PubMed · 5266692
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S Wotman. 1970. Caries control.. https://pubmed.ncbi.nlm.nih.gov/5266692/
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Artificial intelligence (AI) has been proposed as a tool to improve dental caries detection across imaging modalities; however, its clinical value remains uncertain. This umbrella review aimed to synthesize and critically appraise systematic reviews evaluating AI for caries detection and diagnosis. An umbrella review was conducted following PRIOR guidance (PROSPERO CRD420261340728). Searches were performed in MEDLINE, Embase, Scopus, Web of Science, and Google Scholar up to 15 March 2026. Methodological quality was assessed using AMSTAR 2, and overlap of primary studies was quantified using the corrected covered area (CCA). Seventeen systematic reviews were included, of which five reported diagnostic test accuracy meta-analyses using bivariate or HSROC models. Across these meta-analyses, pooled sensitivity ranged from 0.76 to 0.94 and specificity from 0.85 to 0.91. Most systems were based on deep learning models applied to bitewing radiographs and intraoral photographs. However, substantial heterogeneity was observed in imaging modalities, lesion thresholds, analytical tasks, and evaluation metrics. In addition, a high degree of overlap across reviews and recurrent methodological limitations, including reliance on retrospective datasets, limited external validation, and inconsistent reporting, substantially weaken the reliability of the evidence. Although AI models demonstrate high diagnostic performance under experimental conditions, current evidence does not support their use as stand-alone diagnostic tools. Their clinical applicability remains limited, and implementation should be restricted to decision-support contexts until robust prospective validation demonstrates meaningful impact on clinical decision-making and patient outcomes.
The aim of the study was to assess the reproducibility of recently developed laser fluorescence method for occlusal caries detection in vivo. 71 non-cavitated premolar and molar teeth were examined repeatedly by three dentists using DIAGNOdent (KaVo) instrument. The presence of caries has been established on the classification of Lussi, created on the basis of "in vitro" investigations. The reproducibility of the measurements were expressed in rank correlation of Spearman. The intra- and interexaminer reliability was also determined by Kappa statistics. The Spearman correlation coefficiencies were fairly high (0.738-0.949) The intraobserver and interobserver coincidencies reflected by Kappa values (0.60-0.88 and 0.44-0.77, respectively) were also convincing.