Visual caries detection (ICDAS visual/visual-tactile inspection) vs Reference standard (histological validation or cavity/lesion opening; advanced = cavitated/dentin-involved lesions, all = enamel-confined initial lesions also counted)
Sensitivity for detecting advanced occlusal caries · Occlusal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly in vitro)
In the meta-analysis tailored to Germany, pooled sensitivity of visual detection for advanced occlusal caries was 43.7% (95% CI 37 to 51) (ungraded).
3 findings from 1 review
- Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and Germany. 2018 All outcomesPrivate practice, rural northern Germany · Tailored to GermanySensitivity 43.7 [37, 51]50 studiesGRADE not reported
- Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and Germany. 2018 All outcomesConventional meta-analysis (all studies)Sensitivity 64.6 [57, 71]94 studiesGRADE not reported
- Visual and radiographic caries detection: a tailored meta-analysis for two different settings, Egypt and Germany. 2018 All outcomesPublic health clinic, Giza (Cairo), Egypt · Tailored to EgyptSensitivity 75.1 [70, 81]55 studiesGRADE not reported