Radiographic caries detection: A systematic review and meta-analysis.

Journal of Dentistry
Falk SchwendickeSebastian Paris

Abstract

This systematic review aimed at evaluating the accuracy of radiographic caries detection for different lesions at different locations. Studies reporting on the accuracy (sensitivity/specificity) of radiographic detection of natural primary caries lesions under clinical or in vitro conditions were included. Risk of bias was assessed using QUADAS-2. Pooled sensitivity, specificity and diagnostic odds ratios (DORs) were calculated using random-effects meta-analysis. Analyses were performed separately for occlusal and proximal lesions, with further discrimination between any kind of lesions, dentine lesions, and cavitated lesions. Electronic databases (Medline, Embase, Cochrane Central) and grey literature were systematically searched, complemented by cross-referencing from bibliographies. From 947 identified articles, 442 were analyzed full-text. 117 studies (13,375 teeth, 19,108 surfaces) were included, the majority of them reporting on permanent teeth and having high risk of bias. The detection of any kind (i.e. also initial) lesions had low sensitivities (pooled DOR [95% CI]: 0.24 [0.21/0.26] to 0.42 [0.31/0.34]), but moderate to high specificities (0.70 [0.76/0.84] to 0.97 [0.95/0.98]). For dentine lesions, sensitivities were ...Continue Reading

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Citations

Feb 15, 2017·Journal of Dental Research·N P T Innes, F Schwendicke
Apr 8, 2017·British Dental Journal·T L GoodwinK Horner
Mar 23, 2018·Caries Research·Bruna L P MoroFausto M Mendes
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