Abstract
Caries detection methods should aim for detecting early (mainly non-cavitated) carious lesions, as these can be arrested via non- or micro-invasive therapies, allowing to avoid restorative treatments. To allow such early detection, most methods are highly sensitive, i.e. able to identify nearly all lesions, but bear the risk of false-positive detections (low specificity). Thus, such detection methods should be applied with care, especially in patients with low caries risk. Moreover, they should best be combined to allow verification of a detection, thus reducing the risk of over-diagnosis. Eventually and most important, non- or micro-invasive instead of restorative treatments should be used for such detections, reducing harm to possibly sound surfaces in case of false-positive detections.
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