An evaluation of dental radiograph accuracy in the measurement of enamel thickness

Many studies have employed lateral radiographs to measure the thickness of tooth enamel in recent human and fossil hominid samples, but the accuracy of measurements obtained by this technique has not been assessed. In this study, 20 isolated human maxillary permanent molars were radiographed using the parallel film technique. The crowns were then sectioned longitudinally through the tips of the buccal cusps. Measurements of enamel cap area, and of linear enamel thickness in the occlusal basin and over the metacone apex, were made from the radiographs and corresponding sectioned surfaces. Comparisons of the two sets of values revealed that radiographs generally overestimated enamel thickness but there was considerable variability in the error by which measurements from radiographs either under- or overestimated the true value. Lateral radiographs may provide a rough visual impression of whether a tooth has thin or thick enamel but they do not generally provide for accurate measurement of enamel thickness. Quantitative data on enamel thickness from studies that have employed lateral radiographs should be viewed with circumspection.