Evidence map›Paper›PMID 39972369›Full record

Trial reportBMC oral health2025

Assessment of two methods for detecting carious dentin: an in vitro study.

Joel White, Alfa Yansane, Puja Kukreti, Pragati Nahar, Paolo Orobia, Rachel Jensen, Leslie Plack, Ram Vaderhobli, Jonathan Magnum, Larry Jenson

Erratum issuedAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Joel WhiteDepartment of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94105, USA.
Alfa YansaneDepartment of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94105, USA.
Puja KukretiUCSF School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94105, USA.
Pragati NaharUCSF School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94105, USA.
Paolo OrobiaUCSF School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94105, USA.
Rachel JensenCentre for Biopharmaceutical Excellence, Level 11, 655 Elizbeth St, Melbourne, 3000, Australia.
Leslie PlackDepartment of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94105, USA.
Ram VaderhobliDepartment of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94105, USA.
Jonathan MagnumIncisive Technologies Pty Ltd, Level 6, 41 Exhibition Street, Melbourne, VIC, 3000, Australia.
Larry JensonDepartment of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, 707 Parnassus Avenue, San Francisco, CA, 94105, USA. ljenson@sonic.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to compare, in vitro, two dentinal caries lesion detector methods, Caries Finder and BlueCheck, to determine if they were substantially equivalent in their ability to aid visualization of demineralized dentin and to also to compare their performance compared to the traditional visual/tactile method of dentinal caries lesion detection in vitro.

methodsSixty-five extracted human teeth containing lesions rated as ICDAS 4,5 or 6 were chosen and then randomly assigned to two groups. Specimens were then evaluated in standard operatory conditions by three evaluators using the traditional visual and tactile method, the Caries Finder method, and the BlueCheck method of detection. The study employed a parallel, randomized controlled study design. To test the equivalence claim, a "two-one sided test" (TOST) approach was utilized.

resultsAs compared to the traditional method, the Caries Finder method had a 0.9742 accuracy, 95% confidence interval [0.9578, 0.9855], 94.80% sensitivity, 98.53% specificity, 96.47% positive predictive value, 97.82% negative predictive value, 0.938 Kappa value, p < 2.2e-16). The BlueCheck method had a 0.9821 accuracy, 95% confidence interval [0.9682, 0.9910], 96.02% sensitivity, 99.09% specificity, 97.69% positive predictive value, 98.42% negative predictive value, 0.956 Kappa value, p < 2.2e-16). Inter-rater reliability and intra-rater reliability ratings were good to excellent.

conclusionsThe results of this study support the conclusion that the Caries Finder and BlueCheck methods compare favorably with the traditional method of carious dentin detection. Caries Finder and BlueCheck detection methods were found to have comparable performance in their ability to differentiate carious dentin from healthy tooth structure in vitro; however further in vivo validation is required to confirm clinical equivalence. Both show good to excellent inter-rater and intra-rater reliability.

Indexed as

Dental CariesDentinHumansIn Vitro TechniquesPredictive Value of TestsReproducibility of ResultsSensitivity and SpecificityTooth DemineralizationCaries lesionCavitated caries lesionDentinDetection dyeMinimally invasive dentistry

Identifiers

PMID39972369
PMCPMC11837599

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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.