Carious lesions can be distinguished from sound hard tooth tissues because
their near-infrared Raman spectra exhibit an increased luminescence. A comp
arison of the ratio between luminescence and Raman band intensities for dis
eased and healthy areas of the tooth gives a measure for the stage of the d
isease. Intraoral analyses can be made in a reasonable time with the use of
a diode laser, a fiberoptic Raman probe, and a compact spectrograph withou
t moving optics. An excitation wavelength of 785 nm gives sufficient contra
st between sound and carious tissue and allows a sensitive detection of the
weak Raman scattering by silicon detectors.