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773) and transmission apps (P ≥ .608). Intraexaminer agreement was substantial (κ=0.742) and interexaminer agreement was moderate (κ=0.475). The digital file format and transmission app did not influence the radiographic diagnosis of proximal caries lesions. The digital file format and transmission app did not influence the radiographic diagnosis of proximal caries lesions. In this quality improvement project, we analyzed surgeon focus and attention utilizing a visual tracking device. We hypothesized that surgeons maintained better foc