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Table 4.1.5 Visual inspection, list of included clinical studies of permanent<br />

teeth. Studies with high or medium quality and relevance.<br />

Author<br />

Year,<br />

reference<br />

Country<br />

Type of<br />

study<br />

Blinding<br />

Number<br />

of<br />

observers<br />

Observer<br />

reliability<br />

Population<br />

Caries<br />

prevalence<br />

and<br />

type of<br />

lesions<br />

Number<br />

of<br />

individuals<br />

Number<br />

of<br />

teeth<br />

Clinical studies<br />

Occlusal<br />

Angnes<br />

et al<br />

2005 [13]<br />

Brazil<br />

Validity Partly 2 Kappa<br />

Inter:<br />

0.67<br />

Adult<br />

volunteers,<br />

3rd<br />

molars<br />

for<br />

extraction<br />

20 (18%)<br />

sound<br />

24 (22%)<br />

D1<br />

50 (45%)<br />

D2<br />

14 (13%)<br />

D3<br />

2 (2%) D4<br />

38<br />

subjects,<br />

57 teeth,<br />

110 sites<br />

Ie et al<br />

1995 [15]<br />

The<br />

Netherlands<br />

Validity<br />

Not<br />

reported<br />

2 Kappa<br />

Inter:<br />

0.57<br />

5–15<br />

yrs,<br />

patients<br />

at a<br />

department<br />

of<br />

paediatric<br />

dentistry<br />

Not<br />

reported<br />

50 subjects<br />

Reis et al<br />

2006 [14]<br />

Brazil<br />

Validity Partly 2 Kappa:<br />

0.72<br />

In vivo/<br />

in vitro<br />

Intra:<br />

0.56<br />

Inter:<br />

0.51<br />

Adult<br />

volunteers,<br />

3rd<br />

molars<br />

for<br />

extraction<br />

20 (18%)<br />

sound<br />

24 (22%)<br />

D1<br />

50 (45%)<br />

D2<br />

14 (13%)<br />

D3<br />

2 (2%) D4<br />

38<br />

subjects,<br />

57 teeth,<br />

110 sites<br />

Approximal<br />

Hintze et al<br />

1998 [17]<br />

Denmark<br />

Validity Yes 4 Kappa<br />

Inter:<br />

0.4–0.5<br />

Dentist<br />

students,<br />

hygienist<br />

students<br />

7% cavitated<br />

lesions<br />

53<br />

subjects,<br />

338 surfaces<br />

A z = Area under a ROC curve; CI = Confidence interval; D1 = Enamel caries;<br />

D2 = Caries to the enamel-dentine junction; D3 = Caries reaching not more than<br />

half of the dentine; D4 = Caries reaching more than half of the dentine;<br />

100<br />

Karies – diagnostik, riskbedömning och icke-invasiv behandling

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