{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T08:47:17Z","timestamp":1782463637543,"version":"3.54.5"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Evid Based Dent"],"published-print":{"date-parts":[[2026,6]]},"abstract":"Abstract<\/jats:title>\n \n A Commentary on<\/jats:title>\n \n Casas K, DiPede L, Toema S, Ogwo C<\/jats:bold>\n .\n <\/jats:p>\n \n Assessing Teledentistry versus In-Person Examinations to Detect Dental Caries: A Systematic Review and Meta-analysis.\n JDR Clinical & Translational Research<\/jats:italic>\n . 2025;11(1):4-15.\n https:\/\/doi.org\/10.1177\/23800844251320974<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A systematic review and meta-analysis focusing on the diagnostic accuracy of teledentistry compared to in-person examinations for detecting dental caries in primary and permanent dentition.<\/jats:p>\n The authors conducted a search in PubMed and CINAHL via EBSCOhost and followed the PRISMA-DTA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Diagnostic Test Accuracy) guidelines.<\/jats:p>\n <\/jats:sec>\n \n Study selection<\/jats:title>\n Comparative studies, including randomized and non-randomized clinical trials, that used DMFT\/S or ICDAS indices and reported sensitivity and specificity as diagnostic parameters were considered eligible. Only studies published in English between January 2013 and December 2021 were included. Studies that did not meet these criteria were excluded.<\/jats:p>\n <\/jats:sec>\n \n Data analysis<\/jats:title>\n QUADAS-2 and JBI checklists were used for risk of bias and critical appraisal. A DerSimonian\u2013Laird random-effects approach was applied to conduct the univariate meta-analysis. Forest plots were generated for included studies, and sensitivity, specificity, diagnostic odds ratio (DOR), and confidence intervals were calculated. Heterogeneity was assessed using Cochran\u2019s Q and Higgins\u2019s I\u00b2 to evaluate the variation across studies and the consistency of the results.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Twelve studies reported sensitivity of 45.6\u201388.3% and specificity of 55.2\u201398.3% for teledentistry in caries detection. Accuracy ranged from 70% to 96%, and PPV\/NPV were 79\u201392% and 48\u201397%, respectively. Heterogeneity was low (I\u00b2 = 24%), and the DerSimonian\u2013Laird random-effects model estimated a diagnostic odds ratio of 35.14, indicating high diagnostic performance.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Teledentistry can be considered a method comparable to in-person examinations for diagnosing dental caries.<\/jats:p>\n <\/jats:sec>","DOI":"10.1038\/s41432-026-01222-2","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T12:53:24Z","timestamp":1776862404000},"page":"25-26","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Can teledentistry be used as an alternative to in-person examinations for the detection of dental caries in pandemic?"],"prefix":"10.1038","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2000-9921","authenticated-orcid":false,"given":"Seyyedeh Mahsa","family":"Sheikholeslamian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"1222_CR1","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1038\/s41415-021-3775-4","volume":"231","author":"NB Pitts","year":"2021","unstructured":"Pitts NB, Twetman S, Fisher J, Marsh PD. Understanding dental caries as a non-communicable disease. Br Dent J. 2021;231:749\u201353. https:\/\/doi.org\/10.1038\/s41415-021-3775-4.","journal-title":"Br Dent J"},{"key":"1222_CR2","doi-asserted-by":"publisher","first-page":"e097256","DOI":"10.1136\/bmjopen-2024-097256","volume":"15","author":"S Hall Dykgraaf","year":"2025","unstructured":"Hall Dykgraaf S, Sunjaya AP, James D, Kidd M. Access to dental services for children: a scoping review on the impact of COVID-19 and implications for future models of care. BMJ Open. 2025;15:e097256 https:\/\/doi.org\/10.1136\/bmjopen-2024-097256.","journal-title":"BMJ Open"},{"key":"1222_CR3","doi-asserted-by":"publisher","DOI":"10.5888\/pcd17.200266","volume":"17","author":"Z Brian","year":"2020","unstructured":"Brian Z, Weintraub JA. Oral Health and COVID-19: increasing the need for prevention and access. Prev Chronic Dis. 2020;17:200266. https:\/\/doi.org\/10.5888\/pcd17.200266.","journal-title":"Prev Chronic Dis"},{"key":"1222_CR4","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1177\/23800844251320974","volume":"11","author":"K Casas","year":"2026","unstructured":"Casas K, DiPede L, Toema S, Ogwo C. Assessing teledentistry versus in-person examinations to detect dental caries: a systematic review and meta-analysis. JDR Clin Transl Res. 2026;11:4\u201315. https:\/\/doi.org\/10.1177\/23800844251320974.","journal-title":"JDR Clin Transl Res"},{"key":"1222_CR5","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/j.jclinepi.2020.09.018","volume":"129","author":"JL Brozek","year":"2021","unstructured":"Brozek JL, Canelo-Aybar C, Akl EA, Bowen JM, Bucher J, Chiu WA, et al. GRADE guidelines 30: the GRADE approach to assessing the certainty of modeled evidence\u2014an overview in the context of health decision-making. J Clin Epidemiol. 2021;129:138\u201350. https:\/\/doi.org\/10.1016\/j.jclinepi.2020.09.018.","journal-title":"J Clin Epidemiol"}],"container-title":["Evidence-Based Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41432-026-01222-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41432-026-01222-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41432-026-01222-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T08:05:37Z","timestamp":1782461137000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41432-026-01222-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,22]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["1222"],"URL":"https:\/\/doi.org\/10.1038\/s41432-026-01222-2","relation":{},"ISSN":["1462-0049","1476-5446"],"issn-type":[{"value":"1462-0049","type":"print"},{"value":"1476-5446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,22]]},"assertion":[{"value":"11 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The author declares no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}