Journal of Evidence-Based Dental Practice最新文献

{"title":"THE EFFECTS OF PREVENTIVE INTERVENTIONS FOR ORTHODONTICALLY INDUCED WHITE SPOT LESIONS: AN UMBRELLA REVIEW AND EVIDENCE MAPPING","authors":"JINGJING YU ,&nbsp;DANCHEN QIN ,&nbsp;FEIYANG GUO ,&nbsp;TINGTING ZHAO ,&nbsp;HONG HE ,&nbsp;FANG HUA","doi":"10.1016/j.jebdp.2025.102089","DOIUrl":"10.1016/j.jebdp.2025.102089","url":null,"abstract":"<div><h3>Objectives</h3><div>To summarize and evaluate systematic reviews (SRs) regarding preventive interventions for orthodontically induced white spot lesions (WSLs) and map currently available evidence in this field.</div></div><div><h3>Materials and methods</h3><div>An electronic search was conducted up to 20 June 2024 in the following 7 databases with no restrictions: PubMed, Embase, Web of Science, Cochrane Reviews, Scopus, WanFang, and CNKI. Screening, data extraction, and quality assessment (using AMSTAR 2 and ROBIS) were performed by 2 authors independently and in duplicate. Results were summarized and analyzed qualitatively. Evidence mapping was applied to display current evidence and research gaps.</div></div><div><h3>Results</h3><div>A total of 24 SRs were included. Only a few SRs were of ‘low’ risk of bias (<em>n</em> = 4) according to ROBIS, or of ‘high’ (<em>n</em> = 1) or ‘moderate’ overall confidence (<em>n</em> = 2) according to AMSTAR 2. The evidence mapping depicted the diversity of interventions, and 27 different comparisons in included SRs were identified. Remineralizing agents were the most frequently assessed types of interventions, while self-applied antibacterial agents and mechanical cleaning procedures were studied in few SRs. Topical fluoride applications, oral hygiene-related reminders and sealants were effective in preventing WSLs compared to control/placebo. No sufficient evidence supported the effectiveness of other interventions.</div></div><div><h3>Conclusion</h3><div>The number of high-quality SRs regarding the preventive intervention of WSLs is limited. Various preventive interventions for WSLs exist, but most current SRs focus on remineralizing agents. More high-quality randomized controlled trials are required to increase the certainty of evidence and to guide clinical practice.</div></div><div><h3>Registration</h3><div>PROSPERO (CRD42023428516).</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102089"},"PeriodicalIF":4.1,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ARTIFICIAL INTELLIGENCE DEMONSTRATES POTENTIAL IN DETECTING CARIES ON BITEWING RADIOGRAPHS, BUT FURTHER HIGH-QUALITY STUDIES ARE REQUIRED","authors":"AHMED YASEEN ALQUTAIBI (REVIEWERS),&nbsp;ANAS SAEED AL-ZAGHRURI","doi":"10.1016/j.jebdp.2025.102087","DOIUrl":"10.1016/j.jebdp.2025.102087","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Diagnostic performance of artificial intelligence-aided caries detection on bitewing radiographs: A systematic review and meta-analysis. Ammar, N. &amp; Kühnisch, J. Japanese Dental Science Review, 60(2024): 128-136.</div></div><div><h3>Source of Funding</h3><div>Nonprofit foundation: Förderprogramm der Forschungsgemeinschaft Dental e.V. (FGD) with grant number 01/2023 to NA.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review with meta-analysis.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102087"},"PeriodicalIF":4.1,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LIMITED EVIDENCE SUGGESTS ARTIFICIAL INTELLIGENCE SHOWS PROMISING PERFORMANCE IN OUTCOMES RELEVANT TO REMOVABLE AND FIXED PROSTHODONTIC FIELDS","authors":"IMAN ABD-ELWAHAB RADI (REVIEWERS),&nbsp;YOUSSEF ATEF SHAKER IBRAHIM SAID","doi":"10.1016/j.jebdp.2025.102086","DOIUrl":"10.1016/j.jebdp.2025.102086","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Revilla-León M, Gómez-Polo M, Vyas S, Barmak AB, Gallucci GO, Att W, Özcan M, Krishnamurthy VR. Artificial intelligence models for tooth-supported fixed and removable prosthodontics: A systematic review. J Prosthet Dent. 2023;129:276-92.</div></div><div><h3>Source of Funding</h3><div>This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review with meta-analysis of data.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102086"},"PeriodicalIF":4.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"POLISHED MONOLITHIC ZIRCONIA CROWNS MAY CAUSE LESS ANTAGONIST ENAMEL WEAR COMPARED TO METAL-CERAMIC RESTORATIONS","authors":"AHMED YASEEN ALQUTAIBI (Reviewers),&nbsp;RAMY MOUSTAFA MOUSTAFA ALI","doi":"10.1016/j.jebdp.2025.102088","DOIUrl":"10.1016/j.jebdp.2025.102088","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Flores-Ferreyra, B. I., Argueta-Figueroa, L., Torres-Rosas, R., Carrasco-Gutiérrez, R. G., Casillas-Santana, M. A., &amp; de los Angeles Moyaho-Bernal, M. (2024). Dental human enamel wear caused by ceramic antagonists: A systematic review and network meta-analysis. Journal of Prosthodontic Research, JPR_D_23_00263.\" Journal of Prosthodontic Research. Flores-Ferreyra, B.I., et al. (2024). DOI: <span><span>10.2186/jpr.JPR_D_23_00263</span><svg><path></path></svg></span>.</div></div><div><h3>Source of Funding</h3><div>Information is not available.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review and network meta-analysis of clinical studies.</div></div><div><h3>Conflict of interest</h3><div>None.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102088"},"PeriodicalIF":4.1,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"INTEGRATION OF DENTAL PATIENT-REPORTED OUTCOMES (dPROs) IN TELEDENTISTRY TO ENHANCE PATIENT-CENTERED CARE: A SCOPING REVIEW","authors":"KASTURI SHUKLA ,&nbsp;ASIYA M. ATTAR","doi":"10.1016/j.jebdp.2024.102084","DOIUrl":"10.1016/j.jebdp.2024.102084","url":null,"abstract":"<div><h3>Introduction</h3><div>Teledentistry offers an opportunity to improve Patient-Centered Care (PCC) for dental patients. Evaluation of PCC in conventional and teledentistry requires the use of Dental Patient-Reported Outcome Measures (dPROMs). However, there is limited literature on the integration of dPROMs in teledentistry, and a need arises for the synthesis of existing knowledge, comprehending it and identifying the gaps. Hence, conducting a scoping review would systematically map out the key themes, provide insights into the trends and highlight knowledge gaps in the currently published literature.</div></div><div><h3>Methods</h3><div>Google Scholar, Scopus, and Web of Science databases were searched using a combination of keywords such as “Teledentistry,” “dental patient-reported outcome measures,” and “dPROMs.” Using established eligibility criteria, suitable records were exported and organized on an Excel sheet. Original research and review articles in English where dPROMs or its dimensions were used after a teledentistry session were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review (PRISMA-ScR) criteria was followed to report the results.</div></div><div><h3>Results</h3><div>Out of the 28 reviewed studies, majority were cross-sectional and were largely conducted in the UK, the USA, India, and Indonesia. Studies predominantly had adult population and female participants. Most studies highlighted dPROMs dimensions such as patient satisfaction, communication, and travel convenience, suggesting that dPROMs in teledentistry may enhance PCC.</div></div><div><h3>Conclusion</h3><div>Distinction between the indicators of PCC, like patient satisfaction and patient experience, is necessary. Future studies should concentrate on longitudinal studies across various demographic groups with standardized measurement and equal gender representation.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102084"},"PeriodicalIF":4.1,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COMPARATIVE EVALUATION OF RETENTION AND CARIES PREVENTIVE EFFECT OF HYDROPHILIC AND HYDROPHOBIC PIT AND FISSURE SEALANTS: A SYSTEMATIC REVIEW AND META ANALYSIS","authors":"JADHAV SACHIN KUMAR,&nbsp;ZAINAB AKRAM,&nbsp;PG NAVEEN KUMAR,&nbsp;MAHESH R. KHAIRNAR,&nbsp;NEHA SHUKLA","doi":"10.1016/j.jebdp.2024.102085","DOIUrl":"10.1016/j.jebdp.2024.102085","url":null,"abstract":"<div><h3>Background</h3><div>Dental sealants are critical in preventing caries by protecting pits and fissures from food and microorganism accumulation. Sealants are categorized as hydrophobic and hydrophilic. Hydrophobic sealants exhibit higher retention but less effective in moist environments, hydrophilic sealants perform better under such conditions. Evaluating retention and caries prevention efficacy of these sealants is essential for optimizing dental care practices. This review evaluates retention and caries preventive efficacy of both sealants.</div></div><div><h3>Materials and Methods</h3><div>Data on study design, sample size, sealant type, follow-up duration, retention rates, and secondary caries incidence were extracted. The risk of bias assessed using RevMan 5.4, and meta-analyses were conducted with both random-effects model and fixed-effects model based on heterogeneity and nature of included studies.</div></div><div><h3>Results</h3><div>Adhering to PRISMA guidelines, 15 Randomized Controlled Trials (RCTs) and 3 Non-Randomized Controlled Trials (NRCTs) met with inclusion criteria. Hydrophilic sealants showed significantly higher retention rates at 3 months (OR: 3.00, 95 % CI: 1.46-6.16) and 12 months (OR: 2.00, 95 % CI: 1.35-2.96). However, no significant differences observed at 6, 9, and 18 months. Caries prevention efficacy was similar for both sealant types across all follow-up periods, with low heterogeneity indicating consistent results.</div></div><div><h3>Discussion</h3><div>Hydrophilic sealants initially provide better retention due to moisture-resistant properties but do not sustain this advantage in long run. Both sealant types are equally effective in preventing caries. These findings align with prior studies, emphasizing importance of moisture control in sealant application.</div></div><div><h3>Conclusion</h3><div>Hydrophilic sealants exhibit superior short-term retention and similar caries prevention efficacy compared to hydrophobic sealants.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102085"},"PeriodicalIF":4.1,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ORAL HEALTH IMPACT AMONG CHILDREN: A SYSTEMATIC REVIEW UPDATE IN 2024","authors":"FOLAKE B. LAWAL ,&nbsp;MIKE T. JOHN ,&nbsp;ABIMBOLA M OLADAYO ,&nbsp;DANNA R. PAULSON ,&nbsp;NICOLE THEIS-MAHON ,&nbsp;APARNA INGLESHWAR","doi":"10.1016/j.jebdp.2024.102082","DOIUrl":"10.1016/j.jebdp.2024.102082","url":null,"abstract":"<div><h3>Introduction</h3><div>The project “Mapping Oral Disease Impact with a Common Metric” (MOM) characterizes the functional, pain-related, aesthetic, and broader psychosocial impacts of oral diseases and conditions using the 4 oral health-related quality of life (OHRQoL) dimensions: Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. MOM's 4-dimensional oral health impact information in children was provided by Omara et al. in 2021. We aimed to update this information in 2024 by performing a new systematic review.</div></div><div><h3>Methods</h3><div>We performed a systematic review following PRISMA guidelines to identify original studies assessing the OHRQoL of children &lt;18 years using the Oral Health Impact Profile (OHIP). OHIP publications were retrieved from 2 sources: (i) articles identified by Omara et al., 2021 (search date: 9 January 2019) and (ii) newly identified articles published from 2019 to 2024 in the following databases: Embase+Embase Classic (via Ovid), CINAHL, APA PsycINFO (via Ovid), Scopus, and Web of Science (Core Collection). Abstracts of 1128 articles were screened. The full-text of 199 articles was reviewed, and 24 articles were included. Their OHIP information was mapped into the 4-dimensional OHRQoL framework.</div></div><div><h3>Results</h3><div>Across 3 settings (general population subjects, dental patients, and medical patients) we identified 24 publications. They provided four-dimensional OHRQoL information for 49 populations in 55 samples (N = 8307 study participants). The Orofacial Appearance dimension had the highest impact, while the Psychosocial Impact dimension had the lowest. Functional impact scores were higher than pain-related impact scores. Among dental patients, those with anterior tooth extraction without replacement had the highest impact score within the Orofacial Appearance dimension.</div></div><div><h3>Conclusion</h3><div>Children's 4-dimensional oral health impact information in the “Mapping Oral Disease Impact with a Common Metric” (MOM) project was updated in 2024 with a systematic review. The findings for Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact in children are aligned with findings in adults using the same 4-dimensional impact measurements.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102082"},"PeriodicalIF":4.1,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THREE-DIMENSIONAL FEATURES OF DENTAL ARCH IN CHILDREN WITH OBSTRUCTIVE SLEEP APNEA: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"XIAOLING WANG ,&nbsp;DANNI HUANG ,&nbsp;YIFENG QIAN ,&nbsp;MIN ZHU","doi":"10.1016/j.jebdp.2024.102056","DOIUrl":"10.1016/j.jebdp.2024.102056","url":null,"abstract":"<div><h3>Objectives</h3><div>Children with obstructive sleep apnea (OSA) may have specific dental arch features, which may provide some guidance for early screening for OSA in children in clinical practice. This study aimed to evaluate the association between OSA and dental arch 3-dimensional features in children and adolescents.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis of clinical trials was conducted according to PRISMA guidelines. PubMed, Embase, Scopus, Cochrane Library and Web of Science databases were searched from inception to April 6, 2024. Clinical studies assessing dental arch features in patients with OSA under the age of 18 years were considered for this review. A Meta-analysis was performed using RevMan5.4 software.</div></div><div><h3>Results</h3><div>Eight studies with a total of 466 subjects were included at the end. Meta-analysis showed that upper arch width and lower arch length were significantly reduced in the OSA group compared to the normal group (MxW1: MD = −1.45, 95% CI [−2.71 to −0.18], <em>P</em> = .02; MxW2: MD = −1.60, 95% CI [-2.24 to −0.96], <em>P</em> &lt; .00001; MxW3: MD = −1.21, 95% CI [−1.80 to −0.62], <em>P</em> &lt; .0001; MxW4: MD= −1.35, 95% CI [−2.37 to −0.34], <em>P</em> = .009; lower arch length: MD= −0.84, 95% CI [−1.23 to −0.45], <em>P</em> &lt; .0001). No significant differences were found in upper arch width, upper arch length and palatal height between the OSA group and the snoring non-OSA group (MxW1: MD= −0.23, 95% CI [0.81 to 0.35], <em>P</em> = .43; MxW4: MD = −0.14, 95% CI [−1.09 to 0.80], <em>P</em> = .7; upper arch length: MD= −0.26, 95% CI [−1.05 to 0.49], <em>P</em> = .50; palatal height: MD= −0.82, 95% CI [−0.45 to 2.09], <em>P</em> = .21).</div></div><div><h3>Conclusion</h3><div>this review shows that OSA children tend to exhibit slightly narrower upper arches and shorter lower arches compared to normal children (differences between 1 and 1.5 mm). Snoring non-OSA children had similar dental arch morphology compared to OSA children. However, these findings need to be viewed with caution as they are of very low certainty and only cross-sectional studies were considered, and the corresponding differences may not be clinically significant.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102056"},"PeriodicalIF":4.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECTIVENESS OF CLEAR ORTHODONTIC ALIGNERS IN CORRECTING MALOCCLUSIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"MARYAM BANESHI MDS ,&nbsp;LUCY O'MALLEY PhD ,&nbsp;AHMED EL-ANGBAWI PhD ,&nbsp;BADRI THIRUVENKATACHARI PhD","doi":"10.1016/j.jebdp.2024.102081","DOIUrl":"10.1016/j.jebdp.2024.102081","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The purpose of this research was to assess the effectiveness of clear aligners in treating various types of malocclusions when compared to fixed orthodontic appliances.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods and Quality&lt;/h3&gt;&lt;div&gt;The following databases were searched: EMBASE (Ovid), Medline (Ovid), the Cochrane Library, Latin America and the Caribbean Literature on Health Sciences (Lilacs), Web of Science and EBMR review until October 2024. Additionally, Google scholar, PubMed were also searched for completion for including all relevant articles. No restrictions were placed on language or publication date, and only randomized controlled trials (RCTs) were included in this review. Evaluation of the potential for bias in randomized controlled trials (RCTs) was carried out with the use of the revised Cochrane Risk of Bias instrument (ROB tool 2). The primary outcome was the treatment accuracy of clear aligners vs fixed appliances and included orthodontic tooth movement in terms of anteroposterior discrepancy, transverse discrepancy, vertical discrepancy and overjet. The secondary outcomes included the effectiveness of treatment, such as duration of treatment, periodontal health, root resorption and patient satisfaction. Available data was meta-synthesized using Review Manager 5.4.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;About 21 RCT studies were selected from a total of 600 records and involved 970 participants. All 21 studies included a comparison of the effectiveness of clear aligners vs fixed appliances. About 3 of the studies were assessed to be at high risk of bias, whilst 14 of the studies were assessed to be at unclear risk of bias, and only 1 study was found to be at low risk of bias. Based on the primary outcome, there was no significant difference in the ABO objective grading scores, Little Irregularity Index and PAR scores between the fixed appliances and clear aligner treatments. Meta-analysis was only possible for secondary outcomes. The scores for plaque index (MD = -0.76, 95% CI, -1.14 to - 0.38, &lt;em&gt;P =&lt;/em&gt; .00001), gingival index (MD = -0.61, 95% CI, -0.78 to - 0.44, &lt;em&gt;P =&lt;/em&gt; .00001) and bleeding index (MD = -0.71, 95% CI, -0.92 to - 0.49, &lt;em&gt;P &lt; .&lt;/em&gt;0001) were significantly lower in clear aligners when compared to the fixed appliances. The patients quality of life at 6 months was significantly better for clear aligners compared with fixed appliances (MD = -4.37, 95% CI, -6.93 to -1.80, &lt;em&gt;P&lt;/em&gt; &lt; .0001). Clear aligners also appeared to have a better outcome for chairside time, pain and root resorption.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The overall quality of evidence from the included studies was low. Both clear aligners and fixed appliances worked well in treating simple malocclusions treated on a nonextraction basis. There was no significant difference in the ABO Objective Grading System, Little Irregularity index and PAR scores between the clear aligner and fixed appliance groups. There was low","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102081"},"PeriodicalIF":4.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ARTIFICIAL INTELLIGENCE PLATFORMS IN DENTAL CARIES DETECTION: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"LYNDON P ABBOTT ,&nbsp;ANKITA SAIKIA ,&nbsp;ROBERT P ANTHONAPPA","doi":"10.1016/j.jebdp.2024.102077","DOIUrl":"10.1016/j.jebdp.2024.102077","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess Artificial Intelligence (AI) platforms, machine learning methodologies and associated accuracies used in detecting dental caries from clinical images and dental radiographs.</div></div><div><h3>Methods</h3><div>A systematic search of 8 distinct electronic databases: Scopus, Web of Science, MEDLINE, Educational Resources Information Centre, Institute of Electrical and Electronics Engineers Explore, Science Direct, Directory of Open Access Journals and JSTOR, was conducted from January 2000 to March 2024. AI platforms, machine learning methodologies and associated accuracies of studies using AI for dental caries detection were extracted along with essential study characteristics. The quality of included studies was assessed using QUADAS-2 and the CLAIM checklist. Meta-analysis was performed to obtain a quantitative estimate of AI accuracy.</div></div><div><h3>Results</h3><div>Of the 2538 studies identified, 45 met the inclusion criteria and underwent qualitative synthesis. Of the 45 included studies, 33 used dental radiographs, and 12 used clinical images as datasets. A total of 21 different AI platforms were reported. The accuracy ranged from 41.5% to 98.6% across reported AI platforms. A quantitative meta-analysis across 7 studies reported a mean sensitivity of 76% [95% CI (65% - 85%)] and specificity of 91% [(95% CI (86% - 95%)]. The area under the curve (AUC) was 92% [95% CI (89% - 94%)], with high heterogeneity across included studies.</div></div><div><h3>Conclusion</h3><div>Significant variability exists in AI performance for detecting dental caries across different AI platforms. Meta-analysis demonstrates that AI has superior sensitivity and equal specificity of detecting dental caries from clinical images as compared to bitewing radiography. Although AI is promising for dental caries detection, further refinement is necessary to achieve consistent and reliable performance across varying imaging modalities.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102077"},"PeriodicalIF":4.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}