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<p>Even 100 years after the introduction of the bitewing radiograph (BWR) by the American dentist H.R. Raper (1925), it is still an indispensable, complementary procedure for the detection and graduation of proximal and occlusal caries lesions in daily dental practice. In addition, the BWR is an important tool for caries monitoring, as depending on the degree of progression diagnosed, evidence-based preventive measures—such as intensifying individual and professional tooth cleaning, local fluoride application, and nutritional counselling—or restoration of the lesions can be initiated by the dentist. According to Raper, the BWR contributes significantly to caries prevention and avoidance of endodontic complications and root canal treatments in children, adolescents, and adults. From the perspective of a general dentist, the article describes the application, usefulness, and advantages of BWR in a prevention-oriented dental practice. In addition, the burn out and Mach band effects as well as triangular radiolucencies are addressed, which can lead to false-positive caries diagnoses and incorrect treatment decisions in the absence of knowledge.</p>

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Ist die Bissflügelröntgenaufnahme 100 Jahre nach ihrer Einführung noch aktuell?

  • 期刊论文

  • 发表日期：

    2026年3月12日

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  • Thomas Oehme,
  • Jan Kühnisch,
  • Roswitha Heinrich-Weltzien

摘要

Even 100 years after the introduction of the bitewing radiograph (BWR) by the American dentist H.R. Raper (1925), it is still an indispensable, complementary procedure for the detection and graduation of proximal and occlusal caries lesions in daily dental practice. In addition, the BWR is an important tool for caries monitoring, as depending on the degree of progression diagnosed, evidence-based preventive measures—such as intensifying individual and professional tooth cleaning, local fluoride application, and nutritional counselling—or restoration of the lesions can be initiated by the dentist. According to Raper, the BWR contributes significantly to caries prevention and avoidance of endodontic complications and root canal treatments in children, adolescents, and adults. From the perspective of a general dentist, the article describes the application, usefulness, and advantages of BWR in a prevention-oriented dental practice. In addition, the burn out and Mach band effects as well as triangular radiolucencies are addressed, which can lead to false-positive caries diagnoses and incorrect treatment decisions in the absence of knowledge.