Evidence map›Paper›PMID 34083157›Full record

Trial reportOral surgery, oral medicine, oral pathology and oral radiology2021

A radiographic method for distinguishing noncavitated from cavitated proximal carious lesions: A proof of concept clinical trial.

Douglas K Benn, Ryan L Cooper, Martha E Nunn, Sherrie E Edwards, Sonia M Rocha-Sanchez

Abstract readClinical Trial
In one paragraph

Trial report in Oral surgery, oral medicine, oral pathology and oral radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Douglas K BennCreighton University School of Dentistry, Omaha, NE, USA. Electronic address: benn@edurica.com.
Ryan L CooperCreighton University School of Dentistry, Omaha, NE, USA.
Martha E NunnCreighton University School of Dentistry, Omaha, NE, USA.
Sherrie E EdwardsCreighton University School of Dentistry, Omaha, NE, USA.
Sonia M Rocha-SanchezCreighton University School of Dentistry, Omaha, NE, USA.

Funding

RADIOGRAPHIC CONTRAST TO DIFFERENTIATE CAVITATED FROM NON-CAVITATED DENTAL CARIESR41DE023003 · NIDCR · FIREFLY HEALTH INNOVATIONS NE, INC. · PI BENN, DOUGLAS K · 2012 to 2012
$100k
NIDCR NIH HHS R41 DE023003
6 · The paper itself

Abstract

objectivesWe propose a new topical radiographic contrast method for distinguishing noncavitated from cavitated radiolucencies. Laboratory tests and a pilot clinical trial were designed to test the feasibility and efficacy of the method. STUDY

designTwenty-two adults with 27 proximal radiolucencies had conventional bitewing (BW) examinations. After exclusion, 21 surfaces were evaluated. A concentrated solution of sodium iodide was placed in the interdental spaces via a microsyringe and BWs were again exposed. A class II cavity preparation was made in the adjacent tooth and polysiloxane impressions were made of the study surfaces. The impressions were scanned by visible light, creating a high resolution 3D replica. Cavitations, if present, were measured.

resultsNine surfaces were noncavitated and 12 surfaces were cavitated. The microsyringe dispensed a variable volume of liquid, which affected the accuracy of the test. The sensitivity for cavitation was 50%, specificity was 88.9%, and accuracy was 66.7%. This compares to a reported 60% sensitivity, 62% specificity, and 62% accuracy for BW examinations. Intraexaminer reliability for classifying noncavitated or cavitated lesions using the kappa test was 0.649.

conclusionsThis method needs improvement but was an advance over conventional BWs and could result in reduction of restorations in low- and high-risk patients.

Indexed as

Dental CariesToothAdultHumansPhysical ExaminationReproducibility of Results

Identifiers

PMID34083157
PMCPMC8380760

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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.