Evidence map›Paper›PMID 30222021›Full record

ArticleDento maxillo facial radiology2019

A comparison of diagnosis of early stage interproximal caries with bitewing radiographs and periapical images using consensus reference.

Noriaki Takahashi, Cliff Lee, John Daren Da Silva, Hiroe Ohyama, Motoi Roppongi, Hidemichi Kihara, Wataru Hatakeyama, Shigemi Ishikawa-Nagai, Mitsuru Izumisawa

Abstract read
In one paragraph

Article in Dento maxillo facial radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Noriaki Takahashi1 Iwate Medical University, School of Dental Medicine , Morioka , Japan.
Cliff Lee2 Harvard School of Dental Medicine , Boston, MA , USA.
John Daren Da Silva2 Harvard School of Dental Medicine , Boston, MA , USA.
Hiroe Ohyama2 Harvard School of Dental Medicine , Boston, MA , USA.
Motoi Roppongi1 Iwate Medical University, School of Dental Medicine , Morioka , Japan.
Hidemichi Kihara1 Iwate Medical University, School of Dental Medicine , Morioka , Japan.
Wataru Hatakeyama2 Harvard School of Dental Medicine , Boston, MA , USA.
Shigemi Ishikawa-Nagai2 Harvard School of Dental Medicine , Boston, MA , USA.
Mitsuru Izumisawa1 Iwate Medical University, School of Dental Medicine , Morioka , Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives: The purpose of this study was to assess the diagnostic property of intraoral bitewing radiographs (BTW) for early stage interproximal caries, and to compare them with periapical radiographs (PA) at different levels of caries progression.

methods: A total of 241 interproximal surfaces of BTW and corresponding PAs were used. Seven teaching faculty consisting of three oral and maxillofacial radiologists, two operative faculty, and two prosthodontists evaluated the images. The observers graded images as either "intact", "enamel caries <1/2 width", "enamel caries >1/2 width", or "caries into dentin". The gold-standard was established by consensus of two experienced faculty with 35 years and 27 years of experience. Specificity, sensitivity, positive-predictive value, and negative-predictive value were calculated for the different level of caries progression. Furthermore, receiver operating curves) of BTW and PAs of each evaluator were made and the area under the curve of BTW and PAs were compared.

results: There was no significant difference in the specificity of BTW and PAs. BTW showed significantly higher sensitivity than PAs in all levels of caries progression (p<0.01). Positive-predictive value and negative-predictive value of BTWs were also significantly higher than PAs. One-way ANOVA and Tukey HSD test showed a significant difference in sensitivity with different levels of caries progression. The average area under the curve was significantly higher for BTWs than PAs (p<0.01).

conclusions: BTWs offer a significant advantage over PAs in the diagnoses of early stages of interproximal carious lesions.

Indexed as

Dental CariesRadiography, BitewingConsensusHumansObserver VariationROC CurveSensitivity and Specificity

Identifiers

PMID30222021
PMCPMC6476375

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.