Restorative & Materials · single question

In caries detection using visual examination on an occlusal surface, which finding is MOST diagnostic?

  1. Deep fissures
  2. Enamel translucency (shadow)
  3. Dark fissures
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Correct answer: B. Enamel translucency (shadow)

✓ B) Enamel translucency is correct.
A gray/blue shadow beneath the enamel (enamel translucency or 'hidden caries') on the occlusal surface indicates dentinal caries that has progressed under an intact enamel surface. This is the most reliable visual indicator of occlusal caries severity. Deep or dark fissures alone don't confirm active caries — they may simply be stained.

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