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1. Stage 1
- Initial demineralization at the microscopical level
- Formation of the translucent zone
- No clinical or radiographical signs.
2. Stage 2
- Further demineralization
- Spread of the translucent zone
- Initial redeposition of minerals within the defect
- Formation of dark zone
- No clinical or radiographical signs.
3. Stage 3
- Formation of the classical structure of the lesion
- Increased porosity in the body of the lesion clinically on the dry surface layer remains intact
4. Stage 4
- Progression of the lesion towards the enamel dentin junction
- Bacterial invasion and clinically visible destruction of the surface layer
- Can be seen dentin reaction.
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