Relative DOR by reference standard (LF, initial, occlusal permanent) · Permanent teeth, occlusal surfaces, with suspected caries lesions
LF performed significantly better with other reference standards than with histological validation at the initial threshold (RDOR 4.13, 1.24 to 13.76).
2 findings from 1 review
Unintended effects: self-reported temptation to under-prescribe (0- to 100-point visual analogue scale) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…
Capitation remuneration showed no clear difference in unintended effects: self-reported temptation to under-prescribe (0-… compared with fee-for-service remuneration; GRADE not reported.
1 finding from 1 review
MD 20.6
1 study
GRADE not reported
Measures of clinical activity: mean percentage of 0- to 15-year-olds receiving active preventive advice · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…
Capitation remuneration may leads to higher measures of clinical activity: mean percentage of 0- to 15-year-olds… compared with fee-for-service remuneration (low certainty).
4 findings from 1 review
RR 2.42
1 study · 2250 participants
Low
RR 0.85
1 study · 2250 participants
Low
RR 1.32
1 study · 2250 participants
Low
Show 1 more finding
More advanced caries lesion detection · Primary teeth with occlusal surfaces
Pooled specificity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=80%; no GRADE rating was reported.
2 findings from 1 review
Specificity 0.898 [0.867, 0.924]
2 studies
GRADE not reported
Sensitivity 0.850 [0.702, 0.943]
2 studies
GRADE not reported
Initial caries lesion detection · Primary teeth with occlusal surfaces
Pooled sensitivity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=0%; no GRADE rating was reported.
2 findings from 1 review
Sensitivity 0.719 [0.677, 0.757]
5 studies
GRADE not reported
Specificity 0.718 [0.637, 0.791]
5 studies
GRADE not reported
Measures of clinical activity: mean percentage of 12- to 14-year-olds receiving fissure sealants for second permanent molars per dentist (weighted by number of children seen) - unadjusted · Dentists seeing children with erupted second permanent molars (Scotland, in areas representing the four most deprived categories out of…
It is very uncertain whether fee-for-service remuneration changes measures of clinical activity: mean percentage of 12- to… compared with no specific intervention (control) (very low certainty).
1 finding from 1 review
Relative DOR by setting (LFpen, advanced, occlusal permanent) · Permanent teeth, occlusal surfaces, with suspected caries lesions
No significant setting difference for LFpen (RDOR 0.35, 0.04 to 2.99).
2 findings from 1 review
Initial caries lesion detection · Permanent teeth with occlusal surfaces
Pooled sensitivity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=0%; no GRADE rating was reported.
2 findings from 1 review
Sensitivity 0.708 [0.669, 0.745]
8 studies
GRADE not reported
Specificity 0.821 [0.739, 0.885]
8 studies
GRADE not reported
More advanced caries lesion detection · Permanent teeth with occlusal surfaces
Pooled specificity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=77%; no GRADE rating was reported.
2 findings from 1 review
Healthcare costs: mean expenditure in GBP per 0- to 15-year-old (currency year NR) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…
Capitation remuneration showed no clear difference in healthcare costs: mean expenditure in GBP per 0- to 15-year-old… compared with fee-for-service remuneration (low certainty).
4 findings from 1 review
MD 1.52
1 study · 276414 participants
Low
MD 4.22
1 study · 276414 participants
Low
MD 6.18
1 study · 276414 participants
Low
Show 1 more finding
Unintended effects: self-reported temptation to over-prescribe (0- to 100-point visual analogue scale) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…
Capitation remuneration showed no clear difference in unintended effects: self-reported temptation to over-prescribe (0-… compared with fee-for-service remuneration; GRADE not reported.
1 finding from 1 review
MD -14.9
1 study
GRADE not reported
Relative DOR by setting (LF, advanced, occlusal permanent) · Permanent teeth, occlusal surfaces, with suspected caries lesions
For LF on occlusal permanent teeth (advanced threshold), laboratory studies had significantly lower diagnostic accuracy than clinical studies (RDOR 0.28, 0.12 to 0.66).
2 findings from 1 review
Diagnostic accuracy (pooled sensitivity, specificity, diagnostic odds ratio, summary-ROC AUC) · Primary teeth, occlusal surfaces, with suspected caries lesions
Fluorescence camera on occlusal surfaces of primary teeth (more advanced-lesion threshold): pooled DOR highest for FC among the three methods; heterogeneity I2=80%. Diagnostic accuracy was not formally graded (GRADE not used).
2 findings from 1 review
Fluorescence-based methods for detecting caries lesions: systematic review, meta-analysis and sources of heterogeneity. 2013 All outcomesMore advanced (dentine/cavitated) caries lesions threshold · Laboratory (in vitro) and clinical (in vivo)
Pooled sensitivity, specificity, DOR, PLR, NLR and summary-ROC AUC reported qualitatively (Figure 7); pooled DOR highest for FC among the three methods. Heterogeneity I2=80%. Numeric pooled values not available in the…
Studies not reported
GRADE not reported
Pooled sensitivity, specificity, DOR, PLR, NLR and summary-ROC AUC reported qualitatively (Figure 7); accuracy similar among the three methods. Heterogeneity I2=0%. Numeric pooled values not available in the provided…
Studies not reported
GRADE not reported
Intervention not reported
Caries occurrence on sealed teeth
The intervention led to higher caries occurrence on sealed teeth; GRADE not reported.
1 finding from 1 review
RR 2.10 [1.23, 3.58]
4 studies
GRADE not reported
Patient outcomes: mean number of filled teeth per 0- to 15-year-old · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…
Capitation remuneration showed no clear difference in patient outcomes: mean number of filled teeth per 0- to 15-year-old compared with fee-for-service remuneration (low certainty).
4 findings from 1 review
MD -0.03
1 study · 2250 participants
Low
MD -0.28
1 study · 2250 participants
Low
MD -0.18
1 study · 2250 participants
Low
Show 1 more finding
Diagnostic accuracy (pooled sensitivity, specificity, diagnostic odds ratio, summary-ROC AUC) · Primary teeth, approximal surfaces, with suspected caries lesions
Pen-type laser fluorescence on approximal surfaces of primary teeth (initial-lesion threshold): only LFpen had sufficient studies to pool; heterogeneity I2=84%. Diagnostic accuracy was not formally graded (GRADE not used).
2 findings from 1 review
Pooled sensitivity, specificity, DOR, PLR, NLR and summary-ROC AUC reported qualitatively (Figure 8); only LFpen had sufficient studies to pool. Heterogeneity I2=84%. Numeric pooled values not available in the provided…
Studies not reported
GRADE not reported
Fluorescence-based methods for detecting caries lesions: systematic review, meta-analysis and sources of heterogeneity. 2013 All outcomesMore advanced (dentine/cavitated) caries lesions threshold · Laboratory (in vitro) and clinical (in vivo)
Pooled sensitivity, specificity, DOR, PLR, NLR and summary-ROC AUC reported qualitatively (Figure 8); LFpen showed higher pooled DOR at the more advanced threshold. Heterogeneity I2=89%. Numeric pooled values not…
Studies not reported
GRADE not reported
More advanced caries lesion detection · Primary teeth with occlusal surfaces
Pooled sensitivity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=23%; no GRADE rating was reported.
2 findings from 1 review
Sensitivity 0.672 [0.616, 0.725]
13 studies
GRADE not reported
Specificity 0.816 [0.793, 0.837]
13 studies
GRADE not reported
More advanced caries lesion detection · Permanent teeth with occlusal surfaces
Pooled specificity was reported, but the numerical estimate is not stated in the supplied text or attached figures; I²=17%; no GRADE rating was reported.
2 findings from 1 review
Relative DOR by reference standard (LFpen, advanced, occlusal permanent) · Permanent teeth, occlusal surfaces, with suspected caries lesions
No significant reference-standard difference for LFpen at the advanced threshold (RDOR 0.96, 0.12 to 7.77).
1 finding from 1 review
Diagnostic accuracy (pooled sensitivity, specificity, diagnostic odds ratio, summary-ROC AUC) · Permanent teeth, occlusal surfaces, with suspected caries lesions
Fluorescence camera on occlusal surfaces of permanent teeth (initial-lesion threshold): accuracy similar among the three methods (very low inconsistency); heterogeneity I2=0%. Diagnostic accuracy was not formally graded (GRADE not used).
2 findings from 1 review
Pooled sensitivity, specificity, DOR, PLR, NLR and summary-ROC AUC reported qualitatively (Figure 6); accuracy similar among the three methods (very low inconsistency). Heterogeneity I2=0%. Numeric pooled values not…
Studies not reported
GRADE not reported
Fluorescence-based methods for detecting caries lesions: systematic review, meta-analysis and sources of heterogeneity. 2013 All outcomesMore advanced (dentine/cavitated) caries lesions threshold · Laboratory (in vitro) and clinical (in vivo)
Pooled sensitivity, specificity, DOR, PLR, NLR and summary-ROC AUC reported qualitatively (Figure 6); pooled DOR for FC among the higher values, exceeding LFpen. Heterogeneity I2=17%. Numeric pooled values not…
Studies not reported
GRADE not reported