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

Publikation: Bidrag til tidsskriftReviewfagfællebedømt

Dokumenter

  • Svetlana Kapor
  • Mila Janjic Rankovic
  • Yegane Khazaei
  • Alexander Crispin
  • Ina Schüler
  • Felix Krause
  • Adrian Lussi
  • Klaus Neuhaus
  • Florin Eggmann
  • Stavroula Michou
  • Ekstrand, Kim
  • Marie-Charlotte Huysmans
  • Jan Kühnisch

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.

OriginalsprogEngelsk
TidsskriftClinical Oral Investigations
Vol/bind25
Udgave nummer8
Sider (fra-til)4801-4815
Antal sider15
ISSN1432-6981
DOI
StatusUdgivet - 2021

Bibliografisk note

Funding Information:
Open Access funding enabled and organized by Projekt DEAL. This project was funded by a grant for creating a scientific network obtained from the German Research Foundation (Deutsche Forschungsgemeinschaft, SCHU-3217/1–1).

Publisher Copyright:
© 2021, The Author(s).

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