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)
Negative LR 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, the negative lr of visual detection for advanced occlusal caries was 0.58 (95% CI 0.5 to 0.7) (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 GermanyNegative LR 0.58 [0.5, 0.7]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)Negative LR 0.39 [0.3, 0.5]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 EgyptNegative LR 0.29 [0.2, 0.4]55 studiesGRADE not reported