Early enamel caries: Detection and diagnosis

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This comparative analysis of 5 Cochrane caries diagnostic test accuracy studies provides summary estimates for most currently available technologies. However the certainty of the evidence is considered low and it is difficult to predict real world performance.

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Proximal caries diagnostic measures

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This review of diagnostic accuracy and reliability of commonly used caries detection methods for proximal caries included 36 studies the majority (31) being conducted in-vitro. A limited number of studies were available to assess most of the diagnostic tests and how the findings from in-vitro studies translates to the the clinical situation needs to be considered cautiously.

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Caries detection using visual or visual-tactile examination

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This diagnostic test accuracy review of visual classification systems for the detection and diagnosis of non-cavitated coronal dental caries in children or adults included 67 studies. The findings suggest that these classificationssystems have resonable performance but the certainty of the evidence is low.

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Caries detection methods: How accurate are they?

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This review of the accuracy of different methods for detecting carious lesions in primary and permanent teeth compares visual inspection, radiographs and fluorescence-based detection. 240 studies were included and the findings suggest that visual inspection was adequate for most patients.

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Root caries: detection and diagnosis

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This Cochrane review assessing the diagnostic test accuracy of index tests for the detection and diagnosis of root caries in adults included 4 studies and 4997 root surfaces. The studies were all at high risk of bias meaning the available evidence is of very low certainty

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Non-carious cervical lesions: How common are they in adults?

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This review of the worldwide prevalence of non-carious cervical lesions (NCCLs) in adults included 26 cross-sectional studies providing a weighted prevalence estimate estimate of 46.7 %(95%CI; 38.2 to 55.3 %).

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Caries detection: visual detection has good accuracy

occlusal caries, molar teeth

This review included 102 studies the majority (77%) being laboratory-based findings that visual inspection had good caries detection accuracy in primary and permanent teeth, with a trend for higher specificity than sensitivity.

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Limited evidence to decide whether visual screening reduces the death rate for oral cancer

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Yesterday we looked at a review of the effectiveness of oral examination to detect potentially malignant disorders and mouth cancer today we are looking the latest version of the Cochrane review on screening programmes for the detection and prevention of oral cancer. The overall aim of this review was to assess the effectiveness of current [read the full story…]