Systematic review and meta-analysis of diagnostic methods for occlusal surface caries
| Autor: | Kim R. Ekstrand, Felix Krause, Mila Janjic Rankovic, Florin Eggmann, Jan Kühnisch, Ina Manuela Schüler, Yegane Khazaei, Adrian Lussi, Alexander Crispin, Stavroula Michou, Klaus W. Neuhaus, Marie-Charlotte D.N.J.M. Huysmans, Svetlana Kapor |
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| Rok vydání: | 2021 |
| Předmět: |
Caries detection
Diagnostic methods Radiography Dentistry 610 Medicine & health Transillumination Caries diagnostics 03 medical and health sciences Sensitivity 0302 clinical medicine Fibre-optic transillumination Visual examination Medicine 030212 general & internal medicine Bitewing radiography General Dentistry Accuracy Pit and fissure caries Laser fluorescence measurements Receiver operating characteristic business.industry Occlusal caries 030206 dentistry Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] Meta-analysis Specificity Systematic review Diagnostic odds ratio Diagnostic performance business |
| Zdroj: | Clinical Oral Investigations, 25, 4801-4815 Kapor, S, Rankovic, M J, Khazaei, Y, Crispin, A, Schüler, I, Krause, F, Lussi, A, Neuhaus, K, Eggmann, F, Michou, S, Ekstrand, K, Huysmans, M-C & Kühnisch, J 2021, ' Systematic review and meta-analysis of diagnostic methods for occlusal surface caries ', Clinical Oral Investigations, vol. 25, no. 8, pp. 4801-4815 . https://doi.org/10.1007/s00784-021-04024-1 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 Clinical oral investigations 25(8), 4801-4815 (2021). doi:10.1007/s00784-021-04024-1 Clinical Oral Investigations, 25, 8, pp. 4801-4815 |
| ISSN: | 1436-3771 1432-6981 |
| DOI: | 10.1007/s00784-021-04024-1 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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