Caries Detection With Two Different Caries Detecting Devices

Inclusion Criteria: * Patients of TUSDM Comprehensive Care Clinic * Adult patients over the age of 21 * Extreme/High Caries Risk classification per TUSDM Caries Management by Risk Assessment (CAMBRA) form * Presence of 2 or more initial active primary carious lesions on a free coronal surface of any tooth by visual assessment, QLF, and LumiCare™ * Presence of at least 1 cavitated lesion * Updated (no more than 6 months old) bite wing radiographs available. * Patients who responded either yes/no to use of e-cigarettes/vapes * 1 active caries, 1 inactive caries and 1 sound tooth surface. Exclusion Criteria: * Low or moderate caries risk classification per TUSDM CAMBRA form * No clinically detectable carious lesions on free coronal surfaces * No cavitated caries lesions * Carious teeth with caries lesions concomitant with extrinsic stains, fluorosis, or developmental defects. * Patients who responded yes to the use of conventional cigarettes or smokeless tobacco