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Visual Inspection for Caries Detection: A Systematic Review and Meta-analysis.
Gimenez, T; Piovesan, C; Braga, M M; Raggio, D P; Deery, C; Ricketts, D N; Ekstrand, K R; Mendes, F M.
Afiliação
  • Gimenez T; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • Piovesan C; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil School of Dentistry, Centro Universitário Franciscano, Santa Maria, Brazil.
  • Braga MM; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • Raggio DP; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • Deery C; School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
  • Ricketts DN; Dundee Dental Hospital and School, University of Dundee, Dundee, UK.
  • Ekstrand KR; Section of Cariology & Endodontics, Section of Pediatric Dentistry & Clinical Genetics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
  • Mendes FM; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil fmmendes@usp.br.
J Dent Res ; 94(7): 895-904, 2015 Jul.
Article em En | MEDLINE | ID: mdl-25994176
We aimed to perform a systematic review including a meta-analysis to evaluate the overall accuracy of visual methods for detecting carious lesions and to identify possible sources of heterogeneity among the studies included. Two reviewers searched PubMed, Embase, Scopus, and other sources through July 2014 to identify published and nonpublished studies in English. Studies of visual inspection were included that 1) assessed accuracy of the method in detecting caries lesions; 2) were performed on occlusal, proximal, or free smooth surfaces in primary or permanent teeth; 3) had a reference standard; and 4) reported sufficient data about sample size and accuracy of methods. The data were used to calculate the pooled sensitivity, specificity, diagnostic odds ratio, and summary receiver operating characteristics curve. Heterogeneity of the studies was also assessed. A total of 102 manuscripts (from 5,808 articles initially identified) and 1 abstract (from 168) met the inclusion criteria. In general, the analysis demonstrated that the visual method had good accuracy for detecting caries lesions. Although laboratory and clinical studies have presented similar accuracy, clinically obtained specificity was higher. We also observed moderate to high heterogeneity and evidence of publication bias in most papers. Moreover, studies employing widely recognized visual scoring systems presented significantly better accuracy as compared to studies that used their own criteria. In conclusion, visual caries detection method has good overall performance. Furthermore, although the identified studies had high heterogeneity and risk of bias, the use of detailed and validated indices seems to improve the accuracy of the method.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exame Físico / Cárie Dentária Tipo de estudo: Diagnostic_studies / Etiology_studies / Prognostic_studies / Systematic_reviews Limite: Humans Idioma: En Revista: J Dent Res Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exame Físico / Cárie Dentária Tipo de estudo: Diagnostic_studies / Etiology_studies / Prognostic_studies / Systematic_reviews Limite: Humans Idioma: En Revista: J Dent Res Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos