How are caries differentiated from nonmetallic radiolucent restorations radiographically?

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Caries usually have more diffuse borders and an uneven triangular radiolucency with the apex pointing toward the DEJ or pulp. To aid in distinguishing a restoration from caries, look for the restoration to have straight borders, and a prepared look, with an overall even radiolucency. A clinical exam may be needed to make a definitive determination.

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