Kapor, Svetlana; Rankovic, Mila Janjic; Khazaei, Yegane; Crispin, Alexander; Schüler, Ina; Krause, Felix; Lussi, Adrian; Neuhaus, Klaus; Eggmann, Florin; Michou, Stavroula; Ekstrand, Kim; Huysmans, Marie-Charlotte; Kühnisch, Jan (2021). Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. Clinical oral investigations, 25(8), pp. 4801-4815. Springer 10.1007/s00784-021-04024-1
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AIM
This systematic review and meta-analysis aimed to assess the diagnostic performance of commonly used methods for occlusal caries diagnostics, such as visual examination (VE), bitewing radiography (BW) and laser fluorescence (LF), in relation to their ability to detect (dentin) caries under clinical and laboratory conditions.
MATERIALS AND METHODS
A systematic search of the literature was performed to identify studies meeting the inclusion criteria using the PIRDS concept (N = 1090). A risk of bias (RoB) assessment tool was used for quality evaluation. Reports with low/moderate RoB, well-matching thresholds for index and reference tests and appropriate reporting were included in the meta-analysis (N = 37; 29 in vivo/8 in vitro). The pooled sensitivity (SE), specificity (SP), diagnostic odds ratio (DOR) and areas under ROC curves (AUCs) were computed.
RESULTS
SP ranged from 0.50 (fibre-optic transillumination/caries detection level) to 0.97 (conventional BW/dentine detection level) in vitro. AUCs were typically higher for BW or LF than for VE. The highest AUC of 0.89 was observed for VE at the 1/3 dentin caries detection level; SE (0.70) was registered to be higher than SP (0.47) for VE at the caries detection level in vivo.
CONCLUSION
The number of included studies was found to be low. This underlines the need for high-quality caries diagnostic studies that further provide data in relation to multiple caries thresholds.
CLINICAL RELEVANCE
VE, BW and LF provide acceptable measures for their diagnostic performance on occlusal surfaces, but the results should be interpreted with caution due to the limited data in many categories.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Dermatology 04 Faculty of Medicine > School of Dental Medicine > Research |
UniBE Contributor: |
Lussi, Adrian |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1436-3771 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Doris Burri |
Date Deposited: |
31 Jan 2022 10:33 |
Last Modified: |
05 Dec 2022 16:02 |
Publisher DOI: |
10.1007/s00784-021-04024-1 |
PubMed ID: |
34128130 |
Uncontrolled Keywords: |
Accuracy Bitewing radiography Caries detection Caries diagnostics Diagnostic performance Fibre-optic transillumination Laser fluorescence measurements Meta-analysis Occlusal caries Pit and fissure caries Sensitivity Specificity Systematic review Visual examination |
BORIS DOI: |
10.48350/163990 |
URI: |
https://boris.unibe.ch/id/eprint/163990 |
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