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250 samples had been attached in three-dimensional (3D)-printed phantoms, and their proximal areas were evaluated by ICDAS criteria directly to create a well-balanced test. Bitewing radiography was carried out utilizing 3D-constructed X-ray phantoms with a CCD sensor at a 0.08 s and a CMOS sensor at 0.12 and 0.16 s exposure time. Two examiners determined the diagnostic decisions twice at appropriate periods. Three diagnostic thresholds for sound surfaces and enamel and de