Non-Cochrane · DTA · PM34128130

Systematic review and meta-analysis of diagnostic methods for occlusal surface caries.

Kapor Svetlana, Rankovic Mila Janjic, Khazaei Yegane, et al. · Clinical oral investigations · 2021 · PubMed · doi:10.1007/s00784-021-04024-1

Oral HealthDental cariesAMSTAR 2: not applicable
Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
85
current version
GRADE rated
0
No studies
1
Included studies
73
linked below
No studies 1 · 1.2%Ungraded 84 · 98.8%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationHuman permanent posterior teeth (premolars and molars); primary caries on occlusal (pit-and-fissure) surfaces; in vitro (extracted teeth) and in vivo (patients, any age)37 studies of human permanent posterior teeth (29 in vitro, 8 in vivo)
InterventionIndex tests: visual examination (VE); conventional bitewing radiography (D/E/F-speed); digital bitewing radiography (sensor/phosphor plate); laser fluorescence (DIAGNOdent 2095 and 2190/Pen); fibre-optic transillumination (FOTI); quantitative light-induced fluorescence (QLF)Pooled estimates reported for VE, conventional BWR (D/E/F-speed), digital BWR (phosphor plates), LF 2095, LF pen 2190, and FOTI; no eligible QLF studies; no pooled in vivo digital BWR or FOTI
ComparisonReference standard: histological validation (in vitro); cavity preparation or biopsy (in vivo)Histological validation (in vitro); cavity preparation or biopsy (in vivo)
OutcomesDiagnostic accuracy (sensitivity, specificity, diagnostic odds ratio, sROC AUC) and/or reliability at three thresholds: caries detection level (D0 vs D1-D4), dentin detection level (D0-2 vs D3-4), 1/3 dentin detection level (Ekstrand)Pooled sensitivity, specificity, sROC AUC, and DOR by index test x threshold (Tables 3 [in vitro] and 4 [in vivo]); in vitro SP ranged 0.50 to 0.97; highest AUC 0.89 (VE, 1/3 dentin, in vitro)
Study designsIn vitro and in vivo diagnostic accuracy studies with a valid reference standardIn vitro (29 studies); in vivo (8 studies)
TimingNot specifiedNot specified

Search date: 31 December 2018. Databases: MEDLINE (via PubMed); EMBASE (via Ovid); hand-searching of reference lists of included studies and reviews

Questions and results

Visual examination (VE) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)

Population: Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
12 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, visual examination pooled sensitivity was 0.46 (95% CI 0.20 to 0.73) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.46 [0.20, 0.73]8 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, visual examination pooled specificity was 0.87 (95% CI 0.72 to 0.95) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.87 [0.72, 0.95]8 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, visual examination pooled summary ROC AUC was 0.59 for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.593 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, visual examination pooled diagnostic odds ratio was 5.93 (95% CI 3.11 to 11.31) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 5.93 [3.11, 11.31]8 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, visual examination pooled specificity was 0.83 (95% CI 0.70 to 0.92) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.83 [0.70, 0.92]3 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vitro, visual examination pooled diagnostic odds ratio was 16.6 (95% CI 4.85 to 56.79) for occlusal caries at the 1/3 dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 16.6 [4.85, 56.79]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, visual examination pooled summary ROC AUC was 0.79 for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.798 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, visual examination pooled diagnostic odds ratio was 5.55 (95% CI 1.88 to 16.38) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 5.55 [1.88, 16.38]3 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vitro, visual examination pooled specificity was 0.88 (95% CI 0.83 to 0.92) for occlusal caries at the 1/3 dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.88 [0.83, 0.92]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, visual examination pooled sensitivity was 0.59 (95% CI 0.52 to 0.67) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.59 [0.52, 0.67]3 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vitro, visual examination pooled sensitivity was 0.69 (95% CI 0.51 to 0.82) for occlusal caries at the 1/3 dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.69 [0.51, 0.82]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vitro, visual examination pooled summary ROC AUC was 0.89 for occlusal caries at the 1/3 dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.892 studiesUngraded

Conventional bitewing radiography (D-speed film) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)

Population: Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
4 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (D-speed) pooled specificity was 0.73 (95% CI 0.53 to 0.87) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.73 [0.53, 0.87]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (D-speed) pooled diagnostic odds ratio was 1.94 (95% CI 0.46 to 8.17) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 1.94 [0.46, 8.17]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (D-speed) pooled sensitivity was 0.42 (95% CI 0.18 to 0.69) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.42 [0.18, 0.69]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (D-speed) pooled summary ROC AUC was 0.60 for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.601 studyUngraded

Conventional bitewing radiography (E-speed film) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)

Population: Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
4 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (E-speed) pooled diagnostic odds ratio was 10.69 (95% CI 3.67 to 31.15) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 10.69 [3.67, 31.15]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (E-speed) pooled sensitivity was 0.48 (95% CI 0.21 to 0.77) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.48 [0.21, 0.77]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (E-speed) pooled summary ROC AUC was 0.75 for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.752 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (E-speed) pooled specificity was 0.95 (95% CI 0.53 to 0.997) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.95 [0.53, 0.997]2 studiesUngraded

Conventional bitewing radiography (F-speed film) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)

Population: Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
4 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (F-speed) pooled specificity was 0.97 (95% CI 0.71 to 0.998) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.97 [0.71, 0.998]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (F-speed) pooled diagnostic odds ratio was 23.60 (95% CI 8.28 to 67.24) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 23.60 [8.28, 67.24]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (F-speed) pooled summary ROC AUC was 0.82 for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.822 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, conventional bitewing radiography (F-speed) pooled sensitivity was 0.50 (95% CI 0.22 to 0.79) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.50 [0.22, 0.79]2 studiesUngraded

Digital bitewing radiography (phosphor plates) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)

Population: Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
4 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, digital bitewing radiography (phosphor plates) pooled summary ROC AUC was 0.73 for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.732 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, digital bitewing radiography (phosphor plates) pooled specificity was 0.95 (95% CI 0.59 to 0.995) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.95 [0.59, 0.995]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, digital bitewing radiography (phosphor plates) pooled sensitivity was 0.48 (95% CI 0.24 to 0.73) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.48 [0.24, 0.73]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, digital bitewing radiography (phosphor plates) pooled diagnostic odds ratio was 15.57 (95% CI 0.47 to 515.27) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 15.57 [0.47, 515.27]2 studiesUngraded

Laser fluorescence (DIAGNOdent 2095) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)

Population: Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
8 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, laser fluorescence (DIAGNOdent 2095) pooled summary ROC AUC was 0.81 for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.816 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, laser fluorescence (DIAGNOdent 2095) pooled summary ROC AUC was 0.79 for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.797 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, laser fluorescence (DIAGNOdent 2095) pooled specificity was 0.78 (95% CI 0.68 to 0.85) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.78 [0.68, 0.85]7 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, laser fluorescence (DIAGNOdent 2095) pooled sensitivity was 0.75 (95% CI 0.58 to 0.86) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.75 [0.58, 0.86]6 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, laser fluorescence (DIAGNOdent 2095) pooled specificity was 0.76 (95% CI 0.60 to 0.87) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.76 [0.60, 0.87]6 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, laser fluorescence (DIAGNOdent 2095) pooled sensitivity was 0.68 (95% CI 0.54 to 0.79) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.68 [0.54, 0.79]7 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, laser fluorescence (DIAGNOdent 2095) pooled diagnostic odds ratio was 8.01 (95% CI 4.04 to 15.88) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 8.01 [4.04, 15.88]7 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, laser fluorescence (DIAGNOdent 2095) pooled diagnostic odds ratio was 10.28 (95% CI 4.35 to 24.28) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 10.28 [4.35, 24.28]6 studiesUngraded

Laser fluorescence pen (DIAGNOdent 2190/Pen) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)

Population: Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
8 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, laser fluorescence pen (2190) pooled diagnostic odds ratio was 11.83 (95% CI 2.66 to 52.63) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 11.83 [2.66, 52.63]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, laser fluorescence pen (2190) pooled summary ROC AUC was 0.78 for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.784 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, laser fluorescence pen (2190) pooled specificity was 0.77 (95% CI 0.62 to 0.88) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.77 [0.62, 0.88]4 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, laser fluorescence pen (2190) pooled sensitivity was 0.63 (95% CI 0.37 to 0.83) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.63 [0.37, 0.83]4 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, laser fluorescence pen (2190) pooled sensitivity was 0.78 (95% CI 0.44 to 0.94) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.78 [0.44, 0.94]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, laser fluorescence pen (2190) pooled diagnostic odds ratio was 5.85 (95% CI 1.77 to 19.30) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 5.85 [1.77, 19.30]4 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, laser fluorescence pen (2190) pooled summary ROC AUC was 0.77 for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.772 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, laser fluorescence pen (2190) pooled specificity was 0.77 (95% CI 0.62 to 0.87) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.77 [0.62, 0.87]2 studiesUngraded

Fibre-optic transillumination (FOTI) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)

Population: Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
8 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, fibre-optic transillumination pooled summary ROC AUC was 0.92 for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.922 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, fibre-optic transillumination pooled sensitivity was 0.97 (95% CI -0.92 to 0.99) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.97 [-0.92, 0.99]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, fibre-optic transillumination pooled specificity was 0.97 (95% CI 0.89 to 0.994) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.97 [0.89, 0.994]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, fibre-optic transillumination pooled diagnostic odds ratio was 37.77 (95% CI 13.69 to 104.19) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 37.77 [13.69, 104.19]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, fibre-optic transillumination pooled summary ROC AUC was 0.92 for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
AUC 0.921 studyUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, fibre-optic transillumination pooled diagnostic odds ratio was 38.33 (95% CI 10.15 to 144.77) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
DOR 38.33 [10.15, 144.77]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vitro, fibre-optic transillumination pooled specificity was 0.50 (95% CI 0.34 to 0.66) for occlusal caries at the caries detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Specificity 0.50 [0.34, 0.66]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vitro, fibre-optic transillumination pooled sensitivity was 0.49 (95% CI 0.20 to 0.79) for occlusal caries at the dentin detection level; ungraded.
Source: Table 3 (bivariate meta-analysis, in vitro studies) · same question in other reviews
Sensitivity 0.49 [0.20, 0.79]2 studiesUngraded

Visual examination (VE) vs Cavity preparation or biopsy (operative validation)

Population: Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces
8 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vivo, visual examination pooled specificity was 0.77 (95% CI 0.67 to 0.85) for occlusal caries at the 1/3 dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Specificity 0.77 [0.67, 0.85]3 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, visual examination pooled specificity was 0.47 (95% CI 0.26 to 0.70) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Specificity 0.47 [0.26, 0.70]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, visual examination pooled summary ROC AUC was 0.70 for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
AUC 0.702 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vivo, visual examination pooled sensitivity was 0.72 (95% CI 0.52 to 0.86) for occlusal caries at the 1/3 dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Sensitivity 0.72 [0.52, 0.86]3 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vivo, visual examination pooled diagnostic odds ratio was 10.18 (95% CI 3.94 to 26.29) for occlusal caries at the 1/3 dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
DOR 10.18 [3.94, 26.29]3 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, visual examination pooled sensitivity was 0.70 (95% CI 0.59 to 0.80) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Sensitivity 0.70 [0.59, 0.80]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4)
In in vivo, visual examination pooled summary ROC AUC was 0.77 for occlusal caries at the 1/3 dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
AUC 0.773 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, visual examination pooled diagnostic odds ratio was 2.14 (95% CI 0.73 to 6.28) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
DOR 2.14 [0.73, 6.28]2 studiesUngraded

Conventional bitewing radiography (D-speed film) vs Cavity preparation or biopsy (operative validation)

Population: Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces
8 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, conventional bitewing radiography (D-speed) pooled sensitivity was 0.65 (95% CI 0.57 to 0.73) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Sensitivity 0.65 [0.57, 0.73]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, conventional bitewing radiography (D-speed) pooled specificity was 0.75 (95% CI 0.68 to 0.82) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Specificity 0.75 [0.68, 0.82]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, conventional bitewing radiography (D-speed) pooled summary ROC AUC was 0.65 for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
AUC 0.651 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, conventional bitewing radiography (D-speed) pooled sensitivity was 0.79 (95% CI 0.41 to 0.96) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Sensitivity 0.79 [0.41, 0.96]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, conventional bitewing radiography (D-speed) pooled specificity was 0.58 (95% CI 0.42 to 0.72) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Specificity 0.58 [0.42, 0.72]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, conventional bitewing radiography (D-speed) pooled summary ROC AUC was 0.77 for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
AUC 0.772 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, conventional bitewing radiography (D-speed) pooled diagnostic odds ratio was 11.79 (95% CI 2.43 to 57.24) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
DOR 11.79 [2.43, 57.24]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, conventional bitewing radiography (D-speed) pooled diagnostic odds ratio was 2.59 (95% CI 1.24 to 5.44) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
DOR 2.59 [1.24, 5.44]1 studyUngraded

Conventional bitewing radiography (E-speed film) vs Cavity preparation or biopsy (operative validation)

Population: Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces
8 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, conventional bitewing radiography (E-speed) pooled diagnostic odds ratio was 127.56 (95% CI 7.38 to 2203.70) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
DOR 127.56 [7.38, 2203.70]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, conventional bitewing radiography (E-speed) pooled summary ROC AUC was 0.94 for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
AUC 0.941 studyUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, conventional bitewing radiography (E-speed) pooled sensitivity was 0.80 (95% CI 0.71 to 0.87) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Sensitivity 0.80 [0.71, 0.87]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, conventional bitewing radiography (E-speed) pooled diagnostic odds ratio was 60.37 (95% CI 3.31 to 1100.70) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
DOR 60.37 [3.31, 1100.70]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, conventional bitewing radiography (E-speed) pooled specificity was 0.94 (95% CI 0.46 to 0.996) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Specificity 0.94 [0.46, 0.996]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, conventional bitewing radiography (E-speed) pooled specificity was 0.98 (95% CI 0.79 to 0.998) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Specificity 0.98 [0.79, 0.998]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, conventional bitewing radiography (E-speed) pooled summary ROC AUC was 0.90 for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
AUC 0.902 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, conventional bitewing radiography (E-speed) pooled sensitivity was 0.76 (95% CI 0.61 to 0.87) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Sensitivity 0.76 [0.61, 0.87]2 studiesUngraded

Laser fluorescence (DIAGNOdent 2095) vs Cavity preparation or biopsy (operative validation)

Population: Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces
8 questions
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, laser fluorescence (DIAGNOdent 2095) pooled diagnostic odds ratio was 18.33 (95% CI 7.57 to 44.37) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
DOR 18.33 [7.57, 44.37]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, laser fluorescence (DIAGNOdent 2095) pooled summary ROC AUC was 0.92 for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
AUC 0.922 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, laser fluorescence (DIAGNOdent 2095) pooled sensitivity was 0.88 (95% CI 0.81 to 0.93) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Sensitivity 0.88 [0.81, 0.93]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, laser fluorescence (DIAGNOdent 2095) pooled diagnostic odds ratio was 35.90 (95% CI 13.43 to 96.00) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
DOR 35.90 [13.43, 96.00]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, laser fluorescence (DIAGNOdent 2095) pooled specificity was 0.71 (95% CI 0.55 to 0.83) for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Specificity 0.71 [0.55, 0.83]1 studyUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, laser fluorescence (DIAGNOdent 2095) pooled specificity was 0.78 (95% CI 0.46 to 0.94) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Specificity 0.78 [0.46, 0.94]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4)
In in vivo, laser fluorescence (DIAGNOdent 2095) pooled sensitivity was 0.91 (95% CI 0.86 to 0.95) for occlusal caries at the dentin detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
Sensitivity 0.91 [0.86, 0.95]2 studiesUngraded
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4)
In in vivo, laser fluorescence (DIAGNOdent 2095) pooled summary ROC AUC was 0.88 for occlusal caries at the caries detection level; ungraded.
Source: Table 4 (bivariate meta-analysis, in vivo studies) · same question in other reviews
AUC 0.881 studyUngraded

Quantitative light-induced fluorescence (QLF) vs Histological validation (in vitro) or cavity preparation/biopsy (in vivo)

Population: Human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces
1 question
OutcomeEffectEvidenceStatus / GRADE
Diagnostic accuracy for occlusal caries detection (any threshold)
No eligible QLF studies met the meta-analysis inclusion criteria (candidate QLF studies were identified but none had acceptable index/reference tests and reporting quality).
Source: Results ('none used QLF'); Table 2 (QLF: 0 studies with acceptable index/reference test) · same question in other reviews
no estimate extracted0 studiesNo studies

Included primary studies 73

Open as a trial list
StudyAlso included byOutcomes it informs hereTrial PICOResults
Akarsu 2006
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Akarsu 2006
In vivo comparison of the efficacy of DIAGNOdent by visual inspection and radiographic diagnostic techniques in the diagnosis of occlusal…
PMID:17022365
this review onlynot statednot extracted yetnot extracted yet
Aktan 2012
A novel LED-based device for occlusal caries detection
DOI:10.1007/s10103-011-1020-0
this review onlynot statednot extracted yetnot extracted yet
Aktan 2012
A novel LED-based device for occlusal caries detection.
PMID:22080431
this review onlynot statednot extracted yetnot extracted yet
Angnes 2005
Occlusal caries diagnosis in permanent teeth: an in vitro study
DOI:10.1590/s1806-83242005000400002
this review onlynot statednot extracted yetnot extracted yet
Angnes 2005
Occlusal caries diagnosis in permanent teeth: an in vitro study.
PMID:16491250
this review onlynot statednot extracted yetnot extracted yet
Bahrololoomi 2015
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Bahrololoomi 2015
Comparison of Radiography, Laser Fluorescence and Visual Examination for Diagnosing Incipient Occlusal Caries of Permanent First Molars.
PMID:26877727
this review onlynot statednot extracted yetnot extracted yet
Baseren 2003
Validity of a laser fluorescence system (DIAGNOdent) for detection of occlusal caries in third molars: an <i>in vitro</i> study
DOI:10.1111/j.1365-2842.2003.01164.x
this review onlynot statednot extracted yetnot extracted yet
Baseren 2003
Validity of a laser fluorescence system (DIAGNOdent) for detection of occlusal caries in third molars: an in vitro study.
PMID:14641662
this review onlynot statednot extracted yetnot extracted yet
Bozdemir 2013
<i>In Vivo</i> Performance of Two Devices for Occlusal Caries Detection
DOI:10.1089/pho.2012.3458
this review onlynot statednot extracted yetnot extracted yet
Bozdemir 2013
In vivo performance of two devices for occlusal caries detection.
PMID:23763480
this review onlynot statednot extracted yetnot extracted yet
Bucher 2015
Occlusal Caries Extension in Relation to Visual and Radiographic Diagnostic Criteria: Results from a Microcomputed Tomography Study
DOI:10.2341/13-128-l
this review onlynot statednot extracted yetnot extracted yet
Bucher 2015
Occlusal caries extension in relation to visual and radiographic diagnostic criteria: results from a microcomputed tomography study.
PMID:25695643
this review onlynot statednot extracted yetnot extracted yet
Castilho 2016
Validation of <scp>DIAGNO</scp>dent laser fluorescence and the International Caries Detection and Assessment System (<scp>ICDAS</scp>) in…
DOI:10.1111/eos.12257
this review onlynot statednot extracted yetnot extracted yet
Castilho 2016
Validation of DIAGNOdent laser fluorescence and the International Caries Detection and Assessment System (ICDAS) in diagnosis of occlusal…
PMID:26917102
this review onlynot statednot extracted yetnot extracted yet
Cortes 2000
An in vitro Comparison of the Ability of Fibre–Optic Transillumination, Visual Inspection and Radiographs to Detect Occlusal Caries and…
DOI:10.1159/000016621
this review onlynot statednot extracted yetnot extracted yet
Cortes 2000
An in vitro comparison of the ability of fibre-optic transillumination, visual inspection and radiographs to detect occlusal caries and…
PMID:11093016
this review onlynot statednot extracted yetnot extracted yet
Cortes 2003
An in vitro Comparison of a Combined FOTI/Visual Examination of Occlusal Caries with Other Caries Diagnostic Methods and the Effect of…
DOI:10.1159/000068230
this review onlynot statednot extracted yetnot extracted yet
Cortes 2003
An in vitro comparison of a combined FOTI/visual examination of occlusal caries with other caries diagnostic methods and the effect of…
PMID:12566633
this review onlynot statednot extracted yetnot extracted yet
Cotta 2015
Lesion Activity Assessment (LAA) in Conjunction With International Caries Detection and Assessment System (ICDAS) for Occlusal Caries…
DOI:10.2341/13-332-c
this review onlynot statednot extracted yetnot extracted yet
Cotta 2015
Lesion Activity Assessment (LAA) in Conjunction With International Caries Detection and Assessment System (ICDAS) for Occlusal Caries…
PMID:26381850
this review onlynot statednot extracted yetnot extracted yet
de Paula 2011
In situ and in vitro comparison of laser fluorescence with visual inspection in detecting occlusal caries lesions
DOI:10.1007/s10103-009-0731-y
this review onlynot statednot extracted yetnot extracted yet
de Paula 2011
In situ and in vitro comparison of laser fluorescence with visual inspection in detecting occlusal caries lesions.
PMID:19784712
this review onlynot statednot extracted yetnot extracted yet
Deery 1995
The Effect of Placing a Clear Pit and Fissure Sealant on the Validity and Reproducibility of Occlusal Caries Diagnosis
DOI:10.1159/000262096
this review onlynot statednot extracted yetnot extracted yet
Deery 1995
The effect of placing a clear pit and fissure sealant on the validity and reproducibility of occlusal caries diagnosis.
PMID:8521440
this review onlynot statednot extracted yetnot extracted yet
Erten 2005
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Erten 2005
The assessment of unaided visual examination, intraoral camera and operating microscope for the detection of occlusal caries lesions.
PMID:15853104
this review onlynot statednot extracted yetnot extracted yet
Francescut 2003
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Francescut 2003
Correlation between fissure discoloration, Diagnodent measurements, and caries depth: an in vitro study.
PMID:14733470
this review onlynot statednot extracted yetnot extracted yet
Fung 2004
Diagnostic comparison of three groups of examiners using visual and laser fluorescence methods to detect occlusal caries <i>in vitro</i>
DOI:10.1111/j.1834-7819.2004.tb00052.x
this review onlynot statednot extracted yetnot extracted yet
Fung 2004
Diagnostic comparison of three groups of examiners using visual and laser fluorescence methods to detect occlusal caries in vitro.
PMID:15293816
this review onlynot statednot extracted yetnot extracted yet
Gray 1997
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Gray 1997
Fissure caries diagnosis and resulting treatment decisions by clinical community dental officers and general dental practitioners.
PMID:9594734
this review onlynot statednot extracted yetnot extracted yet
Heinrich-Weltzien 2002
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Heinrich-Weltzien 2002
Clinical evaluation of visual, radiographic, and laser fluorescence methods for detection of occlusal caries.
PMID:12515052
this review onlynot statednot extracted yetnot extracted yet
Huth 2008
Clinical performance of a new laser fluorescence device for detection of occlusal caries lesions in permanent molars
DOI:10.1016/j.jdent.2008.08.013
this review onlynot statednot extracted yetnot extracted yet
Huth 2008
Clinical performance of a new laser fluorescence device for detection of occlusal caries lesions in permanent molars.
PMID:18930575
this review onlynot statednot extracted yetnot extracted yet
Ie 1995
Electrical Conductance of Fissure Enamel in Recently Erupted Molar Teeth as Related to Caries Status
DOI:10.1159/000262048
this review onlynot statednot extracted yetnot extracted yet
Ie 1995
Electrical conductance of fissure enamel in recently erupted molar teeth as related to caries status.
PMID:7728835
this review onlynot statednot extracted yetnot extracted yet
Ketley 1993
Visual and radiographic diagnosis of occlusal caries in first permanent molars and in second primary molars
DOI:10.1038/sj.bdj.4808172
this review onlynot statednot extracted yetnot extracted yet
Ketley 1993
Visual and radiographic diagnosis of occlusal caries in first permanent molars and in second primary molars.
PMID:8494666
this review onlynot statednot extracted yetnot extracted yet
Lussi 1993
Comparison of Different Methods for the Diagnosis of Fissure Caries without Cavitation
DOI:10.1159/000261572
this review onlynot statednot extracted yetnot extracted yet
Lussi 1993
Comparison of different methods for the diagnosis of fissure caries without cavitation.
PMID:8242679
this review onlynot statednot extracted yetnot extracted yet
Lussi 1995
In vivo Diagnosis of Fissure Caries Using a New Electrical Resistance Monitor
DOI:10.1159/000262046
this review onlynot statednot extracted yetnot extracted yet
Lussi 1995
In vivo diagnosis of fissure caries using a new electrical resistance monitor.
PMID:7728833
this review onlynot statednot extracted yetnot extracted yet
Lussi 2006
Performance of a new laser fluorescence device for the detection of occlusal caries in vitro
DOI:10.1016/j.jdent.2005.11.002
this review onlynot statednot extracted yetnot extracted yet
Lussi 2006
Performance of a new laser fluorescence device for the detection of occlusal caries in vitro.
PMID:16431009
this review onlynot statednot extracted yetnot extracted yet
Manton 2007
The Effect of Pit and Fissure Sealants on the Detection of Occlusal Caries in vitro
DOI:10.1007/bf03262569
this review onlynot statednot extracted yetnot extracted yet
Manton 2007
The effect of pit and fissure sealants on the detection of occlusal caries in vitro.
PMID:17394890
this review onlynot statednot extracted yetnot extracted yet
Mestriner 2005
Comparison of different methods for the occlusal dentine caries diagnosis
DOI:10.1590/s1678-77572005000100007
this review onlynot statednot extracted yetnot extracted yet
Mestriner 2005
Comparison of different methods for the occlusal dentine caries diagnosis.
PMID:20944877
this review onlynot statednot extracted yetnot extracted yet
Mortensen 2014
Detection of non-cavitated occlusal caries with impedance spectroscopy and laser fluorescence: an in vitro study.
PMID:24799965
this review onlynot statednot extracted yetnot extracted yet
Nytun 1992
Diagnosis of dentin involvement in occlusal caries based on visual and radiographic examination of the teeth
DOI:10.1111/j.1600-0722.1992.tb01730.x
this review onlynot statednot extracted yetnot extracted yet
Nytun 1992
Diagnosis of dentin involvement in occlusal caries based on visual and radiographic examination of the teeth.
PMID:1631482
this review onlynot statednot extracted yetnot extracted yet
Pereira 2001
Caries Detection Methods: Can They Aid Decision Making for Invasive Sealant Treatment?
DOI:10.1159/000047437
this review onlynot statednot extracted yetnot extracted yet
Pereira 2001
Caries detection methods: can they aid decision making for invasive sealant treatment?
PMID:11275666
this review onlynot statednot extracted yetnot extracted yet
Reis 2006
Performance of methods of occlusal caries detection in permanent teeth under clinical and laboratory conditions
DOI:10.1016/j.jdent.2005.04.002
this review onlynot statednot extracted yetnot extracted yet
Reis 2006
Performance of methods of occlusal caries detection in permanent teeth under clinical and laboratory conditions.
PMID:15970371
this review onlynot statednot extracted yetnot extracted yet
Ricketts 1995
Clinical and radiographic diagnosis of occlusal caries. a study <i>in vitro</i>
DOI:10.1111/j.1365-2842.1995.tb00205.x
this review onlynot statednot extracted yetnot extracted yet
Ricketts 1995
Clinical and radiographic diagnosis of occlusal caries: a study in vitro.
PMID:7897553
this review onlynot statednot extracted yetnot extracted yet
Rodrigues 2009
In vitro comparison of laser fluorescence performance with visual examination for detection of occlusal caries in permanent and primary…
PMID:18373155
this review onlynot statednot extracted yetnot extracted yet
Rodrigues 2009
The influence of PVC wrapping on the performance of two laser fluorescence devices on occlusal surfaces in vitro.
PMID:19416005
this review onlynot statednot extracted yetnot extracted yet
Rodrigues 2009 (Laser Med Sci)
In vitro comparison of laser fluorescence performance with visual examination for detection of occlusal caries in permanent and primary…
DOI:10.1007/s10103-008-0552-4
this review onlynot statednot extracted yetnot extracted yet
Rodrigues 2009 (Photomed Laser Surg)
The Influence of PVC Wrapping on the Performance of Two Laser Fluorescence Devices on Occlusal Surfaces <i>in Vitro</i>
DOI:10.1089/pho.2008.2333
this review onlynot statednot extracted yetnot extracted yet
Rodrigues 2011
Light-emitting diode and laser fluorescence-based devices in detecting occlusal caries
DOI:10.1117/1.3631796
this review onlynot statednot extracted yetnot extracted yet
Rodrigues 2011
Light-emitting diode and laser fluorescence-based devices in detecting occlusal caries.
PMID:22029365
this review onlynot statednot extracted yetnot extracted yet
Souza-Zaroni 2006
Validity and Reproducibility of Different Combinations of Methods for Occlusal Caries Detection: An in vitro Comparison
DOI:10.1159/000092225
this review onlynot statednot extracted yetnot extracted yet
Souza-Zaroni 2006
Validity and reproducibility of different combinations of methods for occlusal caries detection: an in vitro comparison.
PMID:16707866
this review onlynot statednot extracted yetnot extracted yet
Tranaeus 2004
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Tranaeus 2004
In vivo validity and reliability of IR fluorescence measurements for caries detection and quantification.
PMID:15779494
this review onlynot statednot extracted yetnot extracted yet
Wenzel 1991
Radiographic detection of occlusal caries in noncavitated teeth
DOI:10.1016/0030-4220(91)90504-6
this review onlynot statednot extracted yetnot extracted yet
Wenzel 1991
Radiographic detection of occlusal caries in noncavitated teeth. A comparison of conventional film radiographs, digitized film…
PMID:1745523
this review onlynot statednot extracted yetnot extracted yet