Question · asked by 1 review

Other visual classification systems (unspecified or unique systems, e.g. Nyvad, Downer, Lussi, UniViSS) vs Reference standard (histology, excavation, radiographs/microCT, or tooth separation): Specificity for detection of enamel caries

Population
Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted teeth of children or adults (in vitro studies); teeth apparently healthy or with suspected early caries. Studies intentionally including caries obviously into dentine or frank cavitation, or participants referred to secondary care for restorative treatment, were excluded. Target condition: early (non-cavitated enamel-only) coronal dental caries on occlusal, approximal, or smooth surfaces
Intervention
Other visual classification systems (unspecified or unique systems, e.g. Nyvad, Downer, Lussi, UniViSS)
Comparison
Reference standard (histology, excavation, radiographs/microCT, or tooth separation)
Outcome
Specificity for detection of enamel caries

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Other visual classification systems (unspecified or unique systems, e.g. Nyvad, Downer, Lussi, UniViSS) vs Reference standard (histology, excavation, radiographs/microCT, or tooth separation)
Specificity for detection of enamel caries · Asymptomatic children or adults presenting for clinical examination (in vivo studies), or extracted teeth of children… · Up to 3 months between index test and reference standard (in vivo studies)
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane All outcomes
Specificity 0.84 [0.73, 0.91]16 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries
2021 · Cochrane All outcomes
2020-04Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.