{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:03:35Z","timestamp":1787065415448,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JDR Clinical &amp; Translational Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>There is no recent consensus on the effectiveness of teledentistry versus in-person examination in the diagnosis of dental caries, especially after the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess the diagnostic accuracy of teledentistry versus in-person examination for dental caries diagnosis (PROSPERO #CRD42023410962).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This systematic review and meta-analysis compared the effectiveness of teledentistry versus in-person examination for dental caries diagnosis. The eligibility criteria were peer-reviewed studies published in English between January 2013 and December 2021 that reported diagnostic parameters (specificity and sensitivity) for caries detection in primary and permanent dentition. Articles were extracted using search strategies from PubMed and CINAHL databases and screened using PRISMA-DTA guidelines, following a review for quality assessment and risk of bias using the QUADAS-2 and JBI Critical Appraisal Checklists. Meta-analysis was conducted in R using the MADA package. A descriptive analysis of the sensitivity, specificity, diagnostic odds ratio, and confidence intervals was performed with respective forest plots. Heterogeneity was assessed using Cochrane\n                      <jats:italic toggle=\"yes\">Q<\/jats:italic>\n                      and Higgins\u2019s\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      tests. Univariate measures of diagnostic accuracy were performed based on the DerSimonian\u2013Laird random effect and reported summary diagnostic odds ratios.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twelve studies met the inclusion criteria and were reviewed and included in the meta-analysis. The diagnostic parameters ranged from 45.6% to 88.3% for sensitivity, 55.2% to 98.3% for specificity, 79% to 92% for positive predictive value, 48% to 97% for negative predictive value, and 70% to 96% for accuracy. The \u03ba scores ranged from 0.46 to 0.89 for teledentistry modalities. Tests for equality of sensitivities and specificities were significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The studies were not heterogeneous with Cochran\u2019s\n                      <jats:italic toggle=\"yes\">Q<\/jats:italic>\n                      : 14.502 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.206) and Higgins\u2019s\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      of 24%. The multivariable analysis showed a diagnostic odds ratio based on the DerSimonian\u2013Laird random effect of 35.14, which indicates that the odds of caries detection via teledentistry is 35 times more true positive (i.e., correctly identifying a positive condition) than false positive.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Diagnosis of caries via teledentistry is effective and comparable to in-person diagnosis. Remote assessments are consistent in diagnostic accuracy for caries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Knowledge Transfer Statement:<\/jats:title>\n                    <jats:p>This systematic review and meta-analysis added to the evidence about using teledentistry assessment as a diagnostically accurate tool to detect dental caries. Using teledentistry dental practices could promote greater access to dental and oral health care in the absence of in-person assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23800844251320974","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T01:24:10Z","timestamp":1741829050000},"page":"4-15","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Assessing Teledentistry versus In-Person Examinations to Detect Dental Caries: A Systematic Review and Meta-analysis"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4316-4833","authenticated-orcid":false,"given":"K.","family":"Casas","sequence":"first","affiliation":[{"name":"Department of Oral Health Sciences, Temple University Maurice H Kornberg School of Dentistry, Oral Health Sciences, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"DiPede","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Temple University, Philadelphia, PA, USA"},{"name":"Department of Restorative Dentistry, Temple University Maurice H. Kornberg School of Dentistry, Oral Health Sciences, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Toema","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Temple University Maurice H. Kornberg School of Dentistry, Oral Health Sciences, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9325-0126","authenticated-orcid":false,"given":"C.","family":"Ogwo","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, Temple University Maurice H Kornberg School of Dentistry, Oral Health Sciences, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X18793767"},{"key":"e_1_3_2_3_1","unstructured":"American Dental Association. 2020. ADA policy on teledentistry. Chicago (IL): ADA [accessed 2024 April 16]. https:\/\/www.ada.org\/en\/about\/governance\/current-policies\/ada-policy-on-teledentistry."},{"key":"e_1_3_2_4_1","unstructured":"American Dental Association. 2021. COVID-19 and dentistry timeline. Chicago (IL): ADA [accessed 2021 April 15]. https:\/\/pages.ada.org\/covid-19-and-dentistry-timeline-2021."},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental-2019-300117"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2022.0058"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.01.016"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90046-2"},{"key":"e_1_3_2_9_1","unstructured":"Doebler P Sousa-Pinto B. 2022. Mada: meta-analysis of diagnostic accuracy. R package version 0.5.11 [accessed 2025 Jan 27]. https:\/\/CRAN.R-project.org\/package=mada."},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2016.08.003"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12232"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2016.0122"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2016.733"},{"key":"e_1_3_2_14_1","doi-asserted-by":"crossref","unstructured":"Ibraheim A Sanalla A Eyeson J. 2021. The role of teledentistry in oral surgery during the COVID-19 pandemic. Adv Oral Maxillofac Surg. 1:100005. https:\/\/doi.org\/10.1016\/j.adoms.2020.100005.","DOI":"10.1016\/j.adoms.2020.100005"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/JISPPD.JISPPD_349_18"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2012.0200"},{"key":"e_1_3_2_17_1","doi-asserted-by":"crossref","unstructured":"Kohara EK Abdala CG Novaes TF Braga MM Haddad AE Mendes F M. 2018. Is it feasible to use smartphone images to perform telediagnosis of different stages of occlusal caries lesions? PLoS One. 13(9):e0202116. https:\/\/doi.org\/10.1371\/journal.pone.0202116.","DOI":"10.1371\/journal.pone.0202116"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0012"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0202"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-018-2700-y"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sdentj.2017.03.002"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12195"},{"key":"e_1_3_2_23_1","doi-asserted-by":"crossref","unstructured":"Steinmeier S Wiedemeier D H\u00e4mmerle CH M\u00fchlemann S. 2020. Accuracy of remote diagnoses using intraoral scans captured in approximate true color: a pilot and validation study in teledentistry. 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BMC Oral Health. 13:16. https:\/\/doi.org\/10.1186\/1472-6831-13-16.","DOI":"10.1186\/1472-6831-13-16"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa067"}],"container-title":["JDR Clinical &amp; Translational Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23800844251320974","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23800844251320974","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23800844251320974","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:43:45Z","timestamp":1777495425000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23800844251320974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,12]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/23800844251320974"],"URL":"https:\/\/doi.org\/10.1177\/23800844251320974","relation":{},"ISSN":["2380-0844","2380-0852"],"issn-type":[{"value":"2380-0844","type":"print"},{"value":"2380-0852","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,12]]}}}