Negative LR for detecting all (initial and advanced) occlusal caries · Occlusal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly in vitro)
In the conventional (all-studies) meta-analysis, the negative lr of radiographic detection for all (initial and advanced) occlusal caries was 0.79 (95% CI 0.65 to 0.96) (ungraded).
3 findings from 1 review
Negative LR 0.79 [0.65, 0.96]
14 studies
GRADE not reported
Negative LR 0.76 [0.58, 0.99]
9 studies
GRADE not reported
Negative LR 0.75 [0.6, 0.94]
11 studies
GRADE not reported
Sensitivity for detecting advanced proximal caries · Proximal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly in vitro)
In the meta-analysis tailored to Egypt, pooled sensitivity of radiographic detection for advanced proximal caries was 44.4% (95% CI 38 to 51) (ungraded).
3 findings from 1 review
Sensitivity 44.4 [38, 51]
22 studies
GRADE not reported
Sensitivity 44.4 [38, 51]
22 studies
GRADE not reported
Sensitivity 44.4 [38, 51]
22 studies
GRADE not reported
Specificity 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 specificity of radiographic detection for advanced occlusal caries was 91.4% (95% CI 88 to 94) (ungraded).
3 findings from 1 review
Specificity 91.4 [88, 94]
36 studies
GRADE not reported
Specificity 89.3 [86, 92]
44 studies
GRADE not reported
Specificity 89.1 [86, 92]
38 studies
GRADE not reported
Specificity for detecting all (initial and 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 specificity of radiographic detection for all (initial and advanced) occlusal caries was 84.8% (95% CI 77 to 90) (ungraded).
3 findings from 1 review
Specificity 84.8 [77, 90]
9 studies
GRADE not reported
Specificity 80.4 [72, 87]
11 studies
GRADE not reported
Specificity 77.8 [70, 84]
14 studies
GRADE not reported
Specificity for detecting all (initial and advanced) proximal caries · Proximal 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 specificity of radiographic detection for all (initial and advanced) proximal caries was 91.7% (95% CI 90 to 93) (ungraded).
3 findings from 1 review
Specificity 91.7 [90, 93]
34 studies
GRADE not reported
Specificity 90.0 [87, 92]
38 studies
GRADE not reported
Specificity 92.5 [91, 94]
31 studies
GRADE not reported
Positive 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 positive lr of radiographic detection for advanced occlusal caries was 5.87 (95% CI 4.3 to 8.0) (ungraded).
3 findings from 1 review
Positive LR 5.87 [4.3, 8.0]
36 studies
GRADE not reported
Positive LR 4.9 [3.7, 6.5]
44 studies
GRADE not reported
Positive LR 5.96 [3.7, 6.6]
38 studies
GRADE not reported
Positive LR for detecting all (initial and advanced) proximal caries · Proximal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly in vitro)
In the conventional (all-studies) meta-analysis, the positive lr of radiographic detection for all (initial and advanced) proximal caries was 4.3 (95% CI 3.4 to 5.5) (ungraded).
3 findings from 1 review
Positive LR 4.3 [3.4, 5.5]
38 studies
GRADE not reported
Positive LR 4.89 [3.9, 6.2]
34 studies
GRADE not reported
Positive LR 5.34 [4.2, 6.8]
31 studies
GRADE not reported
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 Egypt, pooled sensitivity of radiographic detection for advanced occlusal caries was 54.2% (95% CI 47 to 61) (ungraded).
3 findings from 1 review
Sensitivity 54.2 [47, 61]
38 studies
GRADE not reported
Sensitivity 52.3 [44, 60]
44 studies
GRADE not reported
Sensitivity 50.8 [43, 59]
36 studies
GRADE not reported
Sensitivity for detecting all (initial and advanced) proximal caries · Proximal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly in vitro)
In the conventional (all-studies) meta-analysis, pooled sensitivity of radiographic detection for all (initial and advanced) proximal caries was 43.2% (95% CI 36 to 51) (ungraded).
3 findings from 1 review
Sensitivity 43.2 [36, 51]
38 studies
GRADE not reported
Sensitivity 40.2 [32, 48]
31 studies
GRADE not reported
Sensitivity 40.5 [33, 48]
34 studies
GRADE not reported
NPV 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 Egyptian public health clinic setting, the negative predictive value of radiographic detection for advanced occlusal caries was 89.3% at an assumed prevalence of 19.0% (ungraded).
2 findings from 1 review
NPV 89.3
38 studies
GRADE not reported
NPV 94.3
36 studies
GRADE not reported
PPV for detecting all (initial and advanced) occlusal caries · Occlusal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly in vitro)
In the German private-practice setting, the positive predictive value of radiographic detection for all (initial and advanced) occlusal caries was 22.6% at an assumed prevalence of 11.0% (ungraded).
2 findings from 1 review
PPV 22.6
9 studies
GRADE not reported
PPV 32.1
11 studies
GRADE not reported
PPV 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 Egyptian public health clinic setting, the positive predictive value of radiographic detection for advanced occlusal caries was 58.3% at an assumed prevalence of 19.0% (ungraded).
2 findings from 1 review
PPV 58.3
38 studies
GRADE not reported
PPV 39.5
36 studies
GRADE not reported
Sensitivity for detecting all (initial and 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 radiographic detection for all (initial and advanced) occlusal caries was 36.0% (95% CI 20 to 56) (ungraded).
3 findings from 1 review
Sensitivity 36.0 [20, 56]
9 studies
GRADE not reported
Sensitivity 38.6 [25, 54]
14 studies
GRADE not reported
Sensitivity 39.7 [25, 56]
11 studies
GRADE not reported
Restoration failure · Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth
No dentinal caries removal (caries sealed under a preformed metal… probably leads to lower failure of restorations compared with complete caries removal (moderate certainty).
1 finding from 1 review
Signs or symptoms of pulpal disease · Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth
No dentinal caries removal (caries sealed under a preformed metal… showed no clear difference in signs or symptoms of pulpal disease compared with complete caries removal (moderate certainty).
1 finding from 1 review
Specificity for detecting all (initial and advanced) occlusal caries · Occlusal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly in vitro)
In the conventional (all-studies) meta-analysis, pooled specificity of visual detection for all (initial and advanced) occlusal caries was 75.3% (95% CI 70 to 80) (ungraded).
3 findings from 1 review
Specificity 75.3 [70, 80]
67 studies
GRADE not reported
Specificity 91.2 [88, 94]
12 studies
GRADE not reported
Specificity 77.0 [73, 81]
51 studies
GRADE not reported
PPV 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 German private-practice setting, the positive predictive value of visual detection for advanced occlusal caries was 77.9% at an assumed prevalence of 22.0% (ungraded).
2 findings from 1 review
PPV 77.9
50 studies
GRADE not reported
PPV 30.6
55 studies
GRADE not reported
Sensitivity for detecting all (initial and 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 all (initial and advanced) occlusal caries was 49.1% (95% CI 40 to 58) (ungraded).
3 findings from 1 review
Sensitivity 49.1 [40, 58]
12 studies
GRADE not reported
Sensitivity 85.5 [81, 89]
67 studies
GRADE not reported
Sensitivity 85.8 [82, 89]
51 studies
GRADE not reported
Negative LR for detecting all (initial and advanced) occlusal caries · Occlusal surfaces of permanent molars (demonstrated in 12-14 year-olds; underlying diagnostic accuracy studies, mostly in vitro)
In the conventional (all-studies) meta-analysis, the negative lr of visual detection for all (initial and advanced) occlusal caries was 0.19 (95% CI 0.15 to 0.25) (ungraded).
3 findings from 1 review
Negative LR 0.19 [0.15, 0.25]
67 studies
GRADE not reported
Negative LR 0.18 [0.14, 0.24]
51 studies
GRADE not reported
Negative LR 0.56 [0.46, 0.68]
12 studies
GRADE not reported
Positive 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 conventional (all-studies) meta-analysis, the positive lr of visual detection for advanced occlusal caries was 7.09 (95% CI 5.6 to 8.9) (ungraded).
3 findings from 1 review
Positive LR 7.09 [5.6, 8.9]
94 studies
GRADE not reported
Positive LR 5.0 [4.3, 5.8]
55 studies
GRADE not reported
Positive LR 12.5 [9.2, 16.9]
50 studies
GRADE not reported