Systematic review and meta-analysis of diagnostic methods for occlusal surface caries.

Autor: Kapor S; Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilian University, Munich, Germany., Rankovic MJ; Department of Orthodontics and Dentofacial Orthopedics, University Hospital, Ludwig-Maximilian Universität München, Munich, Germany., Khazaei Y; Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilian University, Munich, Germany.; Institute of Medical Biometry and Epidemiology, Ludwig-Maximilian University of Munich, Munich, Germany., Crispin A; Institute of Medical Biometry and Epidemiology, Ludwig-Maximilian University of Munich, Munich, Germany., Schüler I; Department of Orthodontics, Section of Preventive and Paediatric Dentistry, University Hospital, Jena, Germany., Krause F; Clinic for Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital RWTH Aachen, Aachen, Germany., Lussi A; Department of Operative Dentistry and Periodontology, Faculty of Dentistry, University Medical Centre, Freiburg, Germany.; School of Dental Medicine, University of Bern, Bern, Switzerland., Neuhaus K; Clinic of Periodontology, Endodontology and Cariology, University Centre for Dental Medicine Basel, University of Basel, Basel, Switzerland.; Department of Dermatology, Inselspital-Bern University Hospital, Bern, Switzerland., Eggmann F; Clinic of Periodontology, Endodontology and Cariology, University Centre for Dental Medicine Basel, University of Basel, Basel, Switzerland., Michou S; Department of Odontology, University Copenhagen, Copenhagen, Denmark., Ekstrand K; Department of Odontology, University Copenhagen, Copenhagen, Denmark., Huysmans MC; Department of Dentistry, Radboud University Medical Centre, Nijmegen, the Netherlands., Kühnisch J; Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilian University, Munich, Germany. jkuehn@dent.med.uni-muenchen.de.; Poliklinik Für Zahnerhaltung Und Parodontologie, Klinikum Der Universität München, LMU München, Goethestraße 70, 80336, München, Germany. jkuehn@dent.med.uni-muenchen.de.
Jazyk: angličtina
Zdroj: Clinical oral investigations [Clin Oral Investig] 2021 Aug; Vol. 25 (8), pp. 4801-4815. Date of Electronic Publication: 2021 Jun 14.
DOI: 10.1007/s00784-021-04024-1
Abstrakt: 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.
(© 2021. The Author(s).)
Databáze: MEDLINE
Externí odkaz: