Systematic review and meta-analysis of diagnostic studies of proximal surface caries

被引:26
作者
Janjic Rankovic, Mila [1 ]
Kapor, Svetlana [2 ]
Khazaei, Yegane [2 ,3 ]
Crispin, Alexander [3 ]
Schuler, Ina [4 ]
Krause, Felix [5 ]
Ekstrand, Kim [6 ]
Michou, Stavroula [6 ]
Eggmann, Florin [7 ]
Lussi, Adrian [8 ,9 ]
Huysmans, Marie-Charlotte [10 ]
Neuhaus, Klaus [7 ,11 ]
Kuhnisch, Jan [2 ,12 ]
机构
[1] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Orthodont & Dentofacial Orthoped, Munich, Germany
[2] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Conservat Dent & Periodontol, Munich, Germany
[3] Ludwig Maximilians Univ Munchen, Inst Med Biometry & Epidemiol, Munich, Germany
[4] Univ Hosp, Sect Prevent & Paediat Dent, Dept Orthodont, Jena, Germany
[5] Univ Hosp RWTH Aachen, Clin Operat Dent Periodontol & Prevent Dent, Aachen, Germany
[6] Univ Copenhagen, Dept Odontol, Copenhagen, Denmark
[7] Univ Basel, Univ Ctr Dent Med Basel, Clin Periodontol Endodontol & Cariol, Basel, Switzerland
[8] Univ Med Ctr, Dept Operat Dent & Periodontol, Fac Dent, Freiburg, Germany
[9] Univ Bern, Sch Dent Med, Bern, Switzerland
[10] Radboud Univ Nijmegen, Med Ctr, Dept Dent, Nijmegen, Netherlands
[11] Bern Univ Hosp, Inselspital, Dept Dermatol, Bern, Switzerland
[12] LMU Munchen, Klinikum Univ Munchen, Poliklin Zahnerhaltung & Parodontol, Goethestr 70, D-80336 Munich, Germany
关键词
Approximal caries; Proximal caries; Interproximal caries; Caries detection; Caries diagnostics; Visual examination; Bitewing radiography; Laser fluorescence measurements; Fibre-optic transillumination; Systematic review; Meta-analysis; Diagnostic performance; Diagnostic accuracy; Sensitivity; Specificity; LASER FLUORESCENCE DEVICE; INFRARED LIGHT TRANSILLUMINATION; APPROXIMAL CARIES; VISUAL INSPECTION; DENTAL-CARIES; TEST ACCURACY; LESIONS; PERFORMANCE; RADIOGRAPHS; PREVALENCE;
D O I
10.1007/s00784-021-04113-1
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Aim This systematic review and meta-analysis aimed to assess the diagnostic accuracy and reliability of commonly used caries detection methods for proximal caries diagnostics. Visual examination (VE), bitewing radiography (BWR), laser fluorescence (LF), and fibre-optic transillumination (FOTI) were considered in detail. Material and methods PRISMA guidelines for the reporting of systematic reviews and meta-analyses were applied. The mnemonic PIRDS (problem, index test, reference test, diagnostic and study type) concept was used to guide the literature search. Next, studies that met the inclusion criteria were stepwise selected and evaluated for their quality with a risk of bias (RoB) assessment tool. Studies with low/moderate bias and sufficient reporting were considered for meta-analysis. The pooled sensitivity (SE), specificity (SP), diagnostic odds ratio (DOR), and area under the ROC curve (AUC) were calculated. Results From 129 studies meeting the selection criteria, 31 in vitro studies and five clinical studies were finally included in the meta-analysis. The AUC values for in vitro VE amounted to 0.84 (caries detection) and 0.85 (dentin caries detection). BWR ranged in vitro from 0.55 to 0.82 (caries detection) and 0.81-0.92 (dentin caries detection). LF showed higher AUC values for overall caries detection (0.91) and dentin caries detection (0.83) than did other methods. Clinical data are limited. Conclusion The number of diagnostic studies with low/moderate RoB was found to be low and indicates a need for high-quality, well-designed caries diagnostic studies.
引用
收藏
页码:6069 / 6079
页数:11
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