Assessment of the accuracy of the fluorescence devices and radiography for the diagnosis of caries in primary teeth
a systematic review and meta-analysis
DOI:
https://doi.org/10.35699/2178-1990.2022.35908Keywords:
radiography, fluorescence, dental caries, systematic reviewAbstract
Aim: This systematic review and meta-analysis aimed to evaluate the accuracy of the fluorescence induction devices and radiographic method for diagnosing dental caries in primary teeth.
Methods: Searches in PubMed, Web of Science, Scopus, Embase, Open Grey, and Google Scholar were conducted in August 2021. References that met the eligibility criteria were included. The risk of bias of the included articles was assessed with QUADAS-2. Meta-analyses were performed with MedCalc. Results were provided as area under the curve (AUC), confidence interval (CI), and standard error (SE).
Results: Titles/abstracts of 619 references were evaluated by two trained reviewers independently. Fifty-six articles were selected for full-text reading. Eleven articles were included in the systematic review and meta-analysis. The included articles showed a low risk of bias. The AUC for the diagnosis of caries on enamel with the DIAGNOdent laser was 75.8% (CI = 68.1% - 83.6% / SE = 3.9% / I2 = 67.95%), whereas for the diagnosis of caries on dentin, it was 80.6% (AUC = 80.6% / CI = 65.7% - 95.6% / SE = 7.6% / I2 = 89.24%). The AUC for the diagnosis of enamel caries with the interproximal radiograph was 61.7% (CI = 51.4% - 72.1% / SE = 5.3% / I2 = 44.51%) and the AUC for the diagnosis of dentin caries with the interproximal radiograph was 73.7% (CI = 45.1% - 100% / SE = 14.6% / I2 = 96.97%).
Conclusion: Radiography and fluorescence devices are useful tools for the diagnosis of caries in deciduous teeth. Both showed better results in dentin lesions. The methods using fluorescence had better results in enamel when compared to radiography.
Uniterms: radiography; fluorescence; dental caries; systematic review.
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