odds of the enamel proximal caries had a score of less than ۲۰. The score was higher than ۲۰ for proximal caries located in the outer and inner half of the dentin. Conclusions: The enhancement options of zooming, colorization, and contrast conversion did not significantly influence the diagnostic accuracy of digital images in enamel caries, but they enhanced caries diagnosis/progression in the outer and inner half of the dentin.