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. 2020 Nov 5;63(2):97–102. doi: 10.1111/idj.12024

Table 1.

Criteria used for visual and radiographic examination and actual lesion depth

Score Visual examination Radiographic examination Lesion depth
0 No or slight change in enamel translucency after prolonged air (> 5 s) No radiolucency visible No enamel demineralisation or a narrow surface zone of opacity
1 Opacity or white and brown discoloration hardly visible on the wet surface, but distinctly visible after air drying Radiolucency visible in the enamel Enamel demineralisation limited to the outer 50% of the enamel layer
2 Opacity or white and brown discoloration distinctly visible without air drying Radiolucency visible in the dentine but restricted to the outer third of the dentine Demineralisation involving between 50% of the enamel and 1/3 of dentine
3 Localised enamel breakdown in opaque or discoloured enamel and/or grayish discolouration from the underlying dentine Radiolucency extending to the middle third of dentine Demineralisation involving the middle one-third of dentine
4 Cavitation in opaque or discoloured enamel exposing the dentine Radiolucency in the pulpal third of dentine Demineralisation involving the inner one-third of dentine