Intervention not reported
Risk of loss of complete retention
1 finding 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
Association between loss of complete retention risk and caries occurrence risk · Patients with fissure-sealed permanent molar teeth
Loss of complete sealant retention was directly associated with caries occurrence for resin-based sealants in the main analysis (regression slope 0.89, 95% CI 0.56 to 1.23; ungraded).
2 findings from 1 review
Regression slope (ln caries risk on ln retention-loss risk) 0.89 [0.56, 1.23]
54 studies · 17377 participants
GRADE not reported
Regression slope (ln caries risk on ln retention-loss risk) 0.53 [-0.27, 1.32]
14 studies · 3154 participants
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
Consistency of diagnosis and postoperative complications · Alaska dental health aide therapists
No significant difference was reported between DHATs and dentists in diagnosis consistency or postoperative complications, without a GRADE rating.
1 finding from 1 review
Reduction in prevalence of baby bottle tooth decay (BBTD) · Alaska Native and American Indian Head Start children
Community and caregiver oral health education was associated with a significant ~25% overall reduction in baby bottle tooth decay among Head Start children (certainty not graded).
1 finding from 1 review
Baby bottle tooth decay prevalence · Alaska Native and American Indian Head Start children
Sites discontinuing the prevention program had a non-significant 15% reduction in tooth decay rate, without a GRADE rating.
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
Dental caries · Alaska children below age 5 years
The PDHA program was projected to reduce mean DMFT in children below age 5 from 7.4 to 4.9, without a GRADE rating.
1 finding from 1 review
Mean DMFT 7.4 to 4.9
1 study
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
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
Stainless steel crown preparation and placement deficiency · Alaska dental health aide therapists
No stainless steel crown preparation deficiencies were reported; placement deficiency was 3% for DHATs versus 9% for dentists, without a GRADE rating.
1 finding from 1 review
Intervention not reported
Technical performance / deficient preparations (DHATs)
1 finding from 1 review
Projected dental care utilisation · Alaska Native children (below age 18)
A simulation projected that the PDHA program would raise dental care utilisation from 75% to 90% (certainty not graded).
1 finding from 1 review
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
Quality of dental record keeping by DHATs · Alaska Native dental patients (children aged 6-17 and adults) and their caregivers
Dental record keeping by DHATs was high quality and met Indian Health Service guidelines (certainty not graded).
1 finding from 1 review
Intervention not reported
Risk of caries occurrence
1 finding from 1 review
Baby bottle tooth decay prevalence · Alaska Native Head Start children
The Alaska Native site had a 20% increase in BBTD prevalence, without a GRADE rating.
1 finding from 1 review