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Detecting Secondary Caries Lesions: A Systematic Review and Meta-analysis.

F Brouwer1, H Askar1, S Paris1

  • 1Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Journal of Dental Research
|October 15, 2015
PubMed
Summary
This summary is machine-generated.

Accurate detection of secondary caries lesions is vital for dental restoration longevity. Visual, radiographic, and laser fluorescence methods show potential, while tactile and light-induced fluorescence require further investigation.

Keywords:
caries detection/diagnosisdental decaydiagnostic systemsdiagnostic testsevidence-based dentistryradiography

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Area of Science:

  • Dental Diagnostics
  • Caries Detection
  • Restorative Dentistry

Background:

  • Secondary caries lesions are a primary cause of dental restoration failure.
  • Early and accurate detection is critical for effective treatment and public health management.
  • Current detection methods' efficacy requires rigorous evaluation.

Purpose of the Study:

  • To systematically assess the diagnostic accuracy of various secondary caries detection methods.
  • To compare the performance of visual, tactile, radiographic, laser fluorescence, and quantitative light-induced fluorescence techniques.
  • To identify the most reliable methods for detecting secondary caries lesions.

Main Methods:

  • Systematic review and meta-analysis of clinical and in vitro studies.
  • Inclusion of studies evaluating 5 detection methods against a reference standard.
  • Calculation of sensitivity, specificity, and likelihood ratios; assessment of publication bias.

Main Results:

  • Visual, radiographic, and laser fluorescence detection demonstrated comparable sensitivities and specificities.
  • Visual and laser fluorescence were more accurate on non-proximal surfaces and adjacent to composites, respectively.
  • Tactile assessment showed low accuracy; quantitative light-induced fluorescence had variable results, particularly low specificity on non-proximal surfaces.

Conclusions:

  • Visual, radiographic, and laser fluorescence are potentially useful for detecting secondary caries.
  • The diagnostic validity of tactile and quantitative light-induced fluorescence methods remains uncertain.
  • Further high-quality research is needed to improve secondary caries detection accuracy and clinical applicability.