How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement

Autor: Christian H. Splieth, Vita Machiulskiene, Avijit Banerjee, Guglielmo Campus, Kim R. Ekstrand, Rainer Haak, Peter Bottenberg, David J. Manton, Adrian Lussi, Rodrigo A. Giacaman, Lorenzo Breschi, Reinhard Hickel, Hrvoje Jurić, Sophie Doméjean, Andrea Ferreira Zandona, Matthias Hannig, Anahita Jablonski-Momeni, Hervé Tassery, Domenick T. Zero, Falk Schwendicke, Niek J.M. Opdam, Sebastian Paris, Ruth M. Santamaría, Stefan Zimmer
Přispěvatelé: Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), CHU Estaing [Clermont-Ferrand], CHU Clermont-Ferrand, Laboratoire de Bioingénierie et NanoSciences (LBN), Université de Montpellier (UM), Université Montpellier 1 (UM1)-Université de Montpellier (UM), Surgical clinical sciences, Oral Health, Dentistry, Dental Clinic, Conservative Dentistry and Prosthodontics, Schwendicke F., Splieth C.H., Bottenberg P., Breschi L., Campus G., Domejean S., Ekstrand K., Giacaman R.A., Haak R., Hannig M., Hickel R., Juric H., Lussi A., Machiulskiene V., Manton D., Jablonski-Momeni A., Opdam N., Paris S., Santamaria R., Tassery H., Zandona A., Zero D., Zimmer S., Banerjee A.
Rok vydání: 2020
Předmět:
0301 basic medicine
Delphi Technique
Dentistry
PROGRESSION
Recommendations
MARGINAL INTEGRITY
0302 clinical medicine
Caries
Medicine
LONGEVITY
Fluoride
610 Medicine & health
Consensus conference
Interdental consonant
Carie
Systematic review
Restoration
medicine.symptom
600 Technik
Medizin
angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
Human
Adult
Consensus
Consensu
Restorations
[SDV.CAN]Life Sciences [q-bio]/Cancer
engineering.material
Dental Caries
Lower risk
Oral hygiene
Dental Material
Lesion
03 medical and health sciences
Dental Materials
All institutes and research themes of the Radboud University Medical Center
Humans
Dental Enamel
General Dentistry
COMPOSITE
LESIONS
business.industry
Dentistry(all)
caries
consensus
decision-making
fluoride
infiltration
recommendations
restorations
sealing
Sealing
Infiltration
030206 dentistry
Recommendation
Oral Hygiene
APPROXIMAL CARIES
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
Amalgam (dentistry)
AMALGAM
030104 developmental biology
engineering
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Best evidence
business
[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition
Decision-making
Zdroj: Clinical Oral Investigations, 24, 3315-3321
Clinical Oral Investigations
Clinical Oral Investigations, Springer Verlag, 2020, 24 (9), pp.3315-3321. ⟨10.1007/s00784-020-03431-0⟩
Schwendicke, Falk; Splieth, Christian H; Bottenberg, Peter; Breschi, Lorenzo; Campus, Guglielmo; Doméjean, Sophie; Ekstrand, Kim; Giacaman, Rodrigo A; Haak, Rainer; Hannig, Matthias; Hickel, Reinhard; Juric, Hrvoje; Lussi, Adrian; Machiulskiene, Vita; Manton, David; Jablonski-Momeni, Anahita; Opdam, Niek; Paris, Sebastian; Santamaria, Ruth; Tassery, Hervé; ... (2020). How to intervene in the caries process in adults: proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement. Clinical oral investigations, 24(9), pp. 3315-3321. Springer-Verlag 10.1007/s00784-020-03431-0
Schwendicke, F, Splieth, C H, Bottenberg, P, Breschi, L, Campus, G, Doméjean, S, Ekstrand, K, Giacaman, R A, Haak, R, Hannig, M, Hickel, R, Juric, H, Lussi, A, Machiulskiene, V, Manton, D, Jablonski-Momeni, A, Opdam, N, Paris, S, Santamaria, R, Tassery, H, Zandona, A, Zero, D, Zimmer, S & Banerjee, A 2020, ' How to intervene in the caries process in adults : proximal and secondary caries? An EFCD-ORCA-DGZ expert Delphi consensus statement ', Clinical Oral Investigations, vol. 24, no. 9, pp. 3315-3321 . https://doi.org/10.1007/s00784-020-03431-0
Clinical Oral Investigations, 24(9), 3315-3321. SPRINGER HEIDELBERG
Clinical Oral Investigations, 24, 9, pp. 3315-3321
ISSN: 1432-6981
1436-3771
DOI: 10.1007/s00784-020-03431-0⟩
Popis: Objectives To provide consensus recommendations on how to intervene in the caries process in adults, specifically proximal and secondary carious lesions. Methods Based on two systematic reviews, a consensus conference and followed by an e-Delphi consensus process were held with EFCD/ORCA/DGZ delegates. Results Managing an individual’s caries risk using non-invasive means (oral hygiene measures including flossing/interdental brushes, fluoride application) is recommended, as both proximal and secondary carious lesions may be prevented or their activity reduced. For proximal lesions, only cavitated lesions (confirmed by visual-tactile, or radiographically extending into the middle/inner dentine third) should be treated invasively/restoratively. Non-cavitated lesions may be successfully arrested using non-invasive measures in low-risk individuals or if radiographically confined to the enamel. In high-risk individuals or if radiographically extended into dentine, for these lesions, additional micro-invasive (lesion sealing and infiltration) treatment should be considered. For restoring proximal lesions, adhesive direct restorations allow minimally invasive, tooth-preserving preparations. Amalgams come with a lower risk of secondary lesions and may be preferable in more clinically complex scenarios, dependent on specific national guidelines. In structurally compromised (especially endodontically treated) teeth, indirect cuspal coverage restorations may be indicated. Detection methods for secondary lesions should be tailored according to the individual’s caries risk. Avoiding false positive detection and over-treatment is a priority. Bitewing radiographs should be combined with visual-tactile assessment to confirm secondary caries detections. Review/refurbishing/resealing/repairing instead of replacing partially defective restorations should be considered for managing secondary caries, if possible. Conclusions An individualized and lesion-specific approach is recommended for intervening in the caries process in adults. Clinical significance Dental clinicians have an increasing number of interventions available for the management of dental caries. Many of them are grounded in the growing understanding of the disease. The best evidence, patients’ expectations, clinicians’ expertise, and the individual clinical scenario all need to be considered during the decision-making process.
Databáze: OpenAIRE
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