Question · asked by 1 review
Visual examination (VE) vs Cavity preparation or biopsy (operative validation): Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
- Population
- Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces
- Intervention
- Visual examination (VE)
- Comparison
- Cavity preparation or biopsy (operative validation)
- Outcome
- Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vivo, visual examination pooled specificity was 0.77 (95% CI 0.67 to 0.85) for occlusal caries at the 1/3 dentin detection level; ungraded.
What each review found
Include earlier review versionsNo studies found 0 · 0%GRADE not reported 4 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Visual examination (VE) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo In in vivo, visual examination pooled specificity was 0.77 (95% CI 0.67 to 0.85) for occlusal caries at the 1/3 dentin detection level; ungraded. Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) All outcomes | Specificity 0.77 [0.67, 0.85] | 3 studies | GRADE not reported |
Visual examination (VE) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo In in vivo, visual examination pooled sensitivity was 0.72 (95% CI 0.52 to 0.86) for occlusal caries at the 1/3 dentin detection level; ungraded. Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) All outcomes | Sensitivity 0.72 [0.52, 0.86] | 3 studies | GRADE not reported |
Visual examination (VE) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo In in vivo, visual examination pooled diagnostic odds ratio was 10.18 (95% CI 3.94 to 26.29) for occlusal caries at the 1/3 dentin detection level; ungraded. Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) All outcomes | DOR 10.18 [3.94, 26.29] | 3 studies | GRADE not reported |
Visual examination (VE) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo In in vivo, visual examination pooled summary ROC AUC was 0.77 for occlusal caries at the 1/3 dentin detection level; ungraded. Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) All outcomes | AUC 0.77 | 3 studies | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. 2021 All outcomes | 31 December 2018 | 73 | Not applicable |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Visual examination (VE) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography) · Extracted human permanent posterior teeth (premolars and molars), occlusal… · 1 review
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.